NCSBN FINAL TEST 2026 QUESTIONS WITH
CORRECT ANSWERS GRADED A+
◍ The nurse is collecting data from a college student who comes to the health
clinic with symptoms of meningitis. The student resides in the school
dormitory. What is the priority action the nurse should take?1Perform a
focused neurological assessment.2Administer acetaminophen for the
headache.3Alert the college's administration and dormitory staff.4Obtain the
client's immunization history..
Answer: 3
◍ A nurse is caring for a child being discharged after a tonsillectomy. Which
instruction is appropriate for the nurse to reinforce with the parents?1Report
a persistent cough to the health care provider2The child can return to school
in four days3Administer chewable medication for pain4The child may
gargle as necessary for discomfort.
Answer: 1
◍ The nurse understands that the prescribed levothyroxine is effective when
the client with hypothyroidism makes which statement?1"I still feel
lethargic and fatigued."2"I have been having daily, formed bowel
movements."3"I have to change my sheets in the morning because I sweat a
lot at night."4"I was reprimanded at work after becoming angry with my
boss.".
Answer: 2
◍ The nurse is monitoring a 45-year-old client who just underwent a
cardioversion for dysrhythmias. The client's respirations are 12 per minute.
Which action should the nurse take next?1Measure the client's oxygen
saturation.2Ask another nurse to verify the respiratory rate.3Notify the
health care provider (HCP).4Continue to monitor the client..
, Answer: 4Normal respirations range from 12 to 20 per minute; respirations
of eight or less per minute would be a cause for concern.
◍ The nurse is caring for a client diagnosed with acute angina. The client
reports substernal chest pain, diaphoresis and nausea. What should be the
first action by the nurse?1Administer PRN pain medication as
ordered2Determine the origin of the pain3Draw blood for for troponin/CK
and CBC per standing orders4Order ECG per standing orders.
Answer: 1
◍ A mother asks about expected motor skills for her 3 year-old child. Which
activity should the nurse discuss as normal at this age?1Riding a
tricycle2Tying shoelaces3Jumping rope4Playing hopscotch.
Answer: 1
◍ A nurse is assigned to care for a 10 month-old infant with the new diagnosis
of anemia. Which of these findings should the nurse anticipate?1Behavior
consistent with hyperactivity2Slow heart rate when sleeping3Pale mucosa
inside the mouth4High hemoglobin level.
Answer: 3
◍ The nurse is caring for a client who has been diagnosed with syndrome of
inappropriate antidiuretic hormone (SIADH). Which interventions are
appropriate for this client? (Select all that apply.)Monitoring of intake and
outputAdministration of a loop diureticImplementation of a fluid
restrictionImplementation of a low-sodium dietAdministration of
vasopressin.
Answer: Monitoring of intake and outputAdministration of a loop
diureticImplementation of a fluid restriction
◍ The client is diagnosed with heart failure and oral digoxin is prescribed.
What is the priority nursing assessment for this medication?1Monitor serum
electrolytes and creatinine2Measure apical pulse prior to
administration3Maintain accurate intake and output ratios4Monitor blood
pressure every 4 hours.
Answer: 2
,◍ A nursing student asks the licensed practical nurse (LPN) to explain the
forces that drive health care reform. When responding to the student's
question, what information should the nurse emphasize?1. Increased
competition between health care insurers2. Increase in health care spending
that's growing faster than the economy3. Increase in the population who
have health insurance4. Increase in spending for end-of-life treatment.
Answer: 2
◍ A client with a history of chronic alcohol use disorder is admitted to the
inpatient unit with a serum magnesium level of 1.0 mEq/
L. Which intervention should the nurse implement first?1Assess the client's
deep tendon reflexes.2Order the client a meal with foods high in
magnesium.3Obtain the client's heart rate and oxygen saturation.4Place the
client on fall risk and seizure precautions..
Answer: 3
◍ A client becomes acutely short of breath with an SpO2 (oxygen saturation)
of 82%. Which oxygen delivery system should the nurse apply that would
provide the highest concentrations of oxygen to the client?1Simple face
mask2Partial rebreather mask3Venturi mask4Non-rebreather mask.
Answer: 4
◍ The nurse is assisting in the admission of a 73-year-old client who has a
fractured right hip. Which interventions should the nurse include in the
client's plan of care? (Select all that apply.)Ask about the client's pain level
with every set of vital signs.Perform daily circulation, motion and sensation
checks on the client's right leg.Palpate the client's bilateral pedal pulses
every four hours.Place the client on continuous pulse oximetry.Reposition
the client every hour to prevent skin breakdown..
Answer: The client with a hip fracture is at risk for impaired perfusion to the
affected extremity. Monitoring bilateral pedal pulses allows the nurse to
compare the pulse strength in the injured site with that in the non-injured
site. A decrease in the injured leg could signal a decrease in circulation that
would require immediate intervention. A fat embolism is also a risk with a
, hip fracture and continuous pulse oximetry would allow the nurse to identify
hypoxia quickly which could be associated with a fat embolism. Clients
with a hip fracture usually experience great pain and assessing pain with
each set of vital signs is key to effective pain management. Circulation,
motion and sensation checks should be completed at least every four hours,
not daily.
◍ The nurse is reinforcing teaching with a client who has recurrent kidney
stones. Which statement by the client would indicate that further teaching is
needed?1"I will follow a low-calcium diet and avoid dairy products."2"I will
contact my health care provider if I am having difficulty urinating."3"I will
monitor the color of my urine."4"I will make sure I drink plenty of water
throughout the day.".
Answer: 1
◍ A LPN complains to the charge nurse that an unlicensed assistive person
(UAP) consistently leaves the work area untidy and does not restock
supplies. What is the best initial response by the charge nurse?1Write down
potential solutions to the problems today by shift's end2Add this concern to
the agenda of the next unit meeting3Assure the staff nurse that the
complaint will be investigated4Explore for further identification about the
nature of the problem.
Answer: 4 Explore for further identification about the nature of the problem
◍ The client is prescribed alendronate (Fosamax). What information about
medication administration should the nurse be sure to reinforce?1Take on an
empty stomach2Take with milk, two hours after meals3Take with
calcium4Take after meals.
Answer: 1
◍ During a well-baby visit, the nurse is evaluating developmental milestones
for the 7-month-old child. Which of these developmental activities should
the child be able to perform?1Sits without support2Uses pincer grasp3Says
several words4Drinks from a cup.
Answer: 1The age at which a child typically develops the ability to sit
CORRECT ANSWERS GRADED A+
◍ The nurse is collecting data from a college student who comes to the health
clinic with symptoms of meningitis. The student resides in the school
dormitory. What is the priority action the nurse should take?1Perform a
focused neurological assessment.2Administer acetaminophen for the
headache.3Alert the college's administration and dormitory staff.4Obtain the
client's immunization history..
Answer: 3
◍ A nurse is caring for a child being discharged after a tonsillectomy. Which
instruction is appropriate for the nurse to reinforce with the parents?1Report
a persistent cough to the health care provider2The child can return to school
in four days3Administer chewable medication for pain4The child may
gargle as necessary for discomfort.
Answer: 1
◍ The nurse understands that the prescribed levothyroxine is effective when
the client with hypothyroidism makes which statement?1"I still feel
lethargic and fatigued."2"I have been having daily, formed bowel
movements."3"I have to change my sheets in the morning because I sweat a
lot at night."4"I was reprimanded at work after becoming angry with my
boss.".
Answer: 2
◍ The nurse is monitoring a 45-year-old client who just underwent a
cardioversion for dysrhythmias. The client's respirations are 12 per minute.
Which action should the nurse take next?1Measure the client's oxygen
saturation.2Ask another nurse to verify the respiratory rate.3Notify the
health care provider (HCP).4Continue to monitor the client..
, Answer: 4Normal respirations range from 12 to 20 per minute; respirations
of eight or less per minute would be a cause for concern.
◍ The nurse is caring for a client diagnosed with acute angina. The client
reports substernal chest pain, diaphoresis and nausea. What should be the
first action by the nurse?1Administer PRN pain medication as
ordered2Determine the origin of the pain3Draw blood for for troponin/CK
and CBC per standing orders4Order ECG per standing orders.
Answer: 1
◍ A mother asks about expected motor skills for her 3 year-old child. Which
activity should the nurse discuss as normal at this age?1Riding a
tricycle2Tying shoelaces3Jumping rope4Playing hopscotch.
Answer: 1
◍ A nurse is assigned to care for a 10 month-old infant with the new diagnosis
of anemia. Which of these findings should the nurse anticipate?1Behavior
consistent with hyperactivity2Slow heart rate when sleeping3Pale mucosa
inside the mouth4High hemoglobin level.
Answer: 3
◍ The nurse is caring for a client who has been diagnosed with syndrome of
inappropriate antidiuretic hormone (SIADH). Which interventions are
appropriate for this client? (Select all that apply.)Monitoring of intake and
outputAdministration of a loop diureticImplementation of a fluid
restrictionImplementation of a low-sodium dietAdministration of
vasopressin.
Answer: Monitoring of intake and outputAdministration of a loop
diureticImplementation of a fluid restriction
◍ The client is diagnosed with heart failure and oral digoxin is prescribed.
What is the priority nursing assessment for this medication?1Monitor serum
electrolytes and creatinine2Measure apical pulse prior to
administration3Maintain accurate intake and output ratios4Monitor blood
pressure every 4 hours.
Answer: 2
,◍ A nursing student asks the licensed practical nurse (LPN) to explain the
forces that drive health care reform. When responding to the student's
question, what information should the nurse emphasize?1. Increased
competition between health care insurers2. Increase in health care spending
that's growing faster than the economy3. Increase in the population who
have health insurance4. Increase in spending for end-of-life treatment.
Answer: 2
◍ A client with a history of chronic alcohol use disorder is admitted to the
inpatient unit with a serum magnesium level of 1.0 mEq/
L. Which intervention should the nurse implement first?1Assess the client's
deep tendon reflexes.2Order the client a meal with foods high in
magnesium.3Obtain the client's heart rate and oxygen saturation.4Place the
client on fall risk and seizure precautions..
Answer: 3
◍ A client becomes acutely short of breath with an SpO2 (oxygen saturation)
of 82%. Which oxygen delivery system should the nurse apply that would
provide the highest concentrations of oxygen to the client?1Simple face
mask2Partial rebreather mask3Venturi mask4Non-rebreather mask.
Answer: 4
◍ The nurse is assisting in the admission of a 73-year-old client who has a
fractured right hip. Which interventions should the nurse include in the
client's plan of care? (Select all that apply.)Ask about the client's pain level
with every set of vital signs.Perform daily circulation, motion and sensation
checks on the client's right leg.Palpate the client's bilateral pedal pulses
every four hours.Place the client on continuous pulse oximetry.Reposition
the client every hour to prevent skin breakdown..
Answer: The client with a hip fracture is at risk for impaired perfusion to the
affected extremity. Monitoring bilateral pedal pulses allows the nurse to
compare the pulse strength in the injured site with that in the non-injured
site. A decrease in the injured leg could signal a decrease in circulation that
would require immediate intervention. A fat embolism is also a risk with a
, hip fracture and continuous pulse oximetry would allow the nurse to identify
hypoxia quickly which could be associated with a fat embolism. Clients
with a hip fracture usually experience great pain and assessing pain with
each set of vital signs is key to effective pain management. Circulation,
motion and sensation checks should be completed at least every four hours,
not daily.
◍ The nurse is reinforcing teaching with a client who has recurrent kidney
stones. Which statement by the client would indicate that further teaching is
needed?1"I will follow a low-calcium diet and avoid dairy products."2"I will
contact my health care provider if I am having difficulty urinating."3"I will
monitor the color of my urine."4"I will make sure I drink plenty of water
throughout the day.".
Answer: 1
◍ A LPN complains to the charge nurse that an unlicensed assistive person
(UAP) consistently leaves the work area untidy and does not restock
supplies. What is the best initial response by the charge nurse?1Write down
potential solutions to the problems today by shift's end2Add this concern to
the agenda of the next unit meeting3Assure the staff nurse that the
complaint will be investigated4Explore for further identification about the
nature of the problem.
Answer: 4 Explore for further identification about the nature of the problem
◍ The client is prescribed alendronate (Fosamax). What information about
medication administration should the nurse be sure to reinforce?1Take on an
empty stomach2Take with milk, two hours after meals3Take with
calcium4Take after meals.
Answer: 1
◍ During a well-baby visit, the nurse is evaluating developmental milestones
for the 7-month-old child. Which of these developmental activities should
the child be able to perform?1Sits without support2Uses pincer grasp3Says
several words4Drinks from a cup.
Answer: 1The age at which a child typically develops the ability to sit
