NCSBN TEST BANK - COMPLETE QUESTIONS
AND DETAILED SOLUTIONS LATEST UPDATE THIS
YEAR JUST RELEASED
Question 1: The nurse is caring for a 4 year-old child with a
greenstick fracture. In explaining this type of fracture to the
parents, the best comment by the nurse should include which
point?
A. "Compression of porous bones produces a buckle or torus type
break."
B. "Bone fragments often remain attached by a periosteal hinge."
C. "A child's bone is more flexible and can be bent 45 degrees before
breaking."
D. "Bones of children are more porous than adults' and often have
incomplete breaks."
Answer:
d. "Bones of children are more porous than adults' and often have incomplete breaks."
This allows the pliable bones of growing children to bend, buckle, and break in a
"greenstick" manner. A greenstick fracture occurs when a bone is angulated beyond the
limits of bending. The compressed side bends and the tension side develops an
incomplete fracture.
Question 2: At a senior citizen's group meeting the nurse talks with
a client who has type 1 diabetes. Which statement by the client
during the conversation is most predictive of a potential for
impaired skin integrity?
A. "I had a penny in my shoe all day last week, and I didn't even
realize it until I took my shoes off!"
, B. "I give my insulin to myself in my thighs and belly and alternate
sites."
C. "Here are my glucose test readings that I wrote on my calendar."
D. "If I bathe more than once a week my skin feels too dry."
Answer:
a. "I had a penny in my shoe all day last week, and I didn't even realize it until I took my
shoes off!"
Peripheral neuropathy can lead to lack of sensation in the lower extremities. Clients who
do not feel pressure and/or pain are at high risk for skin impairment.
Question 3: A nurse entering the room of a postpartum mother
observes the baby lying at the edge of the bed while the mother sits
in a nearby chair. The mother states, "This is not my baby, and I do
not want it." After repositioning the child safely, the nurse should
respond with which comment?
A. "Many women have postpartum blues and need some time to love
the baby."
B. "What a beautiful baby! Her eyes are just like yours and so is her
smile."
C. "This is a common occurrence after birth, but you will come to
accept the baby."
D. "You seem upset. Tell me what the pregnancy and birth were like
for you."
Answer:
d. "You seem upset. Tell me what the pregnancy and birth were like for you."
Question 4: The health care team consists of one licensed practical
nurse (LPN), one unlicensed assistive person (UAP) and one LPN
student. The charge nurse (an RN) has made the following
assignments. Which assignment should be questioned by the
,nurse manager?
A. Measuring vital signs and assisting with activities of daily living
(ADLs) for the client admitted with myocardial infarction 4 days ago -
UAP
B. A child diagnosed with second-degree burns over 20% of the body,
has IV packed red cells running and an order for IV albumin - charge
nurse
C. The admission at the change of shifts of a client diagnosed with
atrial fibrillation and acute heart failure - LPN
D. A client who was diagnosed with a major stroke 6 days ago - LPN
student
Answer:
c. The admission at the change of shifts of a client diagnosed with atrial fibrillation and
acute heart failure - LPN
LPNs can provide care for clients whose conditions are stable and there's a low likelihood
of an emergency. Since it's a new admission, the client diagnosed with atrial fibrillation
and heart failure should not be assigned to a student; the charge nurse (RN) should care
for this client. A nurse can assign tasks or activities to UAP, as long as the care of the
client is not too complex or variable and the client's condition is stable.
Question 5: The nurse is caring for a client in a violent relationship.
The nurse should understand that immediately after an acute
battering incident, the batterer may respond to the partner's
injuries by taking which action?
A. Seek medical help for the victim's injuries
B. Be very remorseful and assist the victim to receive medical care
C. Minimize the episode with an underestimation of the victim's
injuries
D. Contact a close friend and ask for help with the incident
Answer:
, c. Minimize the episode with an underestimation of the victim's injuries
Many batterers lack an understanding of the effects of their behavior on the person who
was battered. Batterers use excessive minimization and denial of the situation and their
behaviors or intent.
Question 6: The mother of a 4 month-old infant asks the nurse
about the dangers of sunburn while they are on vacation at the
beach. Which of these statements is the best advice about sun
protection for this child?
A. "Liberally apply a sunscreen with a minimum sun protective factor
of 15 all over the body."
B. "Dress the infant in lightweight long pants, long-sleeved shirts and
brimmed hats."
C. "Sunscreen should not be used on children."
D. "You should keep the baby inside unless it's cloudy outside."
Answer:
b. "Dress the infant in lightweight long pants, long-sleeved shirts and brimmed hats."
Infants under 6 months of age should be kept out of the sun or shielded from it. Even on a
cloudy day, the infant can be sunburned while near water. A hat and light protective
clothing should be worn. Sunscreen is not generally recommended for infants under the
age of 6 months; however, the American Academy of Pediatrics states that it can be
applied to small areas of the baby's skin that are exposed to the sun (such as the baby's
face or the back of the hands).
Question 7: The nurse, who is located in a large urban area, uses
telecommunications to provide health care and education to clients
in remote locations. What is the best reason for using telehealth?
A. Empowers clients to take a greater interest in their illness
B. Removes time and distance barriers from the delivery of care
AND DETAILED SOLUTIONS LATEST UPDATE THIS
YEAR JUST RELEASED
Question 1: The nurse is caring for a 4 year-old child with a
greenstick fracture. In explaining this type of fracture to the
parents, the best comment by the nurse should include which
point?
A. "Compression of porous bones produces a buckle or torus type
break."
B. "Bone fragments often remain attached by a periosteal hinge."
C. "A child's bone is more flexible and can be bent 45 degrees before
breaking."
D. "Bones of children are more porous than adults' and often have
incomplete breaks."
Answer:
d. "Bones of children are more porous than adults' and often have incomplete breaks."
This allows the pliable bones of growing children to bend, buckle, and break in a
"greenstick" manner. A greenstick fracture occurs when a bone is angulated beyond the
limits of bending. The compressed side bends and the tension side develops an
incomplete fracture.
Question 2: At a senior citizen's group meeting the nurse talks with
a client who has type 1 diabetes. Which statement by the client
during the conversation is most predictive of a potential for
impaired skin integrity?
A. "I had a penny in my shoe all day last week, and I didn't even
realize it until I took my shoes off!"
, B. "I give my insulin to myself in my thighs and belly and alternate
sites."
C. "Here are my glucose test readings that I wrote on my calendar."
D. "If I bathe more than once a week my skin feels too dry."
Answer:
a. "I had a penny in my shoe all day last week, and I didn't even realize it until I took my
shoes off!"
Peripheral neuropathy can lead to lack of sensation in the lower extremities. Clients who
do not feel pressure and/or pain are at high risk for skin impairment.
Question 3: A nurse entering the room of a postpartum mother
observes the baby lying at the edge of the bed while the mother sits
in a nearby chair. The mother states, "This is not my baby, and I do
not want it." After repositioning the child safely, the nurse should
respond with which comment?
A. "Many women have postpartum blues and need some time to love
the baby."
B. "What a beautiful baby! Her eyes are just like yours and so is her
smile."
C. "This is a common occurrence after birth, but you will come to
accept the baby."
D. "You seem upset. Tell me what the pregnancy and birth were like
for you."
Answer:
d. "You seem upset. Tell me what the pregnancy and birth were like for you."
Question 4: The health care team consists of one licensed practical
nurse (LPN), one unlicensed assistive person (UAP) and one LPN
student. The charge nurse (an RN) has made the following
assignments. Which assignment should be questioned by the
,nurse manager?
A. Measuring vital signs and assisting with activities of daily living
(ADLs) for the client admitted with myocardial infarction 4 days ago -
UAP
B. A child diagnosed with second-degree burns over 20% of the body,
has IV packed red cells running and an order for IV albumin - charge
nurse
C. The admission at the change of shifts of a client diagnosed with
atrial fibrillation and acute heart failure - LPN
D. A client who was diagnosed with a major stroke 6 days ago - LPN
student
Answer:
c. The admission at the change of shifts of a client diagnosed with atrial fibrillation and
acute heart failure - LPN
LPNs can provide care for clients whose conditions are stable and there's a low likelihood
of an emergency. Since it's a new admission, the client diagnosed with atrial fibrillation
and heart failure should not be assigned to a student; the charge nurse (RN) should care
for this client. A nurse can assign tasks or activities to UAP, as long as the care of the
client is not too complex or variable and the client's condition is stable.
Question 5: The nurse is caring for a client in a violent relationship.
The nurse should understand that immediately after an acute
battering incident, the batterer may respond to the partner's
injuries by taking which action?
A. Seek medical help for the victim's injuries
B. Be very remorseful and assist the victim to receive medical care
C. Minimize the episode with an underestimation of the victim's
injuries
D. Contact a close friend and ask for help with the incident
Answer:
, c. Minimize the episode with an underestimation of the victim's injuries
Many batterers lack an understanding of the effects of their behavior on the person who
was battered. Batterers use excessive minimization and denial of the situation and their
behaviors or intent.
Question 6: The mother of a 4 month-old infant asks the nurse
about the dangers of sunburn while they are on vacation at the
beach. Which of these statements is the best advice about sun
protection for this child?
A. "Liberally apply a sunscreen with a minimum sun protective factor
of 15 all over the body."
B. "Dress the infant in lightweight long pants, long-sleeved shirts and
brimmed hats."
C. "Sunscreen should not be used on children."
D. "You should keep the baby inside unless it's cloudy outside."
Answer:
b. "Dress the infant in lightweight long pants, long-sleeved shirts and brimmed hats."
Infants under 6 months of age should be kept out of the sun or shielded from it. Even on a
cloudy day, the infant can be sunburned while near water. A hat and light protective
clothing should be worn. Sunscreen is not generally recommended for infants under the
age of 6 months; however, the American Academy of Pediatrics states that it can be
applied to small areas of the baby's skin that are exposed to the sun (such as the baby's
face or the back of the hands).
Question 7: The nurse, who is located in a large urban area, uses
telecommunications to provide health care and education to clients
in remote locations. What is the best reason for using telehealth?
A. Empowers clients to take a greater interest in their illness
B. Removes time and distance barriers from the delivery of care
