NCSBN Practice Questions and Answers 2022 Update (Full solution pack)

Assistive devices are used when a caregiver is required to lift more than 35 lbs/15.9 kg true or false Correct Answer- True During any patient transferring task, if any caregiver is required to lift a patient who weighs more than 35 lbs/15.9 kg, then the patient should be considered fully dependent, and assistive devices should be used for transfer If a draining wound tests positive for MRSA, the patient is placed on contact precautions True or False Correct Answer- True Patients with abscess or draining wounds who tests positive for MRSA are placed on contact precautions Hands can be cleaned with alcohol-based hand rub after caring for a patient with C. diff True or False Correct Answer- False Alcohol does not kill C diff spores and soap and water should be used for hand hygiene as recommended by CDC Disaster triage differs from route emergency department triage True or False Correct Answer- True Disaster triage categories range from most urgent (first priority), urgent, nonurgent (the walking wounded), and dead/catastrophic/coma. Newborns are fitted with tamperproof security sensors during their stay at the hospital True or False Correct Answer- TrueWearing a tamper proof safety device reduces the risk of abduction. The sensor shows the location of the infant and the security system can activate other devices (such as cameras, door locks, public address systems, sirens, and other alarms) in the event of an attempted abduction Restraints can be ordered prn by health care providers True or False Correct Answer- False HCP are required to specify duration and circumstances for which restraints are required and for how they should be used. Nurses and HCPs must frequently monitor patients to reassess for the continued need for restraints. Sensor pads may be used on beds of individuals who are a fall risk True or False Correct Answer- True Bed alarms and sensor pads can be used to alert caregivers when a patient is attempting to get up from a bed or chair, especially for a patient that is at risk for a fall. This is an effective alternative to the use of restraintts The 3 elements of radiation protection are time, duration, and shielding True or False Correct Answer- True The farther away people are from a radiation source, the less their exposure; as a rule, if you double the distance, you reduce the exposure by a factor of four. The amount of radiation exposure typically increases with the time people spend near the source of radiation You should quickly remove contaminated clothing by pulling it over your head True or False Correct Answer- False Contaminated clothing should never be removed quickly, but it should be cut off instead of pulled over your head. place contaminated clothing inside a plastic bag, seal the bag, and then place inside another plastic bagStandard precautions also includes respiratory/cough etiquette True or False Correct Answer- True Standard precautions are used to reduce the risk of transmission of bloodborne and other pathogens from both recognized and unrecognized sources. Respiratory hygiene/cough etiquette is now considered part of standard precautions The nurse is making patient room assignments. In order to minimize the risk of a hospital acquired infection, which of these children would be the most appropriate roommate for a 3-year-old child diagnosed with minimal change disease a. 3 year old with fracture, with a sibling that has Fifth disease b. 2 year old diagnosed with respiratory infection c. 6 year old with sickle cell disease experiencing vaso-occlusive crisis d. 4 year old with bilateral inguinal hernia repair Correct Answer- d. 4 year old with bilateral inguinal hernia repair Minimal change disease is a kidney disorder that can lead to nephrotic syndrome. Corticosteroids can cure the disease in most children but cytotoxic therapy and other drugs may be needed, but this treatment can reduce the child's ability to fight infection. The charge nurse must select a roommate who does not have an infection, which is the child child who had surgery. The sickle cell crisis may have triggered an infection. The child's sibling who has a viral disease has the potential to develop an infection. The nurse is setting up a patient's dinner tray. When the nurse turns her back to the patient, the patient grabs the nurse's buttocks and states that he is hungry for much more than dinner. Which of the following response by the nurse is indicated? a. ignore the behavior b. call the HCP c. quickly leave the room and ask UAP to assist the patient d. complete an incident report Correct Answer- d. complete an incident reportTo keep the therapeutic relationship intact, a nurse needs to set limits on appropriate behavior and not ignore bad behavior. Sexual harassment is a form of violence and is never part of the job. The nurse should report the incident to her supervisor and complete an incident report. The nurse has the right to ask not to be assigned to this patient. The paramedics are transporting a poisoning victim to the local hospital. In which of these cases does the nurse anticipate that hyperbaric O2 therapy will be used? a. 6yo found sitting on bathroom floor beside an empty bottle of diazepam b. 21 yo with suspected ethanol intoxication c. 35 yo found unconscious with suspected CO poisoning 2 yo who ate an undetermined amount of crystal drain cleaner Correct Answer- c. 35 yo found unconscious with suspected CO poisoning CO poisoning is the leading cause of poisoning in the US. It causes severe hypoxia which is why treatment includes high-dose oxygen. In severe poisoning, hyperbaric O2 therapy may be used. Treatment for: -crystal drain cleaner and diazepam may include gastric lavage and/or activated charcoal -alcohol intoxication may include gastric lavage, IV fluids, and supportive care A neonate is having difficulty maintaining a temperature above 98F and is placed in an infant warming system. Which of the following actions will ensure the safety of the neonate? a. monitor temperature continuously b. avoid touching neonate with cold hands c. warm all medications and liquids before administration d. wrap the neonate snugly in a cotton blanket Correct Answer- a. monitor temperature continuously When using the warming device, the neonate's temperature should be continuously monitored using a probe that securely attached to the skin. Monitoring the neonate's temperature is the priority safety concern because the skin burns, permanent brain damage or even death can result due to improper use