Page 1 of 86
“NCSBN PRACTICE QUESTIONS EXAM 1 2025 “ NEWEST UPDATED EXAM 2025 –
2026 SOLVED QUESTIONS & ANSWERS VERIFIED 100% GRADED A+ (LATEST
VERSION) WELL REVISED AND HIGHLY RECOMMENDALE
ncsbn lessons 1-8
A nurse is working in an OB-GYN clinic. A 40 year-old woman in the first
trimester of an unplanned pregnancy provides a health history to the nurse.
Which information should receive priority attention?
A. She has taken 800 mcg of folic acid daily for the past year
B. Her father and brother have type 1 diabetes
C. Her husband was treated for tuberculosis as a child
D. She has been taking an ACE inhibitor for her blood pressure for the past
two years.
D
A report by the client that she has been taking medications in the first trimester of
pregnancy should be followed up immediately. ACE inhibitors, commonly used to
control high blood pressure, are pregnancy category X, as they can cause
teratogenic effects on the developing fetus, increasing the risk of birth defects.
Women who are taking medications and who are planning a pregnancy should be
switched to medications that are not harmful to the developing fetus before they
begin trying to get pregnant.
A mother asks about expected motor skill development for her 3 year-old
child. Which activity is considered a typical motor skill for the 3 year-old?
A. Tying shoelaces
B. Riding a tricycle
C. Jumping rope
D. Playing hopscotch
, Page 2 of 86
B
Three year-old children are developing gross motor skills that require large muscle
movement. While there will always be some variation between children, movement
milestones typically include pedaling a tricycle, standing on one foot for a few
seconds, walking backwards and jumping with both feet. The other activities listed
require more coordination and are movement milestones for older children.
A client has been prescribed dexamethasone by mouth daily for transplant
rejection prophylaxis. The client asks the nurse for more information about the
medication. What information should the nurse include? (Select all that apply)
A. "Take the medication with food"
B. "Take acetaminophen for minor pain or aches."
C. "You might experience an increase in weight."
D. "Avoid dairy products"
E. "Do not stop taking the drug abruptly."
A,B,C,E
Adverse effects (ADEs) of long-term corticosteroid therapy include:
behavioral/psychological changes, eye changes such as cataracts and glaucoma,
and increased susceptibility to infections, hyperglycemia, hypocalcemia, fluid
retention, HTN, edema, myopathy, muscle wasting, osteoporosis and peptic
ulcers.To reduce the aforementioned ADEs, it is recommended to take the drug with
food, avoid using NSAIDs for pain and increase dietary intake of calcium, found in
dairy products.To prevent or avoid adrenal atrophy and acute adrenal insufficiency,
discontinue corticosteroids gradually. Never discontinue corticosteroids abruptly!
The nurse is developing a teaching plan for parents on safety and risk-
reduction in the home. Which of the following should the nurse give priority
consideration to during teaching?
A. Number of children in the home
B. Age and knowledge level of the parents
C. Proximity to emergency services
D. Age of children in the home
D
Age and developmental level of the child are the most important considerations in
, Page 3 of 86
the provision of a framework for anticipatory guidance associated with safety, and
should be given priority when teaching safety.
The nurse is providing information to a client about a prescribed medication.
Which one of these statements, if made by a client, indicates that teaching
about propranolol (Inderal) has been effective?
A. "I will expect to feel nervousness the first few weeks."
B. "I can have a heart attack if I stop this medication suddenly."
C. "I could have an increase in my heart rate for a few weeks."
D. "I may experience seizures if I stop the medication abruptly."
B
Propranolol is commonly used to treat hypertension, abnormal heart rhythms, heart
disease and certain types of tremor. It is in a class of medications called beta
blockers. Suddenly discontinuing a beta blocker can cause angina, hypertension,
arrhythmias, or even a heart attack.
A client, admitted to the unit because of severe depression and suicidal
threats, is placed on suicidal precautions. The nurse should be aware that the
danger of the client committing suicide is greatest at what period of time?
A. During the night shift when staffing is limited
B. When the client's mood improves with an increase in energy level
C. At the time of the client's greatest despair
D. After a visit from the client's estranged partner
B
Suicide potential is often increased when there is an improvement in mood and
energy level. At this time ambivalence is often decreased and a decision is made to
commit suicide. The clients have the energy to carry through with the plan for
suicide.
The nurse, who is participating in a community health fair, assesses the health
status of attendees. When would the nurse conduct a mental status
examination?
A. The individual reports memory lapses
B. There are obvious signs of depression
, Page 4 of 86
C. The individual displays restlessness
D. As part of every health assessment
D
A mental status assessment is a critical part of baseline information and should be a
part of every examination.
A nurse uses the New Ballard Scale to assess gestational age of a newborn.
The assessment score total is very high. What is a reasonable interpretation of
this result?
A. The baby is post-term
B. The baby is premature
C. The baby experienced distress during labor
D. The baby is large for gestational age
A
Birth weight and gestational age are important indicators of the newborn's health and
are used to identify any (potential) problems. The New Ballard Scale can help
differentiate, for example, between a small for gestational age baby and one that is
premature. The New Ballard Scale scoring system adds up the individual scores for
6 external physical assessments and 6 neuromuscular assessments; the total score
may range from -10 to 50. Premature babies have lower scores; higher scores
correlate with post-maturity. Fetal distress during labor can result in lower scores.
A nurse is reviewing laboratory results on a client diagnosed with acute renal
failure. Which lab result should be reported immediately?
A. Serum potassium 6 mEq/L (6 mmol/L)
B. Hemoglobin of 9.3 mg/dL (93 g/L)
C. Venous blood pH 7.30
D. Blood urea nitrogen 50 mg/dL (17.9 mmol/L)
A
Although all of these findings are abnormal, the elevated potassium level is a life-
threatening finding and must be reported immediately. Serious consequences of
hyperkalemia include heart block, asystole and life-threatening ventricular
dysrhythmias. Anemia (hemoglobin less than 13 g/dL [130 g/L] in men or less than
12 mg/dL [120 g/L] in women) is common with kidney disease. Blood urea nitrogen
“NCSBN PRACTICE QUESTIONS EXAM 1 2025 “ NEWEST UPDATED EXAM 2025 –
2026 SOLVED QUESTIONS & ANSWERS VERIFIED 100% GRADED A+ (LATEST
VERSION) WELL REVISED AND HIGHLY RECOMMENDALE
ncsbn lessons 1-8
A nurse is working in an OB-GYN clinic. A 40 year-old woman in the first
trimester of an unplanned pregnancy provides a health history to the nurse.
Which information should receive priority attention?
A. She has taken 800 mcg of folic acid daily for the past year
B. Her father and brother have type 1 diabetes
C. Her husband was treated for tuberculosis as a child
D. She has been taking an ACE inhibitor for her blood pressure for the past
two years.
D
A report by the client that she has been taking medications in the first trimester of
pregnancy should be followed up immediately. ACE inhibitors, commonly used to
control high blood pressure, are pregnancy category X, as they can cause
teratogenic effects on the developing fetus, increasing the risk of birth defects.
Women who are taking medications and who are planning a pregnancy should be
switched to medications that are not harmful to the developing fetus before they
begin trying to get pregnant.
A mother asks about expected motor skill development for her 3 year-old
child. Which activity is considered a typical motor skill for the 3 year-old?
A. Tying shoelaces
B. Riding a tricycle
C. Jumping rope
D. Playing hopscotch
, Page 2 of 86
B
Three year-old children are developing gross motor skills that require large muscle
movement. While there will always be some variation between children, movement
milestones typically include pedaling a tricycle, standing on one foot for a few
seconds, walking backwards and jumping with both feet. The other activities listed
require more coordination and are movement milestones for older children.
A client has been prescribed dexamethasone by mouth daily for transplant
rejection prophylaxis. The client asks the nurse for more information about the
medication. What information should the nurse include? (Select all that apply)
A. "Take the medication with food"
B. "Take acetaminophen for minor pain or aches."
C. "You might experience an increase in weight."
D. "Avoid dairy products"
E. "Do not stop taking the drug abruptly."
A,B,C,E
Adverse effects (ADEs) of long-term corticosteroid therapy include:
behavioral/psychological changes, eye changes such as cataracts and glaucoma,
and increased susceptibility to infections, hyperglycemia, hypocalcemia, fluid
retention, HTN, edema, myopathy, muscle wasting, osteoporosis and peptic
ulcers.To reduce the aforementioned ADEs, it is recommended to take the drug with
food, avoid using NSAIDs for pain and increase dietary intake of calcium, found in
dairy products.To prevent or avoid adrenal atrophy and acute adrenal insufficiency,
discontinue corticosteroids gradually. Never discontinue corticosteroids abruptly!
The nurse is developing a teaching plan for parents on safety and risk-
reduction in the home. Which of the following should the nurse give priority
consideration to during teaching?
A. Number of children in the home
B. Age and knowledge level of the parents
C. Proximity to emergency services
D. Age of children in the home
D
Age and developmental level of the child are the most important considerations in
, Page 3 of 86
the provision of a framework for anticipatory guidance associated with safety, and
should be given priority when teaching safety.
The nurse is providing information to a client about a prescribed medication.
Which one of these statements, if made by a client, indicates that teaching
about propranolol (Inderal) has been effective?
A. "I will expect to feel nervousness the first few weeks."
B. "I can have a heart attack if I stop this medication suddenly."
C. "I could have an increase in my heart rate for a few weeks."
D. "I may experience seizures if I stop the medication abruptly."
B
Propranolol is commonly used to treat hypertension, abnormal heart rhythms, heart
disease and certain types of tremor. It is in a class of medications called beta
blockers. Suddenly discontinuing a beta blocker can cause angina, hypertension,
arrhythmias, or even a heart attack.
A client, admitted to the unit because of severe depression and suicidal
threats, is placed on suicidal precautions. The nurse should be aware that the
danger of the client committing suicide is greatest at what period of time?
A. During the night shift when staffing is limited
B. When the client's mood improves with an increase in energy level
C. At the time of the client's greatest despair
D. After a visit from the client's estranged partner
B
Suicide potential is often increased when there is an improvement in mood and
energy level. At this time ambivalence is often decreased and a decision is made to
commit suicide. The clients have the energy to carry through with the plan for
suicide.
The nurse, who is participating in a community health fair, assesses the health
status of attendees. When would the nurse conduct a mental status
examination?
A. The individual reports memory lapses
B. There are obvious signs of depression
, Page 4 of 86
C. The individual displays restlessness
D. As part of every health assessment
D
A mental status assessment is a critical part of baseline information and should be a
part of every examination.
A nurse uses the New Ballard Scale to assess gestational age of a newborn.
The assessment score total is very high. What is a reasonable interpretation of
this result?
A. The baby is post-term
B. The baby is premature
C. The baby experienced distress during labor
D. The baby is large for gestational age
A
Birth weight and gestational age are important indicators of the newborn's health and
are used to identify any (potential) problems. The New Ballard Scale can help
differentiate, for example, between a small for gestational age baby and one that is
premature. The New Ballard Scale scoring system adds up the individual scores for
6 external physical assessments and 6 neuromuscular assessments; the total score
may range from -10 to 50. Premature babies have lower scores; higher scores
correlate with post-maturity. Fetal distress during labor can result in lower scores.
A nurse is reviewing laboratory results on a client diagnosed with acute renal
failure. Which lab result should be reported immediately?
A. Serum potassium 6 mEq/L (6 mmol/L)
B. Hemoglobin of 9.3 mg/dL (93 g/L)
C. Venous blood pH 7.30
D. Blood urea nitrogen 50 mg/dL (17.9 mmol/L)
A
Although all of these findings are abnormal, the elevated potassium level is a life-
threatening finding and must be reported immediately. Serious consequences of
hyperkalemia include heart block, asystole and life-threatening ventricular
dysrhythmias. Anemia (hemoglobin less than 13 g/dL [130 g/L] in men or less than
12 mg/dL [120 g/L] in women) is common with kidney disease. Blood urea nitrogen
