Page 1 of 88
“NCSBN PRACTICE QUESTIONS EXAM 2025 “ NEWEST UPDATED EXAM 2025 –
2026 SOLVED QUESTIONS & ANSWERS VERIFIED 100% GRADED A+ (LATEST
VERSION) WELL REVISED AND HIGHLY RECOMMENDALE
NCSBN Practice Questions
A 16 year-old client is admitted to a psychiatric unit with a diagnosis of
attempted suicide. The nurse should understand that a more frequent cause
for suicide in adolescents is which factor?
A. Feelings of anger or hostility with others
B. Reunion wish or fantasy of the supernatural
C. Progressive failure to adapt socially
D. Feelings of alienation or isolation from peers
D
The isolation from peers may occur gradually to result in a loss of all meaningful
social contacts. Isolation can be self-imposed or can occur as a result of the inability
to express feelings to peers or family members. During adolescence, an important
benchmark is to achieve a sense of identity and peer acceptance.
The nurse is caring for a child diagnosed with seizures. While teaching the
family and the child about the medication phenytoin, what information should
the nurse emphasize?
A. Omit the medication if the child is seizure-free
B. Serve a diet that is high in iron
C. Administer acetaminophen to promote sleep
D. Maintain good oral hygiene and dental care
D
Swollen and tender gums occur often with use of phenytoin. Good oral hygiene and
regular visits to the dentist should be emphasized. The medication should never be
stopped, even if the child is seizure-free; sudden discontinuation could result in
status epilepticus. Acetaminophen is not a sleep-aid and iron interferes with
phenytoin absorption.
The nurse is performing an assessment on an infant with severe airway
obstruction. Which assessment finding would the nurse anticipate?
A. Rapid, shallow respirations
B. Nasal flaring
C. Chest pain aggravated by respiratory movement
D. Cyanosis and mottling of the skin
B
When the trachea or bronchioles become partially blocked, air flow is restricted.
Nasal flaring is an exaggerated opening and closing of the nostrils with breathing,
and is considered a subtle but important sign of acute respiratory distress in an
infant. This is an emergency and requires rapid medical intervention.
, Page 2 of 88
Several hours after a gastrectomy, the nasogastric tube (NGT) stops draining.
After referring to the standing gastrectomy postoperative orders, what order
will the nurse implement first?
A. Notify the surgeon
B. Increase the amount of suction
C. Gently irrigate the tube with sterile normal saline
D. Reposition the tube until it begins to drain
C
The nurse will assess the position and patency of the NGT, as well as the color and
amount of gastric drainage. The nurse can gently irrigate the NG tube with sterile
normal saline if it becomes clogged. But if that does not resolve the issue or
repositioning the tube is needed, the nurse must call the surgeon. The NGT inserted
in surgery should not be repositioned by the nurse because of the risk of disrupting
any internal sutures. The NGT should be connected to low suction; it would be
contraindicated to increase the suction.
A nurse notes that a 2 year-old child recovering from a tonsillectomy has a
temperature of 98.2 F (36.7 C) at 11:00 am. At 1:00 pm the child's parent
reports that the child "feels very warm" to touch. What should the nurse do
first?
A. Administer the prescribed acetaminophen
B. Reassure the parent that this is normal
C. Offer the child cold oral fluids
D. Reassess the child's temperature
D
The nurse should listen to and show respect for what the parent is saying, because
the parent is more sensitive to the variations in the child's condition. However, the
nurse knows that a low-grade fever (99-101 F or 37.2-38.3 C) is common after
surgery, which is why the nurse should first reassess the temperature before
implementing any intervention. Usually the surgeon is contacted if the temperature is
higher than 101.5 F (38.6 C).
A nurse is teaching a client with asthma about the correct use of the
fluticasone inhaler. Which statement, if made by the client, would indicate that
the teaching was effective?
A. "The inhaler can be used whenever I feel short of breath."
B. "If I forget a dose, I can double up on the next dose."
C. "I should rinse my mouth after using the inhaler."
D. "I should not use a spacer with my inhaler."
C
Fluticasone inhaled (Flovent Diskus) is an inhaled corticosteroid used to prevent
asthma attacks. It is often used in conjunction with a bronchodilator. The client
should be instructed to rinse the mouth after using the inhaler to wash away any
steroid residue so as to reduce the risk of oral fungal infections.
A diabetic client asks the nurse: "Why did the health care provider order a
glycosylated hemoglobin (HbA1c) measurement? My blood glucose reading
was just done this morning." Which explanation would be best to help explain
the purpose of the HbA1c?
, Page 3 of 88
A. Provides a more precise blood glucose value than self-monitoring
B. Reflects an average blood glucose for the prior several months
C. Is performed to detect any complications of diabetes
D. Measures the circulating levels of insulin
B
The HbA1c is used to determine how well the client is managing the disease. The
results reflect the average blood sugar level for the past 2 to 3 months; the more
glucose in the blood, the more hemoglobin gets glycated (coated with glucose). The
higher the HbA1c, the poorer the glucose management and the higher the risk of
diabetic complications. For most diabetics, the goal is to keep the HbA1c at or below
6.5 - 7 %.
A nurse is observing a client during an excretory urogram. Which of these
observations indicate there is a complication?
A. Within two minutes of the dye injection the client states, "I have a feeling of
getting warm."
B. A client complains of a salty taste in the mouth when the dye is injected
C. Within one minute after the dye is injected the client's entire body turns a
bright red color
D. Five minutes into the procedure the client gags and states, "I am getting
sick."
C
This observation suggests anaphylaxis from the dye injection, which can cause
massive vasodilation and shock. Other findings of anaphylaxis are immediate
wheezing and/or respiratory arrest. The salty taste in the mouth, the feeling of
warmth and the complaint of nausea are expected side effects of the injection of the
dye.
A client diagnosed with testicular cancer is scheduled for a right orchiectomy.
The nurse is able to answer the client's questions about this procedure with
the understanding that a unilateral orchiectomy involves which of the
following approaches?
A. A dissection of related lymph nodes by the testes
B. A surgical removal of one testicle
C. A partial surgical removal of the perineal area
D. A surgical removal of the entire scrotum
B
The affected testicle is surgically removed along with its tunica and spermatic cord.
The other genitals and the perineal area are not involved.
A client has been taking alprazolam for three days. The nurse should expect to
find which intended effect of this drug?
A. Tranquilization and calming effects
B. Increased coordination and ability to concentrate
C. Relief of insomnia and phobias
D. Sedation and long-term analgesia
A
Alprazolam (Xanax) is a benzodiazepine used in the treatment of anxiety, panic
disorder, and anxiety associated with depression; it is also beneficial to those
suffering from sleep disorders. This medication is a central nervous system
, Page 4 of 88
depressant, producing a drowsy or calming effect; it may cause a lack of
coordination. Alprazolam has a very short half-life and produces immediate symptom
relief. It does not cause analgesia nor is it used to treat phobias.
During a routine checkup, a client with a history of type 1 diabetes mellitus has
the glycosolated hemoglobin (HbA1c) checked. The results indicate a level of
11%. Based on this result, what should the nurse emphasize during teaching?
A. Rotation of injection sites
B. Daily peripheral glucose monitoring
C. Insulin mixing and preparation
D. Review of diet and exercise recommendations
B
Normal results for Hg A1c (glycosolated hemoglobin) is 6% or less. Persons
diagnosed with diabetes mellitus have guidelines designated by their health care
provider; usually it's less than 7%. Hemoglobin A1c is an average serum glucose
level for the prior three months. The peripheral stick for glucose is an approach to
monitor daily fluctuations.
A nurse is teaching the parent of a 9 month-old infant about diaper dermatitis.
Which of these actions would be appropriate for the nurse to include during
the teaching?
A. Stop any new food that was added to the infant's diet prior to the rash
B. Use commercial baby wipes with each diaper change
C. Do not use occlusive ointments on the rash
D. Use only cloth diapers that are rinsed in bleach
A
The addition of new foods to the infant's diet commonly can cause diaper dermatitis.
The other actions are incorrect to deal with this problem.
The nurse is assessing a client with a history of hypertension. Which of these
questions is a priority for the nurse to ask?
A. "Describe your usual exercise and activity patterns."
B. "What over-the-counter medications do you take?"
C. "Describe your family's cardiovascular history."
D. "Tell me about your usual diet for one day."
B
Over-the-counter medications (OTC), especially those that contain cold preparations,
can increase the blood pressure to the point of aggravation of the hypertension. The
nurse would ask the other questions, but the answers to these questions don't have
as great a risk for the client as the question about OTC medications.
A novice charge nurse is delegating duties. Which tasks, if delegated to an
unlicensed assistive personnel (UAP), would require intervention by the nurse
manager?
A. To empty a urethral collection bag
B. To feed a 2 year-old with a broken arm
C. To bathe a woman with internal radon seeds and device
D. To help an older adult client to the bathroom
C
A client with internal radiation is complex care and is not suitable to be assigned to a
“NCSBN PRACTICE QUESTIONS EXAM 2025 “ NEWEST UPDATED EXAM 2025 –
2026 SOLVED QUESTIONS & ANSWERS VERIFIED 100% GRADED A+ (LATEST
VERSION) WELL REVISED AND HIGHLY RECOMMENDALE
NCSBN Practice Questions
A 16 year-old client is admitted to a psychiatric unit with a diagnosis of
attempted suicide. The nurse should understand that a more frequent cause
for suicide in adolescents is which factor?
A. Feelings of anger or hostility with others
B. Reunion wish or fantasy of the supernatural
C. Progressive failure to adapt socially
D. Feelings of alienation or isolation from peers
D
The isolation from peers may occur gradually to result in a loss of all meaningful
social contacts. Isolation can be self-imposed or can occur as a result of the inability
to express feelings to peers or family members. During adolescence, an important
benchmark is to achieve a sense of identity and peer acceptance.
The nurse is caring for a child diagnosed with seizures. While teaching the
family and the child about the medication phenytoin, what information should
the nurse emphasize?
A. Omit the medication if the child is seizure-free
B. Serve a diet that is high in iron
C. Administer acetaminophen to promote sleep
D. Maintain good oral hygiene and dental care
D
Swollen and tender gums occur often with use of phenytoin. Good oral hygiene and
regular visits to the dentist should be emphasized. The medication should never be
stopped, even if the child is seizure-free; sudden discontinuation could result in
status epilepticus. Acetaminophen is not a sleep-aid and iron interferes with
phenytoin absorption.
The nurse is performing an assessment on an infant with severe airway
obstruction. Which assessment finding would the nurse anticipate?
A. Rapid, shallow respirations
B. Nasal flaring
C. Chest pain aggravated by respiratory movement
D. Cyanosis and mottling of the skin
B
When the trachea or bronchioles become partially blocked, air flow is restricted.
Nasal flaring is an exaggerated opening and closing of the nostrils with breathing,
and is considered a subtle but important sign of acute respiratory distress in an
infant. This is an emergency and requires rapid medical intervention.
, Page 2 of 88
Several hours after a gastrectomy, the nasogastric tube (NGT) stops draining.
After referring to the standing gastrectomy postoperative orders, what order
will the nurse implement first?
A. Notify the surgeon
B. Increase the amount of suction
C. Gently irrigate the tube with sterile normal saline
D. Reposition the tube until it begins to drain
C
The nurse will assess the position and patency of the NGT, as well as the color and
amount of gastric drainage. The nurse can gently irrigate the NG tube with sterile
normal saline if it becomes clogged. But if that does not resolve the issue or
repositioning the tube is needed, the nurse must call the surgeon. The NGT inserted
in surgery should not be repositioned by the nurse because of the risk of disrupting
any internal sutures. The NGT should be connected to low suction; it would be
contraindicated to increase the suction.
A nurse notes that a 2 year-old child recovering from a tonsillectomy has a
temperature of 98.2 F (36.7 C) at 11:00 am. At 1:00 pm the child's parent
reports that the child "feels very warm" to touch. What should the nurse do
first?
A. Administer the prescribed acetaminophen
B. Reassure the parent that this is normal
C. Offer the child cold oral fluids
D. Reassess the child's temperature
D
The nurse should listen to and show respect for what the parent is saying, because
the parent is more sensitive to the variations in the child's condition. However, the
nurse knows that a low-grade fever (99-101 F or 37.2-38.3 C) is common after
surgery, which is why the nurse should first reassess the temperature before
implementing any intervention. Usually the surgeon is contacted if the temperature is
higher than 101.5 F (38.6 C).
A nurse is teaching a client with asthma about the correct use of the
fluticasone inhaler. Which statement, if made by the client, would indicate that
the teaching was effective?
A. "The inhaler can be used whenever I feel short of breath."
B. "If I forget a dose, I can double up on the next dose."
C. "I should rinse my mouth after using the inhaler."
D. "I should not use a spacer with my inhaler."
C
Fluticasone inhaled (Flovent Diskus) is an inhaled corticosteroid used to prevent
asthma attacks. It is often used in conjunction with a bronchodilator. The client
should be instructed to rinse the mouth after using the inhaler to wash away any
steroid residue so as to reduce the risk of oral fungal infections.
A diabetic client asks the nurse: "Why did the health care provider order a
glycosylated hemoglobin (HbA1c) measurement? My blood glucose reading
was just done this morning." Which explanation would be best to help explain
the purpose of the HbA1c?
, Page 3 of 88
A. Provides a more precise blood glucose value than self-monitoring
B. Reflects an average blood glucose for the prior several months
C. Is performed to detect any complications of diabetes
D. Measures the circulating levels of insulin
B
The HbA1c is used to determine how well the client is managing the disease. The
results reflect the average blood sugar level for the past 2 to 3 months; the more
glucose in the blood, the more hemoglobin gets glycated (coated with glucose). The
higher the HbA1c, the poorer the glucose management and the higher the risk of
diabetic complications. For most diabetics, the goal is to keep the HbA1c at or below
6.5 - 7 %.
A nurse is observing a client during an excretory urogram. Which of these
observations indicate there is a complication?
A. Within two minutes of the dye injection the client states, "I have a feeling of
getting warm."
B. A client complains of a salty taste in the mouth when the dye is injected
C. Within one minute after the dye is injected the client's entire body turns a
bright red color
D. Five minutes into the procedure the client gags and states, "I am getting
sick."
C
This observation suggests anaphylaxis from the dye injection, which can cause
massive vasodilation and shock. Other findings of anaphylaxis are immediate
wheezing and/or respiratory arrest. The salty taste in the mouth, the feeling of
warmth and the complaint of nausea are expected side effects of the injection of the
dye.
A client diagnosed with testicular cancer is scheduled for a right orchiectomy.
The nurse is able to answer the client's questions about this procedure with
the understanding that a unilateral orchiectomy involves which of the
following approaches?
A. A dissection of related lymph nodes by the testes
B. A surgical removal of one testicle
C. A partial surgical removal of the perineal area
D. A surgical removal of the entire scrotum
B
The affected testicle is surgically removed along with its tunica and spermatic cord.
The other genitals and the perineal area are not involved.
A client has been taking alprazolam for three days. The nurse should expect to
find which intended effect of this drug?
A. Tranquilization and calming effects
B. Increased coordination and ability to concentrate
C. Relief of insomnia and phobias
D. Sedation and long-term analgesia
A
Alprazolam (Xanax) is a benzodiazepine used in the treatment of anxiety, panic
disorder, and anxiety associated with depression; it is also beneficial to those
suffering from sleep disorders. This medication is a central nervous system
, Page 4 of 88
depressant, producing a drowsy or calming effect; it may cause a lack of
coordination. Alprazolam has a very short half-life and produces immediate symptom
relief. It does not cause analgesia nor is it used to treat phobias.
During a routine checkup, a client with a history of type 1 diabetes mellitus has
the glycosolated hemoglobin (HbA1c) checked. The results indicate a level of
11%. Based on this result, what should the nurse emphasize during teaching?
A. Rotation of injection sites
B. Daily peripheral glucose monitoring
C. Insulin mixing and preparation
D. Review of diet and exercise recommendations
B
Normal results for Hg A1c (glycosolated hemoglobin) is 6% or less. Persons
diagnosed with diabetes mellitus have guidelines designated by their health care
provider; usually it's less than 7%. Hemoglobin A1c is an average serum glucose
level for the prior three months. The peripheral stick for glucose is an approach to
monitor daily fluctuations.
A nurse is teaching the parent of a 9 month-old infant about diaper dermatitis.
Which of these actions would be appropriate for the nurse to include during
the teaching?
A. Stop any new food that was added to the infant's diet prior to the rash
B. Use commercial baby wipes with each diaper change
C. Do not use occlusive ointments on the rash
D. Use only cloth diapers that are rinsed in bleach
A
The addition of new foods to the infant's diet commonly can cause diaper dermatitis.
The other actions are incorrect to deal with this problem.
The nurse is assessing a client with a history of hypertension. Which of these
questions is a priority for the nurse to ask?
A. "Describe your usual exercise and activity patterns."
B. "What over-the-counter medications do you take?"
C. "Describe your family's cardiovascular history."
D. "Tell me about your usual diet for one day."
B
Over-the-counter medications (OTC), especially those that contain cold preparations,
can increase the blood pressure to the point of aggravation of the hypertension. The
nurse would ask the other questions, but the answers to these questions don't have
as great a risk for the client as the question about OTC medications.
A novice charge nurse is delegating duties. Which tasks, if delegated to an
unlicensed assistive personnel (UAP), would require intervention by the nurse
manager?
A. To empty a urethral collection bag
B. To feed a 2 year-old with a broken arm
C. To bathe a woman with internal radon seeds and device
D. To help an older adult client to the bathroom
C
A client with internal radiation is complex care and is not suitable to be assigned to a
