Page 1 of 127
“NCSBN REVIEW PRETEST “ NEWEST UPDATED EXAM 2025 – 2026 SOLVED
QUESTIONS & ANSWERS VERIFIED 100% GRADED A+ (LATEST VERSION) WELL
REVISED AND HIGHLY RECOMMENDALE
NCSBN Review Pretest
The nurse is teaching a parent about side effects of routine immunizations.
Which of these findings must be reported immediately?
A. Irritability
B. Local tenderness
C. Seizure activity
D. Slight edema at site
C
While severe complications are rare, any seizure activity must be immediately
reported; seizures can occur up to 7 days after injection. Other reactions that should
be reported include crying for more than three hours, temperature over 105 F (40.5
C) following DTaP immunization, and tender, swollen, reddened areas where the
shot was given.
A child is to have chest physiotherapy (CPT) by the nurse. Which nursing
action is appropriate?
A. Schedule the therapy 30 minutes after meals
B. Confine the percussion to the rib cage area
C. Teach the child not to cough during the treatment
D. Place the child in a prone position for the therapy
B
Percussion (clapping) should be done in the area of the rib cage anterior and
posteriorly. The position depends on the desired outcome for secretion removal. This
therapy should be done one hour prior or two hours after meals.
, Page 2 of 127
A nurse is providing instructions for a client with asthma who is allergic to
house-dust mites. Which information about prevention of asthma episodes
would be the most helpful to include during the teaching?
A. Wash bed linens in warm water with a cold rinse
B. Open the curtains to let the sunlight in each morning
C. Change the pillow covers every month
D. Wash and rinse the bed linens in hot water
D
For asthma clients who are allergic to house-dust mites, the mattresses and pillows
should be encased in allergen-impermeable covers. All bed linens such as pillow
cases, sheets and blankets should be washed and rinsed weekly in hot water at
temperatures above 130 F (54.4 C), the temperature necessary to kill the dust mites.
The client is withdrawn. Which nursing intervention will be most effective to
help the client develop relationship and interpersonal skills?
A. Offer the client frequent opportunities to interact with one person
B. Assist the client to analyze the meaning of the withdrawn behavior
C. Discuss with the client the focus that other clients have similar problems
D. Provide the client with frequent opportunities to interact with other clients
A
A withdrawn client is uncomfortable in social interaction. The nurse-client or a one-
on-one relationship is a corrective relationship in which the client learns tolerance
and skills for relationships.
A nurse is reinforcing teaching to a 24 year-old woman receiving acyclovir for
a herpes simplex virus type 2 infection. Which of these instructions should the
nurse give the client?
A. Continue to take prophylactic doses for at least five years after the
diagnosis
B. Complete the entire course of the medication for an effective cure
C. Begin treatment with acyclovir at the onset of symptoms of recurrence
D. Stop treatment if she thinks she may be pregnant to prevent birth defects
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C
When the client is aware of early symptoms, such as pain, itching or tingling,
treatment is very effective. Medications for herpes simplex do not cure the disease.
They simply decrease the intensity of the symptoms. Acyclovir (Zovirax) is not known
to have an impact on the fetus. Acyclovir should not be taken for preventive
purposes, regardless of the date of diagnosis.
A licensed practice nurse (LPN) from the float pool is sent to an adult medical-
surgical unit. With this newly added staff person, the charge nurse needs to
revise assignments for the shift. Which of the following clients are appropriate
to assign to the float pool LPN?
A. An older client with newly diagnosed type 2 diabetes and a client who is
HIV-positive with a diagnosis of pneumonia
B. A trauma victim newly admitted with a diagnosis of quadriplegia and a client
one day postoperative radical neck dissection
C. A young adult client with a history of schizophrenia and with current
alcohol withdrawal syndrome and a client diagnosed with chronic renal failure
and anemia
D. A middle-aged client diagnosed with hemiplegia and with a gastrostomy
tube and a client with a below-the-knee amputation (BKA) who will be starting
physical therapy
D
The client diagnosed with hemiplegia (and a gastrostomy tube) and the client who is
starting physical therapy following a BKA require supportive care and interventions
that are within the scope of practice of a LPN. These clients are the most stable and
have a minimal risk of complications. The clients in the other options require RN
care. Some of the clues are: "newly admitted," "newly diagnosed" and "current
alcohol withdrawal" - each of these clients have a high risk of instability and/or
require the specialized nursing knowledge, skill or judgment of a registered nurse.
The nurse is providing diet instruction to the parents of a child with cystic
fibrosis. The nurse would emphasize that the diet should follow which of the
following guidelines?
A. Sodium-restricted
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B. High-fat, high-calorie foods
C. Skim milk and low-fat dairy products
D. Restricted calorie
B
The child with cystic fibrosis requires a well-balanced diet that is high in calories
(approximately 2,900 to 4,500 calories a day). The diet should include increased
amounts of protein, iron, salt, zinc and calcium (especially full-fat dairy products.) Fat
does not need to be restricted because these children lose fat in the stool. Recall
one of the characteristics of this disease is fatty, foul smelling stool.
A child with tetralogy of Fallot visits the clinic several weeks before the
scheduled surgery. The nurse should give priority attention to which focus?
A. Observation for developmental delays
B. Prevention of infection
C. Maintenance of adequate nutrition
D. Assessment of oxygenation
D
All of the responses would be important for a child diagnosed with tetralogy of Fallot.
However, persistent hypoxemia causes acidosis, which further decreases pulmonary
blood flow. Additionally, low oxygenation leads to development of polycythemia and
may result in neurological complications.
A nurse is caring for a 69-year-old diagnosed with hyperglycemia. Which
activity or task could be assigned to the unlicensed assistive person (UAP)?
A. Review the initial signs of hyperglycemia with the client's family
B. Check the condition of the skin of the lower extremities
C. Monitor for altered levels of consciousness (LOC)
D. Record dietary intake
D
The UAP can perform routine activities with predictable outcomes, such as recording
dietary intake. Although the UAP can usually assist clients with personal hygiene and
would be able to identify a change in LOC (for example, the client does not respond
appropriately to questions), their role is to inform the nurse about changes in the
client's condition. The nurse must follow up on this information and perform a
“NCSBN REVIEW PRETEST “ NEWEST UPDATED EXAM 2025 – 2026 SOLVED
QUESTIONS & ANSWERS VERIFIED 100% GRADED A+ (LATEST VERSION) WELL
REVISED AND HIGHLY RECOMMENDALE
NCSBN Review Pretest
The nurse is teaching a parent about side effects of routine immunizations.
Which of these findings must be reported immediately?
A. Irritability
B. Local tenderness
C. Seizure activity
D. Slight edema at site
C
While severe complications are rare, any seizure activity must be immediately
reported; seizures can occur up to 7 days after injection. Other reactions that should
be reported include crying for more than three hours, temperature over 105 F (40.5
C) following DTaP immunization, and tender, swollen, reddened areas where the
shot was given.
A child is to have chest physiotherapy (CPT) by the nurse. Which nursing
action is appropriate?
A. Schedule the therapy 30 minutes after meals
B. Confine the percussion to the rib cage area
C. Teach the child not to cough during the treatment
D. Place the child in a prone position for the therapy
B
Percussion (clapping) should be done in the area of the rib cage anterior and
posteriorly. The position depends on the desired outcome for secretion removal. This
therapy should be done one hour prior or two hours after meals.
, Page 2 of 127
A nurse is providing instructions for a client with asthma who is allergic to
house-dust mites. Which information about prevention of asthma episodes
would be the most helpful to include during the teaching?
A. Wash bed linens in warm water with a cold rinse
B. Open the curtains to let the sunlight in each morning
C. Change the pillow covers every month
D. Wash and rinse the bed linens in hot water
D
For asthma clients who are allergic to house-dust mites, the mattresses and pillows
should be encased in allergen-impermeable covers. All bed linens such as pillow
cases, sheets and blankets should be washed and rinsed weekly in hot water at
temperatures above 130 F (54.4 C), the temperature necessary to kill the dust mites.
The client is withdrawn. Which nursing intervention will be most effective to
help the client develop relationship and interpersonal skills?
A. Offer the client frequent opportunities to interact with one person
B. Assist the client to analyze the meaning of the withdrawn behavior
C. Discuss with the client the focus that other clients have similar problems
D. Provide the client with frequent opportunities to interact with other clients
A
A withdrawn client is uncomfortable in social interaction. The nurse-client or a one-
on-one relationship is a corrective relationship in which the client learns tolerance
and skills for relationships.
A nurse is reinforcing teaching to a 24 year-old woman receiving acyclovir for
a herpes simplex virus type 2 infection. Which of these instructions should the
nurse give the client?
A. Continue to take prophylactic doses for at least five years after the
diagnosis
B. Complete the entire course of the medication for an effective cure
C. Begin treatment with acyclovir at the onset of symptoms of recurrence
D. Stop treatment if she thinks she may be pregnant to prevent birth defects
, Page 3 of 127
C
When the client is aware of early symptoms, such as pain, itching or tingling,
treatment is very effective. Medications for herpes simplex do not cure the disease.
They simply decrease the intensity of the symptoms. Acyclovir (Zovirax) is not known
to have an impact on the fetus. Acyclovir should not be taken for preventive
purposes, regardless of the date of diagnosis.
A licensed practice nurse (LPN) from the float pool is sent to an adult medical-
surgical unit. With this newly added staff person, the charge nurse needs to
revise assignments for the shift. Which of the following clients are appropriate
to assign to the float pool LPN?
A. An older client with newly diagnosed type 2 diabetes and a client who is
HIV-positive with a diagnosis of pneumonia
B. A trauma victim newly admitted with a diagnosis of quadriplegia and a client
one day postoperative radical neck dissection
C. A young adult client with a history of schizophrenia and with current
alcohol withdrawal syndrome and a client diagnosed with chronic renal failure
and anemia
D. A middle-aged client diagnosed with hemiplegia and with a gastrostomy
tube and a client with a below-the-knee amputation (BKA) who will be starting
physical therapy
D
The client diagnosed with hemiplegia (and a gastrostomy tube) and the client who is
starting physical therapy following a BKA require supportive care and interventions
that are within the scope of practice of a LPN. These clients are the most stable and
have a minimal risk of complications. The clients in the other options require RN
care. Some of the clues are: "newly admitted," "newly diagnosed" and "current
alcohol withdrawal" - each of these clients have a high risk of instability and/or
require the specialized nursing knowledge, skill or judgment of a registered nurse.
The nurse is providing diet instruction to the parents of a child with cystic
fibrosis. The nurse would emphasize that the diet should follow which of the
following guidelines?
A. Sodium-restricted
, Page 4 of 127
B. High-fat, high-calorie foods
C. Skim milk and low-fat dairy products
D. Restricted calorie
B
The child with cystic fibrosis requires a well-balanced diet that is high in calories
(approximately 2,900 to 4,500 calories a day). The diet should include increased
amounts of protein, iron, salt, zinc and calcium (especially full-fat dairy products.) Fat
does not need to be restricted because these children lose fat in the stool. Recall
one of the characteristics of this disease is fatty, foul smelling stool.
A child with tetralogy of Fallot visits the clinic several weeks before the
scheduled surgery. The nurse should give priority attention to which focus?
A. Observation for developmental delays
B. Prevention of infection
C. Maintenance of adequate nutrition
D. Assessment of oxygenation
D
All of the responses would be important for a child diagnosed with tetralogy of Fallot.
However, persistent hypoxemia causes acidosis, which further decreases pulmonary
blood flow. Additionally, low oxygenation leads to development of polycythemia and
may result in neurological complications.
A nurse is caring for a 69-year-old diagnosed with hyperglycemia. Which
activity or task could be assigned to the unlicensed assistive person (UAP)?
A. Review the initial signs of hyperglycemia with the client's family
B. Check the condition of the skin of the lower extremities
C. Monitor for altered levels of consciousness (LOC)
D. Record dietary intake
D
The UAP can perform routine activities with predictable outcomes, such as recording
dietary intake. Although the UAP can usually assist clients with personal hygiene and
would be able to identify a change in LOC (for example, the client does not respond
appropriately to questions), their role is to inform the nurse about changes in the
client's condition. The nurse must follow up on this information and perform a
