NCSBN QBANK EXAM QUESTIONS
AND ANSWERS16
A child is treated with succimer for lead poisoning. Which of these assessments should the
nurse perform first?
Test deep tendon reflexes
Check blood calcium level
Check complete blood count (CBC) with differential
Check serum potassium level - ANSWERS-Check complete blood count (CBC) with differential
Succimer (Chemet) is used in the management of lead or other heavy metal poisoning.
Although it has generally well tolerated and has a relatively low toxicity, it may cause
neutropenia. Therapy should be withheld or discontinued if the absolute neutrophil count
(ANC) is below 1200/µ.
The client with a T-2 spinal cord injury reports having a "pounding" headache. Further
assessment by the nurse reveals excessive sweating, rash, pilomotor erection, facial flushing,
congested nasal passages and a heart rate of 50. What action should the nurse take next?
Place the client into the bed and administer the ordered PRN analgesic
Measure the client's respirations, blood pressure, temperature and pupillary responses
, Check the client for bladder distention and the urinary catheter for kinks
Assist client with relaxation techniques - ANSWERS-Check the client for bladder distention and
the urinary catheter for kinks
These are findings of autonomic dysreflexia, also called hyperreflexia. This response occurs in
clients with a spinal cord injury above the T-6 level. It is typically initiated by any noxious
stimulus below the level of injury such as a full bladder, an enema or bowel movement, fecal
impaction, uterine contractions, changing of the catheter and vaginal or rectal examinations.
The stimulus creates an exaggerated response of the sympathetic nervous system and can be a
life-threatening event. The BP is typically extremely high. The priority action of the nurse is to
identify and relieve the cause of the stimulus.
The nurse is assessing a 4 year-old child who is in skeletal traction 24 hours after surgical repair
of a fractured femur. The child is crying and reports having severe pain. The right foot is pale
and there is no palpable pulse. What action should the nurse take first?
Administer the ordered PRN medication
Reassess the extremity in 15 minutes
Readjust the traction for comfort
Notify the health care provider - ANSWERS-Notify the health care provider
Pain and absence of a pulse within 48-72 hours after a severe injury to an extremity suggests
acute compartment syndrome. This condition occurs when there's a build up of pressure within
the muscles; this pressure decreases blood flow and can cause muscle and nerve damage. Acute
AND ANSWERS16
A child is treated with succimer for lead poisoning. Which of these assessments should the
nurse perform first?
Test deep tendon reflexes
Check blood calcium level
Check complete blood count (CBC) with differential
Check serum potassium level - ANSWERS-Check complete blood count (CBC) with differential
Succimer (Chemet) is used in the management of lead or other heavy metal poisoning.
Although it has generally well tolerated and has a relatively low toxicity, it may cause
neutropenia. Therapy should be withheld or discontinued if the absolute neutrophil count
(ANC) is below 1200/µ.
The client with a T-2 spinal cord injury reports having a "pounding" headache. Further
assessment by the nurse reveals excessive sweating, rash, pilomotor erection, facial flushing,
congested nasal passages and a heart rate of 50. What action should the nurse take next?
Place the client into the bed and administer the ordered PRN analgesic
Measure the client's respirations, blood pressure, temperature and pupillary responses
, Check the client for bladder distention and the urinary catheter for kinks
Assist client with relaxation techniques - ANSWERS-Check the client for bladder distention and
the urinary catheter for kinks
These are findings of autonomic dysreflexia, also called hyperreflexia. This response occurs in
clients with a spinal cord injury above the T-6 level. It is typically initiated by any noxious
stimulus below the level of injury such as a full bladder, an enema or bowel movement, fecal
impaction, uterine contractions, changing of the catheter and vaginal or rectal examinations.
The stimulus creates an exaggerated response of the sympathetic nervous system and can be a
life-threatening event. The BP is typically extremely high. The priority action of the nurse is to
identify and relieve the cause of the stimulus.
The nurse is assessing a 4 year-old child who is in skeletal traction 24 hours after surgical repair
of a fractured femur. The child is crying and reports having severe pain. The right foot is pale
and there is no palpable pulse. What action should the nurse take first?
Administer the ordered PRN medication
Reassess the extremity in 15 minutes
Readjust the traction for comfort
Notify the health care provider - ANSWERS-Notify the health care provider
Pain and absence of a pulse within 48-72 hours after a severe injury to an extremity suggests
acute compartment syndrome. This condition occurs when there's a build up of pressure within
the muscles; this pressure decreases blood flow and can cause muscle and nerve damage. Acute
