NCSBN Practice Questions 76-90 Correctly
Answered.
1. An 18 month-old weighing 300
22 pounds is admitted to Using ratio proportion:First, convert 22 pounds to
the pe- diatric unit with a kilograms (22/2.2) = 10 kg20 mL/kg = 20 x 10 kg =
diagnosis 200 mL200 mL/40
of dehydration. A replacement minutes = x mL/60 minutes (in an hour)200 x
60 = 12000/40
bolus of normal saline at 20 = 300 mL/hrUsing dimensional analysis:20 mL/kg
x 1 kg/2.2
mL/kg is ordered to be admin- lb x 22 lb x 60 min/hr x 1/40 min = 300 mL/hr
istered intravenously over
40 minutes.
In mL/hour, what will be
the setting for the IV
delivery sys- tem?
2. The mother of a 2 month- responsible with these
old baby calls a findings?
pediatrician's nurse two
days after the first DTaP, A. DTaP
inactivated polio vac- cine B. IPV
(IPV), Hepatitis B and C. Hepatitis B
Haemophilus influenzae D. HIB
type B (HIB)
immunizations. She
reports that the baby
feels very warm, cries
inconsolably for as long
as three hours, and has
had several shak- ing
spells. Which immuniza-
tion would the nurse
expect to be primarily
1/
165
, NCSBN Practice Questions 76-90 Correctly
Answered.
A
DTaP immunization is a vaccine that protects
against dipthe- ria, tetanus and pertussis
(whooping cough). The majority of reactions
described in this question occur with the
admin- istration of the DTaP vaccination.
Contraindications to giving repeat DTaP
immunizations include the occurrence of severe
side ettects after a previous dose, as well as
signs of en- cephalopathy within seven days
of the immunization.
2/
165
, NCSBN Practice Questions 76-90 Correctly
Answered.
3. A client diagnosed with D
angi- na has been Clients must understand that just one sublingual tablet
instructed about should
the use of sublingual nitroglyc- be taken at a time and placed under the tongue.
After rest and
erin. Which statement a five-minute interval, a second and then eventually a
made by the client is third tablet may be necessary.
incorrect and indicates
a need for further
teaching?
A. "I'll call the health
care provider if pain
continues af- ter three
tablets five minutes
apart."
B. "I will rest briefly right
after taking one tablet."
C. "I understand that the
med- ication should be
kept in the dark bottle."
D. "I can swallow two or
three tablets at once if I
have severe pain." C
Signs of domestic violence or emotional abuse may
4. The nurse is working not be clearly manifested and include many series of a
with victims of domestic minor com-
abuse. The nurse should
understand
which of these factors is a rea- plaints such as headache, abdominal pain,
insomnia, back
son why domestic violence or emotional abuse
3/
165
, NCSBN Practice Questions 76-90 Correctly
Answered.
remains ex- tensively pain and dizziness. These may be covert indications of
undetected? violence or abuse that go undetected. These
complaints may be vague and reflect ambivalence
A. The expenses due to about the disclosure of any violence or abuse.
police and court costs are
prohibi-
4/
165
Answered.
1. An 18 month-old weighing 300
22 pounds is admitted to Using ratio proportion:First, convert 22 pounds to
the pe- diatric unit with a kilograms (22/2.2) = 10 kg20 mL/kg = 20 x 10 kg =
diagnosis 200 mL200 mL/40
of dehydration. A replacement minutes = x mL/60 minutes (in an hour)200 x
60 = 12000/40
bolus of normal saline at 20 = 300 mL/hrUsing dimensional analysis:20 mL/kg
x 1 kg/2.2
mL/kg is ordered to be admin- lb x 22 lb x 60 min/hr x 1/40 min = 300 mL/hr
istered intravenously over
40 minutes.
In mL/hour, what will be
the setting for the IV
delivery sys- tem?
2. The mother of a 2 month- responsible with these
old baby calls a findings?
pediatrician's nurse two
days after the first DTaP, A. DTaP
inactivated polio vac- cine B. IPV
(IPV), Hepatitis B and C. Hepatitis B
Haemophilus influenzae D. HIB
type B (HIB)
immunizations. She
reports that the baby
feels very warm, cries
inconsolably for as long
as three hours, and has
had several shak- ing
spells. Which immuniza-
tion would the nurse
expect to be primarily
1/
165
, NCSBN Practice Questions 76-90 Correctly
Answered.
A
DTaP immunization is a vaccine that protects
against dipthe- ria, tetanus and pertussis
(whooping cough). The majority of reactions
described in this question occur with the
admin- istration of the DTaP vaccination.
Contraindications to giving repeat DTaP
immunizations include the occurrence of severe
side ettects after a previous dose, as well as
signs of en- cephalopathy within seven days
of the immunization.
2/
165
, NCSBN Practice Questions 76-90 Correctly
Answered.
3. A client diagnosed with D
angi- na has been Clients must understand that just one sublingual tablet
instructed about should
the use of sublingual nitroglyc- be taken at a time and placed under the tongue.
After rest and
erin. Which statement a five-minute interval, a second and then eventually a
made by the client is third tablet may be necessary.
incorrect and indicates
a need for further
teaching?
A. "I'll call the health
care provider if pain
continues af- ter three
tablets five minutes
apart."
B. "I will rest briefly right
after taking one tablet."
C. "I understand that the
med- ication should be
kept in the dark bottle."
D. "I can swallow two or
three tablets at once if I
have severe pain." C
Signs of domestic violence or emotional abuse may
4. The nurse is working not be clearly manifested and include many series of a
with victims of domestic minor com-
abuse. The nurse should
understand
which of these factors is a rea- plaints such as headache, abdominal pain,
insomnia, back
son why domestic violence or emotional abuse
3/
165
, NCSBN Practice Questions 76-90 Correctly
Answered.
remains ex- tensively pain and dizziness. These may be covert indications of
undetected? violence or abuse that go undetected. These
complaints may be vague and reflect ambivalence
A. The expenses due to about the disclosure of any violence or abuse.
police and court costs are
prohibi-
4/
165
