NCSBN Exam Questions And Answers|Well Structured|100% Pass
Which individual is at greatest risk for the
development of hypertension? C
The incidence of hypertension is greater
A. 40 year-old Caucasian nurse among African-Americans than other
B. 60 year-old Asian-American shop groups in the United States. The inci-
owner dence among the Hispanic population is
C. 45 year-old African-American attorney rising.
D. 55 year-old Hispanic teacher
A woman, who delivered five days ago
and who had been diagnosed with preg-
nancy induced hypertension (PIH), calls
a hospital triage nurse hotline to ask
for advice. She states, "I have had the
worst headache for the past two days.
It pounds and by the middle of the af-
ternoon everything I look at looks wavy. D
Nothing I have taken helps." What should
The woman is at risk for seizure activ-
the nurse do next?
ity. The ambulance needs to bring the
woman to the hospital for evaluation and
A. Advise the client to have someone
treatment. For at-risk clients, PIH may
bring her to the emergency room as soon
progress to preeclampsia and eclampsia
as possible
prior to, during, or after delivery; this may
B. Ask the client to explain what she has
occur up to 10 days after delivery.
taken and how often, and then evaluate
other specific complaints
C. Advise the client that the swings in her
hormones may be the problem; suggest
that she call her health care provider
D. Ask the client to stay on the line, get
the address, and send an ambulance to
the home
C
There's a new medication order that
Abbreviations, symbols and dose desig-
reads: "administer 1 gtt ciprofloxacin so-
nations can be misinterpreted and lead
lution OD Q 4 h" What action should the
to medication errors. "OD" can mean
nurse take?
"right eye" (oculus dexter) or "once dai-
ly"; it should never be used when com-
A. Squeeze one drop of the medication
municating medical information. The ab-
, NCSBN Exam Questions And Answers|Well Structured|100% Pass
breviation "Q" should be written out as
in the left eye every 4 hours
"every." Although "gtt" is not on the of-
B. Apply one drop in the right ear every
ficial "Do Not Use List", it's best to use
4 hours
"drop" instead. Asking other nurses to
C. Call the prescriber to clarify and
interpret an order is a potentially danger-
rewrite the order
ous "workaround." The nurse should call
D. Ask other nurses for their interpreta-
the health care provider who prescribed
tion of the order
the medication and clarify the order.
A client expresses anger when a call light
is not answered within five minutes. The
A
client demanded a blanket. How should
This is the best response because it
the nurse respond?
gives credence to the client's feelings
and then concerns. To say "let's talk" and
A. "I see this is frustrating for you. I have
ask a why question is not a therapeutic
a few minutes so let's talk."
approach because it does not acknowl-
B. "I am surprised that you are upset.The
edge or validate the client's feelings. To
request could have waited a few more
apologize and not notice the client's feel-
minutes."
ings is inappropriate. To say it could have
C. "Let's talk. Why are you upset about
waited a few minutes is rude and non-ac-
this?"
cepting of the client's verbalized needs.
D. "I apologize for the delay. I was in-
volved in an emergency."
The clinic nurse is assisting with medical
billing. The nurse uses the DRG (Diag-
nosis Related Group) manual for which
purpose?
DRGs are the basis of prospective
A. Determine reimbursement for a med- payment plans for reimbursement for
ical diagnosis Medicare clients. Other insurance com-
B. Identify findings related to a medical panies often use it as a standard for de-
diagnosis termining payment.
C. Classify nursing diagnoses from the
client's health history
D. Implement nursing care based on
case management protocol
A nurse is planning care for a 2 year-old
B
hospitalized child. Which issue will pro-
While a toddler will experience all of the
duce the most stress at this age?
, NCSBN Exam Questions And Answers|Well Structured|100% Pass
A. Fear of pain stresses, separation from parents is the
B. Separation anxiety major stressor. Separation anxiety peaks
C. Loss of control in the toddler years.
D. Bodily injury
B
The nurse receives a client from the
Although the inability to palpate the left
post anesthesia care unit following a
pedal pulse, a cool extremity, and in-
left femoral-popliteal bypass graft pro-
creased pain in the left lower leg are
cedure. Which of the following assess-
important findings, they all require addi-
ments requires immediate notification of
tional nursing assessment prior to con-
the health care provider?
tacting the health care provider. In clients
A. Left foot is cool to the touch without palpable pedal pulses, the next
step in the assessment is to perform a
B. Absent left pedal pulse using Doppler
Doppler analysis. The inability to locate
analysis
the left pedal pulse using the Doppler
C. Inability to palpate the left pedal pulse
analysis requires immediately notifying
D. Acute pain in the left lower leg
the health care provider.
A
Metabolic acidosis can be caused by
many conditions, including renal failure,
shock, severe diarrhea, dehydration, di-
The nurse is reviewing the laboratory
abetic acidosis, and salicylate poisoning.
results for several clients. Which of the
With metabolic acidosis, you should ex-
laboratory result indicates a client with
pect a low pH (less than 7.35) and a low
partly compensated metabolic acidosis?
HCO3 (less than 22 mEq/L.) Compen-
sation means the body is trying to get
A. PaCO2 30 mm Hg
the pH back in balance; therefore, a pure
B. Hemoglobin 15 g/dL (150 g//L)
metabolic acidosis should elicit a com-
C. Sodium 130 mEq/L (130 mmol/L)
pensatory decrease in PaCO3 (normal is
D. Chloride 100 mEq/L (100 mmol/L)
35-45 mm Hg.) The hemoglobin is within
normal limits (WNL) for both males and
females.The chloride and sodium results
are also WNL.
A nurse is teaching a group of adults C
about modifiable cardiac risk factors.
Smoking cessation is the priority for
Which of the following should the nurse
clients at risk for cardiac disease. Smok-
focus on first?
, NCSBN Exam Questions And Answers|Well Structured|100% Pass
ing's effects result in reduction of cell
A. Weight reduction
oxygenation and constriction of the blood
B. Stress management
vessels. All of the other factors should be
C. Smoking cessation
addressed at some point in time.
D. Physical exercise
B
An orchiectomy is the surgical removal
of one or both testicles. It is usual-
The client is admitted to an ambula-
ly performed to treat cancer (testicular,
tory surgery center and undergoes a
prostate or cancer of the male breast),
right inguinal orchiectomy. Which option
but it may also be performed to prevent
is the priority before the client can be
cancer (with an undescended testicle.)
discharged to home?
Due to the location of the incision, pain
A. Able to tolerate a regular diet management is the priority. Most men
will be able to eat regularly when they
B. Post-operative pain is managed
get home; they should at least tolerate
C. Psychological counseling is sched-
liquids before discharge. It's important
uled
that the client is able to get up and walk
D. Able to ambulate in the hallway with
with assistance, but this is not the priority.
assistance
Psychological counseling may be need-
ed as part of long-term aftercare, but this
is not an immediate priority.
D
A client is transported to the emergency Tracheal deviation is a sign that a medi-
department after a motor vehicle acci- astinal shift has occurred, most likely due
dent. When assessing the client 30 min- to a tension pneumothorax. Air escaping
utes after admission, the nurse notes from the injured lung into the pleural cav-
several physical changes. Which finding ity causes pressure to build, collapsing
would require the nurse's immediate at- the lung and shifting the mediastinum to
tention? the opposite side. This obstructs venous
return to the heart, leading to circulato-
A. Increased restlessness ry instability and may result in cardiac
B. Tachypnea arrest. This is a medical emergency, re-
C. Tachycardia quiring emergency placement of a chest
D.Tracheal deviation tube to remove air from the pleural cavity
relieving the pressure.
A client has a chest tube inserted im-
mediately after surgery for a left lower
Which individual is at greatest risk for the
development of hypertension? C
The incidence of hypertension is greater
A. 40 year-old Caucasian nurse among African-Americans than other
B. 60 year-old Asian-American shop groups in the United States. The inci-
owner dence among the Hispanic population is
C. 45 year-old African-American attorney rising.
D. 55 year-old Hispanic teacher
A woman, who delivered five days ago
and who had been diagnosed with preg-
nancy induced hypertension (PIH), calls
a hospital triage nurse hotline to ask
for advice. She states, "I have had the
worst headache for the past two days.
It pounds and by the middle of the af-
ternoon everything I look at looks wavy. D
Nothing I have taken helps." What should
The woman is at risk for seizure activ-
the nurse do next?
ity. The ambulance needs to bring the
woman to the hospital for evaluation and
A. Advise the client to have someone
treatment. For at-risk clients, PIH may
bring her to the emergency room as soon
progress to preeclampsia and eclampsia
as possible
prior to, during, or after delivery; this may
B. Ask the client to explain what she has
occur up to 10 days after delivery.
taken and how often, and then evaluate
other specific complaints
C. Advise the client that the swings in her
hormones may be the problem; suggest
that she call her health care provider
D. Ask the client to stay on the line, get
the address, and send an ambulance to
the home
C
There's a new medication order that
Abbreviations, symbols and dose desig-
reads: "administer 1 gtt ciprofloxacin so-
nations can be misinterpreted and lead
lution OD Q 4 h" What action should the
to medication errors. "OD" can mean
nurse take?
"right eye" (oculus dexter) or "once dai-
ly"; it should never be used when com-
A. Squeeze one drop of the medication
municating medical information. The ab-
, NCSBN Exam Questions And Answers|Well Structured|100% Pass
breviation "Q" should be written out as
in the left eye every 4 hours
"every." Although "gtt" is not on the of-
B. Apply one drop in the right ear every
ficial "Do Not Use List", it's best to use
4 hours
"drop" instead. Asking other nurses to
C. Call the prescriber to clarify and
interpret an order is a potentially danger-
rewrite the order
ous "workaround." The nurse should call
D. Ask other nurses for their interpreta-
the health care provider who prescribed
tion of the order
the medication and clarify the order.
A client expresses anger when a call light
is not answered within five minutes. The
A
client demanded a blanket. How should
This is the best response because it
the nurse respond?
gives credence to the client's feelings
and then concerns. To say "let's talk" and
A. "I see this is frustrating for you. I have
ask a why question is not a therapeutic
a few minutes so let's talk."
approach because it does not acknowl-
B. "I am surprised that you are upset.The
edge or validate the client's feelings. To
request could have waited a few more
apologize and not notice the client's feel-
minutes."
ings is inappropriate. To say it could have
C. "Let's talk. Why are you upset about
waited a few minutes is rude and non-ac-
this?"
cepting of the client's verbalized needs.
D. "I apologize for the delay. I was in-
volved in an emergency."
The clinic nurse is assisting with medical
billing. The nurse uses the DRG (Diag-
nosis Related Group) manual for which
purpose?
DRGs are the basis of prospective
A. Determine reimbursement for a med- payment plans for reimbursement for
ical diagnosis Medicare clients. Other insurance com-
B. Identify findings related to a medical panies often use it as a standard for de-
diagnosis termining payment.
C. Classify nursing diagnoses from the
client's health history
D. Implement nursing care based on
case management protocol
A nurse is planning care for a 2 year-old
B
hospitalized child. Which issue will pro-
While a toddler will experience all of the
duce the most stress at this age?
, NCSBN Exam Questions And Answers|Well Structured|100% Pass
A. Fear of pain stresses, separation from parents is the
B. Separation anxiety major stressor. Separation anxiety peaks
C. Loss of control in the toddler years.
D. Bodily injury
B
The nurse receives a client from the
Although the inability to palpate the left
post anesthesia care unit following a
pedal pulse, a cool extremity, and in-
left femoral-popliteal bypass graft pro-
creased pain in the left lower leg are
cedure. Which of the following assess-
important findings, they all require addi-
ments requires immediate notification of
tional nursing assessment prior to con-
the health care provider?
tacting the health care provider. In clients
A. Left foot is cool to the touch without palpable pedal pulses, the next
step in the assessment is to perform a
B. Absent left pedal pulse using Doppler
Doppler analysis. The inability to locate
analysis
the left pedal pulse using the Doppler
C. Inability to palpate the left pedal pulse
analysis requires immediately notifying
D. Acute pain in the left lower leg
the health care provider.
A
Metabolic acidosis can be caused by
many conditions, including renal failure,
shock, severe diarrhea, dehydration, di-
The nurse is reviewing the laboratory
abetic acidosis, and salicylate poisoning.
results for several clients. Which of the
With metabolic acidosis, you should ex-
laboratory result indicates a client with
pect a low pH (less than 7.35) and a low
partly compensated metabolic acidosis?
HCO3 (less than 22 mEq/L.) Compen-
sation means the body is trying to get
A. PaCO2 30 mm Hg
the pH back in balance; therefore, a pure
B. Hemoglobin 15 g/dL (150 g//L)
metabolic acidosis should elicit a com-
C. Sodium 130 mEq/L (130 mmol/L)
pensatory decrease in PaCO3 (normal is
D. Chloride 100 mEq/L (100 mmol/L)
35-45 mm Hg.) The hemoglobin is within
normal limits (WNL) for both males and
females.The chloride and sodium results
are also WNL.
A nurse is teaching a group of adults C
about modifiable cardiac risk factors.
Smoking cessation is the priority for
Which of the following should the nurse
clients at risk for cardiac disease. Smok-
focus on first?
, NCSBN Exam Questions And Answers|Well Structured|100% Pass
ing's effects result in reduction of cell
A. Weight reduction
oxygenation and constriction of the blood
B. Stress management
vessels. All of the other factors should be
C. Smoking cessation
addressed at some point in time.
D. Physical exercise
B
An orchiectomy is the surgical removal
of one or both testicles. It is usual-
The client is admitted to an ambula-
ly performed to treat cancer (testicular,
tory surgery center and undergoes a
prostate or cancer of the male breast),
right inguinal orchiectomy. Which option
but it may also be performed to prevent
is the priority before the client can be
cancer (with an undescended testicle.)
discharged to home?
Due to the location of the incision, pain
A. Able to tolerate a regular diet management is the priority. Most men
will be able to eat regularly when they
B. Post-operative pain is managed
get home; they should at least tolerate
C. Psychological counseling is sched-
liquids before discharge. It's important
uled
that the client is able to get up and walk
D. Able to ambulate in the hallway with
with assistance, but this is not the priority.
assistance
Psychological counseling may be need-
ed as part of long-term aftercare, but this
is not an immediate priority.
D
A client is transported to the emergency Tracheal deviation is a sign that a medi-
department after a motor vehicle acci- astinal shift has occurred, most likely due
dent. When assessing the client 30 min- to a tension pneumothorax. Air escaping
utes after admission, the nurse notes from the injured lung into the pleural cav-
several physical changes. Which finding ity causes pressure to build, collapsing
would require the nurse's immediate at- the lung and shifting the mediastinum to
tention? the opposite side. This obstructs venous
return to the heart, leading to circulato-
A. Increased restlessness ry instability and may result in cardiac
B. Tachypnea arrest. This is a medical emergency, re-
C. Tachycardia quiring emergency placement of a chest
D.Tracheal deviation tube to remove air from the pleural cavity
relieving the pressure.
A client has a chest tube inserted im-
mediately after surgery for a left lower
