NCSBN Practice Questions 106-120
with 100% Correct Answers68
A nurse is caring for a client who is diagnosed with clinical depression and is receiving a
monoamine oxidase inhibitor (MAOI). When providing instructions about precautions with this
medication, which point should the nurse stress to the client?
A. Avoid walking without assistance
B. Take frequent naps
C. Avoid chocolate and cheese
D. Take the medication with milk - ANSWERS-C
Foods high in tryptophan, tyramine, and caffeine, such as chocolate, wine and cheese may
precipitate a hypertensive crisis.
At a routine clinic visit, parents express concern that their 4 year-old is wetting the bed several
times a month. What is the nurse's best response?
A. "Have you tried waking the child to urinate?"
B. "This is normal at this time of day."
C. "Do you offer fluids at night?"
D. "How long has this been occurring?" - ANSWERS-D
Nighttime control should be present by this age, but may not occur until age 5 years at the
latest. Involuntary voiding may occur due to infectious, anatomical and/or physiological reasons.
Referral to a specialist may be needed.
,The nurse is assessing a client who is two days post-surgery and notes new and sudden onset of
confusion. There is an order to discharge the client to go home today. What would be the best
action for the nurse to take?
A. Make a clinic appointment with the primary health provider for follow-up care the next day
B. Teach a family member clean dressing change technique and address safety measures in the
home
C. Collaborate with the dietitian for increasing protein and calcium in the diet
D. Collaborate with the health care provider about the change of condition - ANSWERS-D
Although all the responses may be correct for a post-surgical client, a status change involving
confusion must be reported, particularly if it is a new finding. As an advocate for the client, the
nurse should protect the client from physical harm and collaborate with the health care
provider about a change in the plan for discharge.
The client is admitted with a diagnosis of ulcerative colitis. Which laboratory values should the
nurse be sure to check? (Select all that apply.)
A. Hematocrit and hemoglobin
B. Blood urea nitrogen (BUN)
C. T3 and T4 count
D. Erythrocyte sedimentation rate (ESR)
E. White blood cell count (WBC)
F. Albumin - ANSWERS-A,D,E,F
Decreased hematocrit and hemoglobin may reveal the client has anemia as a result of the
bloody diarrhea characteristic of this inflammatory bowel disease A low protein albumin level
would indicate that the client is experiencing a nutritional deficit due to malabsorption.
Increased numbers of white blood cells and an elevated erythrocyte sedimentation rate (ESR)
indicate active inflammation. Blood urea nitrogen is related to kidney function and T3 and T4
are related to thyroid function; these lab values do not provide information related to the
diagnosis.
,The nurse is educating a client about how to use a metered-dose inhaler with spacer.
Drag and drop the options below in the order that demonstrates correct use of a metered-dose
inhaler with spacer.
A. Remove the mouthpiece from the lips
B. Breathe out slowly
C. Breathe in deeply
D. Hold breath for 10 seconds
E. Release the medication into the spacer - ANSWERS-E, C, A, D, B
Release the medication into the spacer. Breathe in deeply. Remove the mouthpiece, then hold
breath for 10 seconds, then breathe out slowly. Spacers are highly recommended when inhalers
are used because they increase the availability of the medication to the client.
The nurse is caring for a 10 month-old infant diagnosed with iron-deficiency anemia. Based on
this diagnosis, which of these findings should the nurse anticipate?
A. Poor appetite
B. Hemoglobin level of 12 g/dL
C. A heart rate between 80 and 130
D. Pale mucosa of the eyelids and lips - ANSWERS-D
In iron-deficiency anemia, the physical exam reveals a pale, tired-appearing infant with mild-to-
severe tachycardia. The normal heart rate of infants typically ranges from 120 to 180 BPM. The
normal hemoglobin range for children is about 11 to 13 gm/dL.
The clinic nurse is caring for a 15 month-old child with a first episode of otitis media. Which
intervention should the nurse include in the instructions to the child's parents?
, A. Explain that the child should complete the full five days of antibiotics
B. Describe the tympanocentesis to detect persistent infections
C. Emphasize the importance of a return visit after completion of antibiotics
D. Provide them with handout describing care of myringotomy tubes - ANSWERS-C
The usual treatment for otitis media is oral antibiotics for 10 to 14 days. The child should be
examined again after completion of the full course of antibiotics to assess for persistent
infection or middle ear effusion.
A client is admitted to a voluntary hospital mental health unit with the diagnosis of suicidal
ideation. The client has been on the unit for two days and now states, "I demand to be released
now!" The appropriate response from the nurse should be which of these statements?
A. "You have a right to sign out as soon as we get the health care provider's discharge order."
B. "You cannot be released because you are still at risk of being suicidal."
C. "Let's discuss your decision to leave and then we can prepare you for discharge."
D. "You can be released only if you sign a no suicide contract before you leave." - ANSWERS-C
Clients who are voluntarily admitted to the hospital have a right to demand and obtain release.
By discussing the decision to leave the nurse has an opportunity to suggest or implement
interventions other than discharge. The client may just need to talk through thoughts or
feelings.
The nurse assesses a client who has been taking haloperidol for several months. Which adverse
effect must be immediately reported to the health care provider?
A. Constipation
B. Dry, harsh cough
C. Tongue thrusting and facial grimacing
D. Muscle flaccidity - ANSWERS-C
with 100% Correct Answers68
A nurse is caring for a client who is diagnosed with clinical depression and is receiving a
monoamine oxidase inhibitor (MAOI). When providing instructions about precautions with this
medication, which point should the nurse stress to the client?
A. Avoid walking without assistance
B. Take frequent naps
C. Avoid chocolate and cheese
D. Take the medication with milk - ANSWERS-C
Foods high in tryptophan, tyramine, and caffeine, such as chocolate, wine and cheese may
precipitate a hypertensive crisis.
At a routine clinic visit, parents express concern that their 4 year-old is wetting the bed several
times a month. What is the nurse's best response?
A. "Have you tried waking the child to urinate?"
B. "This is normal at this time of day."
C. "Do you offer fluids at night?"
D. "How long has this been occurring?" - ANSWERS-D
Nighttime control should be present by this age, but may not occur until age 5 years at the
latest. Involuntary voiding may occur due to infectious, anatomical and/or physiological reasons.
Referral to a specialist may be needed.
,The nurse is assessing a client who is two days post-surgery and notes new and sudden onset of
confusion. There is an order to discharge the client to go home today. What would be the best
action for the nurse to take?
A. Make a clinic appointment with the primary health provider for follow-up care the next day
B. Teach a family member clean dressing change technique and address safety measures in the
home
C. Collaborate with the dietitian for increasing protein and calcium in the diet
D. Collaborate with the health care provider about the change of condition - ANSWERS-D
Although all the responses may be correct for a post-surgical client, a status change involving
confusion must be reported, particularly if it is a new finding. As an advocate for the client, the
nurse should protect the client from physical harm and collaborate with the health care
provider about a change in the plan for discharge.
The client is admitted with a diagnosis of ulcerative colitis. Which laboratory values should the
nurse be sure to check? (Select all that apply.)
A. Hematocrit and hemoglobin
B. Blood urea nitrogen (BUN)
C. T3 and T4 count
D. Erythrocyte sedimentation rate (ESR)
E. White blood cell count (WBC)
F. Albumin - ANSWERS-A,D,E,F
Decreased hematocrit and hemoglobin may reveal the client has anemia as a result of the
bloody diarrhea characteristic of this inflammatory bowel disease A low protein albumin level
would indicate that the client is experiencing a nutritional deficit due to malabsorption.
Increased numbers of white blood cells and an elevated erythrocyte sedimentation rate (ESR)
indicate active inflammation. Blood urea nitrogen is related to kidney function and T3 and T4
are related to thyroid function; these lab values do not provide information related to the
diagnosis.
,The nurse is educating a client about how to use a metered-dose inhaler with spacer.
Drag and drop the options below in the order that demonstrates correct use of a metered-dose
inhaler with spacer.
A. Remove the mouthpiece from the lips
B. Breathe out slowly
C. Breathe in deeply
D. Hold breath for 10 seconds
E. Release the medication into the spacer - ANSWERS-E, C, A, D, B
Release the medication into the spacer. Breathe in deeply. Remove the mouthpiece, then hold
breath for 10 seconds, then breathe out slowly. Spacers are highly recommended when inhalers
are used because they increase the availability of the medication to the client.
The nurse is caring for a 10 month-old infant diagnosed with iron-deficiency anemia. Based on
this diagnosis, which of these findings should the nurse anticipate?
A. Poor appetite
B. Hemoglobin level of 12 g/dL
C. A heart rate between 80 and 130
D. Pale mucosa of the eyelids and lips - ANSWERS-D
In iron-deficiency anemia, the physical exam reveals a pale, tired-appearing infant with mild-to-
severe tachycardia. The normal heart rate of infants typically ranges from 120 to 180 BPM. The
normal hemoglobin range for children is about 11 to 13 gm/dL.
The clinic nurse is caring for a 15 month-old child with a first episode of otitis media. Which
intervention should the nurse include in the instructions to the child's parents?
, A. Explain that the child should complete the full five days of antibiotics
B. Describe the tympanocentesis to detect persistent infections
C. Emphasize the importance of a return visit after completion of antibiotics
D. Provide them with handout describing care of myringotomy tubes - ANSWERS-C
The usual treatment for otitis media is oral antibiotics for 10 to 14 days. The child should be
examined again after completion of the full course of antibiotics to assess for persistent
infection or middle ear effusion.
A client is admitted to a voluntary hospital mental health unit with the diagnosis of suicidal
ideation. The client has been on the unit for two days and now states, "I demand to be released
now!" The appropriate response from the nurse should be which of these statements?
A. "You have a right to sign out as soon as we get the health care provider's discharge order."
B. "You cannot be released because you are still at risk of being suicidal."
C. "Let's discuss your decision to leave and then we can prepare you for discharge."
D. "You can be released only if you sign a no suicide contract before you leave." - ANSWERS-C
Clients who are voluntarily admitted to the hospital have a right to demand and obtain release.
By discussing the decision to leave the nurse has an opportunity to suggest or implement
interventions other than discharge. The client may just need to talk through thoughts or
feelings.
The nurse assesses a client who has been taking haloperidol for several months. Which adverse
effect must be immediately reported to the health care provider?
A. Constipation
B. Dry, harsh cough
C. Tongue thrusting and facial grimacing
D. Muscle flaccidity - ANSWERS-C
