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NCSBN Exam 2 with Latest Questions and Verified Answers The school nurse is assessing an elementary student with hemophilia who fell during recess. Which symptoms indicate hemarthrosis? A. Pain, coolness, and blue discoloration in the affected joint B. Tingling and pain without loss of movement in the affected joint C. Warmth, redness, and decreased movement in the affected joint D. Stiffness, aching, and decreased movement in the affected joint ANSWER D. Stiffness, aching, and de...

NCSBN Exam 2 with Questions and Verified Answers A client with osteoarthritis has a prescription for Celebrex (celecoxib). Which instruction should be included in the discharge teaching? A. Take the medication with milk. B. Report chest pain. C. Remain upright after taking for 30 minutes. D. Allow 6 weeks for optimal effects ANSWER B. Report chest pain Cox II inhibitors have been associated with heart attacks and strokes. Any changes in cardiac status or signs of a stroke should be...

NCSBN Exam 2 with Questions and Verified Solutions A client with diabetes insipidus is receiving DDAVP (desmopressin acetate). Which lab finding indicates that the medication is having its intended effect? A. Blood glucose 92mg/dL B. Urine specific gravity 1.020 C. White blood count of 7,500 D. Glycosylated hemoglobin 3.5mg/dL ANSWER B. Urine specific gravity 1.020 The medication is having its intended effect when the client's urine specific gravity is within the normal range....

NCSBN Exam 2 with Questions and Solutions Which client is at risk for opportunistic diseases such as pneumocystis pneumonia? A. The client with cancer who is being treated with chemotherapy B. The client with Type I diabetes C. The client with thyroid disease D. The client with Addison's disease ANSWER A. The client with cancer who is being treated with chemotherapy The client with cancer being treated with chemotherapy is immune suppressed and is at risk for opportunistic di...

NCSBN Exam 2 with Questions and Answers The client has a prescription for a calcium carbonate compound to neutralize stomach acid. The nurse should assess the client for: A. Constipation B. Hyperphosphatemia C. Hypomagnesemia D. Diarrhea ANSWER A. Constipation The client taking calcium preparations will frequently develop constipation. The nurse is ready to begin an exam on a 9-month-old infant.The child is sitting in his mother's lap. Which should the nurse do first? A. ...

NCSBN Exam with Questions and Verified Solutions A client has been hospitalized after an automobile accident. A full leg cast was applied in the emergency room. The most important reason for the nurse to elevate the casted leg is to A) Promote the client's comfort B) Reduce the drying time C) Decrease irritation to the skin D) Improve venous return ANSWER D: Improve venous return. Elevating the leg both improves venous return and reduces swelling. Client comfort will be improved as w...

NCSBN Exam with Questions and Verified Answers The nurse is performing a physical assessment on a client who just had an endotracheal tube (ET) inserted with a connection to a ventilator. Which finding should prompt the nurse to take immediate action to resolve the issue? A. Client is unable to speak B. Mist is visible in the T-Piece of the ventilator circuit C. Pulse oximetry of 86% saturation D. Breath sounds are heard bilaterally ANSWER C Pulse oximetry should not be lower than 90% ...

NCSBN Medication Exam with Questions and Answers Alpha Blockers ANSWER DESCRIPTION These medications cause vasodilation by blocking the binding of norepinephrine to the smooth muscle receptors in blood vessels. Uses: To prevent, treat or improve symptoms in conditions such as hypertension, benign prostatic hyperplasia (BPH), Raynaud's disease, scleroderma, and pheochromocytoma. EXAMPLES doxazosin (Cardura) prazosin (Minipress) tamsulosin (Flomax) terazosin (Hytrin) Nice to k...

NCSBN Test bank with Complete Solutions A nurse is teaching a mother who will breast-feed for the first time. Which of these approaches is a priority? Give the mother privacy for the initial feeding Assist the mother to position the newborn at the breast Give the mother several illustrated pamphlets Show the mother films on the physiology of lactation ANSWER Assist the mother to position the newborn at the breast All of the approaches should be helpful in teaching. Howev...

NCSBN Exam with Questions and Answers Which individual is at greatest risk for the development of hypertension? A. 40 year-old Caucasian nurse B. 60 year-old Asian-American shop owner C. 45 year-old African-American attorney D. 55 year-old Hispanic teacher ANSWER C The incidence of hypertension is greater among African-Americans than other groups in the United States. The incidence among the Hispanic population is rising. A woman, who delivered five days ago and who had been diagnos...