NCSBN Exam Questions and Correct Answers

NCSBN Exam Questions and Correct Answers A report by the client that she has taken medication for her blood pressure should be - Answer-followed up immediately with the registered nurse (RN). The weight of the uterus can put pressure on the inferior vena cava when a pregnant woman is flat on her back causing - Answer-supine hypotension from a decreased preload tepid sponge baths can lower the body temp, but they don't necessarily improve - Answer-overall comfort of the child. is the most common type of kidney cancer in children - Answer-Wilm's tumor In children with Wilm's tumor, parents often recognize the increasing - Answer- abdominal girth first, finding that the child's clothes are becoming tighter around the abdomen. This is an early finding of Wilm's tumor. "Clothing has become tight around the belly." - Answer-early finding of Wilm's tumor. If temper tantrums are accompanied by breath holding, the parents need to know that this behavior will not result in - Answer-harm to the child. Nursing care for a child having a seizure includes - Answer-maintaining airway patency, ensuring safety, administering medications, and providing emotional support Because the seizure has already started - Answer-nothing should be forced into the child's mouth and the child should not be moved from the site. Of the choices given, a first priority would be for safety - moving the toys out of the way. I have been coughing up smelly, brown, thick sputum." - Answer-abtibiotic therapy has been ineffective Sharp chest pain on inspiration is commonly an indication of the development of - Answer-pleurisy in the client with pneumonia. Coughing is an expected finding in - Answer-pneumonia is an inhaled corticosteroid used to prevent asthma attacks, not to treat them. - Answer- Triamcinolone acetonide,so rinse mouth after taking it Children with known severe immunodeficiency should not be given routine - Answer- immunizations. Alcohol and drug abuse impairs judgment and increases - Answer-risk-taking behavior priority nursing dx for alcohol and drug abuse patient - Answer-Risk for injury as a factor in at least half of all motor vehicle fatalities, more than half of all deaths from accidental falls and fatal fires, and a large percentage of all suicides. - Answer-alcohol Which nutritional disorder is most commonly associated with school-aged children? - Answer-Obesity A client is diagnosed with a deep vein thrombosis (DVT). Which finding would require the nurse's immediate attention? - Answer-respiration of 32 Chlamydial infections are one of the most frequent causes of salpingitis or - Answer- pelvic inflammatory disease (PID). is a recurrent infection of the female reproductive system. - Answer-Chlamydia The ED nurse is no longer directly involved in the client's care and should not have access to - Answer-information about the client. Without valid authorization, such as health care power of attorney, a spouse or other family members cannot access the client's - Answer-medical records. This wound has granulation tissue present and must be - Answer-protected. The use of a moisture retentive dressing is the best choice because moisture supports - Answer-wound healing and maintains a temperature close to body temperature. the wound has "no exudate" so there would be no need for an - Answer-antibiotic ointment A transparent dressing is too simple of a dressing for an - Answer-open wound When deciding between the remaining two options, you will notice that the correct option and the question both contain the word " - Answer-"moist" f the wound has drainage - Answer-an absorbent dressing would be most appropriate to contain the drainage, the wound base is red and moist with no exudate and the surrounding skin is intact. Which covering should a nurse select as most appropriate for this wound? - Answer- Occlusive moist dressing involuntary movements such as smacking lips, grinding of teeth and "fly catching" tongue movements. - Answer-tardive dyskinesia Visitors and even family members should not be asked to - Answer-identify clients A hypertensive crisis is a severe increase in blood pressure (BP) that can lead to a - Answer-stroke; during a hypertensive crisis. Which intervention should be a nursing priority at this time? - Answer-Check bilateral pupil responses stools are frequent, yellow to golden in color, and vary from a soft to a thick liquid in consistency. - Answer-In breast-fed infants