NCSBN Practice Questions 106-120 Exam Questions with 100% Correct Answers

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 Correct Answer 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 Correct Answer 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 Correct Answer 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." Correct Answer 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 Correct Answer C Dystonias often involve tongue protrusions and muscle rigidity. Dystonias usually resolve after the medication is discontinued, but the client may require antihistamine and antiparkinsonian therapy. Dystonic movements have the potential of becoming irreversible and must be immediately reported to the health care provider. Some of the more common side effects of haloperidol include nausea, vomiting, diarrhea, dry mouth, nervousness, drowsiness, insomnia, and blurred vision. A nurse is teaching a class for new parents at a local community center. Which activity would the nurse stress as being the most hazardous for an 8 month-old? A. Jumping on a bed B. Eating whole peanuts C. Playing around electrical outlets D. Riding in a car Correct Answer D Car accidents are a leading cause of death in babies and children, as well as a major cause of permanent brain damage and spinal cord injury. Although all the other options pose a danger to young children, drowning is actually the second most common cause of accidental death among children. A 3 year-old child is brought to the pediatric clinic after experiencing the sudden onset of irritability, thick muffled voice, croaking on inspiration and skin that's hot to the touch. The child sits leaning forward, tongue protruding, drooling and has suprasternal retractions What should the nurse do first? A. Notify the health care provider of the child's status B. Collect a sputum specimen C. Examine the child's throat D. Prepare the child for x-ray of upper airways Correct Answer A