NURS 101 course with this
complete NCSBN Test Bank. This
resource includes all exam-style
questions and fully worked
answers.
Q. 1
A c. What document should be in guiding the care of this client?
Client Self Determination Act
Physician's treatment orders
Advance Directives.
Clinical Pathway protocols
Review Information: ANS: C) Advance Directives. This document specifies the client's
wishes
Q. 2
,NURS 101 NCSBN Test Bank | Complete Questions & Answers!!
You are the of a health care team that consists of one licensed practical/vocational nurse,
one nursing assistant , a nursing student and yourself. To whom is it appropriate to assign
complete care for
Yourself
The nursing student
The licensed vocational nurse
The nursing assistant
Review Information: ANS: A) Yourself.
While the nurse may delegate a bed bath for a stable client, this care should be performed
by an RN for a new admission. Only tasks that do not require independent judgment
should be delegated.
Q. 3
A mother brings her the clinic, complaining that the child seems to be The nurse expects to
find which of the following on the initial history and physical assessment?
Increased temperature and lethargy
,NURS 101 NCSBN Test Bank | Complete Questions & Answers!!
Rash and restlessness
Increased sleeping and listlessness
Diarrhea and poor skin turgor
Review Information: ANS: B) Rash and restlessness.
Q. 4
As the nurse takes a history of a 3 year-old with neuroblastoma, what comments by the
parents require follow-up and are consistent with the diagnosis?
"The child has been listless and has lost weight."
"Her urine is dark yellow and small in amounts."
"Clothes are becoming tighter across her abdomen." D+) "We notice muscle weakness
and some unsteadiness."
Review Information: ANS: C) "Clothes are becoming tighter across her abdomen.".
One of the most common signs of neuroblastoma is increasing abdominal girth. The
parents'' report that clothing is tight is significant, and should be followed by additional
assessments.
Q. 5
, NURS 101 NCSBN Test Bank | Complete Questions & Answers!!
A 16 year-old presents to the emergency department. The triage nurse finds that this
teenager is legally married and signed the consent form for treatment. What would be the
appropriate INITIAL action by the nurse?
Refuse to see the client until a parent or legal guardian can be contacted
Withhold treatment until telephone consent can be obtained from the spouse
Refer the client to a community pediatric hospital emergency room
Assess and treat in the same manner as any adult client
Review Information: ANS: D) Assess and treat in the same manner as any adult client.
Minors may become known as an "emancipated minor" through marriage, pregnancy, high
school graduation, independent living or service in the military. Therefore, this client, who
is married, has the legal capacity of an adult.