NCSBN Test Plan Questions Exam Written With Accurate Answers Pass At First Attempt

C) who had an evacuation of a subdural hematoma 8 hours ago and has become agitated (key) - correct answers The nurse has been made aware of the following client situations. The nurse should first assess the client: A) with diverticulitis who is reporting left lower quadrant (LLQ) pain B) with chronic obstructive pulmonary disease (COPD) who is reporting hemoptysis C) who had an evacuation of a subdural hematoma 8 hours ago and has become agitated D) who had a total knee replacement 8 hours ago and whose affected extremity is internally rotated A. 44-year-old client with Ménière's disease (key) - correct answers The nurse is assigning unlicensed assistive personnel (UAP) to assist the following clients to ambulate. It would be most important for the nurse to review safety precautions with the UAP prior to ambulating the A. 44-year-old client with Ménière's disease B. 59-year-old client with a unilateral cataract C. 62-year-old client with presbycusis D. 65-year-old client with sinusitis D. 62-year-old client who consumes 5 to 6 alcoholic beverages daily and is an opera singer (key) - correct answers The nurse is teaching clients at a community health fair about risk factors for developing cancer. The nurse should recognize that at highest risk is the: A. 30-year-old client who consumes a diet high in selenium and has a history of an ovarian cyst B. 49-year-old client who drinks 2 to 3 cups of coffee daily and has a family history of fibrocystic breast conditions C. 51-year-old client who has hypertension and teaches an aerobic exercise program D. 62-year-old client who consumes 5 to 6 alcoholic beverages daily and is an opera singer A. "I am not touching that disgusting bag." (key) E. "I do not understand why I cannot have a nurse perform the colostomy bag changes for me." (key) - correct answers The nurse is talking with a client who had a colostomy created 2 days ago. Which of the following statements by the client would indicate ineffective coping? Select all that apply. A. "I am not touching that disgusting bag." B. "I am glad I can still go to the gym just as I used to." C. "I really like raw vegetables, and it will be hard for me to limit them." D. "I understand the need for the colostomy, but I am afraid that the bag will leak." E. "I do not understand why I cannot have a nurse perform the colostomy bag changes for me." 3. ice cream (key) - correct answers The nurse is teaching a client who had a subtotal gastrectomy about ways to prevent dumping syndrome. Which of the following foods would be appropriate for the nurse to recommend to eliminate from the client's diet? 1. cheese 2. red meat 3. ice cream 4. yellow vegetables Answer: 8 gtt/min - correct answers The nurse is caring for a client who has a prescription for lactated Ringer's solution 1,000 mL, IV, to be infused over 24 hours. The nurse has tubing with a drop factor of 12 gtt/mL available. How many gtt/min should the nurse administer to the client? Record your answer using a whole number. C. signs of increased intracranial pressure (ICP). (key) - correct answers The nurse is caring for a client who is scheduled for a lumbar puncture. It would be most important for the nurse to assess the client for: A. bowel and bladder function. B. presence of Trousseau's sign. C. signs of increased intracranial pressure (ICP). D. circulation, movement and sensation of the legs. A. nausea (key) B. vomiting (key) E. photophobia (key) - correct answers The nurse is assessing a client with viral meningitis. Which of the following findings would the nurse expect to observe? Select all that apply. A. nausea B. vomiting C. piloerection D. bradycardia E. photophobia C. "I should notify my primary health care provider if I feel fatigued and nauseous." (key) - correct answers The nurse has taught a client who is receiving prescribed hydrochlorothiazide. Which of the following statements by the client would indicate a correct understanding of the teaching? A. "I should check my radial pulse daily before I take the medication." B. "I will limit my intake of meat and tomatoes while I am taking the medication." C. "I should notify my primary health care provider if I feel fatigued and nauseous." D. "I will take this medication if my weight increases more than 2 lb (0.9 kg) in 24 hours." 3. whose left leg is cool to touch 2 hours after a cardiac catheterization via the left femoral artery (key) - correct answers The nurse has received information about assigned clients. The nurse should first assess the client 1. whose respirations decreased to 16 one hour after a paracentesis 2. who has expectorated blood-tinged mucus 6 hours after a bronchoscopy 3. whose left leg is cool to touch 2 hours after a cardiac catheterization via the left femoral artery 4. who has shoulder pain rated 5 on a scale of 0 (no pain) to 10 (severe pain) 4 hours after a laparoscopic cholecystectomy D. "I should wear clean gloves when bathing a client with atopic dermatitis (eczema) who has drain- ing lesions." (key) - correct answers The nurse has attended a staff education program about infection control guidelines. Which of the following statements by the nurse would indicate a correct understanding of the program? A. "I will wear a particulate respirator mask (N95) when feeding a client with influenza." B. "I will wear a surgical mask when checking the pulse of a client with pulmonary tuberculosis (TB)." C. "I should wear a protective gown when entering the room of a client with meningococcal meningitis." D. "I should wear clean gloves when bathing a client with atopic dermatitis (eczema) who has draining lesions." C .enlargement of moles (key) - correct answers The nurse has taught a female client who is pregnant about expected physiological changes. The nurse should follow-up if the client states that which of the following is a normal finding during pregnancy? A. constipation B. painful leg cramps C .enlargement of moles D. a line of pigmentation on the abdomen A. "I have my blood levels obtained regularly to monitor medication levels." (key) - correct answers The nurse is evaluating the effectiveness of the treatment regimen for a client with bipolar I disorder who is experiencing a manic episode. Which of the following statements by the client would indicate that the client's treatment plan has been effective? A. "I have my blood levels obtained regularly to monitor medication levels." B. "I enjoy going on shopping sprees for clothing and jewelry with friends." C. "I avoid eating foods that contain tyramine." D. "I am too busy to sit down and eat a meal." B. "Lay the stockings on a flat surface to dry them after laundering." (key) - correct answers The home-health nurse is teaching the spouse of a client who has a prescription for anti-embolism stockings. Which of the following information should the nurse include? A. "Remove the stockings daily to massage the client's legs." B. "Lay the stockings on a flat surface to dry them after laundering." C. "Rolling down the tops of the stockings will make the client more comfortable." D. "Applying the stockings while the client is sitting up will make the process easier." 3. Direct the drops along the side of the ear canal to avoid instilling the medication directly onto the eardrum. (key) - correct answers The nurse is preparing to administer prescribed otic drops to a 1-year-old client. Which of the following actions should the nurse take? 1. Gently pull the pinna upward and straight back to straighten the auditory canal. 2. Administer the drops immediately after removing them from the refrigerator to minimize the risk of bacterial growth. 3. Direct the drops along the side of the ear canal to avoid instilling the medication directly onto the eardrum. 4. Gently massage the area immediately posterior to the ear after instilling the drops to facilitate distribution of the medication. Answer: 100 mL/hr - correct answers The nurse is caring for a client who has a prescription for vancomycin 1g, IV, every 12 hours. The nurse has 1g in 200 mL of 0.9% sodium chloride (normal saline) available. How many mL/hr should the nurse set the infu- sion pump to administer the medication over 120 minutes? Record your answer using a whole number. D. sputum specimen that is positive for acid-fast bacillus (AFB) for the client who is receiving prescribed prophylactic isoniazid (key) - correct answers The nurse has been made aware of laboratory test results for assigned clients. Which of the following test results would require follow-up? A. urinalysis that is negative for protein for the client who has diabetes mellitus (type 2) and is receiving insulin therapy B. international normalized ratio (INR) of 2.9 for the client who has a deep vein thrombosis (DVT) and is receiving anticoagulation therapy C. serum potassium level of 4.2 mEq/L (4.2 mmol/L) for the client who is receiving prescribed furosemide D. sputum specimen that is positive for acid-fast bacillus (AFB) for the client who is receiving prescribed prophylactic isoniazid C. the client who had a vaginal hysterectomy 2 days ago and has saturated 1 perineal pad in the past 3 hours (key) - correct answers The nurse is caring for assigned clients. Which of the following clients may be experiencing a complication that the nurse should recognize? A. the client with chronic obstructive pulmonary disease (COPD) who is performing pursed-lip breathing while sitting in a chair B. the client who had an ileostomy created 6 hours ago and has a small amount of blood in the ileostomy drainage bag C. the client who had a vaginal hysterectomy 2 days ago and has saturated 1 perineal pad in the past 3 hours D. the client with hepatic cirrhosis who has spider angiomas on the nose and cheeks and has clay- colored stools