1
NCSBN
STUDYGUIDE
High-Yield Qs & Answers with Rationales
This Exam Description:
High-Yield Qs
Answers with Rationales
100% Guaranteed Pass
Multiple –Choices (A-D)
,1. 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: 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.
2. A woman, who delivered five days ago and who had been diagnosed with
pregnancy induced hypertension (PIH), calls a hospital triage nurse hotline
to ask for advice. She states, "I have had the worst headache for the past two
days. It pounds and by the middle of the afternoon everything I look at looks
wavy. Nothing I have taken helps." What should the nurse do next?
A. Advise the client to have someone bring her to the emergency room as soon
as possible
B. Ask the client to explain what she has taken and how often, and then evaluate
other specific complaints
C. Advise the client that the swings in her hormones may be the problem;
suggest that she call her health care provider
2
,D. Ask the client to stay on the line, get the address, and send an ambulance to
the home: D
The woman is at risk for seizure activity. The ambulance needs to bring the
woman to the hospital for evaluation and treatment. For at-risk clients, PIH
may progress to preeclampsia and eclampsia prior to, during, or after
delivery; this may occur up to 10 days after delivery.
3. There's a new medication order that reads: "administer 1 gtt ciprofloxacin
solution OD Q 4 h" What action should the nurse take?
A. Squeeze one drop of the medication in the left eye every 4 hours
B. Apply one drop in the right ear every 4 hours
C. Call the prescriber to clarify and rewrite the order
D. Ask other nurses for their interpretation of the order: C
Abbreviations, symbols and dose designations can be misinterpreted and
lead to medication errors. "OD" can mean "right eye" (oculus dexter) or "once
daily"; it should never be used when communicating medical information.
The abbreviation "Q" should be written out as "every." Although "gtt" is not
on the oflcial "Do Not Use List", it's best to use "drop" instead. Asking other
nurses to interpret an order is a potentially dangerous "workaround." The
3
, nurse should call the health care provider who prescribed the medication and
clarify the order.
4. A client expresses anger when a call light is not answered within five minutes.
The client demanded a blanket. How should the nurse respond?
A. "I see this is frustrating for you. I have a few minutes so let's talk."
B. "I am surprised that you are upset. The request could have waited a few more
minutes."
C. "Let's talk. Why are you upset about this?"
D. "I apologize for the delay. I was involved in an emergency.": A
This is the best response because it gives credence to the client's feelings and
then concerns. To say "let's talk" and ask a why question is not a therapeutic
approach because it does not acknowledge or validate the client's feelings.
To apologize and not notice the client's feelings is inappropriate. To say it
could have waited a few minutes is rude and non-accepting of the client's
verbalized needs.
5. The clinic nurse is assisting with medical billing. The nurse uses the DRG
(Diagnosis Related Group) manual for which purpose?
A. Determine reimbursement for a medical diagnosis
B. Identify findings related to amedical diagnosis
4
NCSBN
STUDYGUIDE
High-Yield Qs & Answers with Rationales
This Exam Description:
High-Yield Qs
Answers with Rationales
100% Guaranteed Pass
Multiple –Choices (A-D)
,1. 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: 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.
2. A woman, who delivered five days ago and who had been diagnosed with
pregnancy induced hypertension (PIH), calls a hospital triage nurse hotline
to ask for advice. She states, "I have had the worst headache for the past two
days. It pounds and by the middle of the afternoon everything I look at looks
wavy. Nothing I have taken helps." What should the nurse do next?
A. Advise the client to have someone bring her to the emergency room as soon
as possible
B. Ask the client to explain what she has taken and how often, and then evaluate
other specific complaints
C. Advise the client that the swings in her hormones may be the problem;
suggest that she call her health care provider
2
,D. Ask the client to stay on the line, get the address, and send an ambulance to
the home: D
The woman is at risk for seizure activity. The ambulance needs to bring the
woman to the hospital for evaluation and treatment. For at-risk clients, PIH
may progress to preeclampsia and eclampsia prior to, during, or after
delivery; this may occur up to 10 days after delivery.
3. There's a new medication order that reads: "administer 1 gtt ciprofloxacin
solution OD Q 4 h" What action should the nurse take?
A. Squeeze one drop of the medication in the left eye every 4 hours
B. Apply one drop in the right ear every 4 hours
C. Call the prescriber to clarify and rewrite the order
D. Ask other nurses for their interpretation of the order: C
Abbreviations, symbols and dose designations can be misinterpreted and
lead to medication errors. "OD" can mean "right eye" (oculus dexter) or "once
daily"; it should never be used when communicating medical information.
The abbreviation "Q" should be written out as "every." Although "gtt" is not
on the oflcial "Do Not Use List", it's best to use "drop" instead. Asking other
nurses to interpret an order is a potentially dangerous "workaround." The
3
, nurse should call the health care provider who prescribed the medication and
clarify the order.
4. A client expresses anger when a call light is not answered within five minutes.
The client demanded a blanket. How should the nurse respond?
A. "I see this is frustrating for you. I have a few minutes so let's talk."
B. "I am surprised that you are upset. The request could have waited a few more
minutes."
C. "Let's talk. Why are you upset about this?"
D. "I apologize for the delay. I was involved in an emergency.": A
This is the best response because it gives credence to the client's feelings and
then concerns. To say "let's talk" and ask a why question is not a therapeutic
approach because it does not acknowledge or validate the client's feelings.
To apologize and not notice the client's feelings is inappropriate. To say it
could have waited a few minutes is rude and non-accepting of the client's
verbalized needs.
5. The clinic nurse is assisting with medical billing. The nurse uses the DRG
(Diagnosis Related Group) manual for which purpose?
A. Determine reimbursement for a medical diagnosis
B. Identify findings related to amedical diagnosis
4
