NCSBN TEST BANK ON-LINE REVIEW EXAM-2026
1.A client has been hospitalized after an automobile accident. A full leg cast was
applied in theemergency room. themost important reason for thenurse to elevate
thecasted leg is to
A) Promote theclient's comfort
B) Reduce thedrying time
C) Decrease irritation to theskin
D) Improve venous return
D: Improve venous return. Elevating theleg both improves venous return and reduces
swelling. Client comfort will be improvedas well.
2. The nurse is reviewing with a client how to collect a clean catch urine specimen.
What is theappropriate sequence to teach theclient?
A) Clean themeatus, begin voiding, then catch urine stream
B) Void a little, clean themeatus, then collect specimen
C) Clean themeatus, then urinate into container
D) Void continuously and catch some of theurine
A: Clean themeatus, begin voiding, then catch urine stream. A clean catch urine is difficult to
obtain and requires cleardirections. Instructing theclient to carefully clean themeatus, then void
naturally with a steady stream prevents surface bacteriafrom contaminating theurine specimen. As
starting and stopping flow can be difficult, once theclient begins voiding it’s best tojust slip
thecontainer into thestream.
Other responses do not reflect correct technique
3. Following change-of-shift report on an orthopedic unit, which client should thenurse see first?
A) 16 year-old who had an open reduction of a fractured wrist 10 hours ago
B) 20 year-old in skeletal traction for 2 weeks since a motor cycle accident
C) 72 year-old recovering from surgery after a hip replacement 2 hours ago
D) 75 year-old who is in skin traction prior to planned hip pinning surgery.
C: Look for theclient who has themost imminent risks and acute vulnerability. theclient who
,returned from surgery 2 hoursago is at risk for life threatening hemorrhage and should be seen
first. the16 year- old should be seen next because it is still thefirst post-op day. the75 year-old is
,potentially vulnerable to age-related physical and cognitive consequences in skin tractionshould
be seen next. theclient who can safely be seen last is the20 year-old who is 2 weeks post-injury.
4. A client with Guillain Barre is in a nonresponsive state, yet vital signs are stable and
breathing is independent. What should thenurse document to most accurately describe
theclient's condition?
A) Comatose, breathing unlabored
B) Glascow Coma Scale 8, respirations regular
C) Appears to be sleeping, vital signs stable
D) Glascow Coma Scale 13, no ventilator required
B: Glascow Coma Scale 8, respirations regular. theGlascow Coma Scale provides a standard
reference for assessing ormonitoring level of consciousness. Any score less than 13 indicates a
neurological impairment. Using theterm comatose providestoo much room for interpretation and
is not very precise.
5. When caring for a client receiving warfarin sodium (Coumadin), which lab test would
thenurse monitor to determine therapeuticresponse to thedrug?
A) Bleeding time
B) Coagulation time
C) Prothrombin time
D) Partial thromboplastin time
C: Prothrombin time. Coumadin is ordered daily, based on theclient''s prothrombin time (PT).
This test evaluates theadequacyof theextrinsic system and common pathway in theclotting
cascade; Coumadin affects theVitamin K dependent clotting factors.
6. A client with moderate persistent asthma is admitted for a minor surgical procedure. On
admission thepeak flow meter is measuredat 480 liters/minute. Post-operatively theclient is
complaining of chest tightness. thepeak flow has dropped to 200 liters/minute.What should
thenurse do first?
A) Notify both thesurgeon and provider
B) Administer theprn dose of albuterol
C) Apply oxygen at 2 liters per nasal cannula
D) Repeat thepeak flow reading in 30 minutes
, B: Administer theprn dose of albuterol. Peak flow monitoring during exacerbations of asthma is
recommended for clients withmoderate-to-severe persistent asthma to determine theseverity of
1.A client has been hospitalized after an automobile accident. A full leg cast was
applied in theemergency room. themost important reason for thenurse to elevate
thecasted leg is to
A) Promote theclient's comfort
B) Reduce thedrying time
C) Decrease irritation to theskin
D) Improve venous return
D: Improve venous return. Elevating theleg both improves venous return and reduces
swelling. Client comfort will be improvedas well.
2. The nurse is reviewing with a client how to collect a clean catch urine specimen.
What is theappropriate sequence to teach theclient?
A) Clean themeatus, begin voiding, then catch urine stream
B) Void a little, clean themeatus, then collect specimen
C) Clean themeatus, then urinate into container
D) Void continuously and catch some of theurine
A: Clean themeatus, begin voiding, then catch urine stream. A clean catch urine is difficult to
obtain and requires cleardirections. Instructing theclient to carefully clean themeatus, then void
naturally with a steady stream prevents surface bacteriafrom contaminating theurine specimen. As
starting and stopping flow can be difficult, once theclient begins voiding it’s best tojust slip
thecontainer into thestream.
Other responses do not reflect correct technique
3. Following change-of-shift report on an orthopedic unit, which client should thenurse see first?
A) 16 year-old who had an open reduction of a fractured wrist 10 hours ago
B) 20 year-old in skeletal traction for 2 weeks since a motor cycle accident
C) 72 year-old recovering from surgery after a hip replacement 2 hours ago
D) 75 year-old who is in skin traction prior to planned hip pinning surgery.
C: Look for theclient who has themost imminent risks and acute vulnerability. theclient who
,returned from surgery 2 hoursago is at risk for life threatening hemorrhage and should be seen
first. the16 year- old should be seen next because it is still thefirst post-op day. the75 year-old is
,potentially vulnerable to age-related physical and cognitive consequences in skin tractionshould
be seen next. theclient who can safely be seen last is the20 year-old who is 2 weeks post-injury.
4. A client with Guillain Barre is in a nonresponsive state, yet vital signs are stable and
breathing is independent. What should thenurse document to most accurately describe
theclient's condition?
A) Comatose, breathing unlabored
B) Glascow Coma Scale 8, respirations regular
C) Appears to be sleeping, vital signs stable
D) Glascow Coma Scale 13, no ventilator required
B: Glascow Coma Scale 8, respirations regular. theGlascow Coma Scale provides a standard
reference for assessing ormonitoring level of consciousness. Any score less than 13 indicates a
neurological impairment. Using theterm comatose providestoo much room for interpretation and
is not very precise.
5. When caring for a client receiving warfarin sodium (Coumadin), which lab test would
thenurse monitor to determine therapeuticresponse to thedrug?
A) Bleeding time
B) Coagulation time
C) Prothrombin time
D) Partial thromboplastin time
C: Prothrombin time. Coumadin is ordered daily, based on theclient''s prothrombin time (PT).
This test evaluates theadequacyof theextrinsic system and common pathway in theclotting
cascade; Coumadin affects theVitamin K dependent clotting factors.
6. A client with moderate persistent asthma is admitted for a minor surgical procedure. On
admission thepeak flow meter is measuredat 480 liters/minute. Post-operatively theclient is
complaining of chest tightness. thepeak flow has dropped to 200 liters/minute.What should
thenurse do first?
A) Notify both thesurgeon and provider
B) Administer theprn dose of albuterol
C) Apply oxygen at 2 liters per nasal cannula
D) Repeat thepeak flow reading in 30 minutes
, B: Administer theprn dose of albuterol. Peak flow monitoring during exacerbations of asthma is
recommended for clients withmoderate-to-severe persistent asthma to determine theseverity of
