NCSBN Test Bank, All Questions and
q q q q q
answers. Comprehensive Rationale
q q
provided. Latest 2022. q q
Standardqprecautionsqalsoqincludesqrespiratory/coughqetiquette
TrueqorqFalseq-qAns-True
Standardqprecautionsqarequsedqtoqreduceqtheqriskqofqtransmissionqofqbloodborneqandqotherqpathogensqfr
omqbothqrecognizedqandqunrecognizedqsources.qRespiratoryqhygiene/coughqetiquetteqisqnowqconsidered
qpartqofqstandardqprecautions
Theqnurseqisqmakingqpatientqroomqassignments.qInqorderqtoqminimizeqtheqriskqofqaqhospitalqacquired
qinfection,qwhichqofqtheseqchildrenqwouldqbeqtheqmostqappropriateqroommateqforqaq3-year-
oldqchildqdiagnosedqwithqminimalqchangeqdisease
a. 3qyearqoldqwithqfracture,qwithqaqsiblingqthatqhasqFifthqdisease
b. 2qyearqoldqdiagnosedqwithqrespiratoryqinfection
c. 6qyearqoldqwithqsickleqcellqdiseaseqexperiencingqvaso-occlusiveqcrisis
d. 4qyearqoldqwithqbilateralqinguinalqherniaqrepairq-qAns-d.q4qyearqoldqwithqbilateralqinguinalqherniaqrepair
Minimalqchangeqdiseaseqisqaqkidneyqdisorderqthatqcanqleadqtoqnephroticqsyndrome.qCorticosteroidsqcanqc
ureqtheqdiseaseqinqmostqchildrenqbutqcytotoxicqtherapyqandqotherqdrugsqmayqbeqneeded,qbutqthisqtreatme
ntqcanqreduceqtheqchild'sqabilityqtoqfightqinfection.qTheqchargeqnurseqmustqselectqaqroommateqwhoqdoesqn
otqhaveqanqinfection,qwhichqisqtheqchildqchildqwhoqhadqsurgery.qTheqsickleqcellqcrisisqmayqhaveqtriggeredqa
nqinfection.qTheqchild'sqsiblingqwhoqhasqaqviralqdiseaseqhasqtheqpotentialqtoqdevelopqanqinfection.
Theqnurseqisqsettingqupqaqpatient'sqdinnerqtray.qWhenqtheqnurseqturnsqherqbackqtoqtheqpatient,qtheqpatientq
grabsqtheqnurse'sqbuttocksqandqstatesqthatqheqisqhungryqforqmuchqmoreqthanqdinner.qWhichqofqtheqfollowi
ngqresponseqbyqtheqnurseqisqindicated?
a. ignoreqtheqbehavior
,b. callqtheqHCP
c. quicklyqleaveqtheqroomqandqaskqUAPqtoqassistqtheqpatient
d. completeqanqincidentqreportq-qAns-d.qcompleteqanqincidentqreport
Toqkeepqtheqtherapeuticqrelationshipqintact,qaqnurseqneedsqtoqsetqlimitsqonqappropriateqbehaviorqandqnot
qignoreqbadqbehavior.qSexualqharassmentqisqaqformqofqviolenceqandqisqneverqpartqofqtheqjob.qTheqnurseqsh
ouldqreportqtheqincidentqtoqherqsupervisorqandqcompleteqanqincidentqreport.qTheqnurseqhasqtheqrightqtoqa
skqnotqtoqbeqassignedqtoqthisqpatient.
Assistiveqdevicesqarequsedqwhenqaqcaregiverqisqrequiredqtoqliftqmoreqthanq35qlbs/15.9qkg
trueqorqfalseq-qAns-True
Duringqanyqpatientqtransferringqtask,qifqanyqcaregiverqisqrequiredqtoqliftqaqpatientqwhoqweighsqmoreqthan
q35qlbs/15.9qkg,qthenqtheqpatientqshouldqbeqconsideredqfullyqdependent,qandqassistiveqdevicesqshouldqb
equsedqforqtransfer
IfqaqdrainingqwoundqtestsqpositiveqforqMRSA,qtheqpatientqisqplacedqonqcontactqprecautions
TrueqorqFalseq-qAns-True
PatientsqwithqabscessqorqdrainingqwoundsqwhoqtestsqpositiveqforqMRSAqareqplacedqonqcontactqprecautions
Handsqcanqbeqcleanedqwithqalcohol-basedqhandqrubqafterqcaringqforqaqpatientqwithqC.qdiff
TrueqorqFalseq-qAns-False
AlcoholqdoesqnotqkillqCqdiffqsporesqandqsoapqandqwaterqshouldqbequsedqforqhandqhygieneqasqrecommended
qbyqCDC
Disasterqtriageqdiffersqfromqrouteqemergencyqdepartmentqtriage
TrueqorqFalseq-qAns-True
,Disasterqtriageqcategoriesqrangeqfromqmostqurgentq(firstqpriority),qurgent,qnonurgentq(theqwalkingqwound
ed),qandqdead/catastrophic/coma.
Newbornsqareqfittedqwithqtamperproofqsecurityqsensorsqduringqtheirqstayqatqtheqhospital
TrueqorqFalseq-qAns-True
Wearingqaqtamperqproofqsafetyqdeviceqreducesqtheqriskqofqabduction.qTheqsensorqshowsqtheqlocationqofqt
heqinfantqandqtheqsecurityqsystemqcanqactivateqotherqdevicesq(suchqasqcameras,qdoorqlocks,qpublicqaddre
ssqsystems,qsirens,qandqotherqalarms)qinqtheqeventqofqanqattemptedqabduction
Restraintsqcanqbeqorderedqprnqbyqhealthqcareqproviders
TrueqorqFalseq-qAns-False
HCPqareqrequiredqtoqspecifyqdurationqandqcircumstancesqforqwhichqrestraintsqareqrequiredqandqforqhow
qtheyqshouldqbeqused.qNursesqandqHCPsqmustqfrequentlyqmonitorqpatientsqtoqreassessqforqtheqcontinue
dqneedqforqrestraints.
Sensorqpadsqmayqbequsedqonqbedsqofqindividualsqwhoqareqaqfallqrisk
TrueqorqFalseq-qAns-True
Bedqalarmsqandqsensorqpadsqcanqbequsedqtoqalertqcaregiversqwhenqaqpatientqisqattemptingqtoqgetqupqfrom
qaqbedqorqchair,qespeciallyqforqaqpatientqthatqisqatqriskqforqaqfall.qThisqisqanqeffectiveqalternativeqtoqthequseq
ofqrestraintts
Theq3qelementsqofqradiationqprotectionqareqtime,qduration,qandqshielding
TrueqorqFalseq-qAns-True
Theqfartherqawayqpeopleqareqfromqaqradiationqsource,qtheqlessqtheirqexposure;qasqaqrule,qifqyouqdoubleqthe
qdistance,qyouqreduceqtheqexposureqbyqaqfactorqofqfour.qTheqamountqofqradiationqexposureqtypicallyqincre
asesqwithqtheqtimeqpeopleqspendqnearqtheqsourceqofqradiation
Youqshouldqquicklyqremoveqcontaminatedqclothingqbyqpullingqitqoverqyourqhead
, TrueqorqFalseq-qAns-False
Contaminatedqclothingqshouldqneverqbeqremovedqquickly,qbutqitqshouldqbeqcutqoffqinsteadqofqpulledqover
qyourqhead.qplaceqcontaminatedqclothingqinsideqaqplasticqbag,qsealqtheqbag,qandqthenqplaceqinsideqanothe
rqplasticqbag
Theqparamedicsqareqtransportingqaqpoisoningqvictimqtoqtheqlocalqhospital.qInqwhichqofqtheseqcasesqdoesqt
heqnurseqanticipateqthatqhyperbaricqO2qtherapyqwillqbeqused?
a. 6yoqfoundqsittingqonqbathroomqfloorqbesideqanqemptyqbottleqofqdiazepam
b. 21qyoqwithqsuspectedqethanolqintoxication
c. 35qyoqfoundqunconsciousqwithqsuspectedqCOqpoisoning
2qyoqwhoqateqanqundeterminedqamountqofqcrystalqdrainqcleanerq-qAns-
c.q35qyoqfoundqunconsciousqwithqsuspectedqCOqpoisoning
COqpoisoningqisqtheqleadingqcauseqofqpoisoningqinqtheqUS.qItqcausesqsevereqhypoxiaqwhichqisqwhy
treatmentqincludes qhigh-doseqoxygen.qInqsevereqpoisoning,qhyperbaricqO2qtherapyqmayqbeqused.
Treatmentqfor:
-crystalqdrainqcleanerqandqdiazepamqmayqincludeqgastricqlavageqand/orqactivatedqcharcoal
-alcoholqintoxicationqmayqincludeqgastricqlavage,qIVqfluids,qandqsupportiveqcare
Aqneonateqisqhavingqdifficultyqmaintainingqaqtemperatureqaboveq98Fqandqisqplacedqinqanqinfantqwarmingqsyste
m.qWhichqofqtheqfollowingqactionsqwillqensureqtheqsafetyqofqtheqneonate?
a. monitorqtemperatureqcontinuously
b. avoidqtouchingqneonateqwithqcoldqhands
c. warmqallqmedicationsqandqliquidsqbeforeqadministration
d. wrapqtheqneonateqsnuglyqinqaqcottonqblanketq-qAns-a.qmonitorqtemperatureqcontinuously
q q q q q
answers. Comprehensive Rationale
q q
provided. Latest 2022. q q
Standardqprecautionsqalsoqincludesqrespiratory/coughqetiquette
TrueqorqFalseq-qAns-True
Standardqprecautionsqarequsedqtoqreduceqtheqriskqofqtransmissionqofqbloodborneqandqotherqpathogensqfr
omqbothqrecognizedqandqunrecognizedqsources.qRespiratoryqhygiene/coughqetiquetteqisqnowqconsidered
qpartqofqstandardqprecautions
Theqnurseqisqmakingqpatientqroomqassignments.qInqorderqtoqminimizeqtheqriskqofqaqhospitalqacquired
qinfection,qwhichqofqtheseqchildrenqwouldqbeqtheqmostqappropriateqroommateqforqaq3-year-
oldqchildqdiagnosedqwithqminimalqchangeqdisease
a. 3qyearqoldqwithqfracture,qwithqaqsiblingqthatqhasqFifthqdisease
b. 2qyearqoldqdiagnosedqwithqrespiratoryqinfection
c. 6qyearqoldqwithqsickleqcellqdiseaseqexperiencingqvaso-occlusiveqcrisis
d. 4qyearqoldqwithqbilateralqinguinalqherniaqrepairq-qAns-d.q4qyearqoldqwithqbilateralqinguinalqherniaqrepair
Minimalqchangeqdiseaseqisqaqkidneyqdisorderqthatqcanqleadqtoqnephroticqsyndrome.qCorticosteroidsqcanqc
ureqtheqdiseaseqinqmostqchildrenqbutqcytotoxicqtherapyqandqotherqdrugsqmayqbeqneeded,qbutqthisqtreatme
ntqcanqreduceqtheqchild'sqabilityqtoqfightqinfection.qTheqchargeqnurseqmustqselectqaqroommateqwhoqdoesqn
otqhaveqanqinfection,qwhichqisqtheqchildqchildqwhoqhadqsurgery.qTheqsickleqcellqcrisisqmayqhaveqtriggeredqa
nqinfection.qTheqchild'sqsiblingqwhoqhasqaqviralqdiseaseqhasqtheqpotentialqtoqdevelopqanqinfection.
Theqnurseqisqsettingqupqaqpatient'sqdinnerqtray.qWhenqtheqnurseqturnsqherqbackqtoqtheqpatient,qtheqpatientq
grabsqtheqnurse'sqbuttocksqandqstatesqthatqheqisqhungryqforqmuchqmoreqthanqdinner.qWhichqofqtheqfollowi
ngqresponseqbyqtheqnurseqisqindicated?
a. ignoreqtheqbehavior
,b. callqtheqHCP
c. quicklyqleaveqtheqroomqandqaskqUAPqtoqassistqtheqpatient
d. completeqanqincidentqreportq-qAns-d.qcompleteqanqincidentqreport
Toqkeepqtheqtherapeuticqrelationshipqintact,qaqnurseqneedsqtoqsetqlimitsqonqappropriateqbehaviorqandqnot
qignoreqbadqbehavior.qSexualqharassmentqisqaqformqofqviolenceqandqisqneverqpartqofqtheqjob.qTheqnurseqsh
ouldqreportqtheqincidentqtoqherqsupervisorqandqcompleteqanqincidentqreport.qTheqnurseqhasqtheqrightqtoqa
skqnotqtoqbeqassignedqtoqthisqpatient.
Assistiveqdevicesqarequsedqwhenqaqcaregiverqisqrequiredqtoqliftqmoreqthanq35qlbs/15.9qkg
trueqorqfalseq-qAns-True
Duringqanyqpatientqtransferringqtask,qifqanyqcaregiverqisqrequiredqtoqliftqaqpatientqwhoqweighsqmoreqthan
q35qlbs/15.9qkg,qthenqtheqpatientqshouldqbeqconsideredqfullyqdependent,qandqassistiveqdevicesqshouldqb
equsedqforqtransfer
IfqaqdrainingqwoundqtestsqpositiveqforqMRSA,qtheqpatientqisqplacedqonqcontactqprecautions
TrueqorqFalseq-qAns-True
PatientsqwithqabscessqorqdrainingqwoundsqwhoqtestsqpositiveqforqMRSAqareqplacedqonqcontactqprecautions
Handsqcanqbeqcleanedqwithqalcohol-basedqhandqrubqafterqcaringqforqaqpatientqwithqC.qdiff
TrueqorqFalseq-qAns-False
AlcoholqdoesqnotqkillqCqdiffqsporesqandqsoapqandqwaterqshouldqbequsedqforqhandqhygieneqasqrecommended
qbyqCDC
Disasterqtriageqdiffersqfromqrouteqemergencyqdepartmentqtriage
TrueqorqFalseq-qAns-True
,Disasterqtriageqcategoriesqrangeqfromqmostqurgentq(firstqpriority),qurgent,qnonurgentq(theqwalkingqwound
ed),qandqdead/catastrophic/coma.
Newbornsqareqfittedqwithqtamperproofqsecurityqsensorsqduringqtheirqstayqatqtheqhospital
TrueqorqFalseq-qAns-True
Wearingqaqtamperqproofqsafetyqdeviceqreducesqtheqriskqofqabduction.qTheqsensorqshowsqtheqlocationqofqt
heqinfantqandqtheqsecurityqsystemqcanqactivateqotherqdevicesq(suchqasqcameras,qdoorqlocks,qpublicqaddre
ssqsystems,qsirens,qandqotherqalarms)qinqtheqeventqofqanqattemptedqabduction
Restraintsqcanqbeqorderedqprnqbyqhealthqcareqproviders
TrueqorqFalseq-qAns-False
HCPqareqrequiredqtoqspecifyqdurationqandqcircumstancesqforqwhichqrestraintsqareqrequiredqandqforqhow
qtheyqshouldqbeqused.qNursesqandqHCPsqmustqfrequentlyqmonitorqpatientsqtoqreassessqforqtheqcontinue
dqneedqforqrestraints.
Sensorqpadsqmayqbequsedqonqbedsqofqindividualsqwhoqareqaqfallqrisk
TrueqorqFalseq-qAns-True
Bedqalarmsqandqsensorqpadsqcanqbequsedqtoqalertqcaregiversqwhenqaqpatientqisqattemptingqtoqgetqupqfrom
qaqbedqorqchair,qespeciallyqforqaqpatientqthatqisqatqriskqforqaqfall.qThisqisqanqeffectiveqalternativeqtoqthequseq
ofqrestraintts
Theq3qelementsqofqradiationqprotectionqareqtime,qduration,qandqshielding
TrueqorqFalseq-qAns-True
Theqfartherqawayqpeopleqareqfromqaqradiationqsource,qtheqlessqtheirqexposure;qasqaqrule,qifqyouqdoubleqthe
qdistance,qyouqreduceqtheqexposureqbyqaqfactorqofqfour.qTheqamountqofqradiationqexposureqtypicallyqincre
asesqwithqtheqtimeqpeopleqspendqnearqtheqsourceqofqradiation
Youqshouldqquicklyqremoveqcontaminatedqclothingqbyqpullingqitqoverqyourqhead
, TrueqorqFalseq-qAns-False
Contaminatedqclothingqshouldqneverqbeqremovedqquickly,qbutqitqshouldqbeqcutqoffqinsteadqofqpulledqover
qyourqhead.qplaceqcontaminatedqclothingqinsideqaqplasticqbag,qsealqtheqbag,qandqthenqplaceqinsideqanothe
rqplasticqbag
Theqparamedicsqareqtransportingqaqpoisoningqvictimqtoqtheqlocalqhospital.qInqwhichqofqtheseqcasesqdoesqt
heqnurseqanticipateqthatqhyperbaricqO2qtherapyqwillqbeqused?
a. 6yoqfoundqsittingqonqbathroomqfloorqbesideqanqemptyqbottleqofqdiazepam
b. 21qyoqwithqsuspectedqethanolqintoxication
c. 35qyoqfoundqunconsciousqwithqsuspectedqCOqpoisoning
2qyoqwhoqateqanqundeterminedqamountqofqcrystalqdrainqcleanerq-qAns-
c.q35qyoqfoundqunconsciousqwithqsuspectedqCOqpoisoning
COqpoisoningqisqtheqleadingqcauseqofqpoisoningqinqtheqUS.qItqcausesqsevereqhypoxiaqwhichqisqwhy
treatmentqincludes qhigh-doseqoxygen.qInqsevereqpoisoning,qhyperbaricqO2qtherapyqmayqbeqused.
Treatmentqfor:
-crystalqdrainqcleanerqandqdiazepamqmayqincludeqgastricqlavageqand/orqactivatedqcharcoal
-alcoholqintoxicationqmayqincludeqgastricqlavage,qIVqfluids,qandqsupportiveqcare
Aqneonateqisqhavingqdifficultyqmaintainingqaqtemperatureqaboveq98Fqandqisqplacedqinqanqinfantqwarmingqsyste
m.qWhichqofqtheqfollowingqactionsqwillqensureqtheqsafetyqofqtheqneonate?
a. monitorqtemperatureqcontinuously
b. avoidqtouchingqneonateqwithqcoldqhands
c. warmqallqmedicationsqandqliquidsqbeforeqadministration
d. wrapqtheqneonateqsnuglyqinqaqcottonqblanketq-qAns-a.qmonitorqtemperatureqcontinuously
