. NCSBN TEST BANK - for the NCLEX-
b b b b b b b
RN & NCLEX-PN TEST BANK, ANSWERED
b b b b b
With Lengthy Rationales 2022
b b b
Assistivebdevicesbarebusedbwhenbabcaregiverbisbrequiredbtobliftbmorebthanb35blbs/15.9bkgbtru
eborbfalseb-bANSWER-True
Duringbanybpatientbtransferringbtask,bifbanybcaregiverbisbrequiredbtobliftbabpatientbwhobweigh
sbmorebthanb35blbs/15.9bkg,bthenbthebpatientbshouldbbebconsideredbfullybdependent,bandbas
sistivebdevicesbshouldbbebusedbforbtransfer
IfbabdrainingbwoundbtestsbpositivebforbMRSA,bthebpatientbisbplacedbonbcontactbprecautionsb
TrueborbFalseb-bANSWER-True
PatientsbwithbabscessborbdrainingbwoundsbwhobtestsbpositivebforbMRSAbarebplacedbonbcont
actbprecautions
Handsbcanbbebcleanedbwithbalcohol-
basedbhandbrubbafterbcaringbforbabpatientbwithbC.bdiffbTrueborbFalseb-bANSWER-False
AlcoholbdoesbnotbkillbCbdiffbsporesbandbsoapbandbwaterbshouldbbebusedbforbhandbhygienebas
brecommendedbbybCDC
DisasterbtriagebdiffersbfrombroutebemergencybdepartmentbtriagebTrue
borbFalseb-bANSWER-True
Disasterbtriagebcategoriesbrangebfrombmostburgentb(firstbpriority),burgent,bnonurgentb(thebw
alkingbwounded),bandbdead/catastrophic/coma.
NewbornsbarebfittedbwithbtamperproofbsecuritybsensorsbduringbtheirbstaybatbthebhospitalbTru
eborbFalseb-bANSWER-True
Wearingbabtamperbproofbsafetybdevicebreducesbthebriskbofbabduction.bThebsensorbshowsbth
eblocationbofbthebinfantbandbthebsecuritybsystembcanbactivatebotherbdevicesb(suchbasbcamer
as,bdoorblocks,bpublicbaddressbsystems,bsirens,bandbotherbalarms)binbthebeventbofbanbattem
ptedbabduction
RestraintsbcanbbeborderedbprnbbybhealthbcarebprovidersbTrue
borbFalseb-bANSWER-False
,HCPbarebrequiredbtobspecifybdurationbandbcircumstancesbforbwhichbrestraintsbarebrequire
dbandbforbhowbtheybshouldbbebused.bNursesbandbHCPsbmustbfrequentlybmonitorbpatientsbt
obreassessbforbthebcontinuedbneedbforbrestraints.
SensorbpadsbmaybbebusedbonbbedsbofbindividualsbwhobarebabfallbriskbTrueb
orbFalseb-bANSWER-True
Bedbalarmsbandbsensorbpadsbcanbbebusedbtobalertbcaregiversbwhenbabpatientbisbattemptingb
tobgetbupbfrombabbedborbchair,bespeciallybforbabpatientbthatbisbatbriskbforbabfall.bThisbisbanbeffec
tivebalternativebtobthebusebofbrestraintts
Theb3belementsbofbradiationbprotectionbarebtime,bduration,bandbshieldingb
TrueborbFalseb-bANSWER-True
Thebfartherbawaybpeoplebarebfrombabradiationbsource,btheblessbtheirbexposure;basbabrule,bifb
youbdoublebthebdistance,byoubreducebthebexposurebbybabfactorbofbfour.bThebamountbofbradi
ationbexposurebtypicallybincreasesbwithbthebtimebpeoplebspendbnearbthebsourcebofbradiatio
n
YoubshouldbquicklybremovebcontaminatedbclothingbbybpullingbitboverbyourbheadbTr
ueborbFalseb-bANSWER-False
Contaminatedbclothingbshouldbneverbbebremovedbquickly,bbutbitbshouldbbebcutboffbinsteadbo
fbpulledboverbyourbhead.bplacebcontaminatedbclothingbinsidebabplasticbbag,bsealbthebbag,ban
dbthenbplacebinsidebanotherbplasticbbag
Standardbprecautionsbalsobincludesbrespiratory/coughbetiquettebTru
eborbFalseb-bANSWER-True
Standardbprecautionsbarebusedbtobreducebthebriskbofbtransmissionbofbbloodbornebandbotherb
pathogensbfrombbothbrecognizedbandbunrecognizedbsources.bRespiratorybhygiene/coughb
etiquettebisbnowbconsideredbpartbofbstandardbprecautions
Thebnursebisbmakingbpatientbroombassignments.bInborderbtobminimizebthebriskbofbabhospita
lbacquiredbinfection,bwhichbofbthesebchildrenbwouldbbebthebmostbappropriatebroommatebfor
bab3-year-oldbchildbdiagnosedbwithbminimalbchangebdisease
a. 3byearboldbwithbfracture,bwithbabsiblingbthatbhasbFifthbdisease
b. 2byearboldbdiagnosedbwithbrespiratorybinfection
c. 6byearboldbwithbsicklebcellbdiseasebexperiencingbvaso-occlusivebcrisis
d. 4byearboldbwithbbilateralbinguinalbherniabrepairb-bANSWER-
d.b4byearboldbwithbbilateralbinguinalbherniabrepair
Minimalbchangebdiseasebisbabkidneybdisorderbthatbcanbleadbtobnephroticbsyndrome.bCortic
osteroidsbcanbcurebthebdiseasebinbmostbchildrenbbutbcytotoxicbtherapybandbotherbdrugsbma
ybbebneeded,bbutbthisbtreatmentbcanbreducebthebchild'sbabilitybtobfightbinfection.
,Thebchargebnursebmustbselectbabroommatebwhobdoesbnotbhavebanbinfection,bwhichbisbthebc
hildbchildbwhobhadbsurgery.bThebsicklebcellbcrisisbmaybhavebtriggeredbanbinfection.bThebchil
d'sbsiblingbwhobhasbabviralbdiseasebhasbthebpotentialbtobdevelopbanbinfection.
Thebnursebisbsettingbupbabpatient'sbdinnerbtray.bWhenbthebnursebturnsbherbbackbtobthebp
atient,bthebpatientbgrabsbthebnurse'sbbuttocksbandbstatesbthatbhebisbhungrybforbmuchbm
orebthanbdinner.bWhichbofbthebfollowingbresponsebbybthebnursebisbindicated?
a. ignorebthebbehavior
b. callbthebHCP
c. quicklybleavebthebroombandbaskbUAPbtobassistbthebpatient
d. completebanbincidentbreportb-bANSWER-d.bcompletebanbincidentbreport
Tobkeepbthebtherapeuticbrelationshipbintact,babnursebneedsbtobsetblimitsbonbappropriatebbeh
aviorbandbnotbignorebbadbbehavior.bSexualbharassmentbisbabformbofbviolencebandbisbneverbp
artbofbthebjob.bThebnursebshouldbreportbthebincidentbtobherbsupervisorbandbcompletebanbinci
dentbreport.bThebnursebhasbthebrightbtobaskbnotbtobbebassignedbtobthisbpatient.
Thebparamedicsbarebtransportingbabpoisoningbvictimbtobtheblocalbhospital.bInbwhichbofbthese
bcasesbdoesbthebnursebanticipatebthatbhyperbaricbO2btherapybwillbbebused?
a. 6yobfoundbsittingbonbbathroombfloorbbesidebanbemptybbottlebofbdiazepam
b. 21byobwithbsuspectedbethanolbintoxication
c. 35byobfoundbunconsciousbwithbsuspectedbCObpoisoning
2byobwhobatebanbundeterminedbamountbofbcrystalbdrainbcleanerb-bANSWER-
c.b35byobfoundbunconsciousbwithbsuspectedbCObpoisoning
CObpoisoningbisbthebleadingbcausebofbpoisoningbinbthebUS.bItbcausesbseverebhypoxiabwhich
bisbwhybtreatmentbincludesbhigh-
doseboxygen.bInbseverebpoisoning,bhyperbaricbO2btherapybmaybbebused.
Treatmentbfor:
-
crystalbdrainbcleanerbandbdiazepambmaybincludebgastricblavageband/orbactivatedbcharcoal
-alcoholbintoxicationbmaybincludebgastricblavage,bIVbfluids,bandbsupportivebcare
Abneonatebisbhavingbdifficultybmaintainingbabtemperaturebaboveb98Fbandbisbplacedbinbanbinf
antbwarmingbsystem.bWhichbofbthebfollowingbactionsbwillbensurebthebsafetybofbthebneonate?
a. monitorbtemperaturebcontinuously
b. avoidbtouchingbneonatebwithbcoldbhands
c. warmballbmedicationsbandbliquidsbbeforebadministration
d. wrapbthebneonatebsnuglybinbabcottonbblanketb-bANSWER-
a.bmonitorbtemperaturebcontinuously
, Whenbusingbthebwarmingbdevice,bthebneonate'sbtemperaturebshouldbbebcontinuouslybmoni
toredbusingbabprobebthatbsecurelybattachedbtobthebskin.bMonitoringbthebneonate'sbtemperat
urebisbthebprioritybsafetybconcernbbecausebthebskinbburns,bpermanentbbrainbdamageborbeve
nbdeathbcanbresultbduebtobimproperbuseborbmonitoringbofbequipment.bNobclothingborbswaddli
ngbisbneededbinbthebIWS;busuallybbabiesbarebdressedbonlybinbabdiaperb(althoughbbubblebwr
apbblanketsborbplasticbwrapbblanketsbcanbbebusedbtobminimizebheatblossbinbhighbriskbnewbo
rns).bForbhealthybtermbnewborns,bnursesbshouldbwarmbtheirbhandsbandbstethoscopesbpriorb
tobcontactbwithbthebbaby.
Abnursebisbconductingbabcommunity-
widebseminarbonbchildhoodbsafetybissues.bWhichbofbthesebchildrenbisbatbthebhighestbriskbforb
poisoning
a. 20bmonthboldbwhobhasbjustblearnedbtobclimbbthebstairs
b. 10byobwhoboccassionallybstaysbatbhomebunattended
c. 15byobwhoblikesbtobrepairbbicycles
d. 9bmonthboldbwhobstaysbwithbabsitterb5bdaysbabweekb-bANSWER-
a.b20bmonthboldbwhobhasbjustblearnedbtobclimbbthebstairs
Toddlers,bagedb1-
3byears,barebatbhighestbriskbforbpoisoningbbecausebtheybarebincreasinglybmobile,bneedbtobe
xplorebandbengagebinbautonomousbbehavior
Abnursebisbperformingbwell-
childbassessmentsbatbabdaybcarebcenterbwhenbabstaffbmemberbinterruptsbthebexambforbassi
stancebwithbanotherbchild.bThebnursebfindsbab3byobchildbonbthebfloorbwithbbleedingbgumsband
b2bunlabeledbopenbbottlesbnearby.bWhatbshouldbthebnursesbfirstbactionbbe?
a. callbpoisonbcontrolbandbthenb911
b. administerbsyrupbofbIpecacbtobinducebvomiting
c. askbthebstaffbmemberbaboutbthebcontentsbofbthebbottles
d. givebthebchildbmilkbtobcoatbthebstomachb-bANSWER-
c.baskbthebstaffbmemberbaboutbthebcontentsbofbthebbottles
Thebnursebneedsbtobassesbthebsituationbandbdeterminebwhatbthebchildbingested.bOncebthebs
ubstancebisbidentified,bthebpoisonbcontrolbcenterbandbthebemergencybmedicalbservicesbsho
uldbbebcalled.
Thebnursebadministerbabnewbmedicationbtobthebpatient.bWhichbofbthebfollowingbactionsbbestb
demonstratesbanbawarenessbofbsafebandbproficientbnursingbpractice?
a. verifyborderbpriorbtobadministration.baskbforbpatientbname
b. verifybpatient'sballergiesbonbchartbandbnamebonbdoor,baskbdatebofbbirth
c. askbnamebandballergies,bthenbcheckbwristbandbandballergybband
d. askbnamebthenbcheckbwristbandb-bANSWER-
c.baskbnamebandballergies,bthenbcheckbwristbandbandballergybband
b b b b b b b
RN & NCLEX-PN TEST BANK, ANSWERED
b b b b b
With Lengthy Rationales 2022
b b b
Assistivebdevicesbarebusedbwhenbabcaregiverbisbrequiredbtobliftbmorebthanb35blbs/15.9bkgbtru
eborbfalseb-bANSWER-True
Duringbanybpatientbtransferringbtask,bifbanybcaregiverbisbrequiredbtobliftbabpatientbwhobweigh
sbmorebthanb35blbs/15.9bkg,bthenbthebpatientbshouldbbebconsideredbfullybdependent,bandbas
sistivebdevicesbshouldbbebusedbforbtransfer
IfbabdrainingbwoundbtestsbpositivebforbMRSA,bthebpatientbisbplacedbonbcontactbprecautionsb
TrueborbFalseb-bANSWER-True
PatientsbwithbabscessborbdrainingbwoundsbwhobtestsbpositivebforbMRSAbarebplacedbonbcont
actbprecautions
Handsbcanbbebcleanedbwithbalcohol-
basedbhandbrubbafterbcaringbforbabpatientbwithbC.bdiffbTrueborbFalseb-bANSWER-False
AlcoholbdoesbnotbkillbCbdiffbsporesbandbsoapbandbwaterbshouldbbebusedbforbhandbhygienebas
brecommendedbbybCDC
DisasterbtriagebdiffersbfrombroutebemergencybdepartmentbtriagebTrue
borbFalseb-bANSWER-True
Disasterbtriagebcategoriesbrangebfrombmostburgentb(firstbpriority),burgent,bnonurgentb(thebw
alkingbwounded),bandbdead/catastrophic/coma.
NewbornsbarebfittedbwithbtamperproofbsecuritybsensorsbduringbtheirbstaybatbthebhospitalbTru
eborbFalseb-bANSWER-True
Wearingbabtamperbproofbsafetybdevicebreducesbthebriskbofbabduction.bThebsensorbshowsbth
eblocationbofbthebinfantbandbthebsecuritybsystembcanbactivatebotherbdevicesb(suchbasbcamer
as,bdoorblocks,bpublicbaddressbsystems,bsirens,bandbotherbalarms)binbthebeventbofbanbattem
ptedbabduction
RestraintsbcanbbeborderedbprnbbybhealthbcarebprovidersbTrue
borbFalseb-bANSWER-False
,HCPbarebrequiredbtobspecifybdurationbandbcircumstancesbforbwhichbrestraintsbarebrequire
dbandbforbhowbtheybshouldbbebused.bNursesbandbHCPsbmustbfrequentlybmonitorbpatientsbt
obreassessbforbthebcontinuedbneedbforbrestraints.
SensorbpadsbmaybbebusedbonbbedsbofbindividualsbwhobarebabfallbriskbTrueb
orbFalseb-bANSWER-True
Bedbalarmsbandbsensorbpadsbcanbbebusedbtobalertbcaregiversbwhenbabpatientbisbattemptingb
tobgetbupbfrombabbedborbchair,bespeciallybforbabpatientbthatbisbatbriskbforbabfall.bThisbisbanbeffec
tivebalternativebtobthebusebofbrestraintts
Theb3belementsbofbradiationbprotectionbarebtime,bduration,bandbshieldingb
TrueborbFalseb-bANSWER-True
Thebfartherbawaybpeoplebarebfrombabradiationbsource,btheblessbtheirbexposure;basbabrule,bifb
youbdoublebthebdistance,byoubreducebthebexposurebbybabfactorbofbfour.bThebamountbofbradi
ationbexposurebtypicallybincreasesbwithbthebtimebpeoplebspendbnearbthebsourcebofbradiatio
n
YoubshouldbquicklybremovebcontaminatedbclothingbbybpullingbitboverbyourbheadbTr
ueborbFalseb-bANSWER-False
Contaminatedbclothingbshouldbneverbbebremovedbquickly,bbutbitbshouldbbebcutboffbinsteadbo
fbpulledboverbyourbhead.bplacebcontaminatedbclothingbinsidebabplasticbbag,bsealbthebbag,ban
dbthenbplacebinsidebanotherbplasticbbag
Standardbprecautionsbalsobincludesbrespiratory/coughbetiquettebTru
eborbFalseb-bANSWER-True
Standardbprecautionsbarebusedbtobreducebthebriskbofbtransmissionbofbbloodbornebandbotherb
pathogensbfrombbothbrecognizedbandbunrecognizedbsources.bRespiratorybhygiene/coughb
etiquettebisbnowbconsideredbpartbofbstandardbprecautions
Thebnursebisbmakingbpatientbroombassignments.bInborderbtobminimizebthebriskbofbabhospita
lbacquiredbinfection,bwhichbofbthesebchildrenbwouldbbebthebmostbappropriatebroommatebfor
bab3-year-oldbchildbdiagnosedbwithbminimalbchangebdisease
a. 3byearboldbwithbfracture,bwithbabsiblingbthatbhasbFifthbdisease
b. 2byearboldbdiagnosedbwithbrespiratorybinfection
c. 6byearboldbwithbsicklebcellbdiseasebexperiencingbvaso-occlusivebcrisis
d. 4byearboldbwithbbilateralbinguinalbherniabrepairb-bANSWER-
d.b4byearboldbwithbbilateralbinguinalbherniabrepair
Minimalbchangebdiseasebisbabkidneybdisorderbthatbcanbleadbtobnephroticbsyndrome.bCortic
osteroidsbcanbcurebthebdiseasebinbmostbchildrenbbutbcytotoxicbtherapybandbotherbdrugsbma
ybbebneeded,bbutbthisbtreatmentbcanbreducebthebchild'sbabilitybtobfightbinfection.
,Thebchargebnursebmustbselectbabroommatebwhobdoesbnotbhavebanbinfection,bwhichbisbthebc
hildbchildbwhobhadbsurgery.bThebsicklebcellbcrisisbmaybhavebtriggeredbanbinfection.bThebchil
d'sbsiblingbwhobhasbabviralbdiseasebhasbthebpotentialbtobdevelopbanbinfection.
Thebnursebisbsettingbupbabpatient'sbdinnerbtray.bWhenbthebnursebturnsbherbbackbtobthebp
atient,bthebpatientbgrabsbthebnurse'sbbuttocksbandbstatesbthatbhebisbhungrybforbmuchbm
orebthanbdinner.bWhichbofbthebfollowingbresponsebbybthebnursebisbindicated?
a. ignorebthebbehavior
b. callbthebHCP
c. quicklybleavebthebroombandbaskbUAPbtobassistbthebpatient
d. completebanbincidentbreportb-bANSWER-d.bcompletebanbincidentbreport
Tobkeepbthebtherapeuticbrelationshipbintact,babnursebneedsbtobsetblimitsbonbappropriatebbeh
aviorbandbnotbignorebbadbbehavior.bSexualbharassmentbisbabformbofbviolencebandbisbneverbp
artbofbthebjob.bThebnursebshouldbreportbthebincidentbtobherbsupervisorbandbcompletebanbinci
dentbreport.bThebnursebhasbthebrightbtobaskbnotbtobbebassignedbtobthisbpatient.
Thebparamedicsbarebtransportingbabpoisoningbvictimbtobtheblocalbhospital.bInbwhichbofbthese
bcasesbdoesbthebnursebanticipatebthatbhyperbaricbO2btherapybwillbbebused?
a. 6yobfoundbsittingbonbbathroombfloorbbesidebanbemptybbottlebofbdiazepam
b. 21byobwithbsuspectedbethanolbintoxication
c. 35byobfoundbunconsciousbwithbsuspectedbCObpoisoning
2byobwhobatebanbundeterminedbamountbofbcrystalbdrainbcleanerb-bANSWER-
c.b35byobfoundbunconsciousbwithbsuspectedbCObpoisoning
CObpoisoningbisbthebleadingbcausebofbpoisoningbinbthebUS.bItbcausesbseverebhypoxiabwhich
bisbwhybtreatmentbincludesbhigh-
doseboxygen.bInbseverebpoisoning,bhyperbaricbO2btherapybmaybbebused.
Treatmentbfor:
-
crystalbdrainbcleanerbandbdiazepambmaybincludebgastricblavageband/orbactivatedbcharcoal
-alcoholbintoxicationbmaybincludebgastricblavage,bIVbfluids,bandbsupportivebcare
Abneonatebisbhavingbdifficultybmaintainingbabtemperaturebaboveb98Fbandbisbplacedbinbanbinf
antbwarmingbsystem.bWhichbofbthebfollowingbactionsbwillbensurebthebsafetybofbthebneonate?
a. monitorbtemperaturebcontinuously
b. avoidbtouchingbneonatebwithbcoldbhands
c. warmballbmedicationsbandbliquidsbbeforebadministration
d. wrapbthebneonatebsnuglybinbabcottonbblanketb-bANSWER-
a.bmonitorbtemperaturebcontinuously
, Whenbusingbthebwarmingbdevice,bthebneonate'sbtemperaturebshouldbbebcontinuouslybmoni
toredbusingbabprobebthatbsecurelybattachedbtobthebskin.bMonitoringbthebneonate'sbtemperat
urebisbthebprioritybsafetybconcernbbecausebthebskinbburns,bpermanentbbrainbdamageborbeve
nbdeathbcanbresultbduebtobimproperbuseborbmonitoringbofbequipment.bNobclothingborbswaddli
ngbisbneededbinbthebIWS;busuallybbabiesbarebdressedbonlybinbabdiaperb(althoughbbubblebwr
apbblanketsborbplasticbwrapbblanketsbcanbbebusedbtobminimizebheatblossbinbhighbriskbnewbo
rns).bForbhealthybtermbnewborns,bnursesbshouldbwarmbtheirbhandsbandbstethoscopesbpriorb
tobcontactbwithbthebbaby.
Abnursebisbconductingbabcommunity-
widebseminarbonbchildhoodbsafetybissues.bWhichbofbthesebchildrenbisbatbthebhighestbriskbforb
poisoning
a. 20bmonthboldbwhobhasbjustblearnedbtobclimbbthebstairs
b. 10byobwhoboccassionallybstaysbatbhomebunattended
c. 15byobwhoblikesbtobrepairbbicycles
d. 9bmonthboldbwhobstaysbwithbabsitterb5bdaysbabweekb-bANSWER-
a.b20bmonthboldbwhobhasbjustblearnedbtobclimbbthebstairs
Toddlers,bagedb1-
3byears,barebatbhighestbriskbforbpoisoningbbecausebtheybarebincreasinglybmobile,bneedbtobe
xplorebandbengagebinbautonomousbbehavior
Abnursebisbperformingbwell-
childbassessmentsbatbabdaybcarebcenterbwhenbabstaffbmemberbinterruptsbthebexambforbassi
stancebwithbanotherbchild.bThebnursebfindsbab3byobchildbonbthebfloorbwithbbleedingbgumsband
b2bunlabeledbopenbbottlesbnearby.bWhatbshouldbthebnursesbfirstbactionbbe?
a. callbpoisonbcontrolbandbthenb911
b. administerbsyrupbofbIpecacbtobinducebvomiting
c. askbthebstaffbmemberbaboutbthebcontentsbofbthebbottles
d. givebthebchildbmilkbtobcoatbthebstomachb-bANSWER-
c.baskbthebstaffbmemberbaboutbthebcontentsbofbthebbottles
Thebnursebneedsbtobassesbthebsituationbandbdeterminebwhatbthebchildbingested.bOncebthebs
ubstancebisbidentified,bthebpoisonbcontrolbcenterbandbthebemergencybmedicalbservicesbsho
uldbbebcalled.
Thebnursebadministerbabnewbmedicationbtobthebpatient.bWhichbofbthebfollowingbactionsbbestb
demonstratesbanbawarenessbofbsafebandbproficientbnursingbpractice?
a. verifyborderbpriorbtobadministration.baskbforbpatientbname
b. verifybpatient'sballergiesbonbchartbandbnamebonbdoor,baskbdatebofbbirth
c. askbnamebandballergies,bthenbcheckbwristbandbandballergybband
d. askbnamebthenbcheckbwristbandb-bANSWER-
c.baskbnamebandballergies,bthenbcheckbwristbandbandballergybband
