. NCSBN TEST BANK - for the NCLEX-
g g g g g g g
RN & NCLEX-PN TEST BANK, ANSWERED
g g g g g
With Lengthy Rationales 2022
g g g
Assistivegdevicesgaregusedgwhengagcaregivergisgrequiredgtogliftgmoregthang35glbs/15.9gkggtru
egorgfalseg-gANSWER-True
Duringganygpatientgtransferringgtask,gifganygcaregivergisgrequiredgtogliftgagpatientgwhogweigh
sgmoregthang35glbs/15.9gkg,gthengthegpatientgshouldgbegconsideredgfullygdependent,gandgas
sistivegdevicesgshouldgbegusedgforgtransfer
IfgagdraininggwoundgtestsgpositivegforgMRSA,gthegpatientgisgplacedgongcontactgprecautionsg
TruegorgFalseg-gANSWER-True
PatientsgwithgabscessgorgdraininggwoundsgwhogtestsgpositivegforgMRSAgaregplacedgongcont
actgprecautions
Handsgcangbegcleanedgwithgalcohol-
basedghandgrubgaftergcaringgforgagpatientgwithgC.gdiffgTruegorgFalseg-gANSWER-False
AlcoholgdoesgnotgkillgCgdiffgsporesgandgsoapgandgwatergshouldgbegusedgforghandghygienegas
grecommendedgbygCDC
DisastergtriagegdiffersgfromgroutegemergencygdepartmentgtriagegTrue
gorgFalseg-gANSWER-True
Disastergtriagegcategoriesgrangegfromgmostgurgentg(firstgpriority),gurgent,gnonurgentg(thegw
alkinggwounded),gandgdead/catastrophic/coma.
NewbornsgaregfittedgwithgtamperproofgsecuritygsensorsgduringgtheirgstaygatgtheghospitalgTru
egorgFalseg-gANSWER-True
Wearinggagtampergproofgsafetygdevicegreducesgthegriskgofgabduction.gThegsensorgshowsgth
eglocationgofgtheginfantgandgthegsecuritygsystemgcangactivategothergdevicesg(suchgasgcamer
as,gdoorglocks,gpublicgaddressgsystems,gsirens,gandgothergalarms)gingthegeventgofgangattem
ptedgabduction
RestraintsgcangbegorderedgprngbyghealthgcaregprovidersgTrue
gorgFalseg-gANSWER-False
,HCPgaregrequiredgtogspecifygdurationgandgcircumstancesgforgwhichgrestraintsgaregrequire
dgandgforghowgtheygshouldgbegused.gNursesgandgHCPsgmustgfrequentlygmonitorgpatientsgt
ogreassessgforgthegcontinuedgneedgforgrestraints.
SensorgpadsgmaygbegusedgongbedsgofgindividualsgwhogaregagfallgriskgTrueg
orgFalseg-gANSWER-True
Bedgalarmsgandgsensorgpadsgcangbegusedgtogalertgcaregiversgwhengagpatientgisgattemptingg
toggetgupgfromgagbedgorgchair,gespeciallygforgagpatientgthatgisgatgriskgforgagfall.gThisgisgangeffec
tivegalternativegtogthegusegofgrestraintts
Theg3gelementsgofgradiationgprotectiongaregtime,gduration,gandgshieldingg
TruegorgFalseg-gANSWER-True
Thegfarthergawaygpeoplegaregfromgagradiationgsource,gtheglessgtheirgexposure;gasgagrule,gifg
yougdoublegthegdistance,gyougreducegthegexposuregbygagfactorgofgfour.gThegamountgofgradi
ationgexposuregtypicallygincreasesgwithgthegtimegpeoplegspendgneargthegsourcegofgradiatio
n
YougshouldgquicklygremovegcontaminatedgclothinggbygpullinggitgovergyourgheadgTr
uegorgFalseg-gANSWER-False
Contaminatedgclothinggshouldgnevergbegremovedgquickly,gbutgitgshouldgbegcutgoffginsteadgo
fgpulledgovergyourghead.gplacegcontaminatedgclothingginsidegagplasticgbag,gsealgthegbag,gan
dgthengplaceginsideganothergplasticgbag
Standardgprecautionsgalsogincludesgrespiratory/coughgetiquettegTru
egorgFalseg-gANSWER-True
Standardgprecautionsgaregusedgtogreducegthegriskgofgtransmissiongofgbloodbornegandgotherg
pathogensgfromgbothgrecognizedgandgunrecognizedgsources.gRespiratoryghygiene/coughg
etiquettegisgnowgconsideredgpartgofgstandardgprecautions
Thegnursegisgmakinggpatientgroomgassignments.gIngordergtogminimizegthegriskgofgaghospita
lgacquiredginfection,gwhichgofgthesegchildrengwouldgbegthegmostgappropriategroommategfor
gag3-year-oldgchildgdiagnosedgwithgminimalgchangegdisease
a. 3gyeargoldgwithgfracture,gwithgagsiblinggthatghasgFifthgdisease
b. 2gyeargoldgdiagnosedgwithgrespiratoryginfection
c. 6gyeargoldgwithgsicklegcellgdiseasegexperiencinggvaso-occlusivegcrisis
d. 4gyeargoldgwithgbilateralginguinalgherniagrepairg-gANSWER-
d.g4gyeargoldgwithgbilateralginguinalgherniagrepair
Minimalgchangegdiseasegisgagkidneygdisordergthatgcangleadgtognephroticgsyndrome.gCortic
osteroidsgcangcuregthegdiseasegingmostgchildrengbutgcytotoxicgtherapygandgothergdrugsgma
ygbegneeded,gbutgthisgtreatmentgcangreducegthegchild'sgabilitygtogfightginfection.
,Thegchargegnursegmustgselectgagroommategwhogdoesgnotghaveganginfection,gwhichgisgthegc
hildgchildgwhoghadgsurgery.gThegsicklegcellgcrisisgmayghavegtriggeredganginfection.gThegchil
d'sgsiblinggwhoghasgagviralgdiseaseghasgthegpotentialgtogdevelopganginfection.
Thegnursegisgsettinggupgagpatient'sgdinnergtray.gWhengthegnursegturnsghergbackgtogthegp
atient,gthegpatientggrabsgthegnurse'sgbuttocksgandgstatesgthatghegisghungrygforgmuchgm
oregthangdinner.gWhichgofgthegfollowinggresponsegbygthegnursegisgindicated?
a. ignoregthegbehavior
b. callgthegHCP
c. quicklygleavegthegroomgandgaskgUAPgtogassistgthegpatient
d. completegangincidentgreportg-gANSWER-d.gcompletegangincidentgreport
Togkeepgthegtherapeuticgrelationshipgintact,gagnursegneedsgtogsetglimitsgongappropriategbeh
aviorgandgnotgignoregbadgbehavior.gSexualgharassmentgisgagformgofgviolencegandgisgnevergp
artgofgthegjob.gThegnursegshouldgreportgthegincidentgtoghergsupervisorgandgcompleteganginci
dentgreport.gThegnurseghasgthegrightgtogaskgnotgtogbegassignedgtogthisgpatient.
Thegparamedicsgaregtransportinggagpoisoninggvictimgtogtheglocalghospital.gIngwhichgofgthese
gcasesgdoesgthegnurseganticipategthatghyperbaricgO2gtherapygwillgbegused?
a. 6yogfoundgsittinggongbathroomgfloorgbesidegangemptygbottlegofgdiazepam
b. 21gyogwithgsuspectedgethanolgintoxication
c. 35gyogfoundgunconsciousgwithgsuspectedgCOgpoisoning
2gyogwhogategangundeterminedgamountgofgcrystalgdraingcleanerg-gANSWER-
c.g35gyogfoundgunconsciousgwithgsuspectedgCOgpoisoning
COgpoisoninggisgthegleadinggcausegofgpoisoninggingthegUS.gItgcausesgsevereghypoxiagwhich
gisgwhygtreatmentgincludesghigh-
dosegoxygen.gIngseveregpoisoning,ghyperbaricgO2gtherapygmaygbegused.
Treatmentgfor:
-
crystalgdraingcleanergandgdiazepamgmaygincludeggastricglavagegand/orgactivatedgcharcoal
-alcoholgintoxicationgmaygincludeggastricglavage,gIVgfluids,gandgsupportivegcare
Agneonategisghavinggdifficultygmaintaininggagtemperaturegaboveg98Fgandgisgplacedginganginf
antgwarminggsystem.gWhichgofgthegfollowinggactionsgwillgensuregthegsafetygofgthegneonate?
a. monitorgtemperaturegcontinuously
b. avoidgtouchinggneonategwithgcoldghands
c. warmgallgmedicationsgandgliquidsgbeforegadministration
d. wrapgthegneonategsnuglygingagcottongblanketg-gANSWER-
a.gmonitorgtemperaturegcontinuously
, Whengusinggthegwarminggdevice,gthegneonate'sgtemperaturegshouldgbegcontinuouslygmoni
toredgusinggagprobegthatgsecurelygattachedgtogthegskin.gMonitoringgthegneonate'sgtemperat
uregisgthegprioritygsafetygconcerngbecausegthegskingburns,gpermanentgbraingdamagegorgeve
ngdeathgcangresultgduegtogimpropergusegorgmonitoringgofgequipment.gNogclothinggorgswaddli
nggisgneededgingthegIWS;gusuallygbabiesgaregdressedgonlygingagdiaperg(althoughgbubblegwr
apgblanketsgorgplasticgwrapgblanketsgcangbegusedgtogminimizegheatglossginghighgriskgnewbo
rns).gForghealthygtermgnewborns,gnursesgshouldgwarmgtheirghandsgandgstethoscopesgpriorg
togcontactgwithgthegbaby.
Agnursegisgconductinggagcommunity-
widegseminargongchildhoodgsafetygissues.gWhichgofgthesegchildrengisgatgtheghighestgriskgforg
poisoning
a. 20gmonthgoldgwhoghasgjustglearnedgtogclimbgthegstairs
b. 10gyogwhogoccassionallygstaysgatghomegunattended
c. 15gyogwhoglikesgtogrepairgbicycles
d. 9gmonthgoldgwhogstaysgwithgagsitterg5gdaysgagweekg-gANSWER-
a.g20gmonthgoldgwhoghasgjustglearnedgtogclimbgthegstairs
Toddlers,gagedg1-
3gyears,garegatghighestgriskgforgpoisoninggbecausegtheygaregincreasinglygmobile,gneedgtoge
xploregandgengagegingautonomousgbehavior
Agnursegisgperforminggwell-
childgassessmentsgatgagdaygcaregcentergwhengagstaffgmemberginterruptsgthegexamgforgassi
stancegwithganothergchild.gThegnursegfindsgag3gyogchildgongthegfloorgwithgbleedingggumsgand
g2gunlabeledgopengbottlesgnearby.gWhatgshouldgthegnursesgfirstgactiongbe?
a. callgpoisongcontrolgandgtheng911
b. administergsyrupgofgIpecacgtoginducegvomiting
c. askgthegstaffgmembergaboutgthegcontentsgofgthegbottles
d. givegthegchildgmilkgtogcoatgthegstomachg-gANSWER-
c.gaskgthegstaffgmembergaboutgthegcontentsgofgthegbottles
Thegnursegneedsgtogassesgthegsituationgandgdeterminegwhatgthegchildgingested.gOncegthegs
ubstancegisgidentified,gthegpoisongcontrolgcentergandgthegemergencygmedicalgservicesgsho
uldgbegcalled.
Thegnursegadministergagnewgmedicationgtogthegpatient.gWhichgofgthegfollowinggactionsgbestg
demonstratesgangawarenessgofgsafegandgproficientgnursinggpractice?
a. verifygordergpriorgtogadministration.gaskgforgpatientgname
b. verifygpatient'sgallergiesgongchartgandgnamegongdoor,gaskgdategofgbirth
c. askgnamegandgallergies,gthengcheckgwristbandgandgallergygband
d. askgnamegthengcheckgwristbandg-gANSWER-
c.gaskgnamegandgallergies,gthengcheckgwristbandgandgallergygband
g g g g g g g
RN & NCLEX-PN TEST BANK, ANSWERED
g g g g g
With Lengthy Rationales 2022
g g g
Assistivegdevicesgaregusedgwhengagcaregivergisgrequiredgtogliftgmoregthang35glbs/15.9gkggtru
egorgfalseg-gANSWER-True
Duringganygpatientgtransferringgtask,gifganygcaregivergisgrequiredgtogliftgagpatientgwhogweigh
sgmoregthang35glbs/15.9gkg,gthengthegpatientgshouldgbegconsideredgfullygdependent,gandgas
sistivegdevicesgshouldgbegusedgforgtransfer
IfgagdraininggwoundgtestsgpositivegforgMRSA,gthegpatientgisgplacedgongcontactgprecautionsg
TruegorgFalseg-gANSWER-True
PatientsgwithgabscessgorgdraininggwoundsgwhogtestsgpositivegforgMRSAgaregplacedgongcont
actgprecautions
Handsgcangbegcleanedgwithgalcohol-
basedghandgrubgaftergcaringgforgagpatientgwithgC.gdiffgTruegorgFalseg-gANSWER-False
AlcoholgdoesgnotgkillgCgdiffgsporesgandgsoapgandgwatergshouldgbegusedgforghandghygienegas
grecommendedgbygCDC
DisastergtriagegdiffersgfromgroutegemergencygdepartmentgtriagegTrue
gorgFalseg-gANSWER-True
Disastergtriagegcategoriesgrangegfromgmostgurgentg(firstgpriority),gurgent,gnonurgentg(thegw
alkinggwounded),gandgdead/catastrophic/coma.
NewbornsgaregfittedgwithgtamperproofgsecuritygsensorsgduringgtheirgstaygatgtheghospitalgTru
egorgFalseg-gANSWER-True
Wearinggagtampergproofgsafetygdevicegreducesgthegriskgofgabduction.gThegsensorgshowsgth
eglocationgofgtheginfantgandgthegsecuritygsystemgcangactivategothergdevicesg(suchgasgcamer
as,gdoorglocks,gpublicgaddressgsystems,gsirens,gandgothergalarms)gingthegeventgofgangattem
ptedgabduction
RestraintsgcangbegorderedgprngbyghealthgcaregprovidersgTrue
gorgFalseg-gANSWER-False
,HCPgaregrequiredgtogspecifygdurationgandgcircumstancesgforgwhichgrestraintsgaregrequire
dgandgforghowgtheygshouldgbegused.gNursesgandgHCPsgmustgfrequentlygmonitorgpatientsgt
ogreassessgforgthegcontinuedgneedgforgrestraints.
SensorgpadsgmaygbegusedgongbedsgofgindividualsgwhogaregagfallgriskgTrueg
orgFalseg-gANSWER-True
Bedgalarmsgandgsensorgpadsgcangbegusedgtogalertgcaregiversgwhengagpatientgisgattemptingg
toggetgupgfromgagbedgorgchair,gespeciallygforgagpatientgthatgisgatgriskgforgagfall.gThisgisgangeffec
tivegalternativegtogthegusegofgrestraintts
Theg3gelementsgofgradiationgprotectiongaregtime,gduration,gandgshieldingg
TruegorgFalseg-gANSWER-True
Thegfarthergawaygpeoplegaregfromgagradiationgsource,gtheglessgtheirgexposure;gasgagrule,gifg
yougdoublegthegdistance,gyougreducegthegexposuregbygagfactorgofgfour.gThegamountgofgradi
ationgexposuregtypicallygincreasesgwithgthegtimegpeoplegspendgneargthegsourcegofgradiatio
n
YougshouldgquicklygremovegcontaminatedgclothinggbygpullinggitgovergyourgheadgTr
uegorgFalseg-gANSWER-False
Contaminatedgclothinggshouldgnevergbegremovedgquickly,gbutgitgshouldgbegcutgoffginsteadgo
fgpulledgovergyourghead.gplacegcontaminatedgclothingginsidegagplasticgbag,gsealgthegbag,gan
dgthengplaceginsideganothergplasticgbag
Standardgprecautionsgalsogincludesgrespiratory/coughgetiquettegTru
egorgFalseg-gANSWER-True
Standardgprecautionsgaregusedgtogreducegthegriskgofgtransmissiongofgbloodbornegandgotherg
pathogensgfromgbothgrecognizedgandgunrecognizedgsources.gRespiratoryghygiene/coughg
etiquettegisgnowgconsideredgpartgofgstandardgprecautions
Thegnursegisgmakinggpatientgroomgassignments.gIngordergtogminimizegthegriskgofgaghospita
lgacquiredginfection,gwhichgofgthesegchildrengwouldgbegthegmostgappropriategroommategfor
gag3-year-oldgchildgdiagnosedgwithgminimalgchangegdisease
a. 3gyeargoldgwithgfracture,gwithgagsiblinggthatghasgFifthgdisease
b. 2gyeargoldgdiagnosedgwithgrespiratoryginfection
c. 6gyeargoldgwithgsicklegcellgdiseasegexperiencinggvaso-occlusivegcrisis
d. 4gyeargoldgwithgbilateralginguinalgherniagrepairg-gANSWER-
d.g4gyeargoldgwithgbilateralginguinalgherniagrepair
Minimalgchangegdiseasegisgagkidneygdisordergthatgcangleadgtognephroticgsyndrome.gCortic
osteroidsgcangcuregthegdiseasegingmostgchildrengbutgcytotoxicgtherapygandgothergdrugsgma
ygbegneeded,gbutgthisgtreatmentgcangreducegthegchild'sgabilitygtogfightginfection.
,Thegchargegnursegmustgselectgagroommategwhogdoesgnotghaveganginfection,gwhichgisgthegc
hildgchildgwhoghadgsurgery.gThegsicklegcellgcrisisgmayghavegtriggeredganginfection.gThegchil
d'sgsiblinggwhoghasgagviralgdiseaseghasgthegpotentialgtogdevelopganginfection.
Thegnursegisgsettinggupgagpatient'sgdinnergtray.gWhengthegnursegturnsghergbackgtogthegp
atient,gthegpatientggrabsgthegnurse'sgbuttocksgandgstatesgthatghegisghungrygforgmuchgm
oregthangdinner.gWhichgofgthegfollowinggresponsegbygthegnursegisgindicated?
a. ignoregthegbehavior
b. callgthegHCP
c. quicklygleavegthegroomgandgaskgUAPgtogassistgthegpatient
d. completegangincidentgreportg-gANSWER-d.gcompletegangincidentgreport
Togkeepgthegtherapeuticgrelationshipgintact,gagnursegneedsgtogsetglimitsgongappropriategbeh
aviorgandgnotgignoregbadgbehavior.gSexualgharassmentgisgagformgofgviolencegandgisgnevergp
artgofgthegjob.gThegnursegshouldgreportgthegincidentgtoghergsupervisorgandgcompleteganginci
dentgreport.gThegnurseghasgthegrightgtogaskgnotgtogbegassignedgtogthisgpatient.
Thegparamedicsgaregtransportinggagpoisoninggvictimgtogtheglocalghospital.gIngwhichgofgthese
gcasesgdoesgthegnurseganticipategthatghyperbaricgO2gtherapygwillgbegused?
a. 6yogfoundgsittinggongbathroomgfloorgbesidegangemptygbottlegofgdiazepam
b. 21gyogwithgsuspectedgethanolgintoxication
c. 35gyogfoundgunconsciousgwithgsuspectedgCOgpoisoning
2gyogwhogategangundeterminedgamountgofgcrystalgdraingcleanerg-gANSWER-
c.g35gyogfoundgunconsciousgwithgsuspectedgCOgpoisoning
COgpoisoninggisgthegleadinggcausegofgpoisoninggingthegUS.gItgcausesgsevereghypoxiagwhich
gisgwhygtreatmentgincludesghigh-
dosegoxygen.gIngseveregpoisoning,ghyperbaricgO2gtherapygmaygbegused.
Treatmentgfor:
-
crystalgdraingcleanergandgdiazepamgmaygincludeggastricglavagegand/orgactivatedgcharcoal
-alcoholgintoxicationgmaygincludeggastricglavage,gIVgfluids,gandgsupportivegcare
Agneonategisghavinggdifficultygmaintaininggagtemperaturegaboveg98Fgandgisgplacedginganginf
antgwarminggsystem.gWhichgofgthegfollowinggactionsgwillgensuregthegsafetygofgthegneonate?
a. monitorgtemperaturegcontinuously
b. avoidgtouchinggneonategwithgcoldghands
c. warmgallgmedicationsgandgliquidsgbeforegadministration
d. wrapgthegneonategsnuglygingagcottongblanketg-gANSWER-
a.gmonitorgtemperaturegcontinuously
, Whengusinggthegwarminggdevice,gthegneonate'sgtemperaturegshouldgbegcontinuouslygmoni
toredgusinggagprobegthatgsecurelygattachedgtogthegskin.gMonitoringgthegneonate'sgtemperat
uregisgthegprioritygsafetygconcerngbecausegthegskingburns,gpermanentgbraingdamagegorgeve
ngdeathgcangresultgduegtogimpropergusegorgmonitoringgofgequipment.gNogclothinggorgswaddli
nggisgneededgingthegIWS;gusuallygbabiesgaregdressedgonlygingagdiaperg(althoughgbubblegwr
apgblanketsgorgplasticgwrapgblanketsgcangbegusedgtogminimizegheatglossginghighgriskgnewbo
rns).gForghealthygtermgnewborns,gnursesgshouldgwarmgtheirghandsgandgstethoscopesgpriorg
togcontactgwithgthegbaby.
Agnursegisgconductinggagcommunity-
widegseminargongchildhoodgsafetygissues.gWhichgofgthesegchildrengisgatgtheghighestgriskgforg
poisoning
a. 20gmonthgoldgwhoghasgjustglearnedgtogclimbgthegstairs
b. 10gyogwhogoccassionallygstaysgatghomegunattended
c. 15gyogwhoglikesgtogrepairgbicycles
d. 9gmonthgoldgwhogstaysgwithgagsitterg5gdaysgagweekg-gANSWER-
a.g20gmonthgoldgwhoghasgjustglearnedgtogclimbgthegstairs
Toddlers,gagedg1-
3gyears,garegatghighestgriskgforgpoisoninggbecausegtheygaregincreasinglygmobile,gneedgtoge
xploregandgengagegingautonomousgbehavior
Agnursegisgperforminggwell-
childgassessmentsgatgagdaygcaregcentergwhengagstaffgmemberginterruptsgthegexamgforgassi
stancegwithganothergchild.gThegnursegfindsgag3gyogchildgongthegfloorgwithgbleedingggumsgand
g2gunlabeledgopengbottlesgnearby.gWhatgshouldgthegnursesgfirstgactiongbe?
a. callgpoisongcontrolgandgtheng911
b. administergsyrupgofgIpecacgtoginducegvomiting
c. askgthegstaffgmembergaboutgthegcontentsgofgthegbottles
d. givegthegchildgmilkgtogcoatgthegstomachg-gANSWER-
c.gaskgthegstaffgmembergaboutgthegcontentsgofgthegbottles
Thegnursegneedsgtogassesgthegsituationgandgdeterminegwhatgthegchildgingested.gOncegthegs
ubstancegisgidentified,gthegpoisongcontrolgcentergandgthegemergencygmedicalgservicesgsho
uldgbegcalled.
Thegnursegadministergagnewgmedicationgtogthegpatient.gWhichgofgthegfollowinggactionsgbestg
demonstratesgangawarenessgofgsafegandgproficientgnursinggpractice?
a. verifygordergpriorgtogadministration.gaskgforgpatientgname
b. verifygpatient'sgallergiesgongchartgandgnamegongdoor,gaskgdategofgbirth
c. askgnamegandgallergies,gthengcheckgwristbandgandgallergygband
d. askgnamegthengcheckgwristbandg-gANSWER-
c.gaskgnamegandgallergies,gthengcheckgwristbandgandgallergygband
