NCSBN Practice Questions 1–15 – Study &
Review Guide.
1. Which individual is at greatest risk for C
the development of hypertension? pounds and by the middle
of the af-
A. 40 year-old Caucasian nurse ternoon everything I look
B. 60 year-old Asian-American shop at looks wavy. Nothing I
owner have taken helps." What
C. 45 year-old African-American at- should the nurse do next?
torney
A. Advise the client to have
D. 55 year-old Hispanic teacher someone bring her to the
emergency room as soon
2. A woman, who delivered five as possible
days ago and who had been
diagnosed with pregnancy B. Ask the client to explain
what she has taken and
induced hyperten- sion (PIH),
how often, and then
calls a hospital triage nurse
evaluate other specific
hotline to ask for advice. She
complaints
states, "I have had the worst
headache for the past two C. Advise the client that the
swings in her hormones
days. It
, NCSBN Practice Questions 1–15 – Study &
Review Guide.
may be the problem; suggest that The incidence of hypertension is greater
she call her health care provider
among African-Americans than other groups
in the United States. The incidence among
the Hispanic popula- tion is rising.
D
The woman is at risk for seizure activity. The
am- bulance 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.
, NCSBN Practice Questions 1–15 – Study &
Review Guide.
D. Ask the client to stay on the
line, get the address, and send an
ambu- lance to the home
3. There's a new medication order that C
reads: "administer 1 gtt ciprofloxacin Abbreviations, symbols and dose
designations can
solution OD Q 4 h" What be misinterpreted and lead to medication
action should the nurse
take? errors. "OD" can mean "right eye" (oculus
dexter) or "once daily"; it should never be
A. Squeeze one drop of the used when communi- cating medical
medica- tion in the left eye every information. The abbreviation "Q" should be
4 hours
B. Apply one drop in the right written out as "every." Although "gtt" is not
ear every 4 hours on the oflcial "Do Not Use List", it's best to
C. Call the prescriber to clarify use "drop" instead. Asking other nurses to
and rewrite the order
interpret an order is a potentially dangerous
"workaround."
The nurse should call the health care provider
who
D. Ask other nurses for their interpre- prescribed the medication and clarify the
order.
tation of the order
4. A client expresses anger when a call A
light is not answered within five min- This is the best response because it gives
credence
utes. The client demanded a blanket. to the client's feelings and then concerns. To
say
How should the nurse respond? "let's talk" and ask a why question is not a
thera- peutic approach because it does not
A. "I see this is frustrating for acknowledge or validate the client's feelings.
you. I have a few minutes so
let's talk." To apologize and
not notice the client's feelings is inappropriate.
To
, NCSBN Practice Questions 1–15 – Study &
Review Guide.
B. "I am surprised that you are upset. say it could have waited a few minutes is
rude and
The request could have waited a non-accepting of the client's verbalized needs.
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."
Review Guide.
1. Which individual is at greatest risk for C
the development of hypertension? pounds and by the middle
of the af-
A. 40 year-old Caucasian nurse ternoon everything I look
B. 60 year-old Asian-American shop at looks wavy. Nothing I
owner have taken helps." What
C. 45 year-old African-American at- should the nurse do next?
torney
A. Advise the client to have
D. 55 year-old Hispanic teacher someone bring her to the
emergency room as soon
2. A woman, who delivered five as possible
days ago and who had been
diagnosed with pregnancy B. Ask the client to explain
what she has taken and
induced hyperten- sion (PIH),
how often, and then
calls a hospital triage nurse
evaluate other specific
hotline to ask for advice. She
complaints
states, "I have had the worst
headache for the past two C. Advise the client that the
swings in her hormones
days. It
, NCSBN Practice Questions 1–15 – Study &
Review Guide.
may be the problem; suggest that The incidence of hypertension is greater
she call her health care provider
among African-Americans than other groups
in the United States. The incidence among
the Hispanic popula- tion is rising.
D
The woman is at risk for seizure activity. The
am- bulance 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.
, NCSBN Practice Questions 1–15 – Study &
Review Guide.
D. Ask the client to stay on the
line, get the address, and send an
ambu- lance to the home
3. There's a new medication order that C
reads: "administer 1 gtt ciprofloxacin Abbreviations, symbols and dose
designations can
solution OD Q 4 h" What be misinterpreted and lead to medication
action should the nurse
take? errors. "OD" can mean "right eye" (oculus
dexter) or "once daily"; it should never be
A. Squeeze one drop of the used when communi- cating medical
medica- tion in the left eye every information. The abbreviation "Q" should be
4 hours
B. Apply one drop in the right written out as "every." Although "gtt" is not
ear every 4 hours on the oflcial "Do Not Use List", it's best to
C. Call the prescriber to clarify use "drop" instead. Asking other nurses to
and rewrite the order
interpret an order is a potentially dangerous
"workaround."
The nurse should call the health care provider
who
D. Ask other nurses for their interpre- prescribed the medication and clarify the
order.
tation of the order
4. A client expresses anger when a call A
light is not answered within five min- This is the best response because it gives
credence
utes. The client demanded a blanket. to the client's feelings and then concerns. To
say
How should the nurse respond? "let's talk" and ask a why question is not a
thera- peutic approach because it does not
A. "I see this is frustrating for acknowledge or validate the client's feelings.
you. I have a few minutes so
let's talk." To apologize and
not notice the client's feelings is inappropriate.
To
, NCSBN Practice Questions 1–15 – Study &
Review Guide.
B. "I am surprised that you are upset. say it could have waited a few minutes is
rude and
The request could have waited a non-accepting of the client's verbalized needs.
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."
