NCSBN WEEKLY QUESTIONS questions and verified
answers (detailed & elaborated) ACTUAL EXAM 2025
TESTS!!
4.11.2016
During a well child clinic visit, the nurse assesses a 2 year old child who is in the 50th percentile for both
height and wt. The child still breastfeeds twice a day and the parents report that the child eats a variety
of foods that are allowed within the vegetarian practices of the of their religion. Which of the following
is the priority nursing response?
A. Lets take a look at what your child has eaten in the past day or two and then discuss how to decrease
the risk of dietary deficiencies.
B. You will need to contact a licensed nutritionist for information about how best to feed your child.
C. Since your child is underweight. I am required to report you and request a home visit from child
protective services
D. Your religion maybe harming your child. so i am required to refer your case to social services
Ans: A. A cultural or spiritual belief system can have negative consequences for a growing child. A
vegetarian diet that excludes animal products may result in deficiencies in vitamins B12 and D, as well as
calcium, iron, and zinc. Further assessment that is sensitive to the family's culture, as well as information
regarding how to compensate for missing nutrients, is needed. It's a nursing responsibility to first assess
the child's diet before referring the case to a nutritionist. It's non-therapeutic and judgmental to say that
this case must be reported to child protective services, without further assessment. The child is not
underweight; s/he is reported to be in the 50th percentile for weight.
Quiz 4.18.2016
,The client is preparing for discharge after inpatient tx for SUD. During a counseling session with the
client's mother, which behavior is recognized as having the highest is recognized as having the highest
potential to interfere with the client's recovery after discharge to home?
A Neglecting her needs to care for the client
B. Offering advice and opinions to the client
C. Setting limits for client behavior at home
D. Ignoring requests for money
Ans: A. Codependence has the potential to interfere with an addict's recovery. Codependent behavior
includes denial, self-neglect, manipulation, avoidance of feelings, hyper-vigilance and many other
negative behaviors. A codependent family member gains feelings of personal worth by meeting the
needs of the addicted family member and placing the needs of the addict above her own. Offering
advice or refusing to discuss money may not be effective, but these probably won't directly affect the
client's recovery. Setting limits is usually helpful for people struggling with SUD.
Quiz 04.10.17 *A nurse is giving instructions a to the parents of a child with cystic fibrosis. What info
should the nurse emphasize about administration of pancreatic enzymes?
Ans: 1. Each time a high-carbohydrate or high-fat meal is eaten.
2.Crush tablet and sprinkle on food 3 times a day.
3.Once each day in the morning.
4.With each meal or snack.
D. Pancreatic enzymes are necessary for digesting fat, starch and protein. They should be taken with
each meal and most snacks to allow for the proper digestion of the food. If taken on an empty stomach,
they may cause gastric irritation and possibly ulcers. Enzyme capsules should be swallowed whole, not
crushed or chewed, and the microspheres should not be sprinkled on or mixed with the whole meal.
Quiz 04.17.17 *A client who lives in an assisted living facility tells the nurse, "I am so depressed. Life isn't
worth living anymore." What is the best response by the nurse to this statement?
,Ans: A.Have you thought about hurting yourself?
B. Did you tell any of this to your family?
C.Come on, it is not that bad.
D. Think of the many positive things in life today.
correct A. It's important to determine if someone, who has voiced thoughts about death, is considering
a suicidal act. This response is most therapeutic under the circumstances. To respond by saying things
are not so bad, denies the validity of the client's statement. To ask if the family or anyone knows of
these feelings lacks focus on the client and would also be in violation of the rights of the client. Many
times, when there doesn't seem to be an urgent physiologic need, look for a response that focuses on
the safety of the client.
Quiz 04.24.17* A client of Hispanic Heritage refuses emergency unit treatment until a curandero is
called. What should the nurse understand about the practices of a curandero?
Ans: 1. A curandero offers spiritual advising
2.The client believes in witchcraft
3.Herbal preparations will be used
4. A curandero uses holistic healing practices.
D. A curandero is a folk healer (or shaman) who uses a holistic approach that includes herbs, aromas and
rituals, to treat the ills of the body, mind and spirit. Many times, the curandero works with traditional
Western health care providers to restore health.
Quiz 05.01.17. *Information about case management and the role of the case management nurse is
presented during an orientation session for new nurses. Which statement correctly describes an
important fact about case management?
, Ans: 1.Physicians are responsible and accountable for client outcomes
2.The interdisciplinary team makes all the decisions for the client and family
3. Case management strategies focus on the client's needs during hospitalization
4. Case management is a collaborative process designed to meet complex client needs.
D. Case management is a collaborative process of organizing and coordinating resources and services
within and across multiple settings. The focus is on cost-savings as well as quality and continuity of care.
Case management nurses work closely with physicians, nurses, social workers to meet the complex
health needs of the client, Case management is "client-centric" and all members of the team, including
the client, work together to achieve desired outcomes. Cases that involve high-risk diagnoses (such as
AIDs/HIV, cancer, people with cognitive deficits) or high-volume cases (such as total hip or total knee
replacements) are often selected for case management.
Quiz 05.07.2017 * An internal disaster has occurred at the hospital. The charge nurse is asked to review
client acuity and determine who can and cannot be discharged. Which of these clients should not be
discharged?
Ans: A. An older adult admitted 2d ago w/ acute exacerbation of ulcerative colitis.
B. An adolescente Dx w/ sepsis 7d ago & whose vital signs are maintain w/in low normal limits.
C. A middle-aged client known to have had an uncomplicated myocardial infarction 4d ago.
D. A young adult in the 2d of the Tx for an OD of acetaminophen.
D. An overdose of acetaminophen requires close observation for several days. Also, the duration of the
course of treatment for the oral antidote N-acetylcysteine (NAC) is approximately 72 hours. NAC will
protect the liver if given within 8 hours after an acute ingestion, but you aren't given enough
information to know when treatment was started. When compared with the other clients, the client
who overdosed on acetaminophen is the least stable and should not be discharged.
Quiz 05.06.2017 *A young child is receiving treatment for lead poisoning. Which of the following is the
most serious effect of long-term exposure to lead?
answers (detailed & elaborated) ACTUAL EXAM 2025
TESTS!!
4.11.2016
During a well child clinic visit, the nurse assesses a 2 year old child who is in the 50th percentile for both
height and wt. The child still breastfeeds twice a day and the parents report that the child eats a variety
of foods that are allowed within the vegetarian practices of the of their religion. Which of the following
is the priority nursing response?
A. Lets take a look at what your child has eaten in the past day or two and then discuss how to decrease
the risk of dietary deficiencies.
B. You will need to contact a licensed nutritionist for information about how best to feed your child.
C. Since your child is underweight. I am required to report you and request a home visit from child
protective services
D. Your religion maybe harming your child. so i am required to refer your case to social services
Ans: A. A cultural or spiritual belief system can have negative consequences for a growing child. A
vegetarian diet that excludes animal products may result in deficiencies in vitamins B12 and D, as well as
calcium, iron, and zinc. Further assessment that is sensitive to the family's culture, as well as information
regarding how to compensate for missing nutrients, is needed. It's a nursing responsibility to first assess
the child's diet before referring the case to a nutritionist. It's non-therapeutic and judgmental to say that
this case must be reported to child protective services, without further assessment. The child is not
underweight; s/he is reported to be in the 50th percentile for weight.
Quiz 4.18.2016
,The client is preparing for discharge after inpatient tx for SUD. During a counseling session with the
client's mother, which behavior is recognized as having the highest is recognized as having the highest
potential to interfere with the client's recovery after discharge to home?
A Neglecting her needs to care for the client
B. Offering advice and opinions to the client
C. Setting limits for client behavior at home
D. Ignoring requests for money
Ans: A. Codependence has the potential to interfere with an addict's recovery. Codependent behavior
includes denial, self-neglect, manipulation, avoidance of feelings, hyper-vigilance and many other
negative behaviors. A codependent family member gains feelings of personal worth by meeting the
needs of the addicted family member and placing the needs of the addict above her own. Offering
advice or refusing to discuss money may not be effective, but these probably won't directly affect the
client's recovery. Setting limits is usually helpful for people struggling with SUD.
Quiz 04.10.17 *A nurse is giving instructions a to the parents of a child with cystic fibrosis. What info
should the nurse emphasize about administration of pancreatic enzymes?
Ans: 1. Each time a high-carbohydrate or high-fat meal is eaten.
2.Crush tablet and sprinkle on food 3 times a day.
3.Once each day in the morning.
4.With each meal or snack.
D. Pancreatic enzymes are necessary for digesting fat, starch and protein. They should be taken with
each meal and most snacks to allow for the proper digestion of the food. If taken on an empty stomach,
they may cause gastric irritation and possibly ulcers. Enzyme capsules should be swallowed whole, not
crushed or chewed, and the microspheres should not be sprinkled on or mixed with the whole meal.
Quiz 04.17.17 *A client who lives in an assisted living facility tells the nurse, "I am so depressed. Life isn't
worth living anymore." What is the best response by the nurse to this statement?
,Ans: A.Have you thought about hurting yourself?
B. Did you tell any of this to your family?
C.Come on, it is not that bad.
D. Think of the many positive things in life today.
correct A. It's important to determine if someone, who has voiced thoughts about death, is considering
a suicidal act. This response is most therapeutic under the circumstances. To respond by saying things
are not so bad, denies the validity of the client's statement. To ask if the family or anyone knows of
these feelings lacks focus on the client and would also be in violation of the rights of the client. Many
times, when there doesn't seem to be an urgent physiologic need, look for a response that focuses on
the safety of the client.
Quiz 04.24.17* A client of Hispanic Heritage refuses emergency unit treatment until a curandero is
called. What should the nurse understand about the practices of a curandero?
Ans: 1. A curandero offers spiritual advising
2.The client believes in witchcraft
3.Herbal preparations will be used
4. A curandero uses holistic healing practices.
D. A curandero is a folk healer (or shaman) who uses a holistic approach that includes herbs, aromas and
rituals, to treat the ills of the body, mind and spirit. Many times, the curandero works with traditional
Western health care providers to restore health.
Quiz 05.01.17. *Information about case management and the role of the case management nurse is
presented during an orientation session for new nurses. Which statement correctly describes an
important fact about case management?
, Ans: 1.Physicians are responsible and accountable for client outcomes
2.The interdisciplinary team makes all the decisions for the client and family
3. Case management strategies focus on the client's needs during hospitalization
4. Case management is a collaborative process designed to meet complex client needs.
D. Case management is a collaborative process of organizing and coordinating resources and services
within and across multiple settings. The focus is on cost-savings as well as quality and continuity of care.
Case management nurses work closely with physicians, nurses, social workers to meet the complex
health needs of the client, Case management is "client-centric" and all members of the team, including
the client, work together to achieve desired outcomes. Cases that involve high-risk diagnoses (such as
AIDs/HIV, cancer, people with cognitive deficits) or high-volume cases (such as total hip or total knee
replacements) are often selected for case management.
Quiz 05.07.2017 * An internal disaster has occurred at the hospital. The charge nurse is asked to review
client acuity and determine who can and cannot be discharged. Which of these clients should not be
discharged?
Ans: A. An older adult admitted 2d ago w/ acute exacerbation of ulcerative colitis.
B. An adolescente Dx w/ sepsis 7d ago & whose vital signs are maintain w/in low normal limits.
C. A middle-aged client known to have had an uncomplicated myocardial infarction 4d ago.
D. A young adult in the 2d of the Tx for an OD of acetaminophen.
D. An overdose of acetaminophen requires close observation for several days. Also, the duration of the
course of treatment for the oral antidote N-acetylcysteine (NAC) is approximately 72 hours. NAC will
protect the liver if given within 8 hours after an acute ingestion, but you aren't given enough
information to know when treatment was started. When compared with the other clients, the client
who overdosed on acetaminophen is the least stable and should not be discharged.
Quiz 05.06.2017 *A young child is receiving treatment for lead poisoning. Which of the following is the
most serious effect of long-term exposure to lead?
