NCSBN PRACTICE QUESTIONS WITH CORRECT
ANSWERS ||NEWEST EXAM!!!/ACTUAL VERIFIED
QUESTIONS AND ANSWERS LATES, Exams of
Nursing||NEWEST EXAM!!!
An external disaster has occurred in the town. The triage
nurse from the emergency department is transported to
the site and assigned to triage the injured. Which of these
clients would the nurse tag as "to be seen last" by the
providers at the scene?
An older adult person with a open fracture of the left arm
An infant with bilateral fractured lower legs with no active
bleeding
A teenager with small amount of bright red blood dripping
out of the nose
A middle-aged person with deep abrasions that are over
90% of the body - ANSWER-A middle-aged person with
deep abrasions that are over 90% of the body
,2|Page
The clients that are least likely to survive are to be tagged
as the "last to be seen." Deep abrasions are usually
treated as second or third degree burns because the fluid
loss is great.
A child is treated with succimer for lead poisoning. Which
of these assessments should the nurse perform first?
Check serum potassium level
Check blood calcium level
Test deep tendon reflexes
Check complete blood count (CBC) with differential -
ANSWER-Check complete blood count (CBC) with
differential
Succimer (Chemet) is used in the management of lead or
other heavy metal poisoning. Although it has generally well
tolerated and has a relatively low toxicity, it may cause
neutropenia. Therapy should be withheld or discontinued if
the absolute neutrophil count (ANC) is below 1200/µ.
,3|Page
The client with a T-2 spinal cord injury reports having a
"pounding" headache. Further assessment by the nurse
reveals excessive sweating, rash, pilomotor erection,
facial flushing, congested nasal passages and a heart rate
of 50. What action should the nurse take next?
Assist client with relaxation techniques
Measure the client's respirations, blood pressure,
temperature and pupillary responses
Check the client for bladder distention and the urinary
catheter for kinks
Place the client into the bed and administer the ordered
PRN analgesic - ANSWER-Check the client for bladder
distention and the urinary catheter for kinks
These are findings of autonomic dysreflexia, also called
hyperreflexia. This response occurs in clients with a spinal
cord injury above the T-6 level. It is typically initiated by
, 4|Page
any noxious stimulus below the level of injury such as a
full bladder, an enema or bowel movement, fecal
impaction, uterine contractions, changing of the catheter
and vaginal or rectal examinations. The stimulus creates
an exaggerated response of the sympathetic nervous
system and can be a life-threatening event. The BP is
typically extremely high. The priority action of the nurse is
to identify and relieve the cause of the stimulus.
The client is diagnosed with cystic fibrosis (CF). The nurse
would expect the client to be treated with oral pancreatic
enzymes and which type of diet?
High fat, high-calorie
Gluten-free, low fiber
Dairy-free
Sodium-restricted - ANSWER-High fat, high-calorie
CF affects the cells that produce mucus, sweat and
digestive juices. Someone with CF needs a high-energy
diet that includes high-fat and high-calorie foods, extra