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NCSBN TEST BANK QUESTIONS AND ANSWERS UPDATED 2022

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NCSBN TEST BANK QUESTIONS AND ANSWERS UPDATED 2022 Assistive devices are used when a caregiver is required to lift more than 35 lbs/15.9 kg true or false Correct Answer: True During any patient transferring task, if any caregiver is required to lift a patient who weighs more than 35 lbs/15...

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  • August 24, 2022
  • 310
  • 2022/2023
  • Exam (elaborations)
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NCSBN TEST BANK QUESTIONS AND
ANSWERS UPDATED 2022
Assistive devices are used when a caregiver is required to lift more than 35 lbs/15.9 kg
true or false Correct Answer: True

During any patient transferring task, if any caregiver is required to lift a patient who weighs more than
35 lbs/15.9 kg, then the patient should be considered fully dependent, and assistive devices should be
used for transfer

If a draining wound tests positive for MRSA, the patient is placed on contact precautions
True or False Correct Answer: True

Patients with abscess or draining wounds who tests positive for MRSA are placed on contact precautions

Hands can be cleaned with alcohol-based hand rub after caring for a patient with C. diff
True or False Correct Answer: False

Alcohol does not kill C diff spores and soap and water should be used for hand hygiene as recommended
by CDC

Disaster triage differs from route emergency department triage
True or False Correct Answer: True

Disaster triage categories range from most urgent (first priority), urgent, nonurgent (the walking
wounded), and dead/catastrophic/coma.

Newborns are fitted with tamperproof security sensors during their stay at the hospital
True or False Correct Answer: True

Wearing a tamper proof safety device reduces the risk of abduction. The sensor shows the location of
the infant and the security system can activate other devices (such as cameras, door locks, public
address systems, sirens, and other alarms) in the event of an attempted abduction

Restraints can be ordered prn by health care providers
True or False Correct Answer: False

HCP are required to specify duration and circumstances for which restraints are required and for how
they should be used. Nurses and HCPs must frequently monitor patients to reassess for the continued
need for restraints.

Sensor pads may be used on beds of individuals who are a fall risk
True or False Correct Answer: True

,Bed alarms and sensor pads can be used to alert caregivers when a patient is attempting to get up from
a bed or chair, especially for a patient that is at risk for a fall. This is an effective alternative to the use of
restraintts

The 3 elements of radiation protection are time, duration, and shielding
True or False Correct Answer: True

The farther away people are from a radiation source, the less their exposure; as a rule, if you double the
distance, you reduce the exposure by a factor of four. The amount of radiation exposure typically
increases with the time people spend near the source of radiation

You should quickly remove contaminated clothing by pulling it over your head
True or False Correct Answer: False

Contaminated clothing should never be removed quickly, but it should be cut off instead of pulled over
your head. place contaminated clothing inside a plastic bag, seal the bag, and then place inside another
plastic bag

Standard precautions also includes respiratory/cough etiquette
True or False Correct Answer: True

Standard precautions are used to reduce the risk of transmission of bloodborne and other pathogens
from both recognized and unrecognized sources. Respiratory hygiene/cough etiquette is now considered
part of standard precautions

The nurse is making patient room assignments. In order to minimize the risk of a hospital acquired
infection, which of these children would be the most appropriate roommate for a 3-year-old child
diagnosed with minimal change disease

a. 3 year old with fracture, with a sibling that has Fifth disease
b. 2 year old diagnosed with respiratory infection
c. 6 year old with sickle cell disease experiencing vaso-occlusive crisis
d. 4 year old with bilateral inguinal hernia repair Correct Answer: d. 4 year old with bilateral inguinal
hernia repair

Minimal change disease is a kidney disorder that can lead to nephrotic syndrome. Corticosteroids can
cure the disease in most children but cytotoxic therapy and other drugs may be needed, but this
treatment can reduce the child's ability to fight infection. The charge nurse must select a roommate who
does not have an infection, which is the child child who had surgery. The sickle cell crisis may have
triggered an infection. The child's sibling who has a viral disease has the potential to develop an
infection.

The nurse is setting up a patient's dinner tray. When the nurse turns her back to the patient, the patient
grabs the nurse's buttocks and states that he is hungry for much more than dinner. Which of the
following response by the nurse is indicated?

a. ignore the behavior

,b. call the HCP
c. quickly leave the room and ask UAP to assist the patient
d. complete an incident report Correct Answer: d. complete an incident report

To keep the therapeutic relationship intact, a nurse needs to set limits on appropriate behavior and not
ignore bad behavior. Sexual harassment is a form of violence and is never part of the job. The nurse
should report the incident to her supervisor and complete an incident report. The nurse has the right to
ask not to be assigned to this patient.

The paramedics are transporting a poisoning victim to the local hospital. In which of these cases does
the nurse anticipate that hyperbaric O2 therapy will be used?

a. 6yo found sitting on bathroom floor beside an empty bottle of diazepam
b. 21 yo with suspected ethanol intoxication
c. 35 yo found unconscious with suspected CO poisoning
2 yo who ate an undetermined amount of crystal drain cleaner Correct Answer: c. 35 yo found
unconscious with suspected CO poisoning

CO poisoning is the leading cause of poisoning in the US. It causes severe hypoxia which is why
treatment includes high-dose oxygen. In severe poisoning, hyperbaric O2 therapy may be used.

Treatment for:
-crystal drain cleaner and diazepam may include gastric lavage and/or activated charcoal
-alcohol intoxication may include gastric lavage, IV fluids, and supportive care

A neonate is having difficulty maintaining a temperature above 98F and is placed in an infant warming
system. Which of the following actions will ensure the safety of the neonate?

a. monitor temperature continuously
b. avoid touching neonate with cold hands
c. warm all medications and liquids before administration
d. wrap the neonate snugly in a cotton blanket Correct Answer: a. monitor temperature continuously

When using the warming device, the neonate's temperature should be continuously monitored using a
probe that securely attached to the skin. Monitoring the neonate's temperature is the priority safety
concern because the skin burns, permanent brain damage or even death can result due to improper use
or monitoring of equipment. No clothing or swaddling is needed in the IWS; usually babies are dressed
only in a diaper (although bubble wrap blankets or plastic wrap blankets can be used to minimize heat
loss in high risk newborns). For healthy term newborns, nurses should warm their hands and
stethoscopes prior to contact with the baby.

A nurse is conducting a community-wide seminar on childhood safety issues. Which of these children is
at the highest risk for poisoning

a. 20 month old who has just learned to climb the stairs
b. 10 yo who occassionally stays at home unattended
c. 15 yo who likes to repair bicycles

, d. 9 month old who stays with a sitter 5 days a week Correct Answer: a. 20 month old who has just
learned to climb the stairs

Toddlers, aged 1-3 years, are at highest risk for poisoning because they are increasingly mobile, need to
explore and engage in autonomous behavior

A nurse is performing well-child assessments at a day care center when a staff member interrupts the
exam for assistance with another child. The nurse finds a 3 yo child on the floor with bleeding gums and
2 unlabeled open bottles nearby. What should the nurses first action be?

a. call poison control and then 911
b. administer syrup of Ipecac to induce vomiting
c. ask the staff member about the contents of the bottles
d. give the child milk to coat the stomach Correct Answer: c. ask the staff member about the contents of
the bottles

The nurse needs to asses the situation and determine what the child ingested. Once the substance is
identified, the poison control center and the emergency medical services should be called.

The nurse administer a new medication to the patient. Which of the following actions best
demonstrates an awareness of safe and proficient nursing practice?

a. verify order prior to administration. ask for patient name
b. verify patient's allergies on chart and name on door, ask date of birth
c. ask name and allergies, then check wristband and allergy band
d. ask name then check wristband Correct Answer: c. ask name and allergies, then check wristband and
allergy band

A dual check is always done for the patient's name. This would involve verbal and visual checks. Because
this is a new medication an allergy check is appropriate. The other option have parts that might be
correct actions. However, to be the correct answer all the parts of an option need to be correct.

The nurse is caring for a patient who is not oriented to time, place, or person and has repeatedly
attempted to pull out IV line and a feeding tube. The nurse receives an order from HCP to apply a vest
and soft wrist restraints. Which of the following actions by nurse are appropriate? Select all that apply

a. release the restraints and provide care Q4
b. call HCP for new order Q48
c. document which alternative interventions were used or attempted
d. tie restraints using quick release knots
e. explain the rationale for restraints to patient
f. conduct a thorough assessment of the patient Correct Answer: c. document which alternative
interventions were used or attempted
d. tie restraints using quick release knots
e. explain the rationale for restraints to patient
f. conduct a thorough assessment of the patient

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