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NCSBN Practice Questions 76-90 examquestions and answers well verified
2024\2025
An 18 month-old weighing 22 pounds is admitted to the
pediatric unit with a diagnosis of dehydration. A replacement
bolus of normal saline at 20 mL/kg is ordered to be
administered intravenously over 40 minutes.
In mL/hour, what will be the setting for the IV delivery system?
- Answer 300
Using ratio proportion:First, convert 22 pounds to kilograms
(22/2.2) = 10 kg20 mL/kg = 20 x 10 kg = 200 mL200 mL/40
minutes = x mL/60 minutes (in an hour)200 x 60 = 12000/40 =
300 mL/hrUsing dimensional analysis:20 mL/kg x 1 kg/2.2 lb x
22 lb x 60 min/hr x 1/40 min = 300 mL/hr
The mother of a 2 month-old baby calls a pediatrician's nurse
two days after the first DTaP, inactivated polio vaccine (IPV),
Hepatitis B and Haemophilus influenzae type B (HIB)
immunizations. She reports that the baby feels very warm, cries
,NCSBN Practice Questions 76-90 exam
questions and answers well verified
2024\2025
inconsolably for as long as three hours, and has had several
shaking spells. Which immunization would the nurse expect to
be primarily responsible with these findings?
A. DTaP
B. IPV
C. Hepatitis B
D. HIB - Answer A
DTaP immunization is a vaccine that protects against diptheria,
tetanus and pertussis (whooping cough). The majority of
reactions described in this question occur with the
administration of the DTaP vaccination. Contraindications to
giving repeat DTaP immunizations include the occurrence of
severe side effects after a previous dose, as well as signs of
encephalopathy within seven days of the immunization.
,NCSBN Practice Questions 76-90 exam
questions and answers well verified
2024\2025
A client diagnosed with angina has been instructed about the
use of sublingual nitroglycerin. Which statement made by the
client is incorrect and indicates a need for further teaching?
A. "I'll call the health care provider if pain continues after three
tablets five minutes apart."
B. "I will rest briefly right after taking one tablet."
C. "I understand that the medication should be kept in the dark
bottle."
D. "I can swallow two or three tablets at once if I have severe
pain." - Answer D
Clients must understand that just one sublingual tablet should
be taken at a time and placed under the tongue. After rest and
a five-minute interval, a second and then eventually a third
tablet may be necessary.
, NCSBN Practice Questions 76-90 exam
questions and answers well verified
2024\2025
The nurse is working with victims of domestic abuse. The nurse
should understand which of these factors is a reason why
domestic violence or emotional abuse remains extensively
undetected?
A. The expenses due to police and court costs are prohibitive
B. Little knowledge is known about batterers and battering
relationships
C. There are typically many series of minor, vague complaints
D. Few people who have been battered seek medical care -
Answer C
Signs of domestic violence or emotional abuse may not be
clearly manifested and include many series of a minor
complaints such as headache, abdominal pain, insomnia, back
pain and dizziness. These may be covert indications of violence
or abuse that go undetected. These complaints may be vague
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