NCSBN TEST BANK ON-LINE REVIEW EXAM-2022
These Questions are the most repeated Questions in 2019,2020,2021 & 2022 Actual exam}
1.A client has been hospitalized after an automobile accident. A full leg cast was applied in the emergency room. The most important reason for the nurse to elevate t...
these questions are the most repeated questions in 2019
2021 amp 2022 actual exam
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NCSBN TEST BANK ON-LINE REVIEW EXAM-2022
1.A client has been hospitalized after an automobile accident. A full leg cast was
applied in the emergency room. The most important reason for the nurse to elevate the
casted leg is to
A) Promote the client's comfort
B) Reduce the drying time
C) Decrease irritation to the skin
D) Improve venous return
D: Improve venous return. Elevating the leg both improves venous return and reduces
swelling. Client comfort will be improvedas well.
2. The nurse is reviewing with a client how to collect a clean catch urine specimen.
What is the appropriate sequence to teach the client?
A) Clean the meatus, begin voiding, then catch urine stream
B) Void a little, clean the meatus, then collect specimen
C) Clean the meatus, then urinate into container
D) Void continuously and catch some of the urine
A: Clean the meatus, begin voiding, then catch urine stream. A clean catch urine is difficult to
obtain and requires cleardirections. Instructing the client to carefully clean the meatus, then void
naturally with a steady stream prevents surface bacteriafrom contaminating the urine specimen.
As starting and stopping flow can be difficult, once the client begins voiding it’s best tojust slip
the container into the stream.
Other responses do not reflect correct technique
3. Following change-of-shift report on an orthopedic unit, which client should the nurse see first?
A) 16 year-old who had an open reduction of a fractured wrist 10 hours ago
B) 20 year-old in skeletal traction for 2 weeks since a motor cycle accident
C) 72 year-old recovering from surgery after a hip replacement 2 hours ago
D)75 year-old who is in skin traction prior to planned hip pinning surgery.
C: Look for the client who has the most imminent risks and acute vulnerability. The client who
returned from surgery 2 hoursago is at risk for life threatening hemorrhage and should be seen
first. The 16 year- old should be seen next because it is still thefirst post-op day. The 75 year-old
,is potentially vulnerable to age-related physical and cognitive consequences in skin
tractionshould be seen next. The client who can safely be seen last is the 20 year-old who is 2
weeks post-injury.
4. A client with Guillain Barre is in a nonresponsive state, yet vital signs are stable and
breathing is independent. What should thenurse document to most accurately describe the
client's condition?
A) Comatose, breathing unlabored
B) Glascow Coma Scale 8, respirations regular
C) Appears to be sleeping, vital signs stable
D) Glascow Coma Scale 13, no ventilator required
B: Glascow Coma Scale 8, respirations regular. The Glascow Coma Scale provides a standard
reference for assessing ormonitoring level of consciousness. Any score less than 13 indicates a
neurological impairment. Using the term comatose providestoo much room for interpretation and
is not very precise.
5. When caring for a client receiving warfarin sodium (Coumadin), which lab test would
the nurse monitor to determine therapeuticresponse to the drug?
A) Bleeding time
B) Coagulation time
C) Prothrombin time
D)Partial thromboplastin time
C: Prothrombin time. Coumadin is ordered daily, based on the client''s prothrombin time (PT).
This test evaluates the adequacyof the extrinsic system and common pathway in the clotting
cascade; Coumadin affects the Vitamin K dependent clotting factors.
6. A client with moderate persistent asthma is admitted for a minor surgical procedure. On
admission the peak flow meter is measuredat 480 liters/minute. Post-operatively the client is
complaining of chest tightness. The peak flow has dropped to 200 liters/minute.What should the
nurse do first?
A) Notify both the surgeon and provider
B) Administer the prn dose of albuterol
C) Apply oxygen at 2 liters per nasal cannula
D) Repeat the peak flow reading in 30 minutes
B: Administer the prn dose of albuterol. Peak flow monitoring during exacerbations of asthma is
,recommended for clients withmoderate-to-severe persistent asthma to determine the severity of
the exacerbation and to guide the treatment. A peak flowreading of less than 50% of the client''s
baseline reading is a medical alert condition and a short-acting beta-agonist must be
takenimmediately.
7.A client had 20 mg of Lasix (furosemide) PO at 10 AM. Which would be essential for the
nurse to include at the change of shiftreport?
A) The client lost 2 pounds in 24 hours 1
B) The client’s potassium level is 4 mEq/liter.
C) The client’s urine output was 1500 cc in 5 hours
D) The client is to receive another dose of Lasix at 10 PM
C: The client’s urine output was 1500 cc in 5 hours. Although all of these may be correct
information to include in report, the essential piece would be the urine output.
8.A client has been tentatively diagnosed with Graves' disease (hyperthyroidism). Which
of these findings noted on the initial nursing assessment requires quick intervention by the
nurse?
A) a report of 10 pounds weight loss in the last month
B) a comment by the client "I just can't sit still."
C) the appearance of eyeballs that appear to "pop" out of the client's eye sockets
D) a report of the sudden onset of irritability in the past 2 weeks
C: the appearance of eyeballs that appear to "pop" out of the client''s eye sockets. Exophthalmos
or protruding eyeballs is adistinctive characteristic of Graves'' Disease. It can result in corneal
abrasions with severe eye pain or damage when the eyelid is unable to blink down over the
protruding eyeball. Eye drops or ointment may be needed.
9. The nurse has performed the initial assessments of 4 clients admitted with an acute
episode of asthma. Which assessmentfinding would cause the nurse to call the provider
immediately?
A) prolonged inspiration with each breath
B) expiratory wheezes that are suddenly absent in 1 lobe
C) expectoration of large amounts of purulent mucous
D) appearance of the use of abdominal muscles for breathing
, B: expiratory wheezes that are suddenly absent in 1 lobe. Acute asthma is characterized by
expiratory wheezes caused byobstruction of the airways. Wheezes are a high pitched musical
sounds produced by air moving through narrowed airways.Clients often associate wheezes with
the feeling of tightness in the chest. However, sudden cessation of wheezing is an ominousor bad
sign that indicates an emergency -- the small airways are now collapsed.
10. During the initial home visit, a nurse is discussing the care of a client newly diagnosed
with Alzheimer's disease with familymembers. Which of these interventions would be most
helpful at this time?
A) leave a book about relaxation techniques
B) write out a daily exercise routine for them to assist the client to do
C) list actions to improve the client's daily nutritional intake
D) suggest communication strategies
D: suggest communication strategies. Alzheimer''s disease, a progressive chronic illness, greatly
challenges caregivers. The nursecan be of greatest assistance in helping the family to use
communication strategies to enhance their ability to relate to the client.By use of select verbal
and nonverbal communication strategies the family can best support the client’s strengths and
cope withany aberrant behavior.
11. An 80 year-old client admitted with a diagnosis of possible cerebral vascular accident has had
a blood pressure from 160/100 to180/110 over the past 2 hours. The nurse has also noted
increased lethargy.
Which assessment finding should the nurse reportimmediately to the provider?
A) Slurred speech
B) Incontinence
C) Muscle weakness
D) Rapid pulse
A: Slurred speech. Changes in speech patterns and level of conscious can be indicators of
continued intracranial bleeding orextension of the stroke. Further diagnostic testing may be
indicated.
12. A school-aged child has had a long leg (hip to ankle) synthetic cast applied 4 hours
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