NCSBN Practice Questions 1-15 Final Exam
149questions and answers latest update
2024/2025 best exam for nursing
Which individual is at greatest risk for the development of hypertension?
A. 40 year-old Caucasian nurse
B. 60 year-old Asian-American shop owner
C. 45 year-old African-American attorney
D. 55 year-old Hispanic teacher - CORRECT ANSWERS C
The incidence of hypertension is greater among African-Americans than other
groups in the United States. The incidence among the Hispanic population is rising.
A woman, who delivered five days ago and who had been diagnosed with pregnancy
induced hypertension (PIH), calls a hospital triage nurse hotline to ask for advice.
She states, "I have had the worst headache for the past two days. It pounds and by
the middle of the afternoon everything I look at looks wavy. Nothing I have taken
helps." What should the nurse do next?
A. Advise the client to have someone bring her to the emergency room as soon as
possible
B. Ask the client to explain what she has taken and how often, and then evaluate
other specific complaints
C. Advise the client that the swings in her hormones may be the problem; suggest
that she call her health care provider
D. Ask the client to stay on the line, get the address, and send an ambulance to the
home - CORRECT ANSWERS D
The woman is at risk for seizure activity. The ambulance needs to bring the woman
to the hospital for evaluation and treatment. For at-risk clients, PIH may progress to
preeclampsia and eclampsia prior to, during, or after delivery; this may occur up to
10 days after delivery.
There's a new medication order that reads: "administer 1 gtt ciprofloxacin solution
OD Q 4 h" What action should the nurse take?
A. Squeeze one drop of the medication in the left eye every 4 hours
,NCSBN Practice Questions 1-15 Final Exam
149questions and answers latest update
2024/2025 best exam for nursing
B. Apply one drop in the right ear every 4 hours
C. Call the prescriber to clarify and rewrite the order
D. Ask other nurses for their interpretation of the order - CORRECT ANSWERS
C
Abbreviations, symbols and dose designations can be misinterpreted and lead to
medication errors. "OD" can mean "right eye" (oculus dexter) or "once daily"; it
should never be used when communicating medical information. The abbreviation
"Q" should be written out as "every." Although "gtt" is not on the official "Do Not Use
List", it's best to use "drop" instead. Asking other nurses to interpret an order is a
potentially dangerous "workaround." The nurse should call the health care provider
who prescribed the medication and clarify the order.
A client expresses anger when a call light is not answered within five minutes. The
client demanded a blanket. How should the nurse respond?
A. "I see this is frustrating for you. I have a few minutes so let's talk."
B. "I am surprised that you are upset. The request could have waited a few more
minutes."
C. "Let's talk. Why are you upset about this?"
D. "I apologize for the delay. I was involved in an emergency." - CORRECT
ANSWERS A
This is the best response because it gives credence to the client's feelings and then
concerns. To say "let's talk" and ask a why question is not a therapeutic approach
because it does not acknowledge or validate the client's feelings. To apologize and
not notice the client's feelings is inappropriate. To say it could have waited a few
minutes is rude and non-accepting of the client's verbalized needs.
The clinic nurse is assisting with medical billing. The nurse uses the DRG (Diagnosis
Related Group) manual for which purpose?
A. Determine reimbursement for a medical diagnosis
B. Identify findings related to a medical diagnosis
C. Classify nursing diagnoses from the client's health history
,NCSBN Practice Questions 1-15 Final Exam
149questions and answers latest update
2024/2025 best exam for nursing
D. Implement nursing care based on case management protocol - CORRECT
ANSWERS DRGs are the basis of prospective payment plans for
reimbursement for Medicare clients. Other insurance companies often use it as a
standard for determining payment.
A nurse is planning care for a 2 year-old hospitalized child. Which issue will produce
the most stress at this age?
A. Fear of pain
B. Separation anxiety
C. Loss of control
D. Bodily injury - CORRECT ANSWERS B
While a toddler will experience all of the stresses, separation from parents is the
major stressor. Separation anxiety peaks in the toddler years.
The nurse receives a client from the post anesthesia care unit following a left
femoral-popliteal bypass graft procedure. Which of the following assessments
requires immediate notification of the health care provider?
A. Left foot is cool to the touch
B. Absent left pedal pulse using Doppler analysis
C. Inability to palpate the left pedal pulse
D. Acute pain in the left lower leg - CORRECT ANSWERS B
Although the inability to palpate the left pedal pulse, a cool extremity, and
increased pain in the left lower leg are important findings, they all require additional
nursing assessment prior to contacting the health care provider. In clients without
palpable pedal pulses, the next step in the assessment is to perform a Doppler
analysis. The inability to locate the left pedal pulse using the Doppler analysis
requires immediately notifying the health care provider.
The nurse is reviewing the laboratory results for several clients. Which of the
laboratory result indicates a client with partly compensated metabolic acidosis?
, NCSBN Practice Questions 1-15 Final Exam
149questions and answers latest update
2024/2025 best exam for nursing
A. PaCO2 30 mm Hg
B. Hemoglobin 15 g/dL (150 g//L)
C. Sodium 130 mEq/L (130 mmol/L)
D. Chloride 100 mEq/L (100 mmol/L) - CORRECT ANSWERS A
Metabolic acidosis can be caused by many conditions, including renal failure, shock,
severe diarrhea, dehydration, diabetic acidosis, and salicylate poisoning. With
metabolic acidosis, you should expect a low pH (less than 7.35) and a low HCO3
(less than 22 mEq/L.) Compensation means the body is trying to get the pH back in
balance; therefore, a pure metabolic acidosis should elicit a compensatory decrease
in PaCO3 (normal is 35-45 mm Hg.) The hemoglobin is within normal limits (WNL)
for both males and females. The chloride and sodium results are also WNL.
A nurse is teaching a group of adults about modifiable cardiac risk factors. Which of
the following should the nurse focus on first?
A. Weight reduction
B. Stress management
C. Smoking cessation
D. Physical exercise - CORRECT ANSWERS C
Smoking cessation is the priority for clients at risk for cardiac disease. Smoking's
effects result in reduction of cell oxygenation and constriction of the blood vessels.
All of the other factors should be addressed at some point in time.
The client is admitted to an ambulatory surgery center and undergoes a right
inguinal orchiectomy. Which option is the priority before the client can be
discharged to home?
A. Able to tolerate a regular diet
B. Post-operative pain is managed
C. Psychological counseling is scheduled
D. Able to ambulate in the hallway with assistance - CORRECT ANSWERS B
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