Practice Tests: NCSBN Practice Exam #3 - 50 questions

All 50 questions are randomized each time you take the test, and do not appear in the same order here.

 

1. Which laboratory test would be the least effective in making the diagnosis of a myocardial infarction?

• AST
• Troponin
• CK-MB
• Myoglobin

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2. The nurse caring for the child with a large meningomylocele is aware that the priority care for this client is to:

• Cover the defect with a moist, sterile saline gauze
• Place the infant in a supine position
• Feed the infant slowly
• Measure the intake and output

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3. The nurse is providing discharge teaching for a client taking dissulfiram (Antabuse). The nurse should instruct the client to avoid eating:

• Peanuts, dates, raisins
• Figs, chocolate, eggplant
• Pickles, salad with vinaigrette dressing, beef
• Milk, cottage cheese, ice cream

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4. The physician prescribes captopril (Capoten) 25mg po tid for the client with hypertension. Which of the following adverse reactions can occur with administration of Capoten?

• Tinnitus
• Persistent cough
• Muscle weakness
• Diarrhea

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5. The client returns to the unit from surgery with a blood pressure of 90/50, pulse 132, respirations 30. Which action by the nurse should receive priority?

• Continue to monitor the vital signs
• Contact the physician
• Ask the client how he feels
• Ask the LPN to continue the post-op care

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6. The nurse is assigning staff for the day. Which client should be assigned to the nursing assistant?

• A 5-month-old with bronchiolitis
• A 10-year-old 2-day post-appendectomy
• A 2-year-old with periorbital cellulitis
• A 1-year-old with a fractured tibia

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7. The nurse has just received the change of shift report. Which client should the nurse assess first?

• A client 2 hours post-lobectomy with 150ml drainage
• A client 2 days post-gastrectomy with scant drainage
• A client with pneumonia with an oral temperature of 102°F
• A client with a fractured hip in Buck’s traction

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8. The nurse is caring for a client with B-Thalassemia major. Which therapy is used to treat Thalassemia?

• IV fluids
• Frequent blood transfusions
• Oxygen therapy
• Iron therapy

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9. The physician has prescribed tranylcypromine sulfate (Parnate) 10mg bid. The nurse should teach the client to refrain from eating foods containing tyramine because it may cause:

• Hypertension
• Hyperthermia
• Hypotension
• Urinary retention

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10. The nurse is making assignments for the day. The staff consists of an RN, an LPN, and a nursing assistant. Which client could the nursing assistant care for?

• A client with Alzheimer’s disease
• A client with pneumonia
• A client with appendicitis
• A client with thrombophlebitis

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11. The child with a history of respiratory infections has an order for a sweat test to be done. Which finding would be positive for cystic fibrosis?

• A serum sodium of 135meq/L
• A sweat analysis of 69 meq/L
• A potassium of 4.5meq/L
• A calcium of 8mg/dL

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12. Due to a high census, it has been necessary for a number of clients to be transferred to other units within the hospital. Which client should be transferred to the postpartum unit?

• A 66-year-old female with gastroenteritis
• A 40-year-old female with a hysterectomy
• A 27-year-old male with severe depression
• A 28-year-old male with ulcerative colitis

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13. The client is scheduled for a Tensilon test to check for Myasthenia Gravis. Which medication should be kept available during the test?

• Atropine sulfate
• Furosemide
• Prostigmin
• Promethazine

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14. To ensure safety while administering a nitroglycerine patch, the nurse should:

• Wear gloves while applying the patch.
• Shave the area where the patch will be applied.
• Wash the area thoroughly with soap and rinse with hot water.
• Apply the patch to the buttocks.

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15. The first exercise that should be performed by the client who had a mastectomy 1 day earlier is:

• Walking the hand up the wall
• Sweeping the floor
• Combing her hair
• Squeezing a ball

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16. The physician has ordered sodium warfarin for the client with thrombophlebitis. The order should be entered to administer the medication at:

• 0900
• 1200
• 1700
• 2100

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17. A client with acute leukemia develops a low white blood cell count. In addition to the institution of isolation, the nurse should:

• Request that foods be served with disposable utensils
• Ask the client to wear a mask when visitors are present
• Prep IV sites with mild soap and water and alcohol
• Provide foods in sealed, single-serving packages

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18. A client has been receiving cyanocobalamine (B12) injections for the past six weeks. Which laboratory finding indicates that the medication is having the desired effect?

• Neutrophil count of 60%
• Basophil count of 0.5%
• Monocyte count of 2%
• Reticulocyte count of 1%

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19. The physician has ordered a culture for the client with suspected gonorrhea. The nurse should obtain a culture of:

• Blood
• Nasopharyngeal secretions
• Stool
• Genital secretions

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20. The nurse is aware that a common mode of transmission of clostridium difficile is:

• Use of unsterile surgical equipment
• Contamination with sputum
• Through the urinary catheter
• Contamination with stool

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21. A 70-year-old male who is recovering from a stroke exhibits signs of unilateral neglect. Which behavior is suggestive of unilateral neglect?

• The client is observed shaving only one side of his face.
• The client is unable to distinguish between two tactile stimuli presented simultaneously.
• The client is unable to complete a range of vision without turning his head side to side.
• The client is unable to carry out cognitive and motor activity at the same time.

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22. During the change of shift, the oncoming nurse notes a discrepancy in the number of percocette listed and the number present in the narcotic drawer. The nurse’s first action should be to:

• Notify the hospital pharmacist
• Notify the nursing supervisor
• Notify the Board of Nursing
• Notify the director of nursing

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23. The doctor orders 2% nitroglycerin ointment in a 1-inch dose every 12 hours. Proper application of nitroglycerin ointment includes:

• Rotating application sites
• Limiting applications to the chest
• Rubbing it into the skin
• Covering it with a gauze dressing

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24. The client with diabetes is preparing for discharge. During discharge teaching, the nurse assesses the client’s ability to care for himself. Which statement made by the client would indicate a need for follow-up after discharge?

• “I live by myself.”
• “I have trouble seeing.”
• “I have a cat in the house with me.”
• “I usually drive myself to the doctor.”

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25. The nurse is assessing the client recently returned from surgery. The nurse is aware that the best way to assess pain is to:

• Take the blood pressure, pulse, and temperature
• Ask the client to rate his pain on a scale of 0–5
• Watch the client’s facial expression
• Ask the client if he is in pain

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26. Lidocaine is a medication frequently ordered for the client experiencing:

• Atrial tachycardia
• Ventricular tachycardia
• Heart block
• Ventricular brachycardia

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27. The nurse is making assignments for the day. Which client should be assigned to the pregnant nurse?

• The client receiving linear accelerator radiation therapy for lung cancer
• The client with a radium implant for cervical cancer
• The client who has just been administered soluble brachytherapy for thyroid cancer
• The client who returned from placement of iridium seeds for prostate cancer

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28. The nurse is caring for an infant admitted from the delivery room. Which finding should be reported?

• Acyanosis
• Acrocyanosis
• Halequin sign
• Absent femoral pulses

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29. The client is admitted with a BP of 210/100. Her doctor orders furosemide (Lasix) 40mg IV stat. How should the nurse administer the prescribed furosemide to this client?

• By giving it over 1–2 minutes
• By hanging it IV piggyback
• With normal saline only
• With a filter

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30. The client is receiving heparin for thrombophlebitis of the left lower extremity. Which of the following drugs reverses the effects of heparin?

• Cyanocobalamine
• Protamine sulfate
• Streptokinase
• Sodium warfarin

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31. The charge nurse witnesses the nursing assistant hitting the client in the long-term care facility. The nursing assistant can be charged with:

• Negligence
• Tort
• Assault
• Malpractice

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32. The nurse is caring for a client with cerebral palsy. The nurse should provide frequent rest periods because:

• Grimacing and writhing movements decrease with relaxation and rest.
• Hypoactive deep tendon reflexes become more active with rest.
• Stretch reflexes are increased with rest.
• Fine motor movements are improved by rest.

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33. Which of the following post-operative diets is most appropriate for the client who has had a hemorrhoidectomy?

• High-fiber
• Lactose free
• Bland
• Clear-liquid

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34. The client with Cirrhosis is scheduled for a pericentesis. Which instruction should be given to the client before the exam?

• “You will need to lay flat during the exam.”
• “You need to empty your bladder before the procedure.”
• “You will be asleep during the procedure.”
• “The doctor will inject a medication to treat your illness during the procedure.”

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35. Which woman is not a candidate for RhoGam?

• A gravida 4 para 3 that is Rh negative with an Rh-positive baby
• A gravida 1 para 1 that is Rh negative with an Rh-positive baby
• A gravida II para 0 that is Rh negative admitted after a stillbirth delivery
• A gravida 4 para 2 that is Rh negative with an Rh-negative baby

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36. Which assignment should not be performed by the licensed practical nurse?

• Inserting a Foley catheter
• Discontinuing a nasogastric tube
• Obtaining a sputum specimen
• Starting a blood transfusion

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37. A 25-year-old male is brought to the emergency room with a piece of metal in his eye. The first action the nurse should take is:

• Use a magnet to remove the object.
• Rinse the eye thoroughly with saline.
• Cover both eyes with paper cups.
• Patch the affected eye.

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38. The client is receiving peritoneal dialysis. If the dialysate returns cloudy, the nurse should:

• Document the finding
• Send a specimen to the lab
• Strain the urine
• Obtain a complete blood count

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39. The client is admitted with chronic obstructive pulmonary disease. Blood gases reveal pH 7.36, CO2 45, O2 84, bicarb 28. The nurse would assess the client to be in:

• Uncompensated acidosis
• Compensated alkalosis
• Compensated respiratory acidosis
• Uncompensated metabolic acidosis

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40. The client delivered a 9-pound infant two days ago. An effective means of managing discomfort from an episiotomy is:

• Medicated suppository
• Taking showers
• Sitz baths
• Ice packs

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41. A new nursing graduate indicates in charting entries that he is a licensed registered nurse, although he has not yet received the results of the licensing exam. The graduate’s action can result in a charge of:

• Fraud
• Tort
• Malpractice
• Negligence

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42. The client with a myocardial infarction comes to the nurse’s station stating that he is ready to go home because there is nothing wrong with him. Which defense mechanism is the client using?

• Rationalization
• Denial
• Projection
• Conversion reaction

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43. The client with cirrhosis of the liver is receiving Lactulose. The nurse is aware that the rationale for the order for Lactulose is:

• To lower the blood glucose level
• To lower the uric acid level
• To lower the ammonia level
• To lower the creatinine level

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44. A client with glomerulonephritis is placed on a low-sodium diet. Which of the following snacks is suitable for the client with sodium restriction?

• Peanut butter cookies
• Grilled cheese sandwich
• Cottage cheese and fruit
• Fresh peach

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45. The schizophrenic client has become disruptive and requires seclusion. Which staff member can institute seclusion?

• The security guard
• The registered nurse
• The licensed practical nurse
• The nursing assistant

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46. The client is admitted to the emergency room with shortness of breath, anxiety, and tachycardia. His ECG reveals atrial fibrillation with a ventricular response rate of 130 beats per minute. The doctor orders quinidine sulfate. While he is receiving quinidine, the nurse should monitor his ECG for:

• Peaked P wave
• Elevated ST segment
• Inverted T wave
• Prolonged QT interval

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47. The client is receiving total parenteral nutrition (TPN). Which lab test should be evaluated while the client is receiving TPN?

• Hemoglobin
• Creatinine
• Blood glucose
• White blood cell count

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48. A client with cancer develops xerostomia. The nurse can help alleviate the discomfort the client is experiencing associated with xerostomia by:

• Offering hard candy
• Administering analgesic medications
• Splinting swollen joints
• Providing saliva substitute

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49. A home health nurse is making preparations for morning visits. Which one of the following clients should the nurse visit first?

• A client with a stroke with tube feedings
• A client with congestive heart failure complaining of night-time dyspnea
• A client with a thoracotomy six months ago
• A client with Parkinson’s disease

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50. The nurse is planning room assignments for the day. Which client should be assigned to a private room if only one is available?

• The client with Cushing’s disease
• The client with diabetes
• The client with acromegaly
• The client with myxedema

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NCSBN Practice Exam #3 - 50 questions