NCSBN ON-LINE REVIEW 2019

NCSBN ON-LINE REVIEW
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 improved
as 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 clear
directions. Instructing the client to carefully clean the meatus, then void naturally with a steady stream prevents surface bacteria
from contaminating the urine specimen. As starting and stopping flow can be difficult, once the client begins voiding it’s best to
just slip the container into the stream. Other responses do not reflect correct technique