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NBRC CSE Practice Exam QUESTIONS AND CORRECT ANSWERS| ACCURATE REAL EXAM WITH FREQUENTLY, Exams of Nursing

NBRC CSE Practice Exam QUESTIONS AND CORRECT ANSWERS| ACCURATE REAL EXAM WITH FREQUENTLY TESTED QUESTIONS|ALREADY A GRADED|GUARANTEED PASS|LATEST UPDATE 2025

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NBRC CSE Practice Exam QUESTIONS AND CORRECT
ANSWERS| ACCURATE REAL EXAM WITH
FREQUENTLY TESTED QUESTIONS|ALREADY A
GRADED|GUARANTEED PASS|LATEST UPDATE 2025
What is the treatment for someone with Gullain-Barre Syndrome answers O2,
Hyperinflation therapy (IS,SMI,IPPB), pulmonary hygiene, mechanical ventilation for impending
or acute ventilatory failure, plasmapheresis and IV immunoglobulin therapy are effective
What reverses a narcotic overdose answers Naloxone (Narcan)
What reverses an overdose of a Benzodiazepine sedative answers Flumazenil
(Romazicon)
What reverses an acetaminophen overdose answers Acetylcysteine (Mucomyst)
Portion of the brain loses blood supply as a result of a vascular occlusion or hemorrhage
answers Stroke/Acute Brain Injury/Cerebral Infarction/Cerebrovascular Accident
(CVA)
What would be the general appearance of someone with a brain injury
answers Motor and speech loss
What would be the respiratory pattern for someone with a brain injury
answers Bradypnea, Cheyne-Stokes respirations (pattern involves a period of fast,
shallow breathing followed by slow, heavier breathing and moments without any breath at all)
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Download NBRC CSE Practice Exam QUESTIONS AND CORRECT ANSWERS| ACCURATE REAL EXAM WITH FREQUENTLY and more Exams Nursing in PDF only on Docsity!

NBRC CSE Practice Exam QUESTIONS AND CORRECT

ANSWERS| ACCURATE REAL EXAM WITH

FREQUENTLY TESTED QUESTIONS|ALREADY A

GRADED|GUARANTEED PASS|LATEST UPDATE 2025

What is the treatment for someone with Gullain-Barre Syndrome answers O2, Hyperinflation therapy (IS,SMI,IPPB), pulmonary hygiene, mechanical ventilation for impending or acute ventilatory failure, plasmapheresis and IV immunoglobulin therapy are effective What reverses a narcotic overdose answers Naloxone (Narcan) What reverses an overdose of a Benzodiazepine sedative answers Flumazenil (Romazicon) What reverses an acetaminophen overdose answers Acetylcysteine (Mucomyst) Portion of the brain loses blood supply as a result of a vascular occlusion or hemorrhage answers Stroke/Acute Brain Injury/Cerebral Infarction/Cerebrovascular Accident (CVA) What would be the general appearance of someone with a brain injury answers Motor and speech loss What would be the respiratory pattern for someone with a brain injury answers Bradypnea, Cheyne-Stokes respirations (pattern involves a period of fast, shallow breathing followed by slow, heavier breathing and moments without any breath at all)

What would the vital signs of someone with a brain injury be answers Hypertension and fever What are 2 special tests for someone with a brain injury answers CT/MRI of the brain, Cerebral angiogram Treatment for a brain injury should be initiated within what time period of symptom onset answers 6 hours What drug therapies can be used to treat someone with a brain injury answers 1. Anticoagulation

  1. Vasodilators
  2. Thrombolytic therapy (for acute ischemic stroke): Tissue Plasminogen Factor (tPA) What is important to remember when mechanically ventilating someone with a brain injury answers Hyperventilation may be helpful to reduce ICP, Avoid using PEEP which increases ICP Acute illness or injury to the lungs that results in reduced lung compliance, diffuse atelectasis and refractory hypoxemia answers Acute Respiratory Distress Syndrome (ARDS) What is the etiology for someone with Acute Respiratory Distress Syndrome answers 1. Sepsis - most common cause
  3. Aspiration
  4. Pneumonia
  5. Sevre trauma
  6. Massive blood transfusion
  7. Drug abuse

What is a special test for Acute Respiratory Distress Syndrome answers Hemodynamic monitoring, PAP elevated with normal PCWP What is the treatment for someone with Acute Respiratory Distress Syndrome answers 1. Treat underlying cause

  1. O
  2. CPAP/PEEP to treat refractory hypoemia/ pulmonary shunting
  3. Hyperinflation therapy for atelectasis What is important when mechanically ventilating a patient with Acute Respiratory Distress Syndrome answers Reduce Vt to 6 mL/kg, Maintain plateau pressure <30 and you can initiate recruitment maneuvers An infectious inflammatory process that primarily affects the gas exchange area of the lung causing capillary fluid (serum) to pour into the alveoli. This condition leads to inflammation of the alveoli, alveolar consolidation and atelectasis answers Infectious disease/Pneumonia What would the past medical history of someone with pneumonia be answers Initially mimics a cold or flu, signs and symptoms may develop quickly, may have chest pain What would the respiratory pattern of someone with pneumonia be answers tachypnea What would the cough of someone with pneumonia consist of answers yellow/green sputum

When evaluating the chest of a patient with pneumonia one may notice answers Decreased expansion, increased tactile and vocal fremitus The diagnostic chest percussion of someone with pneumonia would sound like answers Flat/Dull note The breath sounds of someone with pneumonia would be answers Crackles, bronchial What would the chest X-ray of someone with pneumonia look like answers Increased density from consolidation and atelectasis, air bronchograms, possibly pleural effusion What test can be done to test for HIV answers ELISA test What test can be done to test for TB answers Acid fast stain Failure of the cardiovascular system to adequately perfuse tissues that results in widespread impairment of cellular metabolism: a reduction in blood flow to the tissue is inadequate to sustain life answers Shock What is the general appearance for someone in shock answers Pale or cyanotic, cold, clammy, lethargic, unresponsive, diaphoretic, poor capillary refill What is the respiratory pattern for someone in shock answers Tachypnea, shortness of breath What are 3 diagnostic tests for shock answers 1. ABG

What would the past medical history be for a child with Croup be answers Recent cold that developed gradually into a barking cough over 2-3 days, more common in the fall and winter What does the cough of croup sound like answers Barking, stridor, hoarse voice What is the general appearance of a child with Croup answers Cyanosis, Alert with some accessory muscle use, nasal flaring and rhinorrhea What is the respiratory pattern for a child with croup answers Tachypnea, substernal and intercostal retractions What are the breath sounds for a child with croup answers Diminished with inspiratory stridor What kind of X-ray will diagnose croup answers Lateral neck X-ray What will the lateral neck X-ray of a child with croup look like answers Haziness in the subglottic area, steeple sign, pencil point, picket fence, hour-glass narrowing of the upper airway For mild cases of croup what is the treatment answers Keep in a cool environment, O2 of 30-40%, Cool aerosol mist, Racemic epinephrine, corticosteroids For severe cases of croup what is the treatment answers Intubate, Transfer to ICU, Cool environment

Life threatening emergency caused by inflammation of the supraglottic region that includes the epiglottis, aryepiglottic folds, and false vocal cords that causes swelling just above the vocal cords answers Epiglottitis What is the etiology of Epiglottitis answers Bacterial infection caused by Haemophilus Influenza B. Transmitted by aerosol droplets What is the past medical history for a child with Epiglottitis answers Sudden onset within 6-8 hours What does the cough sound like of a child with Epiglottitis answers Muffled cough What is the physical appearance for a child with Epiglottitis answers 2 - 6 Years of age, pale or cyanotic, lifeless, drooling, hoarseness, difficulty swallowing (Dysphagia), tongue thrusts forward during inspiration, voice and cry muffled, jaw jutted forward What is the respiratory pattern for a child with Epiglottitis answers Tachypnea, nasal flaring, substernal and intercostal retractions. What are the breath sounds for a child with Epiglottitis answers Diminished with inspiratory stridor What are the vital signs for a child with Epiglottitis answers Increased HR, BP and High grade fever What is important when treating a child with Epiglottitis answers avoid any unnecessary stimulation

What are 2 special tests to diagnose Bronchiolitis/RSV answers 1. RSV-enzyme immunoassay (EIA)

  1. Respiratory infectious disease panel (RIDP) by polymerase chain reaction What would the chest X-ray of a child with Bronchiolitis/RSV look like answers Hyperinflation with areas of consolidation or atelectasis What is the treatment for a child with Bronchiolitis/RSV answers 1. Prophylaxis with respiratory syncytial virus immune globin or palivizumab for children at risk
  2. Humidification and oral decongestants
  3. O2, Hydration, bronchodilators, airway clearance Weakening and permanent enlargement of the air spaces distal to the terminal bronchioles, often accompanied by hypertrophy of the goblet cells and mucus glands. Characterized by dyspnea on exertion with significant hypercapnea answers Emphysema/ Chronic Bronchitis What are 5 terms/phrases that are used to describe a patient with COPD answers 1. Chronic Ventilatory Failure
  4. Chronic Hypercapnea
  5. Increased lung compliance
  6. Loss of elastic recoil
  7. Chronic CO2 retention What would the general appearance of someone with COPD/ Chronic bronchiectasis look like answers Barrel chested, Clubbing and cyanosis

What would the respiratory pattern of someone with COPD/ Chronic bronchiectasis be answers Dyspnea, accessory muscle use, pursed-lip breathing What would the breath sounds of someone with COPD/ Chronic bronchiectasis sound like answers Diminished aeration with bilateral expiratory wheeze During patient assessment what would be a fast easy diagnostic test for someone with COPD/ Chronic bronchiectasis answers Diagnostic chest percussion - tympanic or hyper resonant What would the cough of someone with COPD/ Chronic bronchiectasis consist of answers Congested, Productive of thick sputum What would be 3 diagnostic tests used to diagnose COPD/ Chronic bronchiectasis answers 1. Chest X-ray

  1. ABG
  2. PFT What would the X-ray of someone with COPD/ Chronic bronchiectasis look like answers Hyperlucency, hyperinflation, increased A-P diameter, flattened diaphragm What would be effected in a PFT for a patient with COPD/ Chronic bronchiectasis answers Decreased flows What SpO2 do you want for a patient with COPD/ Chronic bronchiectasis answers 88 - 92% (Treat with Low O2)

What 3 diagnostic tests would help diagnosis someone with asthma answers 1. X- ray

  1. ABG
  2. PFT What would the x-ray of someone with asthma look like answers During acute episode increased A-P diameter, translucent (dark) lung fields, depressed or flattened diaphragms What would the PFT of someone with asthma look like answers 1. Spirometry shows reduced flow rates
  3. Post bronchodilator spirometry increases FEV1 at least 12% and 200 ml
  4. Bronchial provocation test: FEV1 decreases significantly when provocation agent, such as methacholine is inhaled What would the treatment be for someone with an acute asthma exacerbation answers - O
  • Aerosol Therapy with SABA and anticholinergic agents (Albuterol or Levalbuterol, Ipratropium or Tiotropium) consider continuous aerosol Therapy
  • Corticosteroids (Oral or IV)
  • Intubation and mechanical ventilation if ventilatory or respiratory arrest occur
  • Consider adjunct therapies: Heliox therapy, magnesium sulfate, subcutaneous epinephrine What are control medications for asthma answers LABA: Salmeterol, formoterol (Must be given with corticosteroid- budesonide, Fluticasone) Mast cell stabilizers: Cromolyn Leukotriene inhibitors: montelukast

In an asthma action plan what peak flow indicates you are in the green zone answers 80 - 100% In an asthma action plan what peak flow indicates you are in the yellow zone answers 50 - 80% In an asthma action plan what peak flow indicates you are in the red zone answers Less than 50% Chronic dilation and distortion of one or more bronchi as a result of excessive inflammation and destruction of bronchial walls, blood vessels, elastic tissue and smooth muscle answers Bronchiectasis Results in impaired mucociliary clearance causing accumulation of copious amounts of bronchial secretions, one or both lungs may be involved, commonly limited to a lobe or segment answers Bronchiectasis A patient with Bronchiectasis is likely to have a history of answers pulmonary infections or cystic fibrosis What would the general appearance of someone with Bronchiectasis be answers Cyanosis, barrel chest, clubbing What would the Respiratory pattern be for someone with Bronchiectasis answers Tachypnea, dyspnea, accessory muscle use, pursed-lip breathing What would breath sounds be for someone with Bronchiectasis answers Wheezing, diminished breath sounds

  • Surgical resection of involved portions as necessary An inherited, genetic disorder involving the exocrine glands. Results in think, viscous mucus accumulation in the lungs, blocks passageways of the pancreas, and prohibits enzymes from reaching the intestines leading to inhibition of digestion of protein and fat and deficiencies of vitamins A, D, E and K answers Cystic Fibrosis (Mucoviscidosis) What would the past medical history of someone with Cystic Fibrosis consist of answers Positive Family history, meconium ileus as a newborn, recurrent respiratory infections, failure to thrive What would the general appearance for someone with Cystic Fibrosis look like answers Barrel chest, cyanosis, clubbing, small for age, malnutrition, poor body development, peripheral edema What would the respiratory pattern be for someone with Cystic Fibrosis answers Tachypnea, dyspnea on exertion, pursed-lip breathing, use of accessory muscles of inspiration and expiration, cough productive of large amount of thick purulent secretions. What would the breath sounds be for someone with Cystic Fibrosis answers Diminished, crackles, wheezing What are 5 tests to diagnose Cystic Fibrosis answers 1. Chest X-ray
  1. ABG
  2. PFT
  3. CBC
  4. Sputum culture

What would the Chest X-ray look like for someone with Cystic Fibrosis answers Translucent (dark) lung fields, depressed or flattened diaphragm, right ventricular enlargement, areas of atelectasis and fibrosis What would the PFT of someone with Cystic Fibrosis show answers Decreased Flow rates What would the CBC of someone with Cystic Fibrosis be answers Elevated Hb and Hct concentration Normal Hb is 12- 16 Normal Hct is 40-50% What would the sputum culture of someone with Cystic Fibrosis show answers Often positive for staphylococcus aureus, Haemophilus influenza, pseudomonas aeruginosa What would be 3 special tests for diagnosing Cystic Fibrosis answers 1. Newborn screening by Immunoreactive trypsin level (IRT)

  1. Sweat Chloride Test (Chloride level > 60)
  2. Genetic testing What would be 5 ways of airway clearance for Cystic Fibrosis answers a. Chest percussion and postural drainage b. Exercise c. PEP therapy d. High frequency chest wall percussion e. Forced expiration techniques

What would the X-ray of someone suffering from chest trauma look like answers Increased opacity (Density) from lung compression, rib fractures What would the PFT of someone suffering from chest trauma show answers Decreased volumes and capacities What is the treatment/management for someone suffering from chest trauma answers 1. O2 for hypoxemia

  1. Analgesics
  2. Routine bronchial hygiene
  3. Hyperinflation therapy
  4. Prevention of pneumonia
  5. Closely monitor for acute ventilatory failure In severe cases of chest trauma what 3 things can be done to treat the patient answers 1. Stabilization of chest wall
  6. Mechanical Ventilation for patients with flail chest
  7. PEEP Gas or free air accumulated in the pleural space answers Pneumothorax What is the general appearance of someone experiencing a pneumothorax answers Possible diaphoresis, cyanosis, tracheal and/or mediastinal shift away from affected side, bruising over the affected area What is the breathing pattern for someone experiencing a pneumothorax answers Tachypnea, reduced movement on affected side

What are the breath sounds for someone experiencing a pneumothorax answers Diminished or absent on affected side What does the diagnostic chest percussion sound like for someone experiencing a pneumothorax answers Hyperresonant/tympanic note over affected side What are the vital signs for someone experiencing a pneumothorax answers Tachycardia, Pulsus paradoxus, hypertension What happens to the heart sounds of someone experiencing a pneumothorax answers May be displaced What 2 tests would be helpful in diagnosing a pneumothorax answers 1. Chest X- ray

  1. ABG What would the chest X-ray of someone experiencing a pneumothorax look like answers Hyperlucency with absence of vascular markings on the affected side, tracheal shift to the unaffected side, depressed diaphragm, lung collapse A small pneumothorax (<20% of lung collapsed) would need what kind of treatment answers May require only bedrest and limited physical activity. Absorption usually occurs within 30 days A larger pneumothorax (>20% of lung collapsed) needs what kind of treatment answers Should be evacuated by chest tube, needle aspiration of the chest necessary if the patient is unstable, Oxygen for hypoxemia, hyperinflation therapy after chest tube insertion, mechanical ventilation with PEEP for acute ventilatory failure