NCLEX-PN Practice | Quiz #4: 25 Questions
1. 1. Question
A client has returned to his room following an esophagoscopy. Before offering fluids, the nurse
... [Show More] should give priority to assessing the client’s:
o A. Level of consciousness
o B. Movement of extremities
o C. Urinary output
o D. Gag reflex
Incorrect
Correct Answer: D. Gag reflex
• Option D: The client’s gag reflex is depressed before having an EGD. The nurse should give priority to checking for the return of the gag reflex before offering the client oral fluids.
• Option A: Conscious sedation is used.
• Options B and C: Movements of extremities and urinary output are not affected by the procedure.
2. 2. Question
Which instruction should be included in the discharge teaching for the client with cataract surgery?
• A. Over-the-counter eye drops can be used to treat redness and irritation
• B. The eye shield should be worn at night
• C. It will be necessary to wear special cataract glasses
• D. A prescription for medication to control post-operative pain will be needed
Incorrect
Correct Answer: B. The eye shield should be worn at night
• Option B: The eye shield should be worn at night or when napping, to prevent accidental trauma to the operative eye.
• Option A: Prescription eye drops, not over-the-counter eye drops, are ordered for the client.
• Option C: The client might or might not require glasses following cataract surgery.
• Option D: Cataract surgery is pain-free.
3. 3. Question
An 8-year-old is admitted with a sore throat, drooling, muffled phonation, high pitched-sound upon breathing (stridor), and a temperature of 102°F. The nurse should immediately notify the doctor because the child’s symptoms are suggestive of:
• A. Primary Ciliary Dyskinesia
• B. Subglottic hemangioma
• C. Sinusitis
• D. Epiglottitis
Incorrect
Correct Answer: D. Epiglottitis
• Option D: The child’s symptoms are consistent with those of epiglottitis, an infection of the upper airway that can result in total airway obstruction.
• Option A: Primary ciliary dyskinesia is a rare lung disease that is caused by a defect in cilia (hair-like projections that are responsible for expelling foreign materials such as mucous) resulting in respiratory problems such as excessive mucus, chronic wheezing, cough, and nasal congestion.
• Option B: Subglottic hemangioma is the formation of large masses in the airway causing airway obstructions. Typically symptoms include croup-like cough, difficulty breathing, and stridor.
• Option C: Sinusitis is the inflammation of the tissue that lines the sinuses that cause postnasal drip, runny nose, pain, and tenderness around the face, and nasal congestion.
4. 4. Question
Phototherapy is ordered for a newborn with physiologic jaundice. The nurse caring for the infant should:
• A. Place the baby on enteric isolation
• B. Apply lotion, or oil on the baby’s skin to prevent drying
• C. Wear a gown, gloves, and a mask while caring for the infant
• D. Encourage the mother to continue breastfeeding
Incorrect
Correct Answer: D. Encourage the mother to continue breastfeeding
• Option D: Breastfeeding will improve the nutrition of the newborn and will help in eliminating excess bilirubin (the main cause of physiological jaundice).
• Option B: The use of lotion and oils while on phototherapy is not advisable since it may cause skin burn.
• Options A and C: Physiologic jaundice is not associated with infection.
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5. 5. Question
A teen hospitalized with anorexia nervosa is now permitted to leave her room and eat in the dining room. Which of the following nursing interventions should be included in the client’s plan of care?
• A. Weighing the client after she eats
• B. Having a staff member remain with her for 1 hour after she eats
• C. Placing high-protein foods in the center of the client’s plate
• D. Providing the client with child-size utensils
Incorrect
Correct Answer: B. Having a staff member remain with her for 1 hour after she eats
• Option B: Having a staff member remain with the client for 1 hour after meals will help prevent the incidence of self-induced vomiting.
• Option A: The client will weigh more after meals, which can undermine treatment.
• Option C: The client will need a balanced diet and excess protein might not be well tolerated at first.
• Option D: Giving child-size utensils treats the client as a child rather than as an adult.
6. 6. Question
According to Erikson’s stage of growth and development, the developmental task of an 8-year old child is:
• A. Trust
• B. Initiative
• C. Independence
• D. Industry
Incorrect
Correct Answer: D. Industry
• Option D: According to Erikson’s Psychosocial Developmental Theory, the developmental task of middle childhood (5-12 years old) is industry versus inferiority. Children in this stage are developing a sense of productivity, self-assurance, and self-esteem.
• Option A: Trust is the developmental task of infancy (12-18 months of age).
• Option B: Initiative is the developmental task of the school-age child (3-5 years old).
• Option C: Independence is not one of Erikson’s developmental stages.
7. 7. Question
The nurse should observe for side effects associated with the use of bronchodilators. A common side effect of bronchodilators is:
• A. Decreased urine output
• B. Tremors
• C. Vision changes
• D. Hypotension
Correct
Correct Answer: B. Tremors
• Option B: Bronchodilators are medications that relax the muscles surrounding the airway. Common side effects of bronchodilators include nausea, dry mouth, increased heart rate, and tremors.
• Options A, C, and D: Decreased urine output, vision changes, and hypotension are signs of bronchodilator overdose.
8. 8. Question
The 5-minute Apgar of a baby delivered by C-section is recorded as 9. The most likely reason for this score is:
• A. The mottled appearance of the trunk
• B. The presence of conjunctival hemorrhages
• C. Cyanosis of the hands and feet [Show Less]