Published - Fri, 03 Mar 2023

NCLEX-RN Exam Questions - Part 22

1. The nurse would be sure to instruct a client on the signs and symptoms of an eye infection and hemorrhage. These signs and symptoms would include:

A) Blurred vision and dizziness
B) Eye pain and itching
C) Feeling of eye pressure and headache
D) Eye discharge and hemoptysis

2. The nurse would teach a male client ways to minimize the risk of infection after eye surgery. Which of the following indicates the client needs further teaching?

A) 'I will wash my hands before instilling eye medications.'
B) 'I will wear sunglasses when going outside.'
C) 'I will wear an eye patch for the first 3 postoperative days.'
D) 'I will maintain the sterility of the eye medications.'

3. With a geriatric client, the nurse should also assess whether he has been obtaining a yearly vaccination against influenza. Why is this assessment important?

A) Influenza is growing in our society.
B) Older clients generally are sicker than others when stricken with flu.
C) Older clients have less effective immune systems.
D) Older clients have more exposure to the causative agents.

4. In evaluating the laboratory results of a client with severe pressure ulcers, the nurse finds that her albumin level is low. A decrease in serum albumin would contribute to the formation of pressure ulcers because:

A) The proteins needed for tissue repair are diminished.
B) The iron stores needed for tissue repair are inadequate.
C) A decreased serum albumin level indicates kidney disease.
D) A decreased serum albumin causes fluid movement into the blood vessels, causing dehydration.

5. Which of the following menu choices would indicate that a client with pressure ulcers understands the role diet plays in restoring her albumin levels?

A) Broiled fish with rice
B) Bran flakes with fresh peaches
C) Lasagna with garlic bread
D) Cauliflower and lettuce salad

1. Right Answer: B
Explanation: (A) Although blurred vision may occur, dizziness would not be associated with an infection or hemorrhage. (B) Eye pain is a symptom of hemorrhage within the eye, and itching is associated with infection. (C) Nausea and headache would not be usual symptoms of eye hemorrhage or infection. (D) Some eye discharge might be anticipated if an infection is present; hemoptysis would not.

2. Right Answer: C
Explanation: (A) Hand washing would be an important action designed to prevent transmission of pathogens from the hands to the eye. (B) Wearing sunglasses when going outside will prevent airborne pathogens from entering the eye. (C) Eye patches are most frequently ordered to be worn while the client sleeps or naps, not constantly for this length of time. (D) Eye medications are sterile; clients need to be taught how to maintain this sterility.

3. Right Answer: C
Explanation: (A) Although influenza is common, the elderly are more at risk because of decreased effectiveness of their immune system, not because the incidence is increasing. (B) Older clients have the same degree of illness when stricken as other populations. (C) As people age, their immune system becomes less effective, increasing their risk for influenza. (D) Older clients have no more exposure to the causative agents than do school-age children, for example.

4. Right Answer: A
Explanation: (A) Serum albumin levels indicate the adequacy of protein stores available for tissue repair. (B) Serum albumin does not measure iron stores. (C) Serum albumin levels do not measure kidney function. (D) A decreased serum albumin level would cause fluid movement out of blood vessels, not into them.

5. Right Answer: A
Explanation: (A) Broiled fish and rice are both excellent sources of protein. (B) Fresh fruits are not a good source of protein. (C) Foods in the bread group are not high in protein. (D) Most vegetables are not high in protein; peas and beans are the major vegetables higher in protein.

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