Practice Quiz NCLEX RN Part 2 for your nursing review. Subjects include right-sided heart failure, Meniere’s syndrome, upper respiratory syndrome, and glaucoma.
#1. A mother of a 3-year-old hospitalized with lead poisoning requests that the nurse explain her daughter's treatment. The nurse's explanation is based on her understanding of how lead poisoning is treated:
Chelating agents are used to treating clients who have been poisoned by heavy metals such as lead and iron. Answers A and D are incorrect because they are used to remove noncorrosive poisons. Answer C prevents vomiting and thus is an incorrect response.
#2. A cleft palate repair is scheduled for an 18-month-old child. The following are the most common types of restraints for a child with a cleft palate repair:
Elbow restraints are the least restrictive restraint for an infant undergoing cleft lip and palate repair. Answers B, C, and D are more restricting and unnecessary, and thus incorrect.
#3. Timoptic (timolol) eyedrops have been prescribed for a glaucoma patient. Timoptic should be used with extreme caution in patients who have a history of:
In patients with chronic obstructive pulmonary disease, beta-blockers such as timolol (Timoptic) can cause bronchospasms. Because Timoptic is not contraindicated in patients with diabetes, gastric ulcers, or pancreatitis, answers A, B, and C are incorrect.
#4. An elderly client who is confused at night wanders from his room into the room of another client. The nurse can best assist in reducing the client's confusion by:
Leaving a nightlight on during the evening and night shifts helps the client stay oriented to their surroundings and promotes independence. Answers A and B will have no effect on the client’s confusion. Answer C increases the possibility of confusion in an elderly client.
#5. Which of the following is a frequent complaint of the end-stage renal failure patient?
Pruritis, or itching, is associated with the presence of uric acid crystals on the skin, which is common in end-stage renal failure sick people. Answers A, C, and D have no link to end-stage renal failure.
#6. Which of the following medication orders requires more explanation?
There is no set time or frequency for the medication that has been ordered. Answers A, B, and D all include a time and frequency specification.
#7. The best diet for a client suffering from Meniere's syndrome is one that is:
For the client with Meniere’s syndrome, a low-sodium diet is recommended. Answers A, C, and D are incorrect because they do not pertain to the care of the client with Meniere’s syndrome.
#8. Which of the following findings has been linked to right-sided heart failure?
Nighttime urination is a sign of right-sided heart failure. Because they are symptoms of left-sided heart failure, answers A and D are incorrect. Answer C is incorrect because it has nothing to do with the client’s diagnosis.
#9. An 8-year-old boy admitted with an upper-respiratory infection has a pulse oximeter order for O2 saturation. The nurse should do the following to ensure an accurate reading:
Because blood flow to these areas is most accessible for measuring oxygen concentration, the pulse oximeter should be placed on the child’s finger or earlobe. Because the probe cannot be secured to the abdomen, answer A is incorrect. Answer B is incorrect because it must be recalibrated before use. Answer C is incorrect because readings are obtained in seconds rather than minutes.
#10. A child with Tetralogy of Fallot is discharged from the hospital with a prescription for lanoxin elixir. The nurse should tell the mother to do the following:
The medication should be given using the calibrated dropper that comes with it. Answers A and C are incorrect because some of the medication may be lost during administration. Answer D is incorrect because if the child does not finish the bottle, some or all of the medication will be lost.