Practice Quiz NCLEX RN Part 5 otitis media, systemic lupus erythematosus

Practice Quiz NCLEX RN Part 5 for your nursing review. Subjects include otitis media and systemic lupus erythematosus.

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#1. The LPN is getting ready to give the neonate a vitamin K injection. The injection should be administered by the nurse.

Rectus femoris muscle

Vastus lateralis muscle

Deltoid muscle

Dorsogluteal muscle

The injection should be given by a nurse into the vastus lateralis muscle. Answers A and C are erroneous since the neonatal brain is not fully matured. Because the dorso gluteal muscle is not used for IM injections until the child is three years old, answer D is wrong.

#2. A client with nephrotic syndrome was prescribed Cytoxan (cyclophosphamide) by the doctor. The nurse should do the following

Encourage the client to increase his or her hydration intake.

Request that the client eats a low-protein diet.

Bathe the client with simply water and mild soap.

Provide extra warmth to joints that are swollen and irritated.

To avoid hemorrhagic cystitis, the client taking Cytoxan should increase his fluid intake. Answers B, C, and D are erroneous since they are unrelated to the question.

#3. The nurse is assisting a client who is through alcohol detoxification. In the treatment of alcohol withdrawal, what medications are used?

Antabuse (disulfiram)

Romazicon (flumazenil)

Dolophine (methodone)

Ativan (lorazepam)

To prevent delirium tremens, benzodiazepines are prescribed for alcohol withdrawal patients. Because it is a medicine used in aversive therapy to preserve sobriety, Answer A is false. Because it is used to treat benzodiazepine overdose, answer B is wrong. Answer C is wrong because it is an opiate withdrawal treatment.

#4. At 7 a.m., a client with insulin-dependent diabetes receives 20 units of NPH insulin. The nurse should keep an eye on the client for signs of hypoglycemia at the following times

8 a.m.

10 a.m.

3 p.m.

5 a.m.

To avoid hypoglycemia, the client receiving NPH insulin should eat a snack at 3 p.m. Because the times are too early for hypoglycemic symptoms, answers A and B are erroneous. Answer D is incorrect because time has passed and the client is suffering from acute hypoglycemia.

#5. The charge nurse is supporting the licensed practical nurse in planning care for a client who has a detached retina. Which of the following clinical findings is the most important?

Alteration in comfort

Alteration in mobility

Alteration in skin integrity

Alteration in O2 perfusion

Before and after surgery, a client with a detached retina will have movement issues. Because a detached retina causes no pain or suffering, answer A is false. Answers C and D are erroneous since they do not apply to the customer with a detached retina.

#6. The primary goal of employing a CPM machine for a client who has had a total knee replacement is to

Prevent contractures

Promote flexion of the artificial joint

Decrease the pain associated with early ambulation

Lactic acid generation in the leg muscles should be reduced.

The continuous passive motion machine’s main goal is to encourage bending of the artificial joint. The device should be placed near the client’s foot of the bed. Answers A, C, and D are inaccurate since they do not describe the purpose of the CPM machine.

#7. Which of the following statements best reflects Kohlberg's notion of a preschooler's moral development?

Obeying adults is seen as correct behavior.

Showing respect for family is seen as important.

Pleasing others is viewed as good behavior.

Behavior is determined by consequences.

According to Kohlberg, the consequences of a preschool child’s actions shape his or her behavior in the conventional period of development. Answers A, B, and C are erroneous since they refer to different stages of moral development.

#8. Antibiotic treatment for otitis media in a toddler has recently ended. An appointment for a recheck should be established with:

Determine whether her hearing has been harmed as a result of the ear infection.

Check to see if she has taken all of her antibiotics.

A document that the infection has completely cleared

If the infection recurs, get a new prescription.

Following the completion of antibiotic medication, the client should be evaluated to see if the infection has cleared. Answer A is wrong since it would be done if there are repeated cases of otitis media. Answer B is wrong since it will not tell you if the youngster has finished taking the medication. Because the goal of the recheck is to see if the infection is gone, answer D is incorrect.

#9. After a metal particle enters his right eye, a factory worker is sent to the nurse's office. The nurse should do the following:

Cover the right eye with a sterile 4×4

Using a cotton-tipped applicator, try to remove the metal.

Using running water, flush the eye for 10 minutes.

Cover both eyes and take the client to the emergency room.

The nurse should cover both of the client’s eyes and take him to the emergency room or the doctor’s office right away. Answers A, B, and D are inaccurate since they put the eye in danger of further harm.

#10. A client with systemic lupus erythematosus is being cared for by the nurse (SLE). The most serious complication of systemic lupus erythematosus is

Nephritis

Cardiomegaly

Desquamation

Meningitis

Lupus nephritis is the most common consequence of SLE and ultimately leads to end-stage renal disease. Answers B and D are inaccurate since SLE affects the musculoskeletal, integumentary, renal, neurological, and cardiovascular systems, but renal involvement is the most common consequence. Because SLE causes a “butterfly” rash rather than desquamation, answer C is wrong.

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