NCOI Actual Questions and Correct Answers
Q1
A nurse is teaching a client who has myopia about laser-assisted in situ keratomileusis (LASIK)
surgery. The nurse should include in the teaching that which of the following is an adverse
effect of LASIKsurgery?
Answer: Dry eyes
Q2
A nurse in a rehabilitation center is performing an assessment for a client who is recovering
from a left-hemisphere stroke. Which of the following findings should the nurse expect?
Answer: Difficulty with speech
Q3
A nurse is assessing a client who has a new diagnosis of mastoiditis. Which of the following
manifestations shouldthe nurse expect?
Answer: Swelling behind the affected ear
Q4
A nurse is caring for a client who has a traumatic brain injury and assumes a decerebrate
posture in response to noxious stimuli. Which of the following reactions should the nurse
anticipatewhen drawing a blood sample?
Answer: The client rigidly extends his arms
Q5
A nurse is providing discharge teaching to a client who is postoperative following cataract
surgery and has an intraocular lens implant. Which of the following statements by the client
indicates an understanding of the instruction?
Answer: I will avoid bending over
Q6
A nurse is assessing a client who has a closed head injury and has received mannitol for
manifestations of increased intracranial pressure (ICP).Which of the following findings should
indicate to the nurse that the medication is having atherapeutic effect?
Answer: The client's serum osmolarity is 310 mOsm/L
, Q7
A nurse is providing discharge teaching to a client who is postoperative following scleral
buckling to repair a detached retina. Which of the following instructions should the nurseinclude
in the teaching?
Answer: You should avoid reading for 1 week
Q8
A nurse is assessing a client who has sustained a recent head injury. Which of the following
findings should the nurse recognize as a manifestation of increased intracranial pressure?
Answer: Widened pulse pressure
Q9
A nurse is providing teaching to a client who has a new diagnosis of migraine headaches about
interventions to reduce pain at the onset of a migraine. Which of the following instructions
should the nurse include in theteaching?
Answer: Darken the lights.
Q10
A nurse in an acute care facility is preparing to admit a client who has myasthenia gravis.Which
of the following suppliesshould the nurse place at the client's bedside table?
Answer: Oral-nasal suction equipment
Q11
A nurse is assessing a client who is unconscious and has a rhythmical breathing pattern of rapid
deep respirations, followed by rapid shallow respirations, alternating with periods of apnea. The
nurse should document that the client is experiencing which of the following types of
respirations?
Answer: Cheyne-Stokes
Q12
A nurse is providing teaching to a client who has a new diagnosis of Meniere's disease. Which of
the following instructions should the nurse include in theteaching?
Answer: Avoid sudden movements
Q1
A nurse is teaching a client who has myopia about laser-assisted in situ keratomileusis (LASIK)
surgery. The nurse should include in the teaching that which of the following is an adverse
effect of LASIKsurgery?
Answer: Dry eyes
Q2
A nurse in a rehabilitation center is performing an assessment for a client who is recovering
from a left-hemisphere stroke. Which of the following findings should the nurse expect?
Answer: Difficulty with speech
Q3
A nurse is assessing a client who has a new diagnosis of mastoiditis. Which of the following
manifestations shouldthe nurse expect?
Answer: Swelling behind the affected ear
Q4
A nurse is caring for a client who has a traumatic brain injury and assumes a decerebrate
posture in response to noxious stimuli. Which of the following reactions should the nurse
anticipatewhen drawing a blood sample?
Answer: The client rigidly extends his arms
Q5
A nurse is providing discharge teaching to a client who is postoperative following cataract
surgery and has an intraocular lens implant. Which of the following statements by the client
indicates an understanding of the instruction?
Answer: I will avoid bending over
Q6
A nurse is assessing a client who has a closed head injury and has received mannitol for
manifestations of increased intracranial pressure (ICP).Which of the following findings should
indicate to the nurse that the medication is having atherapeutic effect?
Answer: The client's serum osmolarity is 310 mOsm/L
, Q7
A nurse is providing discharge teaching to a client who is postoperative following scleral
buckling to repair a detached retina. Which of the following instructions should the nurseinclude
in the teaching?
Answer: You should avoid reading for 1 week
Q8
A nurse is assessing a client who has sustained a recent head injury. Which of the following
findings should the nurse recognize as a manifestation of increased intracranial pressure?
Answer: Widened pulse pressure
Q9
A nurse is providing teaching to a client who has a new diagnosis of migraine headaches about
interventions to reduce pain at the onset of a migraine. Which of the following instructions
should the nurse include in theteaching?
Answer: Darken the lights.
Q10
A nurse in an acute care facility is preparing to admit a client who has myasthenia gravis.Which
of the following suppliesshould the nurse place at the client's bedside table?
Answer: Oral-nasal suction equipment
Q11
A nurse is assessing a client who is unconscious and has a rhythmical breathing pattern of rapid
deep respirations, followed by rapid shallow respirations, alternating with periods of apnea. The
nurse should document that the client is experiencing which of the following types of
respirations?
Answer: Cheyne-Stokes
Q12
A nurse is providing teaching to a client who has a new diagnosis of Meniere's disease. Which of
the following instructions should the nurse include in theteaching?
Answer: Avoid sudden movements
