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Exam (elaborations)

NCLEX-PN Practice | Quiz #4-LATEST UPDATE WITH 100% CORRECT ANSWERS

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NCLEX-PN Practice | Quiz #4: 25 Questions

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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 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

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