Saunders NCLEX-PN Comprehensive
Review Exam Questions And Answers
\.A client arrives at the emergency department with a foreign body in the left ear that
has been determined to be an insect. Which initial intervention should the nurse
anticipate to be prescribed?
1. Irrigation of the ear
2. Instillation of antibiotic eardrops
3. Instillation of corticosteroid ointment
4. Instillation of mineral oil or diluted alcohol - Answer-4; Insects are killed before
removal unless they can be coaxed out by a flashlight or a humming noise. Mineral oil
or diluted alcohol is instilled into the ear to suffocate the insect, which is then removed
by using ear forceps. When the foreign object is vegetable matter, irrigation is not used
because this material expands with hydration and the impaction becomes worse.
Options 1, 2, and 3 may be prescribed after the initial treatment if necessary and if
inflammation or infection is a concern.
\.A client arrives in the emergency department after an automobile crash. The client's
forehead hit the steering wheel, and a hyphema has been diagnosed. Which position
should the nurse prepare to position the client?
1. Flat on bed rest
2. On bed rest in a semi-Fowler's position
3. In lateral position on the unaffected side
4. In the lateral position on the affected side - Answer-2; A hyphema is the presence of
blood in the anterior chamber. It is produced when a force is sufficient to break the
integrity of the blood vessels in the eye. It can be caused by direct injury, such as
penetrating injury from a BB pellet, or indirectly, such as from striking the forehead on a
steering wheel during an accident. The client is treated by bed rest in a semi-Fowler's
position to assist gravity in keeping the hyphema away from the optical center of the
cornea.
\.A client is diagnosed with glaucoma. Which data gathered by the nurse indicate a risk
factor associated with glaucoma?
1. Cardiovascular disease
2. A history of migraine headaches
3. Frequent urinary tract infections
4. Frequent upper respiratory infections - Answer-1; Hypertension, cardiovascular
disease, diabetes mellitus, and obesity are associated with the development of
Review Exam Questions And Answers
\.A client arrives at the emergency department with a foreign body in the left ear that
has been determined to be an insect. Which initial intervention should the nurse
anticipate to be prescribed?
1. Irrigation of the ear
2. Instillation of antibiotic eardrops
3. Instillation of corticosteroid ointment
4. Instillation of mineral oil or diluted alcohol - Answer-4; Insects are killed before
removal unless they can be coaxed out by a flashlight or a humming noise. Mineral oil
or diluted alcohol is instilled into the ear to suffocate the insect, which is then removed
by using ear forceps. When the foreign object is vegetable matter, irrigation is not used
because this material expands with hydration and the impaction becomes worse.
Options 1, 2, and 3 may be prescribed after the initial treatment if necessary and if
inflammation or infection is a concern.
\.A client arrives in the emergency department after an automobile crash. The client's
forehead hit the steering wheel, and a hyphema has been diagnosed. Which position
should the nurse prepare to position the client?
1. Flat on bed rest
2. On bed rest in a semi-Fowler's position
3. In lateral position on the unaffected side
4. In the lateral position on the affected side - Answer-2; A hyphema is the presence of
blood in the anterior chamber. It is produced when a force is sufficient to break the
integrity of the blood vessels in the eye. It can be caused by direct injury, such as
penetrating injury from a BB pellet, or indirectly, such as from striking the forehead on a
steering wheel during an accident. The client is treated by bed rest in a semi-Fowler's
position to assist gravity in keeping the hyphema away from the optical center of the
cornea.
\.A client is diagnosed with glaucoma. Which data gathered by the nurse indicate a risk
factor associated with glaucoma?
1. Cardiovascular disease
2. A history of migraine headaches
3. Frequent urinary tract infections
4. Frequent upper respiratory infections - Answer-1; Hypertension, cardiovascular
disease, diabetes mellitus, and obesity are associated with the development of
