NCLEX-PN Practice| Quiz #8: 25
Questions
1. 1. Question
Which finding is the best indication that a client with ineffective airway
clearance needs suctioning?
o A. Oxygen saturation
o B. Respiratory rate
o C. Breath sounds
o D. Arterial blood gases
Incorrect
Correct Answer: C. Breath sounds
Option C: Changes in breath sounds such as crackles are the best
indication of the need for suctioning in the client with ineffective
airway clearance.
Options A, B, and D: They can be altered by other conditions.
2. 2. Question
A client with tuberculosis has a prescription for Myambutol (ethambutol
HCl). The nurse should tell the client to notify the
doctor immediately if he notices:
A. Tingling sensation in the feet
B. Changes in hearing
C. Red discoloration of bodily fluids
D. Changes in color vision
Incorrect
Correct Answer: D. Changes in color vision
, Option D: Myambutol is used in conjunction with at least one
other anti TB drug. An adverse reaction to Myambutol is a change
in visual acuity or color vision.
Option A: Peripheral neuropathy is an adverse effect of isoniazid.
Option B: Ototoxicity is an adverse reaction to Streptomycin.
Option C: Red discoloration of fluids is a side effect of Rifampin.
3. 3. Question
The primary cause of anemia in a client with chronic renal failure is:
A. Poor iron absorption
B. Destruction of red blood cells
C. Insufficient erythropoietin
D. Lack of intrinsic factor
Incorrect
Correct Answer: C. Insufficient erythropoietin
Option C: Kidneys produce erythropoietin, a hormone that is
responsible for making red blood cells. When a patient has a
chronic renal failure, their kidneys are damaged and cannot make
enough RBC resulting in anemia.
Option A: Poor iron absorption will result in iron deficiency
anemia.
Option B: Destruction of red blood cells usually results in
hemolytic anemia.
Option D: Lack of intrinsic factor will result in pernicious anemia
and vitamin B12 deficiency.
4. 4. Question
Which of the following nursing interventions has the highest priority
for the client scheduled for an intravenous pyelogram?
A. Providing the client with a favorite meal for dinner
B. Asking if the client has allergies to shellfish
C. Encouraging fluids the evening before the test
Questions
1. 1. Question
Which finding is the best indication that a client with ineffective airway
clearance needs suctioning?
o A. Oxygen saturation
o B. Respiratory rate
o C. Breath sounds
o D. Arterial blood gases
Incorrect
Correct Answer: C. Breath sounds
Option C: Changes in breath sounds such as crackles are the best
indication of the need for suctioning in the client with ineffective
airway clearance.
Options A, B, and D: They can be altered by other conditions.
2. 2. Question
A client with tuberculosis has a prescription for Myambutol (ethambutol
HCl). The nurse should tell the client to notify the
doctor immediately if he notices:
A. Tingling sensation in the feet
B. Changes in hearing
C. Red discoloration of bodily fluids
D. Changes in color vision
Incorrect
Correct Answer: D. Changes in color vision
, Option D: Myambutol is used in conjunction with at least one
other anti TB drug. An adverse reaction to Myambutol is a change
in visual acuity or color vision.
Option A: Peripheral neuropathy is an adverse effect of isoniazid.
Option B: Ototoxicity is an adverse reaction to Streptomycin.
Option C: Red discoloration of fluids is a side effect of Rifampin.
3. 3. Question
The primary cause of anemia in a client with chronic renal failure is:
A. Poor iron absorption
B. Destruction of red blood cells
C. Insufficient erythropoietin
D. Lack of intrinsic factor
Incorrect
Correct Answer: C. Insufficient erythropoietin
Option C: Kidneys produce erythropoietin, a hormone that is
responsible for making red blood cells. When a patient has a
chronic renal failure, their kidneys are damaged and cannot make
enough RBC resulting in anemia.
Option A: Poor iron absorption will result in iron deficiency
anemia.
Option B: Destruction of red blood cells usually results in
hemolytic anemia.
Option D: Lack of intrinsic factor will result in pernicious anemia
and vitamin B12 deficiency.
4. 4. Question
Which of the following nursing interventions has the highest priority
for the client scheduled for an intravenous pyelogram?
A. Providing the client with a favorite meal for dinner
B. Asking if the client has allergies to shellfish
C. Encouraging fluids the evening before the test