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NCLEX-PN Exam Questions - Part 71
1. Acute hyphema is associated with what type of injury?
A) orthopedic
B) eye
C) insect sting or snakebite
D) gynecological trauma
2. A client has sustained a hyphema. What intervention should the nurse take?
A) Have the client wear ear protectors in the future.
B) Keep the client at bed rest, typically with the head of the bed propped up.
C) Apply atropine eye drops.
D) Apply an ice pack to the site of injury.
3. The nurse - s first action upon discovery of an electrical fire should be which of the following?
A) Disconnect the electrical power if it can be performed safely.
B) Smother the source with an object such as a blanket.
C) Saturate the source with water or other readily available liquid.
D) Activate the fire alarm immediately.
4. A community health nurse is asked to organize a health promotion project that plans to provide glucose screening. This activity is most beneficial within what realm?
A) testing that is performed by volunteers at a local department store and is open to the public
B) at a professional health fair activity available for selected persons who have been screened as being at risk
C) mass-marketing vouchers for free fingersticks at a local drug store, where the pharmacist makes recommendations on the findings
D) testing that is performed by a nurse professional, who immediately provides education regarding the findings
5. Hearing screening of prematurely born infants is an effective means of identifying disease and is an example of:
A) primary prevention.
B) secondary prevention.
C) tertiary prevention.
D) disability prevention.
A) orthopedic
B) eye
C) insect sting or snakebite
D) gynecological trauma
2. A client has sustained a hyphema. What intervention should the nurse take?
A) Have the client wear ear protectors in the future.
B) Keep the client at bed rest, typically with the head of the bed propped up.
C) Apply atropine eye drops.
D) Apply an ice pack to the site of injury.
3. The nurse - s first action upon discovery of an electrical fire should be which of the following?
A) Disconnect the electrical power if it can be performed safely.
B) Smother the source with an object such as a blanket.
C) Saturate the source with water or other readily available liquid.
D) Activate the fire alarm immediately.
4. A community health nurse is asked to organize a health promotion project that plans to provide glucose screening. This activity is most beneficial within what realm?
A) testing that is performed by volunteers at a local department store and is open to the public
B) at a professional health fair activity available for selected persons who have been screened as being at risk
C) mass-marketing vouchers for free fingersticks at a local drug store, where the pharmacist makes recommendations on the findings
D) testing that is performed by a nurse professional, who immediately provides education regarding the findings
5. Hearing screening of prematurely born infants is an effective means of identifying disease and is an example of:
A) primary prevention.
B) secondary prevention.
C) tertiary prevention.
D) disability prevention.
1. Right Answer: B
Explanation: An acute hyphema occurs as a result of a blunt injury to the eye and is manifested by a half-moon appearance or a horizontal line across the globe when the client is upright (due to blood collected in the anterior chamber). Safety and Infection Control
2. Right Answer: B
Explanation: Initial care of the client involves preventing further damage and rebleeding. Clients are kept at bed rest if possible, usually with the head of the bed raised. TV watching is permitted but not reading. The use of atropine, ice, and eye shields are controversial, and a nurse should not administer a pharmacologic agent or thermal therapy without a physicians order. Safety and Infection Control
3. Right Answer: A
Explanation: If it is safe to do so, the nurse should disconnect electrical devices from the power source. Smothering with a blanket is not indicated in an electrical fire and might serve to fuel the fire,just as water or other liquids might incite an explosion or flames. The fire alarm should be activated promptly, and this should be the next action after disconnecting the electrically powered equipment. Safety and Infection Control
4. Right Answer: B
Explanation: Public glucose screening has been found to be an ineffective way to screen for diabetes unless based on health risk screening for those persons identified to be at risk or displaying symptoms. Safety and Infection Control
5. Right Answer: B
Explanation: The three levels of prevention address disease and disability across all phases, from absence of disease and at risk for disease, to preventing further impairment.Hearing impairment associated with prematurity cannot be prevented by screening, but identifying the infants with hearing loss might prevent sequelae and further impairment by allowing early intervention. Safety and Infection Control
Explanation: An acute hyphema occurs as a result of a blunt injury to the eye and is manifested by a half-moon appearance or a horizontal line across the globe when the client is upright (due to blood collected in the anterior chamber). Safety and Infection Control
2. Right Answer: B
Explanation: Initial care of the client involves preventing further damage and rebleeding. Clients are kept at bed rest if possible, usually with the head of the bed raised. TV watching is permitted but not reading. The use of atropine, ice, and eye shields are controversial, and a nurse should not administer a pharmacologic agent or thermal therapy without a physicians order. Safety and Infection Control
3. Right Answer: A
Explanation: If it is safe to do so, the nurse should disconnect electrical devices from the power source. Smothering with a blanket is not indicated in an electrical fire and might serve to fuel the fire,just as water or other liquids might incite an explosion or flames. The fire alarm should be activated promptly, and this should be the next action after disconnecting the electrically powered equipment. Safety and Infection Control
4. Right Answer: B
Explanation: Public glucose screening has been found to be an ineffective way to screen for diabetes unless based on health risk screening for those persons identified to be at risk or displaying symptoms. Safety and Infection Control
5. Right Answer: B
Explanation: The three levels of prevention address disease and disability across all phases, from absence of disease and at risk for disease, to preventing further impairment.Hearing impairment associated with prematurity cannot be prevented by screening, but identifying the infants with hearing loss might prevent sequelae and further impairment by allowing early intervention. Safety and Infection Control
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