quiz quiz
Mixed Medical-Surgical, Pediatric, Obstetric, and Psychiatric Nursing
Showing 50 questions (same pool and cap as a student attempt). Correct options are pre-
selected and highlighted as on the results page.
Bank category: NCLEX QBANK #2 PASTEXAMS QUESTIONS RECAPS – Part (ii) quiz
1 Question 1
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
RATIONALE
After cataract surgery, the client is usually instructed to wear an eye shield at night to protect the
operative eye from accidental rubbing or pressure during sleep. This helps prevent injury and
supports healing.
,2 Question 2
The nurse should observe for side effects associated with the use of
bronchodilators. A common side effect of bronchodilators is:
☐ A. Decreased urine output
☑ B. Tremors
☐ C. Vision changes
☐ D. Hypotension
RATIONALE
Bronchodilators, especially beta-adrenergic agents, commonly cause tremors due to stimulation
of the sympathetic nervous system. Mild shakiness is a frequent side effect.
,3 Question 3
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
RATIONALE
Drooling, muffled voice, stridor, fever, and sore throat strongly suggest epiglottitis. This is a
medical emergency because the airway can close quickly. Immediate medical attention is
needed.
, 4 Question 4
A client with insulin-dependent diabetes takes 20 units of NPH insulin at 7 a.m. The
nurse should observe the client for signs of hypoglycemia at:
☐ A. 8 a.m.
☐ B. 10 a.m.
☑ C. 3 p.m.
☐ D. 5 a.m.
RATIONALE
NPH insulin has an intermediate onset and peak. It usually peaks several hours after
administration, often around 6 to 8 hours later. If it is given at 7 a.m., hypoglycemia is most likely
around 3 p.m.