NCLEX QUESTIONS AND ANSWERS 2022 LATEST

NCLEX QUESTIONS AND ANSWERS 2022 LATEST

UPDATE

At the conclusion of a fluorescein stain, a client is diagnosed with conjunctivitis. Which test result should the nurse expect to be documented in the client's medical record?

• fluorescein stain orange
• Fluorescein stain yellow and blue
• Fluorescein stain green
• Fluorescein stain absence of color - answerC

Rationale: A fluorescein stain uses a slit lamp to identify the presence of corneal ulcerations or abrasions. These injuries will appear green when stained. There will be an absence of color in conjunctivitis. The fluorescein stain does not cause areas of injury to turn orange, yellow, or blue.

The nurse is caring for a teenage client who was recently fitted for contacts who presents with conjunctivitis. Which risk factor may be associated with this adolescent? (Select all that apply.)

• improper hand hygiene
• participating in contact sports
• using old eye makeup
• wearing extended - wear contact lenses
• eating a balanced diet - answerA, C, D

Rationale: The teenager is at risk of developing conjunctivitis from using old eye makeup, as bacteria easily grow in this medium. Performing proper hand hygiene when handling contacts is essential to the prevention of conjunctivitis caused by infection. There is no reason why the teenager who wears contact lenses needs to avoid contact sports. Eating a balanced diet is important, but not doing so is not a specific risk factor concerning the wearing of contact lenses. It

is imperative that lenses be worn only for the prescribed time in order to avoid possible development of eye irritation or infection.

The nurse is performing an assessment on a newly admitted client with cancer to a nursing care facility. Which observation leads the nurse to suspect the client has acute conjunctivitis? (Select all that apply.)

• dry eyes
• reddened eyes
• mucoid discharge
• itchy eyes
• photophobia - answerB, C, D, E

Rationale: Manifestations of acute conjunctivitis include itchy eyes, photophobia, reddened eyes, and watery or mucoid discharge. Dry eyes, though often a complaint of an older adult, is not an observation made for the diagnosis of conjunctivitis.Next Question

Which clinical manifestation should the nurse assess for in a client with a diagnosis of chronic conjunctivitis related to scarring of the conjunctival eyelid?

• moderately dilated pupils
• entropion
• blurred vision
• cloudy corneas - answerB

Rationale: Entropion develops from chronic conjunctivitis. Entropion causes the lashes and the eyelids to curve inward. Blurred vision, cloudy corneas, and moderately dilated pupils occur with acute angle-closure glaucoma.

Which clinical manifestation would support a diagnosis of allergic conjunctivitis?

• itching
• photophobia
• yellow discharge
• sore throat - answerA

Rationale: Allergic conjunctivitis causes itching to the eyes. Bacterial and viral conjunctivitis can cause sore throats and photophobia. Yellow discharge occurs with bacterial conjunctivitis.

During a health assessment, the nurse becomes concerned that an adolescent is at risk for developing conjunctivitis. Which behavior did the nurse assess to cause this concern? (Select all that apply.)

• client plays soccer on the school team
• client uses disposable eye makeup applicators
• client consumes milk three times a day with meals
• client wears extended wear contact lenses
• client uses a tanning bed twice a week - answerD, E

Rationale: Conjunctivitis can be caused by exposure to ultraviolet light from the sun or tanning beds. Risk factors for the development of conjunctivitis include wearing extended-wear contact lenses. Playing soccer and consuming dairy products does not increase the risk of developing conjunctivitis. Using disposable eye makeup applicators would reduce this client's risk of developing conjunctivitis.

The nurse is teaching a college student with conjunctivitis ways to prevent the spread of the infection. Which student statement indicates that teaching has been effective? (Select all that apply.)

• "I will not share my towels with anyone at school."
• "I will save my eye medicine to use if the other eye gets infected."

C.) "I will share my eye medication with a friend with the same infection." D.) "I will keep my contact lenses in place until the infection heals." E.) "I will wash my hands after removing eye discharge. - answerA, E

Rationale: Ways to prevent the spread of conjunctivitis to the other eye or to other people include not sharing personal items such as towels with others and washing the hands after removing eye discharge. Keeping contact lenses in place until the infection heals could cause the infection to get worse. Medication should not be saved to be used later if the other eye becomes infected.Medication should not be shared with others.

The nurse is preparing teaching for a client recovering from conjunctivitis. Which instruction should the nurse include when teaching about the care of the contact lenses?

• place clean lenses on a paper towel to dry
• wash hands before handling lenses
• keep contact lenses in place if signs of an irritation are present
• remove the lenses every morning - answerB

Rationale: The nurse should teach the client to wash the hands before handling the lenses. The lenses should be removed before sleep. The lenses should be stored in the appropriate case. The lenses should not be worn if signs of an irritation are present.

Which client population automatically receives prophylactic therapy for conjunctivitis?

• newborns
• pregnant women