NCLEX-PN PACKAGE DEAL NEWEST FEATURING 500 COMPREHENSIVE PRACTICE QUESTIONS AND VERIFIED ANSWERS COVERING ALL MAJOR NURSING CATEGORIES, INCLUDING PHARMACOLOGY, HEALTH PROMOTION, PHYSIOLOGICAL INTEGRITY, AND COORDINATED CARE.
Question :A nurse is collecting data on a 58 year old
client with blurred vision and reduced visual fields. The
nurse finds which clinical manifestation MOST
concerning?
A) Difficulty adjusting to dimmed lights
B) Extreme eye pain
C) Gradual loss of peripheral vision
D) Opaque appearance of lens
Correct answer:B, glaucoma is characterized by increased
optic nerve. When IOP increases rapidly sudden onset of
severe eye pain can occur.
Gradual loss of vision and difficulty adjusting to lights are
not considered emergency situations. Opaque lenses are
characteristics of cataracts which is not a medical
emergency.
Question :The nurse is caring for a patient with diabetes
mellitus. The client is alert and oriented but appears shaky
and pale. The client's capillary blood glucose is 50 mg/dL
(2.8 mmol/L). Which of the following actions should the
nurse take next?
A) Administer 1 mg glucagon IM to the patient
B) Give the patient 4 oz (120 mL of regular soda.
C) Prepare 50 mL of dextrose 50% in water IV push.
D) Repeat the capillary blood glucose level to verify
accuracy.
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