115-NCLEX-RN Review Made Incredibly Easy, Fifth Edition (Incredibly Easy Series)-Lippincott-16083_p387

Pump up on practice questions 363

3. A client undergoes hypersensitivity test-ing with the intradermal technique. When the nurse administers the allergen, at what angle should the needle be inserted?

1. 0 degrees2. 15 degrees3. 45 degrees4. 90 degrees

Answer: 2. The proper angle for intradermal injections is 15 degrees. There are no injec-tions requiring a 0 degree insertion. The subcutaneous angle is 45 degrees and the intramuscular angle is 90 degrees.

NCLEX keysClient needs category: Health promotion and maintenanceClient needs subcategory: NoneCognitive level: Application

4. What is the best method for preventing hypovolemic shock in a client admitted with severe burns?

1. Administering dopamine2. Applying medical antishock trousers3. Infusing I.V. fluids4. Infusing fresh frozen plasma

Answer: 3. During the early postburn period, large amounts of plasma fluid extravasates into interstitial spaces. Restoring the fluid loss is necessary to prevent hypovolemic shock; this is best accomplished with crystalloid and colloid solutions. Fresh frozen plasma is expensive and carries a slight risk of disease transmission. Medical antishock trousers would be applied to treatnot preventshock. Dopamine causes vasoconstriction and elevates blood pressure but it doesnt prevent hypovolemia in burn clients.

NCLEX keysClient needs category: Physiological integrityClient needs subcategory: Physiological adaptationCognitive level: Application

5. The Woods light would be used during what phases of the nursing process?

1. Assessment and implementation2. Planning and implementation3. Diagnosis and implementation4. Assessment and evaluation

Answer: 4. The Woods light is used to assess for certain skin conditions and to evaluate the treatment of those conditions. Its a diagnostic tool, not a treatment device.

NCLEX keysClient needs category: Health promotion and maintenanceClient needs subcategory: NoneCognitive level: Application

6. The skin lesions evident in herpes zoster are similar to those seen in:

1. impetigo.2. syphilis.3. varicella.4. rubella.

Answer: 3. Varicella (chickenpox) character-istically has vesicles as the hallmark lesion. Impetigo has pustules. Syphiliss primary lesion is the chancre and in rubella the lesion is a maculopapular rash.

313419NCLEX-RN_Chap11.indd 363313419NCLEX-RN_Chap11.indd 363 4/8/2010 10:03:39 AM4/8/2010 10:03:39 AM

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115-NCLEX-RN Review Made Incredibly Easy, Fifth Edition (Incredibly Easy Series)-Lippincott-16083_p387