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National Council Licensure Examination(NCLEX-PN) Questions 416–420 (page: 85)

Updated On: 9-Feb-2026

Regardless of their practice area, nurses should be concerned with ______________.

  1. all drug-resistant bacteria
  2. microorganisms that are critical
  3. transmission of microorganisms
  4. overprescription of bacteriostatic drugs

Answer(s): C

Explanation:

All nurses should be concerned with preventing the transmission of microorganisms to themselves as well as to others.
One way to accomplish this goal is by asepsis.
Nursing practice focuses on providing a safe and therapeutic environment to protect clients, family members, and health care providers from acquiring infections.



A risk management program within a hospital is responsible for all of the following except ______________.

  1. identifying risks
  2. controlling financial loss due to malpractice claims
  3. making sure that staff follow their job descriptions
  4. analyzing risks and trends to guide further interventions or programs

Answer(s): C

Explanation:

Risk management is an organizationwide program to identify risks and control incidents and legal liability. It does not have any direct supervisory or management responsibility for staff.



Acute hyphema is associated with what type of injury?

  1. orthopedic
  2. eye
  3. insect sting or snakebite
  4. gynecological trauma

Answer(s): 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).



A client has sustained a hyphema.
What intervention should the nurse take?

  1. Have the client wear ear protectors in the future.
  2. Keep the client at bed rest, typically with the head of the bed propped up.
  3. Apply atropine eye drops.
  4. Apply an ice pack to the site of injury.

Answer(s): 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 physician’s order.



The nurse’s first action upon discovery of an electrical fire should be which of the following?

  1. Disconnect the electrical power if it can be performed safely.
  2. Smother the source with an object such as a blanket.
  3. Saturate the source with water or other readily available liquid.
  4. Activate the fire alarm immediately.

Answer(s): 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.



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