NCLEX Nursing MCQs

The nursery nurse is putting erythromycin ointment in the newborn’s eyes to prevent infection. She places it in the following area of the eye:

by

Explanation.

The ointment is placed in the lower conjunctival sac so it will not scratch the eye itself and will get well distributed.

While performing a neurological assessment on a client with a closed head injury the nurse notes a positive Babinski reflex. The nurse should:

by

Explanation.

A positive Babinski reflex in adults should be reported to the physician because it indicates a lesion of the corticospinal tract. Answer A is incorrect because it does not indicate that the clients condition is improving. Answer B is incorrect because changing the position will not alter the finding. Answer C is incorrect because a positive Babinski reflex is an expected finding in an infant but not in an adult.

After a laryngectomy, the most important equipment to place at the client’s bedside would be:

by

Explanation.

Respiratory complications can occur because of edema of the glottis or injury to the recurrent laryngeal nerve.