8/10/2019 35 Nclex Review

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96. The nurse is caring for clients in the pediatric clinic. A mother reportsthat her infants smile is crooked. The nurse should assess which of the

following cranial nerves?

1. III.

2. V.3. VII.

4. XI.

Strategy: Think about each answer choice.

(1) oculomotor, provides innervation for extraocular movement(2) trigeminal, provides sensation to face muscles

(3) correctfacial, provides motor activity to the facial muscles(4) spinal accessory, provides innervation to the trapezius and sternocleidomastoid

muscles

97. An adolescent client is ordered to take tetracycline HCL (Achromycin)

250 mg PO bid. Which of the following instructions should be given to thisclient by the nurse?

1. Take the medication on a full stomach, or with a glass of milk.2. Wear sunscreen and a hat when outdoors.3. Continue taking the medication until you feel better.

4. Avoid the use of soaps or detergents for two weeks.

Strategy: Think about each answer choice.

(1) should be taken on an empty stomach(2) correctphotosensitivity occurs with the use of this medication

(3) should be taken as directed(4) unnecessary

98. A client who is positive for human immunodeficiency virus (HIV) is to be

discharged and will be taking zidovudine (AZT) at home. Which of the

following actions by the nurse is BEST?

1. Review the importance of adhering to a four-hour schedule.2. Advise the client to buy a timed pill dispenser.

3. Write the schedule of when the medicine should be taken.4. Encourage self-medication prior to discharge.

Strategy: Answers are implementations. Determine the outcome of each

answer choice. Is it desired?(1) less helpful in the overall teaching-learning process

(2) less helpful in the overall teaching-learning process

(3) correctplanned and written schedule of administration is more effective for

adherence to time frames(4) less helpful in the overall teaching-learning process