Reference no: EM132831902

Question 1: What nursing intervention is appropriate for a client with systemic lupus erythematosus (SLE)?
A. Administer topical hydrocortisone
B. Intense cold therapy to the extremities
C. Administer antibiotics
D. Encourage UV light exposure

Question 2: how many ml is 2 tablespoons?

Question 3: A client just received a diagnosis of cancer? Which statement by the nurse demonstrates empathy?
a. Tomorrow will be better
b. This must be hard news to hear. Tell me more about it
c. What is your biggest fear about this diagnosis
d. I believe you can overcome this i've seen how strong you are

Question 4: a nurse is providing teaching to an older adult client who has osteoarthritis that is affecting the knees. What statement by the client indicates a correct teaching
a. I can use either heat or ice to help relieve discomfort
b. The purpose of drug therapy is to stop the disease progression
c. I should avoid physical activity to prevent further injury
d. I will start a daily running program to get more exercise

Question 5: what are the early signs and symptoms of Rheumatoid arthritis
a. Inflammation of the joint
b. Bilateral symmetric symptoms
c. Anorexia and weight loss
d. Normal erythrocyte sedimentation rate
e. fever

Question 6: which of the following lab tests may be used for diagnosing connective tissue disorder
a. ESR
b. C-reactive protein
c. Anti-nuclear antibody
d. Rheumatoid factor
e. Thyroid stimulating hormone

Question 7: convert 50 ml to ounces

Question 8: what is the likely reason that a client with AIDS would succumb to pneumonia while a healthy person exposed to the same infection did not
a. The client with AIDS is a susceptible host
b. The client with AIDS was not careful
c. The client with AIDS has more portals of entry
d. The client with AIDS has greater immune defense

Question 9: a nurse is preparing communication for a provider. The client is experiencing acute pain greater than the severity of the fracture. Distal to the injury, he is experiencing a "pins and needles" sensation. The pulse is weak and thready but is pounding on all unaffected extremities. What emergency condition does the nurse expect?
a. Pulmonary embolism
b. Ishcialtiberosity
c. Compartment syndrome
d. Broken arm syndrome

Question 10: the nurse is caring for a client with rheumatoid arthritis one day after shoulder injury. What would prompt the nurse to call the provider immediately?
a. The client intermittent flatus and monitor abdominal discomfort
b. The client report a minor headache and states she takes an over the counter pain pill at home
c. The client refused her pain medication this morning and is doing physical therapy
d. The client has paresthesia in her fingers and intense increasing pain in her shoulders

Question 11: what link in the chain of infection is broken when contact precautions are in place?
a. Reservoir
b. Mode of transmission
c. Portal of entry
d. Initiation phase

Question 12: the nurse is planning care for a post-operative client after total hip arthroplasty. What is the priority nursing intervention?
a. Keep clients heel off the bed
b. Perform neurovascular assessment per protocol
c. Using aseptic technique for wound care and emptying of drains
d. Observe client for changes in mental status

Question 13: The client has systemic sclerosis and is experiencing Raynaud's phenomenon. What assessment finding does the nurse anticipate
a. Excessive heartburn
b. Excess wrinkled skin
c. Cyanosis of the skin
d. Cold and purple nailbeds

Question 14: a nurse is caring for a client who has MRSA in an abdominal wound. The nurse prepares to enter the room to check the client's pulse. What PPE should the nurse do?
a. Glown
b. Sterile gloves
c. PAPR mask
d. Surgical mask

Question 15: what is true about antiretroviral drugs used to treat HIV?
a. The drugs kill the virus
b. Only certain licensed drugs are effective
c. A few missed dose per months are ok
d. These drugs inhibit viral replication

Question 16: A client sustains an injury to his heel while the unlicensed assistive personnel and the nurse
are moving him up in bed. What force caused the injury? -
a. Shearing or friction
b. Pressure or gravity
c. chemical or pressure
d. twisting and bending

Question 17: A client has an abdominal incision. The surgical wound was closed with 10 sutures. This surgical is healing by what process
a. Binary intention
b. Secondary intention
c. Tertiary intention
d. Primary intention

Question 18: a client recently had an above the knee amputation and complains of pain distal to the amputation?
a. Noditective
b. Neuropathic
c. Cutaneous
d. visceral

Question 19: antibodies are passive from mother to fetus through the placenta. What type of immunity is this?
a. Natural active
b. Artificial active
c. Natural passive
d. Artificial passive

Question 20: A nurse is caring for an immobile client. What is the priority assessment in the client?
a. Assessment for the presence of peripheral edema
b. Auscultation of lung sounds
c. Auscultation of bowel sounds
d. Assessment of skin turgor

Question 21: a client experiencing numbness and tingling distal to a new arm cast with no increase on pain. The nurse assesses that the client's fingers are pale.
a) Encourage range of motion
b) Applying heat to the affected hand
c) Remove the cast to decrease pressure
d) Raise the arm above the level of the heart

Question 22: what is the past goal pain control in a clients with rheumatoid arthritis
A) The clients will have no pain throughout the entire day
B) The clients have pain less than 8/10throughtout the day
C) The client will eat three healthy meals todays and stay hydrate
D) The client will have pain less than 3/10 for most of the day

Question 23: the nurse is preparing to administer medication to a client with osteosis What is the goal of medication therapy?
A) eradicate the disease
B) turn on the immune system
C) Reduce pain and inflammation
D) mange weight loss

Question 24: nurse is caring for a 25 year old male quadriplegic clients which one of the following treatments would the nurse perform.
a) Provide active range of motion (ROM)
b) Provide passive range of motion
c) Turn the client every 2 hours
d) Administer glucosamine supplement

Question 25: homelessclient arrive in the emergency room. The clients verbalize an I inability to bathe for at least one month what is nurse priority?
a) Inspect the client skin
b) Provide a towel and show the client to the shower
c) Ask if the client has been to a homeless shelter recently
d) Call a social worker

Question 26: a nurse is providing oralhygiene for an unconscious client what is the priority nursing intervention
a) Use gently brushing and flossing techniques for clients with fragile mucosa
b) Handle denture with care
c) Position the client on side with head turs towards you.
d) Have a suction apparatus ready at the bedside

Question 27: the client ask the nurse with non-pharmacologyintervention can be use to reduce pain and swelling in her joint affected response by the nurse.
a) Ice packs can be used to reduce swelling but should be remove after 20 minutes
b) Apply ice packs it is generally okay to keep them on for up to one hours at a time
c) Heat always makes the swelling to go down you do not need any other intervention
d) Try high impact exercises like running to loosen up your joint and reduce pain

Question 28: a client is in skeletal traction with nurse assessment it is noted that the pins appear red swollen and there is purulent drainage. what action dose nurse take?
A) Cleansing the skin around the pin
B) Collect a culture of the purulent fluid
c)Administer an antibiotic
d) Instruct the client to complete exercise of the mother affected extremity

Question 29: what is an example of a client primary defense to infection.
a) Inflammation
b) Fever
c) Phagocytosis
d) Intact skin

Question 30: what is the sign of ainadequateperfusion
A- Bounding pulses
B- Pink finger
C- Pallor in toes
D- Intact sensation

Question 31: a mother of new baby is concerning that the baby will develop illness from being around people from outside of their family what is the nurse best response?
a) You should never go around people after you baby is born
b) Tell me more about that
c) I did that and my kids' turnout just find
d) Why did you think that is bad idea

Question 32: the complication of wound healing is an abnormal passage that connects two body cavity or activity and skin?
a) Fistula
b) Hemorrhage
c) Infection
d) Evisceration

Question 33: what are the opportunistic infection associated with acquired immunodeficiency syndrome(AIDS)
a) Candidiasis
b) Hodgins lymphoma
c) Pneumocystis moved pneumonia
d) Clostridium difficile
e) Non- Hodgkin's lymphoma

Question 34: the client had surgery one day a go what assessment is most likely related to pain
A) Heart rate 60 beasts/minutes
B) Blood pressure of 170/90
C) Oxygen saturation of 97%
D) Respiration of 10 breath per minute

Question 35: a nurse assess wounds with exudate. What should be documenting the expectation. (Select all apply )
a) Color
b) Odor
c) Heat
d) Consistency
e) Amount

Question 37: which practice is recommended to prevent human immunity decencies virus( HIV) transmission by healthy care workers.
A) using standard protection
B) double gloving
C) applying hand sanitizer to gloves during cares
D) wearing a mask within three feet of the client.

Question 38: what is not an expect assessment finding in a client with inflammation? (select all that apply)
a) polyuria
b) edema
c) heat
d) erythema
e) pain

Question 39: a client state why am I getting protein supplement while I'm hearing from abed sore. What is the best response by the nurse.
a) because it is easy to digest
b) if you don't like it you don't have to take it
c) these supplements have nothing to with your wound
d) protein has amino acids that promote wound healing

Question 40: the nurse will be using the Braden scale with admitted long term care center. Which of these will be utilized in Braden scale assessment
A) sensory perception
B) age
C) friction and shear
D) nutrition
E) mental state

Question 41: the nurse is performing a psychosocial assessment on a client with server rhemata. What would be the most appropriate statement by the nurse?
a) tell me about what medication you are taking
b) what physical limitations are you experience
C) how does this impact your role in your family
D) What therapies are you using to reduce swelling?

Question 42: A provider has order a wound culture for a client for a client with a non-healing wound what is nurse asses first.
a) Put on non-sterile gloves
b) Gently removes the solid dressing
c) Irrigate the wound
d) Lebel the specimen tube

Question 43: When providing a routine bed bath, what action does the nurse complete first?
a. Cleanse the client's hands
b. Cleanse the client's feet
c. Cleanse the client's perineal area
d. Cleanse the client's face

Question 44: A client has an open wound with creamy thick yellow drainage. How would the nurse
document the finding?
a. Serous
b. Purulent
c. Serousnagunious
d. sanguineous

Question 45: what client is a susceptible host most at risk for infection?
a. A client with leukemia
b. A client who is munnized
c. A 60-year old client
d. A hospitalized 35 year old client

Question 46: A client has suffered from a femur fracture. What is the nurse's priority assessment?
a. Pain
b. Medication history
c. Socio-economic status
d. Pedal pulses

Question 47: The client complains of fatigue and joint pain and reports that they are unable to walk due to pain in the knees. What is the most appropriate statement by the nurse?
a. You should avoid walking this might be osteoprosis
b. You just have arthritis and should take some ibuprofen
c. Please tell me more about when your pain started
d. You need to lose weight or the pain wont go away

Question 48: what is the priority intervention for the nuse to enhance meeting the psychosocial meeds of clients on transmission based precautions?
a. Allow the client sleep to build up stamina
b. Maintain a six-foot distance from the client
c. Provide a timeframe for the isolation
d. Provide the client with diversional activities

Question 49: a client on bedrest complaints of pain and burning in the right calf area. What is the nurse's next action?
a. Deeply palpate the area for rebound tenderness
b. Percuss over the area for a change in tone
c. Compare the circumference to the left calf
d. Medicate the client for pain and reassess in 60 minutes

Question 50: a client with a diagnosis of HIV develops pneumonia. What type of infection is this?
a. A pathogenic infection
b. An opportunistic infection
c. A nosocomial infection
d. A root cause infection

Question 51: which organization publishes the national patient safety goals?
a. Medicare
b. The american nurse association
c. The joint commission
d. The institute of medicine

Question 52: a client is in the emergency room in critical condition and hypotensive. Her spouse is
distraught. What is the priority nursing action?
a. Call a chaplain
b. Maintain the client's blood pressure
c. Provide the spouse a chair
d. Ask the client's spouse to explain what happened

Question 53: what are some of the expected outcomes when medications are given for rheumatoid
arthritis? Select all that apply.
a. Reduced inflammation
b. Increase range of motion
c. Cure the disease
d. Decreased pain
e. Increased quality of life

Question 54: The quality and risk nuse in the local hospital is performing a hospital survey on sentinel events which state would the nurse use best to describe sentinel events?
a. An event that can cause serious injury to a client that should never happen in a hospital
b. Specific events that enable a hospital to maximize reimbursement
c. An unexpected event involving death or serious physical or psychological injury
d. Operating room event involving the use of unsafe equipment

Question 55: the 65-year old male client who is complaining of blurred vision reports he thinks his glasses need to be changed all the type and he denies any type of eye pain. Which eye disorder should the nurse suspect the client has?
a. Cornea dystrophy
b. Conjunctivitis
c. Diabetic neuropathy
d. cataracts

Question 56:  the client with rheumatoid arthritis complains of intensely dry eyes. What does the nurse suspect?
a. Crohn's disease
b. Discoid lupus
c. Systemic sclerosis
d. Sjogren's syndrome

Question 57: the nurse has documented wound assessment" sharp open reddened ulcer with no slough on the anterior?
a. Stage 1
b. Stage 2
c. Stage 3
d. Stage 4
Question 58: A nurse is preparing a community presentation about repetitive muscle injuries. Which of the following occupations should the nurse identify as increase carpal tunnel syndrome?
a. Truck driver
b. Nursing assistant
c. Elementary school teacher
d. Assembly line worker

Question 59: A Nurse is teaching a hired group of unlicensed assistive personnel (UAP) about infection- control measures on the unit. What are the pathogens during client care?
A) Properly diagnosed with contaminated equipment?
B) Discard used syringes into appropriate containers
C) Change soiled linens
D) Perform hand hygiene
Question 60: A wound has a blood-tinged liquid that is dripping from the Surgical site. How does the nurse document this finding?
A) Purulent exudate
B) Creamy pus
C) Serous
D) Serosanguineous
Question 61: What lifestyle habits negatively affect skin integrity? ( Select all that apply)
A) Tanning
B) Regular exercise
C) Smoking
D) Nutritious diet
E) Tattoos
Question 62: The nurse caring for a client who develops compartment syndrome has a severely fractured arm. The client asks the nurse how this can happen?
A) "A bone fragment has injured nerve supply in the area"
B) " An injured causes impaired arterial perfusion through the compartment"
C) " Bleeding and swelling causes increased pressure in an area that cannot expand"
D) The fascia expands with injury, causing pressure on underlying "

Question 63: A nurse is teaching a client about adequate nutrition and hydration for the client with acquired immunodeficiency syndrome ( AIDS), what is important ? ( Select all that apply)
A) Include many fresh fruits and vegetables in your diet
B) Eat high-calorie foods
C) Lower your caloric intake
D) Choose foods high in protein

Question 64: A man has been admitted to the hospital unit with a medical diagnosis of chronic obstructive pulmonary disease ( COPD). He is receiving supplement cannulia, which positioning technique will best assist him with his breathing?
A) Fowler's position
B) Sim's position
C) Prone position
D) Lateral Position

Question 65: What phrase of wound healing occurs at the time of injury and lasts about 3-5 days?
A) Inflammatory
B) Proliferative
C) Maturation
D) Intentional

Question 66: The client is at risk for impaired related to the need for several weeks of bed rest. The nurse evaluates the client after one week and finds the impaired. In evaluating the plan care, what is the nurse's best action?
A) Remove the nursing diagnosis in the plan of the care since it has not occurred.
B) Keep the nursing diagnosis in the plan of care the same since the risk factors are still present.
C) Modify the nursing diagnosis in the plan of care to impaired skin integrity
D) Change the nursing diagnosis in plan of care to impaired mobility

Question 67: A nursing teacher who has gout about dietary/recommendations. The nurse should teach the client which of the following beverages?
A) Alcohol
B) Fruit juice
C) Milk
D) Coffee

Question 68: the nurse is caring for clients which of these clients with nurse see first?
A) clients with sudden and increase pain in his fracture arm
B) a client with a fracture ankle who would like a glass of water
c) a client with rheumatoid arthritis and a scheduled pain medication
d) a client being discharge in two hours and needs to be taught how to use his crutches

Question 69: a nurse is teaching a client who has a new prescription for ibuprofen to treat rheumatoid arthritis . the nurse should teach to monitor for what adveicer medication
a) constipation
B) bleeding
C) blurred vision
D) insomnia

Question 70: what steps are included in preparing a sterile field ( select all apply)
A) obtain a PAPR mask
b) do not turn away from the sterile field
c) add items to the sterile field by dropping them gently
D) cover the sterile filed once it is set up
E) prepare the client before setting up the sterile field

Question 71: a client state he has beenexperiencing oozing from his wound. What is the nurse priotyaction.
a) culture the wound
B) apply topical oiniment to the wound
C) inspect the wound and assess the drainage
D) call the provider to initiate antibiotics

Question 72: a nurse is assessing a client vital signs the oxygen saturation is 85% what intervention should the nurse perform first.
a) call the provider
B) place the client in the lithotomy position
C) raise the head of the bed.
D) obtain pain medication