Review Key Concept & Assessment Questions with Verified
Answers | A+ Guaranteed - Rasmussen
1. BNA client with acquired immune deficiency syndrome (AIDS) has
Pneumocystis carinii (PCP). What is the nurse’s priority assessment for this
client?
a. Lung sounds
b. Skin Turgor
c. Radial pulses
d. Capillary refill
2. How many ml is one teaspoon? (Record answer as a whole number. Type
answer as numeric only.)
5
3. The client with rheumatoid arthritis is having her rheumatoid factor (RF)
drawn while she is having a flare-up of the disease. Which result is seen in
clients with rheumatoid arthritis?
a. A positive rheumatoid factor
b. Factor does not change
c. A negative rheumatoid factor
d. decreased level of rheumatoid factor
4. A nurse is providing education for a client who has glaucoma which of the
following statements should the nurse include in the teaching?
a. “Use of eye drops will improve vision overtime.”
b. “Without treatment, glaucoma can cause blindness.”
c. “Double vision is a common symptom of glaucoma.”
d. “Glaucoma is caused by inadequate production of fluid within the eye.”
5. A nurse is caring for an immobile client. What is the priority assessment in
this client?
, a. Assessment of skin turgor
b. Auscultation of bowel sounds
c. Auscultation of lungs sounds
d. Assessment for the presence of peripheral edema
6. A client with a diagnosis of human immunodeficiency virus (HIV) develops
pneumonia. What type of infection is this?
a. A nosocomial infection
b. A pathogenic infection
c. An opportunistic infection
d. A root cause infection
7. What level of Maslow hierarchy does shelter belong to
a. Esteem
b. Love and belonging
c. Safety and security
d. physiological
8. A client states that he has been eẋperiencing ooẓing from his wound. What is
the nurse priority?
a. Inspect the wound and assess the drainage
b. Call the provide to initiate antibiotics
c. Appy topical ointment to the wound
d. Culture the wound
,9. (19). What is not a potential complication of rheumatoid arthritis?
a. Joint deformity
b. fibromyalgia
c. Paresthesia
d. Dry eye
10.(20) The nurse is planning care for a post-operative client after a total hip
arthroplasty. What is the priority nursing intervention?
a. Perform neurovascular assessment per protocol
b. Use aseptic techniques for wound care and emptying of drains
c. Observe client for changes in mental status
d. keep the client’s heels off the bed
11.(9) The nurse is providing medication education for a client with osteoarthritis. What
teaching should the nurse include in the education?
a. Nonsteroidal anti-inflammatory drug (NSAIDs) are very safe and are known to
have no side effect
b. The main side effect of acetaminophen is gastrointestinal (GI) bleeding
c. You should not take more than 4000mg of acetaminophen a day
d. The most common adverse effect of nonsteroidal anti-inflammatory drugs
(NSAIDs)
12. (10) The mother of a new born baby is concerned that the baby will develop illnesses from
being around people from outside of their family. What is the nurse’s best response?
a. “I did that, and my kids turned out just fine”
b. “Why do you think that it is a bad idea?”
c. “You should never go around people after you baby is born”
d. “Tell me more about that”
13.(21) the nurse is preparing to administer medication to a client with
osteoarthritis. what is the goal of medication therapy?
a. Eradicate the disease
b. Manage weight loss
c. Reduce pain and inflammation
d. Turn of the immune system
14.(22) The nurse has documented the following wound assessment: “Shallow open,
, reddened ulcer with no slough on the anterior region of the right heel?” What
stage is the wound?
a. Stage 3
b. Stage 2
c. Stage 4
d. Stage 1
15.(29) By providing measures to prevent skin breakdown, how does the nurse break
the chain of infection
a. Creating a reservoir to decrease the risk of infection
b. Maintaining the integrity of a portal of entry
c. Serialiẓing the area to reduce the reservoir risk
d. Creating a susceptible host