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1. What is the best goal for pain control in a client with rheumatoid arthritis?
A. The client will have no pain throughout the entire day.
B. The client will have more pain throughout the day.
C. The client will eat three healthy meals today and stay hydrated.
D. The client will have pain less than 3/10 for most of the day.
Answer
The client will have pain less than 3/10 for most of the day.
2. A client is in skeletal traction.With the nurse's assessment, it is noticed that the pins
appear red, and swollen, and there is purulent drainage. What action does the nurse take
first?
A. Cleanse the skin around the pins.
B. Collect a culture of the purulent fluid.
C. Administer an antibiotic o Instruct the client to
D. Complete exercises of the affected extremity.
Answer
Collect a culture of the purulent fluid.
,3. What nursing intervention is best to improve communication with a hear- ing-impaired
client?
A. Write down the message
B. Talk loudly in the impaired ear
C. Speak slowly and clearly while
D. Facing the client
E. Talk in a regular voice in the good ear
Answer
Speak slowly and clearly while
D. Facing the client
4. 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 about it."
C. "What is your biggest fear about this diagnosis
D. "I believe you can overcome this because I've seen how strong you are."
Answer
"This must be hard news to hear. Tell me about it."
5. The nurse notices a new area of skin breakdown near the site of a dressing. This would be an example of which phase of
the nursing process.
A. Diagnosis
B. Assessment
C. Implementation
D. Evaluation
Answer
Assessment
,6. 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 with a chair
D. Ask the client's spouse to explain what happened
Answer
Maintain the client's blood pressure
7. During a skin inspection at the outpatient clinic the nurse notices patches of thick, red skin with silvery scales on the
client's elbows and knees. What skin abnormality does the nurse suspect?
A. Psoriasis
B. Rosacea
C. Scables
D. Stasis dermatitis
Answer
Psoriasis
8. A client with lupus may experience Raynaud's phenomenon. What should the nurse include when providing client
education about this?
A. "In order to avoid flare-ups of Raynaud's, ensure to keep cool."
B. In order to avoid flare-ups of Raynaud's, ensure you wear sunscreen."
C. "In order to avoid flare-ups of Raynaud's, ensure you wear gloves in winter."
D. In order to avoid flare-ups of Raynaud s erasure you brush your teeth for two minutes."
Answer
"In order to avoid flare-ups of Raynaud's, ensure you wear gloves in winter."
9. A nurse caring for an intubated and sedated geriatric client What interven- tion is most appropriate for reducing the risk
, for friction and shear injury?
A. Postpone daily bed bath
B. Elevate the client's head of the bed to 45 degrees
C. Caregiver independently slides the client up in bed
D. Use a mechanical lift to reposition the client every 2 hours
Answer
Use a mechan- ical lift to reposition the client every 2 hours
10. The 65-year-old male client who is complaining of blurred vision reports
he thinks his glasses need to be cleaned all the time, and he denies any type of eye pain. Which eye disorder should the
nurse suspect the client has?
A. Corneal dystrophy
B. Conjunctivitis
C. Diabetic retinopathy
D. Cataracts
Answer
Cataracts
11. The Client with rheumatoid arthritis complains of intensely dry eyes.What does the nurse suspect?
A. Chron's disease
B. Discoid lupus
C. Systemic sclerosis
D. Sjogren's syndrome
Answer
Sjogren's syndrome
12. The nurse assesses the client's pain prior to completing a dressing change.The client says his current pain is 5/10, but
he has a pain of 10/10 when his dressing is changed.What is the priority intervention for this client?