lOMoARcPSD|27916040
Multidimensional 1. Final Exam 100%
MDC FINAL EXAM 1
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 pain less than 3/10 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.
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.
3. What nursing intervention is best to improve communication with a hearing-impaired
client?
A. Write down the message
B. Talk loudly in the impaired ear
C. Speak slowly and clearly
while
D. facing the client o
E. Talk in a regular voce in the good
ear
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.”
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
, lOMoARcPSD|27916040
Multidimensional 1. Final Exam 100%
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
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
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.”
9. A nurse caring for an intubated and sedated geriatric client What intervention 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
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
11. TheClient with rheumatoid arthritis complains of intensely dry eyes. What does the
nurse suspect? A. Chron's disease
, lOMoARcPSD|27916040
Multidimensional 1. Final Exam 100%
B. Discoid lupus
C. Systemic sclerosis
D. 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? A. Remove the old dressing with clean gloves
B. Check medication administration record (MAR) for as-
needed
orders (PRN)
C. Teach the client about nonpharmacological pain control methods
D. Offer the client protein with meals to promote healing
12. The nurse is caring for four clients. Which of these clients will the nurse
see first?
A. A client with sudden and increasing pain in his fractured arm
B. A client with a fractured ankle who would like a glass of water
C. A client with rheumatoid arthritis and a scheduled pain medication
D. A client being discharged in two hours and needs to be taught how to use his crutches
14. A wound has a blood-tinged liquid that is dripping from the surgical site. How does the
nurse document this finding?
A. Purulent
B.exudate
C.Creamy pus
D.Serous o
E.Serosanguineou
15. What are some of the expected outcomes when medications are given for rheumatoid
arthritis? (Select all that apply)
A. Reduced inflammation
B. Increased range of motion
C. Cure the disease
D. Decreased pain E. Increased
quality of life
16. What is a priority nursing intervention for a client with lupus who is receiving steroids
for a flare-up?
A. The nurse washes their hands before entering the
room.
B. Assist with the enhancement of soda well-being by providing activities.
, lOMoARcPSD|27916040
Multidimensional 1. Final Exam 100%
C. Assess the client's support system.
D. Ensure privacy by keeping the door always closed.
17. The nurse is providing medication education for a client with osteoarthritis. What
teaching should the nurse include in the education?
A. The main side effect of acetaminophen is gastrointestinal (GI) bleeding. You
B. should not take more than 4000 mg of acetaminophen a day.
C. Nonsteroidal anti-inflammatory drugs (NSAIDs) are very safe and are known to have
no side effects.
D. The most common adverse effect of nonsteroidal anti-inflammatory drugs
(NSAIDs) are liver failure and tinnitus.
18. A nurse is providing education for a client who has glaucoma. Which of the following
statements should the nurse include in the teaching?
A. “Without treatment, glaucoma can cause blindness."
B. Double vision is a common symptom of glaucoma."
C. "Glaucoma is caused by inadequate production of
fluid within the eye."
D. "Use of eye drops will improve vision over time."
19. What is not appropriate client education on me preventing the spread of
methicillinresistant Staphylococcus aureus (MRSA)?
A. Avoid contact sports until the Infection has cleared.
B. Use an antibacterial soap when showering.
C. Use a bath sponge to cleanse the
skin.
D. Wash hands with soap and water before and after touching
the infected area.
20. A nurse is teaching a client about adequate nutrition and hydration for the client with
acquired immunodeficiency syndrome (AIDS). What is important to teach the client?
(Select all that apply.)
A. Include many fresh fruits and vegetables in
your diet.
B. Drink at least 2 to 3 L of fluids per
day
C. Eat high-calorie
foods
D. Lower your caloric intake
E. Choose foods high in
protein
Multidimensional 1. Final Exam 100%
MDC FINAL EXAM 1
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 pain less than 3/10 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.
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.
3. What nursing intervention is best to improve communication with a hearing-impaired
client?
A. Write down the message
B. Talk loudly in the impaired ear
C. Speak slowly and clearly
while
D. facing the client o
E. Talk in a regular voce in the good
ear
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.”
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
, lOMoARcPSD|27916040
Multidimensional 1. Final Exam 100%
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
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
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.”
9. A nurse caring for an intubated and sedated geriatric client What intervention 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
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
11. TheClient with rheumatoid arthritis complains of intensely dry eyes. What does the
nurse suspect? A. Chron's disease
, lOMoARcPSD|27916040
Multidimensional 1. Final Exam 100%
B. Discoid lupus
C. Systemic sclerosis
D. 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? A. Remove the old dressing with clean gloves
B. Check medication administration record (MAR) for as-
needed
orders (PRN)
C. Teach the client about nonpharmacological pain control methods
D. Offer the client protein with meals to promote healing
12. The nurse is caring for four clients. Which of these clients will the nurse
see first?
A. A client with sudden and increasing pain in his fractured arm
B. A client with a fractured ankle who would like a glass of water
C. A client with rheumatoid arthritis and a scheduled pain medication
D. A client being discharged in two hours and needs to be taught how to use his crutches
14. A wound has a blood-tinged liquid that is dripping from the surgical site. How does the
nurse document this finding?
A. Purulent
B.exudate
C.Creamy pus
D.Serous o
E.Serosanguineou
15. What are some of the expected outcomes when medications are given for rheumatoid
arthritis? (Select all that apply)
A. Reduced inflammation
B. Increased range of motion
C. Cure the disease
D. Decreased pain E. Increased
quality of life
16. What is a priority nursing intervention for a client with lupus who is receiving steroids
for a flare-up?
A. The nurse washes their hands before entering the
room.
B. Assist with the enhancement of soda well-being by providing activities.
, lOMoARcPSD|27916040
Multidimensional 1. Final Exam 100%
C. Assess the client's support system.
D. Ensure privacy by keeping the door always closed.
17. The nurse is providing medication education for a client with osteoarthritis. What
teaching should the nurse include in the education?
A. The main side effect of acetaminophen is gastrointestinal (GI) bleeding. You
B. should not take more than 4000 mg of acetaminophen a day.
C. Nonsteroidal anti-inflammatory drugs (NSAIDs) are very safe and are known to have
no side effects.
D. The most common adverse effect of nonsteroidal anti-inflammatory drugs
(NSAIDs) are liver failure and tinnitus.
18. A nurse is providing education for a client who has glaucoma. Which of the following
statements should the nurse include in the teaching?
A. “Without treatment, glaucoma can cause blindness."
B. Double vision is a common symptom of glaucoma."
C. "Glaucoma is caused by inadequate production of
fluid within the eye."
D. "Use of eye drops will improve vision over time."
19. What is not appropriate client education on me preventing the spread of
methicillinresistant Staphylococcus aureus (MRSA)?
A. Avoid contact sports until the Infection has cleared.
B. Use an antibacterial soap when showering.
C. Use a bath sponge to cleanse the
skin.
D. Wash hands with soap and water before and after touching
the infected area.
20. A nurse is teaching a client about adequate nutrition and hydration for the client with
acquired immunodeficiency syndrome (AIDS). What is important to teach the client?
(Select all that apply.)
A. Include many fresh fruits and vegetables in
your diet.
B. Drink at least 2 to 3 L of fluids per
day
C. Eat high-calorie
foods
D. Lower your caloric intake
E. Choose foods high in
protein
