Nursing Elites

1. The nurse is most concerned about which of these findings in a client with systemic lupus erythematous?

• A. The client reports chronic fatigue
• B. The client has a butterfly rash
• C. Blood pressure of 126/85 mm Hg
• D. Urine output of 20 mL/hour

Correct answer: D

Rationale:

2. A client just received a diagnosis of cancer. Which statement by the nurse demonstrates empathy?

• A. "This must be hard news to hear. Tell me more about it."?
• B. "I believe you can overcome this because I have seen how strong you are."?
• C. "Tomorrow will be better."
• D. "What is your biggest fear about this diagnosis?"?

Correct answer: A

Rationale:

3. A nurse is providing oral hygiene for an unconscious client. What is the priority nursing intervention?

• A. Position the client on one side with the head turned towards you
• B. Handle dentures with care
• C. Use gentle brushing and flossing techniques for clients with fragile mucosa
• D. Have a suction apparatus ready at the bedside

Correct answer: A

Rationale:

4. Which assessment is NOT a nonverbal sing of pain?

• A. Decreased attention span
• B. Grimacing
• C. Increase in heart rate
• D. Reported pain of 5/10

Correct answer: D

Rationale:

5. The nurse is planning care for a post-operative client after a total hip arthroplasty. What is the priority nursing intervention?

• A. Observe client for changes in mental status
• B. Use aseptic technique for wound care and emptying of drains
• C. Keep the client's heels off the bed
• D. Perform neurovascular assessments per protocol

Correct answer: D

Rationale:

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