Nursing Elites

1. A client has AIDS. Which of these findings indicate possible infection?

• A. Respirations; 22 breaths per minute
• B. Client ambulates 20 feet
• C. Purulent drainage
• D. Oxygen saturation; 97% on room air

Correct answer: C

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. What is accurate health promotion teaching to prevent ear infection or trauma? (Select all that apply)

• A. Blow nose gently without blocking nostrils
• B. Wear hearing protection when exposed to loud noise
• C. Avoid using cotton-tipped applicators to clean the external ear
• D. All of the above

Correct answer: D

Rationale: The correct health promotion teachings to prevent ear infection or trauma include blowing the nose gently without blocking nostrils, wearing hearing protection when exposed to loud noise, and avoiding the use of cotton-tipped applicators to clean the external ear. Blocking one nostril when blowing the nose is incorrect, as it can cause problems. Therefore, choice A is inaccurate. Additionally, using cotton-tipped applicators to clean the external ear can lead to trauma or infection, making choice C a correct preventive measure.

4. 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

Correct answer: B

Rationale:

5. The nurse is teaching a client with debilitating rheumatoid arthritis about home safety. Which statement should the nurse include?

• A. "My grandfather always had problems with his arthritis, and he would tell me that it is better to be more stoic and not let pain interrupt your life"?
• B. "There are many adaptive devices such as grab bars, reaching tools, grasping devices, and adaptive silverware available that may help you."?
• C. "Place throw rugs throughout your home. You will enjoy how pretty they are, and you can use them to cover up power cords, so you do not trip on them."?
• D. "Lack of home safety may be an issue of compliance. Are you being compliant with your medication?"?

Correct answer: B

Rationale: The correct answer is B. This statement is the most appropriate because it focuses on providing practical solutions to enhance the client's safety at home while managing rheumatoid arthritis. Adaptive devices like grab bars, reaching tools, grasping devices, and adaptive silverware can help the client maintain independence and prevent accidents. Choice A is incorrect as it does not provide practical advice on home safety but rather a personal anecdote. Choice C is incorrect as throw rugs can pose a tripping hazard instead of enhancing safety. Choice D is also incorrect as it does not directly address home safety measures but rather shifts the focus to medication compliance.

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