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. What is a symptom of the expected disease pattern of rheumatoid arthritis?

• A. Unilateral joint pain
• B. Bilateral joint pain
• C. Contralateral joint pain
• D. Obtuse variety joint pain

Correct answer: B

Rationale:

3. A client has an open wound with creamy thick yellow drainage. How would the nurse document this finding?

• A. Purulent
• B. Serosanguinous
• C. Sanguineous
• D. Serous

Correct answer: A

Rationale:

4. The client states, “the doctor says I am nearsighted. I do not get it.” What would be the best response by the nurse?

• A. I am sorry you did not understand. Would you like a different doctor?
• B. Nearsighted, or myopia means that you have difficulty seeing things at a distance.
• C. You will need to have glasses.
• D. This means you won’t ever need glasses.

Correct answer: B

Rationale: The correct response is to explain to the client what nearsightedness means, which is having difficulty seeing distant objects, as known as myopia. Choice A is not helpful as changing doctors is not necessary for this situation. Choice C is premature as wearing glasses is a possible solution but not the only one. Choice D is incorrect as nearsightedness (myopia) often requires glasses for correction.

5. To promote independence, which of these is the best intervention to implement?

• A. Perform the client’s activities of daily living for them.
• B. Speak directly in front of the client so they can read your lips well.
• C. Give the client their washcloth and toothbrush and leave the room.
• D. Allow the client to perform the activities of daily living they are able to do.

Correct answer: D

Rationale: The correct answer is to allow the client to perform the activities of daily living they are able to do. This intervention promotes independence by encouraging clients to maintain their functional abilities. Choice A is incorrect as performing the client's activities of daily living for them does not empower independence. Choice B is irrelevant to promoting independence. Choice C is not actively promoting independence as it involves leaving the client alone without any guidance or support.

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