Nursing Elites

1. A client has sustained an open fracture. How can the nurse best prevent osteomyelitis in this client?

• A. Administer pain medication
• B. Use proper hand hygiene and strict infection control
• C. Delegate all client personal care to specific unlicensed assistive personnel
• D. Plate the client in contact precautions

Correct answer: B

Rationale:

2. A client has suffered from a femur fracture. What is the nurse's priority assessment?

• A. Pain
• B. Medication history
• C. Pedal pulses
• D. Socio-economic status

Correct answer: C

Rationale:

3. A client sustains an injury to his heel while the unlicensed assistive personnel and the nurse are moving him up in bed. What force caused the injury?

• A. Shearing or friction
• B. Twisting and bending
• C. Pressure or gravity
• D. Chemical or pressure

Correct answer: A

Rationale:

4. What nursing intervention is best to improve communication with a hearing-impaired client?

• A. Speak slowly and clearly while facing the client
• B. Write down the message
• C. Talk in a regular voice in the good ear
• D. Shout in the impaired

Correct answer: A

Rationale: Speaking slowly and clearly while facing the client improves communication with hearing-impaired clients.

5. A wound has a blood-tinged liquid that is dripping from the surgical site. How does the nurse document this finding?

• A. Creamy pus
• B. Serous
• C. Serosanguineous
• D. Purulent exudate

Correct answer: C

Rationale:

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