Nursing Elites

1. A client is experiencing numbness and tingling distal to a new arm cast with no increase in pain. The nurse assesses that the client's fingers are pale, cool and swollen. What action does the nurse take next?

• A. Remove the cast to decrease pressure
• B. Raise the arm above the level of the heart
• C. Apply heat to the affected hand
• D. Encourage range of motion

Correct answer: B

Rationale:

2. The client states, "Why am I getting protein supplements while I am healing from a bed sore?"? What is the best response by the nurse?

• A. Because it is easy to digest.'
• B. Protein has amin acid that promotes wound healing.'
• C. If you do not like it, you do not have to take it.'
• D. These supplements have nothing to do with your wound,'

Correct answer: B

Rationale:

3. A nurse is teaching a client who has fibromyalgia about strategies that might help reduce her symptoms. What should the nurse include in the client education?

• A. Avoid exercise during flare-ups
• B. Do high impact exercises like running
• C. Establish a regular sleep pattern
• D. Increase calcium and caffeine intake

Correct answer: C

Rationale:

4. Which organization publishes the National Patient Safety Goals?

• A. The Joint Commission
• B. Medicare
• C. The American Nurses Association
• D. The Institute of Medicine

Correct answer: A

Rationale:

5. A client sustained a crushing injury to his right arm during a car accident. He arrives to the emergency room complaining of numbness in his right hand. He has no other injuries. What should the nurse do first?

• A. Assess the right radial pulse
• B. Call the provider
• C. Administer pain medication
• D. Assess the right pedal pulse

Correct answer: A

Rationale: Assessing the radial pulse checks for adequate circulation and potential complications.

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