Nursing Elites

1. A client with a bone cancer states that he is in too much pain to walk today. What should the nurse do first?

• A. Inquire about the frequency, quality and location of the pain
• B. Get the client pain medication
• C. Ensure the client knows he will have negative effects from immobility
• D. Review the client’s medication administration record

Correct answer: A

Rationale: Assessing the pain characteristics helps in managing the client’s pain effectively.

2. A well-rounded fitness program focuses on flexibility, resistance training and aerobic conditioning. What statements are true about a well-rounded fitness program? (Select all that apply)

• A. Movement against resistance increases muscular strength and endurance
• B. Intensity is the amount of time a person is exercising
• C. Stretching after exercise cools the muscles and limits post exercise stiffness
• D. all of the Above

Correct answer: D

Rationale: Resistance training, proper stretching, and exercise duration/intensity contribute to a well-rounded fitness program.

3. A nurse is caring for an intubated and sedated geriatric client. What intervention is most appropriate for reducing the risk for a friction and shear injury?

• A. Use a mechanical lift to reposition the client every 2 hours
• B. Elevate the client's head of the bed to 45 degrees
• C. Postpone daily bed bath
• D. Caregiver independently slides the client up in the bed

Correct answer: A

Rationale:

4. What are some of the expected outcomes when medications are given for rheumatoid arthritis?

• A. Increased quality of life
• B. Increased range of motion
• C. Decreased pain
• D. Cure the disease

Correct answer: C

Rationale:

5. On inspection, which client does the nurse suspect of having a visual impairment?

• A. The client whose sclera is white
• B. The client who has an intact blink reflex
• C. The client who is tilting their head
• D. The client with equal pupils

Correct answer: C

Rationale: Tilting the head may indicate a visual impairment as the client attempts to compensate for vision loss.

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