Nursing Elites

1. A nurse is caring for a client who has a urinary tract infection (UTI) and is prescribed ciprofloxacin. Which of the following client statements indicates a need for further teaching?

• A. I will stop taking the medication when I feel better.
• B. I will avoid caffeine while taking this medication.
• C. I will wear sunscreen when going outside.
• D. I will drink plenty of fluids while on this medication.

Correct answer: A

Rationale: Clients should be instructed to complete the entire course of antibiotics, even if they start feeling better, to prevent antibiotic resistance and recurrence of infection.

2. A public health nurse is developing a list of interventions to address the 3 core functions of public health. What interventions should the nurse include as a part of the assurance function?

• A. Collect data on health trends in the community.
• B. Organize an immunization clinic for at-risk members of the community.
• C. Develop policies to address health disparities.
• D. Conduct research on communicable diseases in the area.

Correct answer: B

Rationale: The correct answer is B: 'Organize an immunization clinic for at-risk members of the community.' The assurance function of public health involves ensuring that essential public health services, like immunizations, are provided to meet public health goals. Choice A, collecting data on health trends, is more aligned with the assessment function of public health. Choice C, developing policies to address health disparities, pertains to the policy development function. Choice D, conducting research on communicable diseases, is related to the research function rather than the assurance function.

3. A healthcare professional is assessing a client for signs of stroke. Which of the following should the healthcare professional look for?

• A. Slurred speech
• B. Increased appetite
• C. Elevated heart rate
• D. Hyperactivity

Correct answer: A

Rationale: Corrected Question: A healthcare professional is assessing a client for signs of stroke. Slurred speech is a common sign of stroke and should be assessed immediately. Choices B, C, and D are incorrect because increased appetite, elevated heart rate, and hyperactivity are not typical signs of a stroke.

4. A healthcare professional is assessing a client for signs of depression. Which of the following findings should the healthcare professional look for?

• A. Increased energy
• B. Changes in sleep patterns
• C. Weight loss
• D. Both B and C

Correct answer: D

Rationale: When assessing a client for signs of depression, healthcare professionals should look for changes in sleep patterns and weight loss. These are common symptoms associated with depression. Increased energy (choice A) is not typically a sign of depression, as individuals with depression often experience fatigue and a lack of energy. Therefore, choices A, B, and C are incorrect, making choice D the correct answer.

5. A nurse is reviewing a client's medical record and notes that the client is taking tamoxifen. The nurse should identify that tamoxifen is used to treat which of the following conditions?

• A. Non-Hodgkin's lymphoma
• B. Endometriosis
• C. Breast cancer
• D. Polycystic ovary syndrome

Correct answer: C

Rationale: Tamoxifen is an anti-estrogen medication primarily used to treat hormone receptor-positive breast cancer. It works by blocking estrogen receptors in breast tissue, slowing the growth of tumors that require estrogen to grow. Choice A, Non-Hodgkin's lymphoma, is incorrect because tamoxifen is not indicated for its treatment. Choice B, Endometriosis, is incorrect as tamoxifen is not used for this condition. Choice D, Polycystic ovary syndrome, is also incorrect since tamoxifen is not a treatment for this syndrome.

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