Nursing Elites

1. A nurse is preparing a community presentation about repetitive motion injuries. Which of the following occupations should the nurse identify as increasing a client's risk for carpal tunnel syndrome?

• A. Elementary school teacher
• B. Nursing assistant
• C. Assembly line worker
• D. Truck driver

Correct answer: A

Rationale:

2. The client moves both crutches forward, with weight on the unaffected leg, and then moves the unaffected leg forward, shifting weight onto it. Which of the following gaits is being utilized?

• A. Two-point gait
• B. Three-point gait
• C. Four-point gait
• D. Unaffected gait

Correct answer: B

Rationale: The correct answer is B, Three-point gait. In a three-point gait, one leg is non-weight bearing, as described in the scenario where the client shifts weight onto the unaffected leg. Choices A, C, and D are incorrect. A two-point gait involves partial weight-bearing on both legs, a four-point gait involves weight-bearing on both legs, and 'Unaffected gait' is not a recognized term in gait patterns.

3. The nurse is preparing communication for a provider. The client is experiencing acute pain greater than the severity of the fracture. Distal to the injury, he is experiencing a 'pins and needles' sensation. The pulse is weak and thready but is bounding on all unaffected extremities. What emergent condition does the nurse suspect?

• A. Ischial tuberosity
• B. Compartment syndrome
• C. Broken arm syndrome
• D. Pulmonary embolism

Correct answer: B

Rationale:

4. What is the likely reason that a client with acquired immunodeficiency syndrome (AIDS) would succumb to pneumonia while a healthy person exposed to the same infection did not?

• A. The client with AIDS is a susceptible host
• B. The client with AIDS has greater immune defenses
• C. The client with AIDS was not as careful
• D. The client with AIDS has more portals of entry

Correct answer: A

Rationale:

5. The nurse is preparing to administer medications to a client with osteoarthritis. What is the goal of medication therapy?

• A. Eradicate the disease
• B. Reduce pain and inflammation
• C. Turn on the immune system
• D. Manage weight loss

Correct answer: B

Rationale:

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