Nursing Elites

1. 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:

2. A client just received a diagnosis of cancer. Which statement by the nurse demonstrates empathy?

• A. "This must be hard news to hear. Tell me more about it."?
• B. "I believe you can overcome this because I have seen how strong you are."?
• C. "Tomorrow will be better."
• D. "What is your biggest fear about this diagnosis?"?

Correct answer: A

Rationale:

3. A nurse is providing teaching to an older client who has osteoarthritis that is affecting the knees. What statement by the client indicates a correct understanding of the teaching?

• A. I can use either heat or ice to help relieve the discomfort
• B. The purpose of drug therapy is to stop the disease progression.'
• C. I will start a daily running program to get more exercise.'
• D. I should avoid physical activity to prevent further injury.'

Correct answer: A

Rationale:

4. The nurse is caring for a client who develops compartment syndrome from a severely fractured arm. The client asks how this can happen. What is the best response by the nurse?

• A. . "The fascia expands with injury, causing pressure on underlying nerves and muscles."?
• B. "An injured artery causes impaired arterial perfusion through the compartment."?
• C. "Bleeding and swelling cause increased pressure in an area that cannot expand."?
• D. . "A bone fragment has injured the nerve supply in the area."?

Correct answer: C

Rationale:

5. A client is diagnosed with systemic sclerosis (scleroderma). What symptoms is the first to occur?

• A. Tachycardia
• B. Raynaud's phenomenon
• C. Intense wrinkle
• D. Joint pain

Correct answer: B

Rationale:

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