Nursing Elites

1. Dry skin (Xerosis) can lead to itching (Pruritis). What statement by the client indicates need for further teaching about preventing dry skin?

• A. I will drink at least 3000 mL of water daily."?
• B. . 'I will shower every day in hot water."?
• C. I will avoid tights belts."?
• D. I will use a humidifier during the winter months."?

Correct answer: B

Rationale:

2. An area of erythema on the child's skin is being assessed by the nurse. The nurse presses down on the area, and the area becomes white. What time does the nurse document for this finding?

• A. Non-blanching
• B. Blanching
• C. Redness
• D. Warmth

Correct answer: B

Rationale:

3. The nurse assesses a deep wound. The area is covered by black and necrotic tissue. What term would the nurse use when documenting this wound?

• A. Tunnelling
• B. Eschar
• C. Blanching
• D. Cellulitis

Correct answer: B

Rationale:

4. 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:

5. What is not an inappropriate nursing intervention for psoriasis?

• A. Teach the client how to utilize UV radiation
• B. Apply rubbing alcohol to plaques
• C. Apply corticosteroids as ordered
• D. Urge the client to consider participating in support groups

Correct answer: B

Rationale:

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