Nursing Elites

1. During a skin inspection at the outpatient clinic, the nurse notices patches of thick, red skin with silvery scales on the client's elbows and knees. What skin abnormality does the nurse suspect?

• A. Scabies
• B. Rosacea
• C. Psoriasis
• D. Statis dermatitis

Correct answer: C

Rationale:

2. The following client come to the ophthalmology clinic. Which client needs to be seen first?

• A. Client who had recent cataract surgery and has worsening vision
• B. Client with an absent red reflex on ophthalmic examination
• C. Client with an intraocular pressure of 24 mm Hg
• D. Client with a tearing, reddened eye with exudate

Correct answer: A

Rationale: Worsening vision after cataract surgery requires immediate attention to prevent complications.

3. What medication class can decrease tissue in inflammation but delays bone healing?

• A. Opioids
• B. Anticoagulants
• C. Narcotics
• D. Nonsteroidal anti-inflammatory drugs (NSAIDS)

Correct answer: D

Rationale:

4. What steps are NOT included in preparing a sterile field?

• A. Do not turn away from the sterile field
• B. Obtain PAPR mask
• C. Prepare the client before setting up the sterile field
• D. Cover the sterile field once it is set up

Correct answer: B

Rationale:

5. The nurse is assessing a client who had a cast placed 4 hours ago. What assessment finding is cause for concern?

• A. The nurse assesses capillary refill of 2 seconds
• B. The nurse cannot insert one finger between the cast and the skin
• C. The nurse finds 2+ pulses distal from the cast
• D. The nurse does not observe any drainage

Correct answer: B

Rationale: Inability to insert a finger between the cast and skin indicates the cast is too tight, risking circulation problems.

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