Nursing Elites

1. On inspection, which client does the nurse suspect of having a visual impairment?

• A. The client whose sclera is white
• B. The client who has an intact blink reflex
• C. The client who is tilting their head
• D. The client with equal pupils

Correct answer: C

Rationale: Tilting the head may indicate a visual impairment as the client attempts to compensate for vision loss.

2. A client with chronic osteomyelitis is being discharged from the hospital. What is the nurse’s priority discharge intervention?

• A. Teaching adherence to an exercise program
• B. Teaching about a healthy dietary intake
• C. Teaching adherence to the antibiotic regimen
• D. Scheduling daily dressing changes

Correct answer: C

Rationale: The correct answer is C: Teaching adherence to the antibiotic regimen. In chronic osteomyelitis, the priority is to ensure proper treatment of the infection, which heavily relies on consistent adherence to the prescribed antibiotic regimen. This helps in eradicating the infectious organisms and preventing recurrence. Choices A, B, and D are important aspects of care but teaching adherence to the antibiotic regimen takes precedence as it directly impacts the successful management of chronic osteomyelitis.

3. A client recently had an above the knee amputation and complains of pain distal to the amputation. What type of pain is the client experiencing?

• A. Nociceptive
• B. Neuropathic
• C. Visceral
• D. Cutaneous

Correct answer: A

Rationale:

4. Antibodies are passed from mother to fetus through the placenta. What is this type of immunity called?

• A. Artificial passive
• B. Natural passive
• C. Natural active
• D. Artificial active

Correct answer: B

Rationale:

5. What is the priority nursing diagnosis for a client with metastatic bone disease?

• A. Chronic pain
• B. Impaired mobility
• C. Risk for falls
• D. Risk for infection

Correct answer: C

Rationale: The correct answer is 'Risk for falls.' In clients with metastatic bone disease, weakened bones can lead to an increased risk of falls, making it a priority nursing diagnosis. Chronic pain (choice A) may be present but addressing the risk for falls is more critical in this situation. While impaired mobility (choice B) can be a consequence of metastatic bone disease, preventing falls takes precedence. Risk for infection (choice D) is not the priority in this case, as falls pose a more immediate threat to the client's safety.

Similar Questions