Nursing Elites

1. 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:

2. What is the priority intervention for the nurse to enhance meeting the psychosocial needs of a client on transmission-based precautions?

• A. Allow the client sleep to build stamina
• B. Provide the client with diversional activities
• C. Maintain a six-foot distance from the client
• D. Provide a timeframe for the isolation

Correct answer: B

Rationale:

3. What are some of the expected outcomes when medications are given for rheumatoid arthritis?

• A. Increased quality of life
• B. Increased range of motion
• C. Decreased pain
• D. Cure the disease

Correct answer: C

Rationale:

4. 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.

5. What is not appropriate client education on the preventing the spread of methicillin- resistance Staphylococcus aureus (MRSA)?

• A. Avoid contact sports until the infection has cleared
• B. Use a bath sponge to cleanse the skin
• C. Wash hands with soap and water before and after touching the infected area
• D. Use an antibacterial soap when showering

Correct answer: B

Rationale:

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