Nursing Elites

1. The nurse will be using the Braden Scale with each admit to the long-term care center. Which of these will NOT be utilized in a Braden Scale Assessment?

• A. Mental state
• B. Friction and shear
• C. Nutrition
• D. Sensory perception

Correct answer: A

Rationale:

2. What level of Maslow's Hierarchy of needs does shelter belong to?

• A. Love and belonging
• B. Physiological
• C. Safety and security
• D. Esteem

Correct answer: C

Rationale:

3. What occurs during stage three of bone healing?

• A. Consolidation
• B. Callus formation
• C. Granulation formation
• D. Hematoma formation

Correct answer: B

Rationale: During stage three of bone healing, callus formation occurs. This process involves the formation of a soft callus made of collagen and cartilage, which bridges the gap between bone fragments. Choice A, consolidation, typically happens in later stages and involves the hardening of the callus into mature bone. Choices C and D are incorrect as granulation formation and hematoma formation occur in earlier stages of bone healing, specifically stages one and two, respectively.

4. What is the nurse's priority action for a client with compromised immunity?

• A. Wash hands before entering the client's room
• B. Take the client's vital signs every 4 hours
• C. Determine whether it is temporary or permanent
• D. Teach the family members to receive the flu shot annually

Correct answer: A

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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