Nursing Elites

1. What is one of the earliest signs of fat embolism syndrome?

• A. Paresthesia
• B. Severe pain in the affected limb unrelieved by medication
• C. Edema
• D. Hypoxemia

Correct answer: D

Rationale: Hypoxemia is one of the earliest signs of fat embolism syndrome. In fat embolism syndrome, fat globules enter the bloodstream and can obstruct blood flow in the lungs, leading to hypoxemia. Paresthesia, severe pain unrelieved by medication, and edema are not typically among the earliest signs of fat embolism syndrome.

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. A nurse is teaching a client how to follow a low-purine diet as prescribed by the provider for the management of gout. What statement by the client indicates a correct understanding of the teaching?

• A. "I should choose red meat instead of poultry."?
• B. "I should avoid eating liver and other organ meats."?
• C. I can drink only white wine."?
• D. "I will need to limit the number of fruit servings each day."?

Correct answer: B

Rationale:

4. The nurses assess the client's pain prior to completing a dressing change. The client says his current pain is 5/10, but he has pain of 10/10 when his dressing is changed. What is the priority intervention for this client?

• A. Offer the client protein with meals to promote healing
• B. Remove the old dressing with clean gloves
• C. Teach the client about nonpharmacological pain control methods
• D. Check medication administration record (MAR)for as needed orders (PRN)

Correct answer: C

Rationale:

5. What nursing intervention is appropriate for a client with systemic lupus erythematous (SLE)?

• A. Intense cold therapy to the extremities
• B. Encourage ultraviolet (UV) light exposure
• C. Administer topical hydrocortisone
• D. Administer antibiotics

Correct answer: C

Rationale:

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