Nursing Elites

1. Where will the nurse collect the most reliable source of pain assessment?

• A. From the nurse-to-nurse bedside report
• B. From a medical surgical book
• C. From the client
• D. From the client's chart

Correct answer: C

Rationale:

2. Why is traction used?

• A. It allows the bones to realign
• B. It decreases the risk of misalignment
• C. It promotes wound healing
• D. It allows the client to rest longer

Correct answer: A

Rationale: Traction is used to help align the bones properly during the healing process. Choice A is correct because traction assists in allowing the bones to realign correctly, promoting proper healing. Choice B is incorrect as traction does not decrease the risk of misalignment; instead, it helps reduce misalignment by aiding in bone alignment. Choice C is incorrect because while traction indirectly supports wound healing by ensuring proper bone alignment, its primary purpose is not wound healing. Choice D is incorrect as the primary purpose of traction is not to allow the client to rest longer, but rather to aid in bone alignment for optimal healing.

3. A nurse is caring for a 25-year-old male quadriplegic client. Which of the following treatments would the nurse perform to decrease the risk of joint contracture and promote joint mobility?

• A. Administer glucosamine supplements
• B. Turn the client every 2 hours
• C. Provide active range of motion (ROM)
• D. Provide passive range of motion (ROM)

Correct answer: D

Rationale: The correct answer is to provide passive range of motion (ROM). In quadriplegic clients, who have limited or no movement of their limbs, passive ROM exercises are crucial to maintain joint mobility and prevent joint contractures. Administering glucosamine supplements (choice A) is not directly related to promoting joint mobility. Turning the client every 2 hours (choice B) is essential for preventing pressure ulcers but does not directly address joint contracture and mobility. Providing active ROM exercises (choice C) may not be suitable for quadriplegic clients as they are unable to perform these movements on their own.

4. 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:

5. The nurse educates a client about how to reduce their risk for osteoporosis. Which of these statements by the nurse is correct? (Select all that apply)

• A. You can decrease your risk of osteoporosis by avoiding vitamin D.
• B. You can decrease your risk of osteoporosis by reducing caffeine intake.
• C. You can decrease the risk of osteoporosis by decreasing alcohol intake.
• D. You can decrease your risk of osteoporosis by reducing protein intake.

Correct answer: B

Rationale: Reducing caffeine and alcohol intake, and quitting smoking can help decrease the risk of osteoporosis.

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