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. What are signs of hearing loss? (Select all that apply)

• A. Answering questions correctly
• B. Presence of cerumen
• C. Tinnitus
• D. Frequent asking of others to repeat statements

Correct answer: C

Rationale: Signs of hearing loss include tinnitus, frequent asking to repeat statements, and shouting in conversations.

3. A client has AIDS. Which of these findings indicate possible infection?

• A. Respirations; 22 breaths per minute
• B. Client ambulates 20 feet
• C. Purulent drainage
• D. Oxygen saturation; 97% on room air

Correct answer: C

Rationale:

4. Which test is used in the diagnosis of osteoporosis?

• A. Phalen's maneuver
• B. Dual-energy X-ray absorptiometry (DXA) scan
• C. Proprioception
• D. Blood culture

Correct answer: B

Rationale: The correct answer is B, Dual-energy X-ray absorptiometry (DXA) scan, which is commonly used to diagnose osteoporosis by measuring bone mineral density. Phalen's maneuver (choice A) is a test used to assess for carpal tunnel syndrome and is not related to osteoporosis. Proprioception (choice C) refers to the sense of body position and is not a diagnostic test for osteoporosis. Blood culture (choice D) is used to detect infections caused by bacteria in the bloodstream and is not relevant to the diagnosis of osteoporosis.

5. The quality and risk nurse in the local hospital is performing a hospital survey on sentinel events. Which statements would the nurse use to best describe a sentinel event?

• A. Operating room event involving the use of unsafe equipments
• B. Specific events that enable a hospital to maximize reimbursement
• C. An unexpected event involving death or serious physical or psychological injury
• D. An event that can cause serious injury to a client that should never happen in a hospital

Correct answer: C

Rationale:

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