A client with AIDS has Pneumocystis carinii (PCP). What is the nurse’s priority assessment
for this client?
Lung sounds
How many ml is one teaspoon?
5 teaspoons
The client with RA is having her rheumatoid factor drawn while she is having a flare-up of
the disease. Which result is seen in clients with RA?
A positive rheumatoid factor
A nurse is providing education for a client who has glaucoma. Which of the following
statements should the nurse include in the teaching?
“Without treatment, glaucoma can cause blindness.”
A nurse is caring for an immobile client. What is the priority assessment in this client?
Assessment of skin turgor
A client with a diagnosis of HIV develops pneumonia. What type of infection is this?
An opportunistic infection
What level of Maslow hierarchy does shelter belong to
Physiological
A client states that he has been experiencing oozing from his wound. What is the nurse’s
priority?
Inspect the wound and assess the drainage
What is not a potential complication of RA?
Paresthesia
The nurse is planning care for a post-operative client after a total hip arthroplasty. What is
the priority nursing intervention?
Perform neurovascular assessment per protocol
The nurse is providing medication education for a client with osteoarthritis. What teaching
should the nurse include in the education?
You should not take more than 4,000 mg of acetaminophen a day
The mother of a newborn baby is concerned that the baby will develop illnesses from being
around people from outside of their family. What is the nurse’s best response?
“Tell me more about that.”
,The nurse is preparing to administer medication to a client with osteoarthritis. What is the
goal of medication therapy?
Reduce pain and inflammation
The nurse has documented the following wound assessment: “Shallow open, reddened
ulcer with no slough on the anterior region of the right heel?” What stage is the wound?
Stage 2
By providing measures to prevent skin breakdown, how does the nurse break the chain of
infection?
Maintaining the integrity of a portal of entry
A client has sustained an open fracture. How can the nurse best prevent osteomyelitis in
this client?
Use proper hygiene and strict infection control.
What is not an appropriate nursing intervention for psoriasis?
Apply rubbing alcohol to plaques
How many milligrams is 3,000 mcg?
3 mg
Where will the nurse collect the most reliable source of pain assessment?
From the client
Which of the following would be the most appropriate goal for an elderly client with a
nursing diagnosis of risk for injury after hip surgery?
Client will remain free from falls throughout their hospital stay.
Dry skin (xerosis) can lead to itching (pruritis). What statement by the client indicates a
need for further teaching about preventing dry skin?
“I will shower every day in hot water.”
What client is a susceptible host most at risk for infection?
A client with leukemia
A nurse is caring for a client who has MRSA in an abdominal wound. The nurse prepares to
enter the room to check the client’s pulse. What PPE should the nurse don?
Gown
What nursing interventions decrease the risk of pressure injuries? (Select all that apply)
Keep HOB at or less than 30 degrees
Pad hard surfaces
Place pillows between bony surfaces
, The nurse is most concerned about which of these findings in a client with lupus?
The client has a butterfly rush
A client with lupus may experience Raynaud’s Phenomenon. What should the nurse
include when providing client education about this?
“In order to avoid flare ups of Raynaud’s, ensure you wear gloves in winter.”
The nurse is teaching a client with debilitating RA about home safety. Which statement
should the nurse include?
“There are many adaptive devices such as grab bars, reaching tools, grasping devices,
and adaptive silverware available that may help you.”
A client does not understand why vision loss due to glaucoma is irreversible. What is the
nurse’s best explanation?
Once the tissue has necrosed from high-pressure, it does not regenerate.
Which of the following nonpharmacological methods can be used to manage the chronic
pain of a client with RA? (Select all that apply)
Adequate rest
Heat for 20-30 minutes
Hot showers
A client is admitted for treatment of a wound. What is true about wound healing and
nutrition?
Wound healing is negatively impacted by poor nutrition.
A client is in skeletal traction. With the nurse’s assessment, it is noted that the pins appear
red, swollen, and there is purulent drainage. What action does the nurse take first?
Collect a culture of the purulent fluid.
When providing a routine bed bath, what action does the nurse complete first?
Cleanse the client’s face
What is a symptom of the expected disease pattern of RA?
Bilateral joint pain
What can the nurse teach a client with AIDS to reduce the risk of infection (Select all that
apply)
Avoid raw fruits and vegetables
Avoid cleaning your toothbrush with bleach
Wash your hands thoroughly
A nurse is providing oral hygiene for an unconscious client. What is the priority nursing
intervention?
for this client?
Lung sounds
How many ml is one teaspoon?
5 teaspoons
The client with RA is having her rheumatoid factor drawn while she is having a flare-up of
the disease. Which result is seen in clients with RA?
A positive rheumatoid factor
A nurse is providing education for a client who has glaucoma. Which of the following
statements should the nurse include in the teaching?
“Without treatment, glaucoma can cause blindness.”
A nurse is caring for an immobile client. What is the priority assessment in this client?
Assessment of skin turgor
A client with a diagnosis of HIV develops pneumonia. What type of infection is this?
An opportunistic infection
What level of Maslow hierarchy does shelter belong to
Physiological
A client states that he has been experiencing oozing from his wound. What is the nurse’s
priority?
Inspect the wound and assess the drainage
What is not a potential complication of RA?
Paresthesia
The nurse is planning care for a post-operative client after a total hip arthroplasty. What is
the priority nursing intervention?
Perform neurovascular assessment per protocol
The nurse is providing medication education for a client with osteoarthritis. What teaching
should the nurse include in the education?
You should not take more than 4,000 mg of acetaminophen a day
The mother of a newborn baby is concerned that the baby will develop illnesses from being
around people from outside of their family. What is the nurse’s best response?
“Tell me more about that.”
,The nurse is preparing to administer medication to a client with osteoarthritis. What is the
goal of medication therapy?
Reduce pain and inflammation
The nurse has documented the following wound assessment: “Shallow open, reddened
ulcer with no slough on the anterior region of the right heel?” What stage is the wound?
Stage 2
By providing measures to prevent skin breakdown, how does the nurse break the chain of
infection?
Maintaining the integrity of a portal of entry
A client has sustained an open fracture. How can the nurse best prevent osteomyelitis in
this client?
Use proper hygiene and strict infection control.
What is not an appropriate nursing intervention for psoriasis?
Apply rubbing alcohol to plaques
How many milligrams is 3,000 mcg?
3 mg
Where will the nurse collect the most reliable source of pain assessment?
From the client
Which of the following would be the most appropriate goal for an elderly client with a
nursing diagnosis of risk for injury after hip surgery?
Client will remain free from falls throughout their hospital stay.
Dry skin (xerosis) can lead to itching (pruritis). What statement by the client indicates a
need for further teaching about preventing dry skin?
“I will shower every day in hot water.”
What client is a susceptible host most at risk for infection?
A client with leukemia
A nurse is caring for a client who has MRSA in an abdominal wound. The nurse prepares to
enter the room to check the client’s pulse. What PPE should the nurse don?
Gown
What nursing interventions decrease the risk of pressure injuries? (Select all that apply)
Keep HOB at or less than 30 degrees
Pad hard surfaces
Place pillows between bony surfaces
, The nurse is most concerned about which of these findings in a client with lupus?
The client has a butterfly rush
A client with lupus may experience Raynaud’s Phenomenon. What should the nurse
include when providing client education about this?
“In order to avoid flare ups of Raynaud’s, ensure you wear gloves in winter.”
The nurse is teaching a client with debilitating RA about home safety. Which statement
should the nurse include?
“There are many adaptive devices such as grab bars, reaching tools, grasping devices,
and adaptive silverware available that may help you.”
A client does not understand why vision loss due to glaucoma is irreversible. What is the
nurse’s best explanation?
Once the tissue has necrosed from high-pressure, it does not regenerate.
Which of the following nonpharmacological methods can be used to manage the chronic
pain of a client with RA? (Select all that apply)
Adequate rest
Heat for 20-30 minutes
Hot showers
A client is admitted for treatment of a wound. What is true about wound healing and
nutrition?
Wound healing is negatively impacted by poor nutrition.
A client is in skeletal traction. With the nurse’s assessment, it is noted that the pins appear
red, swollen, and there is purulent drainage. What action does the nurse take first?
Collect a culture of the purulent fluid.
When providing a routine bed bath, what action does the nurse complete first?
Cleanse the client’s face
What is a symptom of the expected disease pattern of RA?
Bilateral joint pain
What can the nurse teach a client with AIDS to reduce the risk of infection (Select all that
apply)
Avoid raw fruits and vegetables
Avoid cleaning your toothbrush with bleach
Wash your hands thoroughly
A nurse is providing oral hygiene for an unconscious client. What is the priority nursing
intervention?
