QUESTIONS AND SOLUTIONS
◉ The nurse 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. Answer: b. Stage 2
◉ A client is admitted for treatment of a wound. What is true about
wound healing and nutrition. Answer: c. Wound healing is negatively
impacted by poor nutrition
◉ What steps are included In preparing a sterile field? select all that
apply. Answer: b. Do not turn away from the sterile field
c. Add items to the sterile field by dropping them gently
e. prepare the client before setting up sterile field
◉ The nurse notices a new area of skin breakdown near the site of a
dressing. This would be an example of which phase of the nursing
process?. Answer: b. Assessment
◉ What statement by the client indicates a correct understanding of
the timing of progression of human immunodeficiency virus (HIV) to
acquired immunodeficiency syndrome (AIDS)?. Answer: b. My diet
does not influence the progression of HIV to AIDS
,◉ How many mg is 3000 mcg?. Answer: 3
◉ Which organization published the National Patient Safety Goals?.
Answer: c. The Joint Commission
◉ A client on bedrest complains of pain and burning in the right calf
area. What is the nurse's next action?. Answer: c. Compare the
circumference to the left calf
◉ A nurse working on an orthopedic unit is caring for four clients.
Which of the following client should the nurse identify as being at
highest risk for skin breakdown?. Answer: d. An older adult who has
a hip fracture and is immobile
◉ A client has cellulitis on his left arm. What statement by the client
indicate s a correct understanding of symptom management?.
Answer: c. I can use a warm, moist towel on my arm
◉ A nurse is providing oral hygiene for an unconscious client. What
is the priority nursing intervention?. Answer: c. Position the client
on one side with the head turned towards you
◉ The nurse is providing medication education for a client with
osteoarthritis. What teaching should the nurse include in the
, education?. Answer: b. You should not take more than 4000 mg of
acetaminophen a day
◉ What is not appropriate client education on the preventing the
spread of methicillin- resistance Staphylococcus aureus (MRSA).
Answer: c. Use a bath sponge to cleanse the skin
◉ A client with acquired immunodeficiency syndrome (AIDS) has
pneumocystis carinii (PCP), what is the nurse's priority assessment
for this client?. Answer: lung sounds
◉ What are risk factors for osteoarthritis? (select all that apply).
Answer: a. Female gender
b. Older age
c. Obesity
d. Sports injuries
◉ A nurse is teaching a client how to follow a low-purine diet as
prescribed by the management of gout. What statement by the client
indicates a correct understanding of the teaching?. Answer: b. I
should avoid eating liver and other organ meats
◉ What is the best goal for pain control in a client with rheumatoid
arthritis?. Answer: d. The client will have pain less than 3%10 for
most of the day