questions and answers 100% correct
Your client suffered a radial fx, what is the primary assessment?
a) Medical History
b) Pain
c) Radial Pulses
d) Swelling - answer b) Pain
The nurse is assessing skin over a bony prominence. Which of the following is a
concern?
a) Redness
b) Non-blanching skin
c) Blanching of the skin
d) Warmth - answer c) Non-blanching skin
HIV-positive individuals will present with which lab abnormalities?
a) Lower than normal CD4 and Lower CD8
b) Higher than normal CD4, Tcell and CD8
c) Lower than normal CD4, Tcells and CD8 and Tcells are normal
d) Higher than normal CD4, Tcells and low CD8 - answer c) Lower than normal CD4,
Tcells, and CD8 and Tcells are normal
Your client reports that his glasses always appear fogged. Which eye disorder does he
have?
a) Glaucoma
b) Cataracts
c) Corneal dystrophy
d) Diabetic Retinopathy - answer b) Cataracts
A post-surgical client is on bedrest with a nursing diagnosis of impaired skin integrity.
After one week it is healed.
a) Change the nursing diagnosis to impaired mobility
b) The nurse should remove the nursing diagnosis from the care plan
c) Keep the diagnosis, continue the same plan of care
d) The nurse should revise the nursing diagnosis - answer c) Keep the diagnosis,
continue the same plan of care
Your client asks why they are receiving ensure while they are healing a bedsore. What
is your response?
a) Protein promotes wound healing
b) The supplements have nothing to do with your wound
c) If you don't like it, we can change it
d) Because it is easy to digest - answer a) Protein promotes wound healing
, Your client with RA (Rheumatoid Arthritis) complains of dry eye. What is this?
a) It is related to scleroderma
b) Related to crohn's disease
c) It is related to lupus
d) It is related to sjogren's syndrome - answer d) It is related to Sjogren's syndrome
The nurse notices skin breakdown next to a bandaid on the patient. What part of the
nursing process is this?
a) Implementation
b) Assessment
c) Diagnosis
d) Evaluation - answer b) Assessment
What non-pharmacological treatment can be used to decrease pain and swelling in RA
patients?
a) Cold compress for a maximum of 20 minutes
b) Heat and elevation
c) Low impact exercise
d) Ibuprofen - answer a) Cold compress for maximum of 20 minutes
Which client is most susceptible to infection?
a) 60-year-old female
b) A child who received a recent vaccination
c) Hospitalized 35-year-old
d) A client with leukemia - answer d) A client with leukemia
This is caused by abnormal wound healing.
a) Hemorrhage
b) Fistula
c) Infection
d) Evisceration - answer b) Fistula
Which of the following is a type one hypersensitivity?
a) Anaphylaxis
b) SLE (Systemic Lupus Erythematosus)
c) RA (Rheumatoid Arthritis)
d) Myasthenia Gravis - answer a) Anaphylaxis
What is a classic symptom of lupus?
a) Heberden's nodes
b) Ovides sign
c) Chvostek's sign
d) Butterfly rash - answer d) Butterfly rash
What is the nurse's priority action with consideration of a client receiving steroids?