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Rasmussen College MDC 1 Final Exam Test Bank
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- What is the best goal for pain control in a client with rheumatoid arthritis?
A. The client will have no pain throughout the entire day. B. The client will have more pain throughout the day. C. The client will eat three healthy meals today and stay hydrated. D. The client will have pain less than 3/10 for most of the day. Answer The client will have pain less than 3/10 for most of the day.
- A client is in skeletal traction. With the nurse's assessment, it is noticed that the pins appear red, and swollen, and there is purulent drainage. What action does the nurse take first?
A. Cleanse the skin around the pins. B. Collect a culture of the purulent fluid. C. Administer an antibiotic o Instruct the client to D. Complete exercises of the affected extremity. Answer Collect a culture of the purulent fluid.
- What nursing intervention is best to improve communication with a hear- ing-impaired client?
A. Write down the message B. Talk loudly in the impaired ear C. Speak slowly and clearly while D. Facing the client E. Talk in a regular voice in the good ear Answer Speak slowly and clearly while D. Facing the client
- A client just received a diagnosis of cancer. Which statement by the nurse demonstrates empathy?
A. "Tomorrow will be better." B. "This must be hard news to hear. Tell me about it." C. "What is your biggest fear about this diagnosis
skin abnormality does the nurse suspect?
A. Psoriasis B. Rosacea C. Scables D. Stasis dermatitis Answer Psoriasis
- A client with lupus may experience Raynaud's phenomenon. What should the nurse include when providing client education about this?
A. "In order to avoid flare-ups of Raynaud's, ensure to keep cool." B. In order to avoid flare-ups of Raynaud's, ensure you wear sunscreen." C. "In order to avoid flare-ups of Raynaud's, ensure you wear gloves in winter." D. In order to avoid flare-ups of Raynaud s erasure you brush your teeth for two minutes." Answer "In order to avoid flare-ups of Raynaud's, ensure you wear gloves in winter."
- A nurse caring for an intubated and sedated geriatric client What interven- tion is most appropriate for reducing the risk for friction and shear injury?
A. Postpone daily bed bath
B. Elevate the client's head of the bed to 45 degrees C. Caregiver independently slides the client up in bed D. Use a mechanical lift to reposition the client every 2 hours Answer Use a mechan- ical lift to reposition the client every 2 hours
- The 65-year-old male client who is complaining of blurred vision reports he thinks his glasses need to be cleaned all the time, and he denies any type of eye pain. Which eye disorder should the nurse suspect the client has?
A. Corneal dystrophy B. Conjunctivitis C. Diabetic retinopathy D. Cataracts Answer Cataracts
- The Client with rheumatoid arthritis complains of intensely dry eyes. What does the nurse suspect?
A. Chron's disease B. Discoid lupus C. Systemic sclerosis D. Sjogren's syndrome Answer Sjogren's syndrome
B. Exudate C. Creamy pus D. Serous E. Serosanguineous: E. Serosanguineous
- What are some of the expected outcomes when medications are given for rheumatoid arthritis? (Select all that apply)
A. Reduced inflammation B. Increased range of motion C. Cure the disease D. Decreased pain E. Increased quality of life Answer Reduced inflammation B. Increased range of motion D. Decreased pain E. Increased quality of life
- What is a priority nursing intervention for a client with lupus who is receiving steroids for a flare-up?
A. The nurse washes their hands before entering the room. B. Assist with the enhancement of soda well-being by providing activities. C. Assess the client's support system.
D. Ensure privacy by keeping the door always closed. Answer The nurse washes their hands before entering the room.
- The nurse is providing medication education for a client with osteoarthritis. What teaching should the nurse include in the education?
A. The main side effect of acetaminophen is gastrointestinal (GI) bleeding. B. You should not take more than 4000 mg of acetaminophen a day. C. Nonsteroidal anti-inflammatory drugs (NSAIDs) are very safe and are known to have no side effects. D. The most common adverse effect of nonsteroidal anti-inflammatory drugs (NSAIDs) are liver failure and tinnitus. Answer You should not take more than 4000 mg of acetaminophen a day.
- A nurse is providing education for a client who has glaucoma. Which of the following statements should the nurse include in the teaching?
A. "Without treatment, glaucoma can cause blindness." B. Double vision is a common symptom of glaucoma." C. "Glaucoma is caused by inadequate production of fluid within the eye."
Answer Drink at least 2 to 3 L of fluids per day C. Eat high-calorie foods E. Choose foods high in protein
- A client has cellulitis on his left arm. What statement by the client indicates a correct understanding of symptom management?
A. "l can use tight bandages on my arm." B. "I should not apply heat to my arm" C. "l can use a warm, moist towel on my arm." D. "I should use a cold, dry source on my arm." Answer "l can use a warm, moist towel on my arm."
- What are opportunistic infections associated with acquired immunodefi- ciency syndrome (AIDS)? (Select all that apply) A. Candidiasis B. Hodgkin's lymphoma C. Pneumocystis jiroveci pneumonia
D. Clostridium difficile E. Non-Hodgkin's lymphoma Answer Candidiasis C. Pneumocystis jiroveci pneumonia D. Clostridium difficile
- What is not an expected assessment finding in a client with inflammation? (Select all that apply.)
A. Polyuria B. Edema C. Heat D. Erythema Answer Polyuria
- What are the risk factors for osteoarthritis? (Select all that apply.)
A. Female gender B. Older age C. Obesity D. Sports injuries E. Vegan diet Answer Female gender B. Older age C. Obesity
A. "I will need to limit the number of fruit servings each day." B. "I should avoid eating liver and other organ meats." C. "I can drink only white wine." D. "I should choose red meat instead of poultry." Answer "I should avoid eating liver and other organ meats."
- The nurse is teaching a client with debilitating rheumatoid arthritis about home safety. Which statement should the nurse include?
A. "There are many adaptive devices such as grab bars, reaching tools, grasping devices, and adaptive silverware available that may help you." B."My grandfather always had problems with his arthritis, and he would tell me that it's better to be more stoic and not let pain interrupt your life." C."Place throw rugs throughout your home. You'll enjoy how pretty they are. and you can use them to cover up power cords, so you don't trip on them." D."Lack of home safety may be an issue of compliance. Are you being compli- ant with your medications?" Answer "There are many adaptive devices such as grab bars, reaching tools, grasping devices, and adaptive silverware available that may help you."
- The nurse assesses a deep wound. The area is covered by black and necrotic tissue. What term would the nurse use when documenting this wound?
A. Blanching
B. Cellulitis C. Tunneling D. Eschar Answer Eschar
- What link in the chain of infection is broken when contact precautions are in place?
A. Reservoir B. Mode of transmission C. Portal of entry D. Initiation phase Answer Mode of transmission
- A client has been suffering from arthritis for many years and is experienc- ing an exacerbation. The client states he has a lot of stress from his position as an admirative assistant, and his job is not getting better. What is the most appropriate response from the nurse?
E. Adequate perfusion Answer Ischemia B. Immobility C. Poor nutrition D. Moisture
- A nurse is assessing a client's vital signs. The oxygen saturation is 85%. What intervention should the nurse perform first?
A. Call the provider B. Place the client in the lithotomy position C. The client has a vase of fresh flowers on the table. D. Obtain pain medication Answer The client has a vase of fresh flowers on the table.
- What is a classic symptom assessed in clients with lupus?
A. Heberden's nodes B. Chvostek's sign
C. Ovide's sign D. Butterfly rash Answer Butterfly rash
- A nurse assesses an audible grating sound (crepitus) when a client with osteoarthritis moves his knees, what is the cause of this sound?
A. Popping bursae from standing B. A herniated area disk diseases joint C. Pieces of bone and cartilage floating D. Years of an autoimmune process Answer Pieces of bone and cartilage floating
- Dry skin (xerosis) can lead to itching (pruritis). What statement by the client indicates a need for further teaching about preventing dry skin?
A. I will use a humidifier during the winter months." B. I will shower every day in hot water." C. "I will avoid tight belts." D. "I will drink at least 3000 mL of water daily." Answer I will shower every day in hot water."
- A client is immobile and requires mechanical ventilation with a tracheosto- my. She has a pressure injury on her coccyx measuring 5 cm by 3 cm. The
A. Call the chaplain for support B. Verify the reason for admission C. Request a medical interpreter D. Give the client a tall of the unit Answer Request a medical interpreter
- 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. Cutaneous D. Visceral Answer Neuropathic
- A client does not understand why vision loss due to glaucoma is irre- versible. What is the nurse's best explanation?
A. Once the tissue has necrosed from high pressure, it does not regenerate. B. Glaucoma always leads to permanent blindness C. Once retinal detachment occurs, it does not return to its normal state. D. Once the bacterial infection has caused damage, the tissue does not regen- erate. Answer Once the tissue has necrosed from high pressure, it does not regenerate.
- Which practice is recommended to prevent human immune deficiency
virus (HIV) transmission by healthcare workers?
A. Using standard precautions B. Double gloving C. Applying hand sanitizer to gloves during care D. Wearing a mask within three feet of the client Answer Using standard precautions
- A nurse is teaching a client who has gout about dietary recommendations. The nurse should teach the client which of the following beverage can trigger an attack.
A. Alcohol B. Fruit juice C. Milk D. Coffee Answer Alcohol
- A nurse is caring for a client who has methicillin-resistant Staphylococcus aureus (MRSA) in an abdominal wound. The nurse prepares to enter the room to check the client pulse. What persona protective equipment (PPE) should the nurse don?
