Nursing Elites

1. A client sustains an injury to his heel while the unlicensed assistive personnel and the nurse are moving him up in bed. What force caused the injury?

• A. Shearing or friction
• B. Twisting and bending
• C. Pressure or gravity
• D. Chemical or pressure

Correct answer: A

Rationale:

2. The client moves both crutches forward, with weight on the unaffected leg, and then moves the unaffected leg forward, shifting weight onto it. Which of the following gaits is being utilized?

• A. Two-point gait
• B. Three-point gait
• C. Four-point gait
• D. Unaffected gait

Correct answer: B

Rationale: The correct answer is B, Three-point gait. In a three-point gait, one leg is non-weight bearing, as described in the scenario where the client shifts weight onto the unaffected leg. Choices A, C, and D are incorrect. A two-point gait involves partial weight-bearing on both legs, a four-point gait involves weight-bearing on both legs, and 'Unaffected gait' is not a recognized term in gait patterns.

3. Which of the following lab tests should NOT be used for diagnosing connective tissue diseases?

• A. Rheumatoid factor (RF)
• B. Erythrocyte sedimentation rate (ESR)
• C. Anti-nuclear antibody (ANA)
• D. Thyroid stimulating hormone (TSH)

Correct answer: D

Rationale:

4. Which of the following clients are at an increased risk for deep vein thrombosis following a reduction and internal fixation of the hip? (Select all that apply)

• A. A client on birth control pills
• B. A client who is immobile
• C. A client on an anticoagulant
• D. A client with dementia who has been wandering

Correct answer: a

Rationale: Clients on birth control pills, immobile, and smokers are at increased risk of DVT after hip surgery.

5. What soft tissue musculoskeletal injury is excessive stretching of a ligament?

• A. Sprain
• B. Ligament tear
• C. Strain
• D. Tendon rupture

Correct answer: A

Rationale: A sprain is an injury involving excessive stretching of a ligament.

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