Nursing Elites

1. A client with acquired immunodeficiency syndrome (AIDS) has pneumocystis carinii (PCP). What is the nurse's priority assessment for this client?

• A. Skin turgor
• B. Lung sounds
• C. Radial pulses
• D. Capillary refill

Correct answer: B

Rationale:

2. What is the priority intervention for the nurse to enhance meeting the psychosocial needs of a client on transmission-based precautions?

• A. Allow the client sleep to build stamina
• B. Provide the client with diversional activities
• C. Maintain a six-foot distance from the client
• D. Provide a timeframe for the isolation

Correct answer: B

Rationale:

3. The nurse Is teaching the client how to administer eye drops. Which of these actions indicates the need for further client education?

• A. The client sets the cap down in a manner that does not contaminate it.
• B. The client drops the prescribed number of drops into the conjunctival sac
• C. The client washes their hands before instilling the drops
• D. The client ensures that they touch the administration dropper to the eye

Correct answer: D

Rationale: Touching the dropper to the eye contaminates it and can lead to infection.

4. Which client is at highest risk of compromised immunity?

• A. A client who just had surgery
• B. A client who just delivered a baby
• C. A client with extreme anxiety
• D. A client who is awaiting surgery

Correct answer: A

Rationale:

5. A client has AIDS. Which of these findings indicate possible infection?

• A. Respirations; 22 breaths per minute
• B. Client ambulates 20 feet
• C. Purulent drainage
• D. Oxygen saturation; 97% on room air

Correct answer: C

Rationale:

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