Nursing Elites

1. A healthcare provider is educating a client about the use of finasteride. Which of the following should be included?

• A. It is used to treat hypertension
• B. It can cause hair loss
• C. It may take several months to see results
• D. It is safe for use during pregnancy

Correct answer: C

Rationale: Correct answer: The healthcare provider should inform the client that finasteride may take several months to show therapeutic effects for conditions like hair loss or benign prostatic hyperplasia. Choice A is incorrect as finasteride is not used to treat hypertension. Choice B is incorrect because finasteride is actually used to treat hair loss, not cause it. Choice D is incorrect as finasteride is contraindicated during pregnancy due to the risk of harm to a male fetus.

2. A nurse is planning care for a client with a sealed radiation implant. Which intervention should the nurse implement?

• A. Remove dirty linens after double-bagging them
• B. Wear a dosimeter badge in the client’s room
• C. Limit visitors to 1 hour per day
• D. Ensure family remains 3 feet away from the client

Correct answer: B

Rationale: The nurse should wear a dosimeter badge to monitor radiation exposure when caring for a client with a sealed radiation implant.

3. A nurse should teach which of the following clients requiring crutches about how to use a three-point gait?

• A. A client who is able to bear full weight on both lower extremities.
• B. A client who has bilateral leg braces due to paralysis of the lower extremities.
• C. A client who has a right femur fracture with no weight bearing on the affected leg.
• D. A client who has bilateral knee replacements with partial weight bearing on both legs.

Correct answer: C

Rationale: The correct answer is C because a three-point gait is used when the client can bear full weight on one foot and uses crutches and the uninvolved leg to ambulate. Choices A, B, and D are incorrect because they do not meet the criteria for using a three-point gait. Choice A states that the client can bear full weight on both lower extremities, which does not require a three-point gait. Choice B mentions bilateral leg braces due to paralysis, which would not involve using a three-point gait. Choice D describes a client with bilateral knee replacements with partial weight bearing, which also does not align with the use of a three-point gait.

4. A community health nurse is teaching a group of clients about first aid for wounds. Which client statement indicates understanding?

• A. Remove blood-saturated dressings
• B. Apply clean dressings over the saturated ones and hold pressure
• C. Elevate the wound above heart level
• D. Leave the wound open to air

Correct answer: B

Rationale: The correct answer is B. Applying clean dressings over blood-saturated ones and holding pressure helps to control bleeding and prevent tissue disruption. Removing blood-saturated dressings can cause further damage by disrupting the forming clot. Elevating the wound above heart level is beneficial to reduce swelling, but it is not the best immediate action for a blood-saturated dressing. Leaving the wound open to air can increase the risk of infection and slow down the healing process.

5. A client who is having suicidal thoughts tells the nurse, “It just doesn’t seem worth it anymore. Why not end my misery?” Which of the following responses by the nurse is appropriate?

• A. Why do you think your life is not worth it anymore?
• B. Do you have a plan to end your life?
• C. I need to know what you mean by misery
• D. You can trust me and tell me what you’re thinking

Correct answer: B

Rationale: The appropriate response by the nurse is to ask about the client's plan to end their life. This question helps to assess the severity of the client's suicidal ideation and the immediacy of the risk, allowing the nurse to determine the appropriate level of intervention. Choices A, C, and D do not directly address the immediate risk assessment needed in this situation.

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