Nursing Elites

1. The client has been asked to perform weight-bearing exercises three times a week. The client admits to not doing the recommended exercises. What is the most appropriate response by the nurse?

• A. I walk 3 miles every day. Would you like to join me?
• B. Tell me more about your experience with these exercises.
• C. My dad never exercised. He fell and broke his hip. Is that your goal?
• D. You should be doing these exercises.

Correct answer: B

Rationale: The most appropriate response by the nurse is to ask the client to elaborate on their experience with the exercises. By doing so, the nurse can gain insight into any barriers the client may be facing and work together to find solutions to improve adherence. Choice A is not appropriate as it doesn't address the client's situation. Choice C is not relevant and may induce fear in the client. Choice D is directive and does not promote open communication or understanding of the client's perspective.

2. A well-rounded fitness program focuses on flexibility, resistance training and aerobic conditioning. What statements are true about a well-rounded fitness program? (Select all that apply)

• A. Movement against resistance increases muscular strength and endurance
• B. Intensity is the amount of time a person is exercising
• C. Stretching after exercise cools the muscles and limits post exercise stiffness
• D. all of the Above

Correct answer: D

Rationale: Resistance training, proper stretching, and exercise duration/intensity contribute to a well-rounded fitness program.

3. Which of the following would be the most appropriate goal for an elderly client with a nursing diagnosis of risk for injury after hip surgery?

• A. Client will increase mobility by the time of discharge from hospital
• B. Client will demonstrate effective breathing pattern when ambulating throughout hospital stay
• C. Client will increase activity tolerance by discharge from the hospital
• D. Client will remain free from falls throughout their hospital stay

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. A nurse assesses an area of skin over a bony prominence. What finding would be most concerning?

• A. Redness
• B. Non-blanching
• C. Blanching
• D. Warmth

Correct answer: A

Rationale:

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