Nursing Elites

1. The nurses assess the client's pain prior to completing a dressing change. The client says his current pain is 5/10, but he has pain of 10/10 when his dressing is changed. What is the priority intervention for this client?

• A. Offer the client protein with meals to promote healing
• B. Remove the old dressing with clean gloves
• C. Teach the client about nonpharmacological pain control methods
• D. Check medication administration record (MAR)for as needed orders (PRN)

Correct answer: C

Rationale:

2. What are nonsurgical treatment options for carpal tunnel syndrome? (Select all that apply)

• A. Using a splint
• B. Ultrasound therapy
• C. Endoscopic carpal tunnel release
• D. All of the above

Correct answer: D

Rationale: The correct answer is D, 'All of the above.' Non-surgical treatments for carpal tunnel syndrome include using a splint, ultrasound therapy, corticosteroid injections, and NSAIDs. Choice A is correct as using a splint helps to keep the wrist in a neutral position, reducing pressure on the median nerve. Choice B is correct as ultrasound therapy can help reduce inflammation and alleviate symptoms. Choice C, 'Endoscopic carpal tunnel release,' is incorrect as it is a surgical procedure, not a nonsurgical treatment option for carpal tunnel syndrome.

3. What phase of wound healing occurs at the time of injury and lasts about 3-5 days?

• A. Maturation
• B. Intentional
• C. Inflammatory
• D. Proliferative

Correct answer: C

Rationale:

4. What are signs of hearing loss? (Select all that apply)

• A. Presence of cerumen
• B. Presence of cerumen
• C. Tinnitus
• D. Frequent asking of others to repeat statements

Correct answer: C

Rationale: Signs of hearing loss include tinnitus, frequent asking to repeat statements, and shouting in conversations.

5. What is correct about a nursing diagnosis?

• A. It is a human response to disease, injury, or other stressors.
• B. It remains constant as long as the disease is present.
• C. It is a way to identify pathology.
• D. It is a disease, illness, or injury.

Correct answer: A

Rationale: A nursing diagnosis is a clinical judgment about individual, family, or community responses to actual or potential health problems or life processes. Choice A is correct because it identifies nursing diagnosis as related to human responses to health conditions or life processes. Choice B is incorrect because nursing diagnoses can change as the patient's condition changes. Choice C is incorrect because a nursing diagnosis is about responses, not just identifying pathology. Choice D is incorrect because a nursing diagnosis is not the same as a disease, illness, or injury; it is a statement about the patient's response to these conditions.

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