Nursing Elites

1. What nursing intervention is best to improve communication with a hearingimpaired client?

• A. Talk in a regular voice in the good ear
• B. Talk loudly in the impaired ear
• C. Write down the message
• D. Speak slowly and clearly while facing the client

Correct answer: D

Rationale:

2. A nurse is admitting a client who has tuberculosis. What transmission-based precautions should the nurse initiate?

• A. Droplet
• B. Contact
• C. Airborne
• D. Protective

Correct answer: C

Rationale:

3. The client with rheumatoid arthritis is having her rheumatoid factor (RF) drawn while she is having a flare-up of the disease. Which result is seen in clients with rheumatoid arthritis?

• A. Factor does not change
• B. Decreased level of rheumatoid arthritis
• C. A positive rheumatoid factor
• D. A negative rheumatoid factor

Correct answer: C

Rationale:

4. What is the likely reason that a client with acquired immunodeficiency syndrome (AIDS) would succumb to pneumonia while a healthy person exposed to the same infection did not?

• A. The client with AIDS is a susceptible host
• B. The client with AIDS has greater immune defenses
• C. The client with AIDS was not as careful
• D. The client with AIDS has more portals of entry

Correct answer: A

Rationale:

5. What is a negative effect of immobility on the cardiovascular system?

• A. Increased high density lipoprotein
• B. Increased circulation
• C. Increased pumping action of the heart
• D. Venous stasis

Correct answer: D

Rationale: Venous stasis is a negative effect of immobility on the cardiovascular system. Immobility can lead to blood pooling in the veins due to lack of movement, increasing the risk of blood clots. Choices A, B, and C are incorrect because immobility does not lead to an increase in high density lipoprotein, circulation, or the pumping action of the heart.

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