Nokea
A nurse assesses an audible grating sound (Crepitus) when a client with
osteoarthritis moves his knees. What is the cause of this sound?
- A. A herniated disk in the diseased joint
- B. Pieces of bone and cartilage floating
- C. Popping bursae from standing
- D. Years of an autoimmune process
Correct Answer: A
Rationale:
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A client has cellulitis on his left arm. What statement by the client indicates
understanding of symptom management?
- A. "I can use tight bandages on my arm."?
- B. "I should not apply heat to my arm."?
- C. "I can use a warm, moist towel on my arm."?
- D. "I should use a cold, dry source on my arm."?
Correct Answer: C
Rationale:
An area of erythema on the child's skin is being assessed by the nurse. The
nurse presses down on the area, and the area becomes white. What time does
the nurse document for this finding?
- A. Non-blanching
- B. Blanching
- C. Redness
- D. Warmth
Correct Answer: B
Rationale:
The client with RA complains of intensely dry eyes. What does the nurse
suspect?
- A. Systemic sclerosis
- B. Sjogren's syndrome
- C. Chron's disease
- D. Discoid lupus
Correct Answer: B
Rationale:
The nurse notices a new area of skin breakdown near the site of a dressing. This
would be an example of which phase of the nursing process?
- A. Diagnosis
- B. Assessment
- C. Implementation
- D. Evaluation
Correct Answer: B
Rationale:
Which organization publishes the National Patient Safety Goals?
- A. The Joint Commission
- B. Medicare
- C. The American Nurses Association
- D. The Institute of Medicine
Correct Answer: A
Rationale: