Nokea
Which of the following lab tests should NOT be used for diagnosing connective tissue
diseases?
- A. Rheumatoid factor (RF)
- B. Erythrocyte sedimentation rate (ESR)
- C. Anti-nuclear antibody (ANA)
- D. Thyroid stimulating hormone (TSH)
Correct Answer: D
Rationale:
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A nurse is caring for an immobile client. What is the priority assessment in this
client?
- A. Auscultation of lung sounds
- B. Assessment of skin turgor
- C. Auscultation of bowel sounds
- D. Assessment for the presence of peripheral edema
Correct Answer: A
Rationale:
A client with acquired immunodeficiency syndrome (AIDS) has pneumocystis
carinii (PCP). What is the nurse's priority assessment for this client?
- A. Skin turgor
- B. Lung sounds
- C. Radial pulses
- D. Capillary refill
Correct Answer: B
Rationale:
Which of the following clients should be placed in isolation for airborne
precautions?
- A. A high school wrestling championship with a rash
- B. A client that recently travelled and developed a fever with cough
- C. A client with an unknown skin infection
- D. A client with heart palpitations
Correct Answer: B
Rationale:
A client recently had an above the knee amputation and complains of pain
distal to the amputation. What type of pain is the client experiencing?
- A. Nociceptive
- B. Neuropathic
- C. Visceral
- D. Cutaneous
Correct Answer: A
Rationale:
A post-operative client with a sutured abdominal incision felt a sharp
abdominal pain after having a bowel movement. Upon inspection, the nurse
notices bowel protruding from the incision site. What does the nurse tell the
physician about the event?
- A. The client's incision site has eviscerated
- B. The client's incision site has lacerated
- C. The client's incisional site is approximated
- D. The client's incisional site has dehisced after.
Correct Answer: A
Rationale: