AHA SLIDES

Question 1

An older adult has encouraged their spouse to visit their health care provider, stating their concern that the spouse may have Parkinson disease. Which description of the spouse’s health and function is most suggestive of Parkinson disease?

Answer 1

“Lately they seem to move far more slowly than they ever have in the past.”

Question 2

A client who has just been diagnosed with mixed muscular dystrophy asks the nurse about the usual course of this disease. How should the nurse respond?

Answer 2

“You may experience progressive deterioration in all voluntary muscles.”

Question 3

Which of the following is the final stage of fracture repair?

Answer 3

Remodeling

Question 4

Skull sutures are an example of which type of joint?

Answer 4

Synarthosis

Question 5

An older adult client has come to the clinic for a regular check-up. The nurse’s initial inspection reveals an increased thoracic curvature of the client’s spine. The nurse should document the presence of what spinal disorder?

Answer 5

Kyphosis

Question 6

The client presents with an exaggeration of the lumbar spine curve. How does the nurse interpret this finding?

Answer 6

Lordosis

Question 7

A client’s fracture is healing and compact bone is replacing spongy bone around the periphery of the fracture. This process characterizes what phase of the bone healing process?

Answer 7

Remodeling

Question 8

A child is growing at a rate appropriate for their age. What cells are responsible for the secretion of bone matrix that eventually results in bone growth?

Answer 8

Osteoblasts

Question 9

A clinic nurse is caring for a client with a history of osteoporosis. What diagnostic test will best allow the care team to assess the client’s risk of fracture?

Answer 9

Bone Densitometry

Question 10

A nurse is caring for a 78-year-old client with a history of osteoarthritis (OA). When planning the client’s care, what goal should the nurse prioritize?

Answer 10

The client will express satisfaction with the ability to perform ADLs.

Question 11

A client has sustained traumatic injuries that involve several bone fractures. A fracture of what type of bone may interfere with the protection of the client’s vital organs?

Answer 11

Flat Bones

Question 12

A client is scheduled for a bone scan to rule out osteosarcoma of the pelvic bones. Which client status would be most important for the nurse to verify before the client’s scan?

Answer 12

Empty bladder

Question 13

A nurse is planning discharge education for a client who underwent a cervical discectomy. What strategies would the nurse assess that would aid in planning discharge teaching?

Answer 13

Care of the cervical collar

Question 14

A nurse’s assessment of a teenage client reveals that their shoulders are not level and that they have one prominent scapula that is accentuated by bending forward. The nurse should expect to read about what health problem in the client’s electronic health record?

Answer 14

Scoliosis

Question 15

A client diagnosed with Parkinson’s disease has developed slurred speech and drooling. The nurse knows that these symptoms indicate which of the following?

Answer 15

The disease has entered the late stages.

Question 16

A nurse is caring for a client who has been scheduled for a bone scan. Which statement should the nurse include when educating the client about this diagnostic test?

Answer 16

“You will be encouraged to drink water after the administration of the radioisotope injection.”

Question 17

A client is exhibiting diminished range of motion, loss of flexibility, stiffness, and loss of height. The history and physical findings are associated with age-related changes of which area?

Answer 17

Joints

Question 18

The nurse is teaching a client about osteoporosis. What diagnostic test will the nurse include with the client teaching?

Answer 18

dual-energy x-ray absorptiometry

Question 19

Which of the following is the first-line medication that would be used to treat and prevent osteoporosis?

Answer 19

Bisphosphonates

Question 20

A client has been experiencing an unexplained decline in knee function and has consequently been scheduled for arthrography. The nurse should teach the client about what process?

Answer 20

Injection of a contrast agent into the knee joint prior to ROM exercises

Question 21

Which secondary skin lesions are associated with eczema?

Answer 21

Crusts

Question 22

The nurse is assessing a client with toxic epidermal necrolysis (TEN). What assessment data would indicate that the client may be progressing to keratoconjunctivitis? Select all that apply.
Pick as many correct answers as you can, but you must not pick any incorrect answer.

Answer 22

Burning of the eyes
Dryness of the eyes
Pruritus of the eyes

Question 23

A newly admitted client has gained weight steadily over the past 2 years and the nurse recognizes the need for a nutritional assessment. What assessment parameters should the nurse include? Select all that apply.
Pick as many correct answers as you can, but you must not pick any incorrect answer.

Answer 23

Clinical examination findings
BMI
Dietary Data

Question 24

Pressure ulcers are caused by:

Answer 24

Extrinsic factors

Question 25

The nurse is caring for a client with a skin lesion that is oozing. The surrounding skin is acutely inflamed. What type of dressing should the nurse apply?

Answer 25

Interactive

Question 26

The nurse is changing the dressing of a chronic wound. There is no sign of infection or heavy drainage. How long will the nurse leave the wound covered for?

Answer 26

48-72 hours

Question 27

The nurse assesses two new wounds located on a client’s right and left buttocks. Which intervention for wound management would the nurse employ? Select all that apply.
Pick as many correct answers as you can, but you must not pick any incorrect answer.

Answer 27

Review the client’s prothrombin time test and international normalized ratio.
Evaluate the client’s level of pain, using a numeric value pain scale.
Palpate the client’s skin for moisture, temperature, and texture.
Ask the client whether the wound bed or surrounding skin itches.
Measure and assess the client’s wound bed, size, edges, and margins.

ALL

Question 28

A client is being treated for prolonged diarrhea. Which foods should the nurse encourage the client to consume?

Answer 28

Potassium-rich foods

Question 29

A nurse employed in a school suspects an outbreak of pediculosis. Which of the following nursing actions should be taken to prevent and control the outbreak?

Answer 29

Insist that everyone who is infested with lice follows the prescribed treatment.

Question 30

When caring for a client with severe impetigo, the nurse should include which intervention in the care plan?

Answer 30

Administering systemic antibiotics as ordered

Question 31

A dark-skinned firefighter is admitted to the emergency room with smoke inhalation. An assessment result indicates possible carbon monoxide poisoning. What is the indicator noted on the assessment?

Answer 31

Cherry red color to the nail beds, lips, and oral mucosa

Question 32

A nurse practitioner prescribes a therapeutic bath for a client with an exacerbation of psoriasis. The nurse tells the client to make sure the bath area is well ventilated. Which of the following is the therapeutic bath solution prescribed by the nurse?

Answer 32

Medicated tars

Question 33

A client’s orders include a wound dressing using an autolytic debriding agent. The nurse providing discharge instructions to the client should include which statement?

Answer 33

The wound may have a foul odor.

Question 34

A nurse is assessing a client with impetigo. The nurse would most likely observe which of the following?

Answer 34

Pustule

Question 35

A critical care nurse is caring for a client diagnosed with acute pancreatitis. The nurse knows this client should be started on parenteral nutrition (PN) after what indications?

Answer 35

Inability to take in adequate oral food or fluids within 7 days

Question 36

During the skin assessment of a client, the nurse observes a skin lesion that is elevated, round, and filled with serum. Identify the type of lesion.

Answer 36

Vesicle

Question 37

The nurse documenting an acute open wound should include which characteristic(s)? Select all that apply.
Pick as many correct answers as you can, but you must not pick any incorrect answer.

Answer 37

Wound size
Wound bed
Periwound skin

Question 38

Which primary lesions are associated with acne caused by sebum blockage in hair follicles?

Answer 38

Comedones

Question 39

Which drug is a topical corticosteroid used to treat psoriasis?

Answer 39

Triamcinolone

Question 40

The RN is assessing an 76-year-old pt who has presented with an unintended weight loss of 10 lb over the past 8 weeks. During the assessment, the RN learns that the pt has ill-fitting dentures and a limited intake of high-fiber foods. What other health problem is the pt at risk to develop?

Answer 40

Constipation

Question 41

The nurse is assessing the fingernails of a client at the clinic. The nurse observes pitting on the surface of the nail. What disorder is this finding indicative of?

Answer 41

Psoriasis

Question 42

Which of the following aggravates the condition caused by acne vulgaris?

Answer 42

Cosmetics

Question 43

A client’s orders include a wound dressing using an autolytic debriding agent. The nurse providing discharge instructions to the client should include which statement?

Answer 43

The wound may have a foul odor.

Question 44

The nurse prepares a client with a benign skin lesion for surgical excision, intralesional corticosteroid therapy, and radiation. Which of the following is most likely the lesion described?

Answer 44

Keloid

Question 45

The nurse applies a moisture-retentive dressing to a client’s wound. The nurse understands that the main advantage of this dressing, rather than a wet dressing, is its ability to:

Answer 45

Provide autolytic debridement.

Question 46

A nurse discovers scabies when assessing a client who has just been transferred to the medical-surgical unit from the day surgery unit. To prevent scabies infection in other clients, the nurse should:

Answer 46

isolate the client’s bed linens until the client is no longer infectious.

Question 47

A client has been diagnosed with melanoma. What treatment option can the nurse expect will be used?

Answer 47

Radical excision

Question 48

A client with atopic dermatitis is ordered a potent topical corticosteroid to be covered with an occlusive dressing. To address a potential pt problem associated with this treatment, you formulate the nursing diag of Risk for injury and you should add which “related-to” phrase?

Answer 48

Related to percutaneous absorption of the topical corticosteroid

Question 49

A client receives treatment for a dermatophyte infection of the toenail. How would the nurse document this condition in the chart?

Answer 49

Onychomycosis

Question 50

A client requires a full-thickness graft to cover a chronic wound. How is the donor site selected?

Answer 50

An area matching the color and texture of the skin at the surgical site is selected.