Download NR511 ACTUAL EXAM COMPLETE |100 QUESTIONS ND DETAILED ANSWERS|ALREADY GRADED and more Exams Nursing in PDF only on Docsity!
NR511 ACTUAL EXAM COMPLETE |100 QUESTIONS
ND DETAILED ANSWERS|ALREADY GRADED
"Bag of worms" scrotum Correct Ans- varicocele A 35-year-old female patient is seen in the clinic complaining of abdominal pain. Which of the following should be included in the history and physical examination? Correct Ans- All of the above A 70-year-old female has fallen 2 weeks ago and developed immediate pain in her left wrist. She thought she just bruised it but is worried because it has not improved. She has used Tylenol® and ice at home, and that has helped slightly. You examine her and find she has moderate swelling and ecchymosis but no overtly obvious deformity. Her ROM is uncomfortable and severely diminished due to the pain. No crepitus is heard or felt. Her fingers are warm; her pulse is strong; and capillary refill is less than 2 seconds. What should you do? Correct Ans- Obtain a wrist x-ray and place her wrist in a splint or prescribe a splint A frantic family member is distressed about the flaccid paralysis of her son following a spinal cord injury several hours ago. What does the nurse know about this condition? Correct Ans- It is possibly a temporary condition and will clear A patient 48 hours after surgery for a fractured femoral shaft is experiencing mental confusion, tachycardia, tachypnea, and dyspnea. The patients blood pressure is elevated and petechiae are present on the chest. After reporting the findings to the RN what should the nurse do while awaiting the physicians specific orders? (Select all that apply.)
Correct Ans- a. Administer oxygen. b. Prepare patient for arterial blood gas tests. c. Prepare patient for chest x-ray or lung scan. d. Maintain bedrest and keep movement to a minimum f. Place patient in high Fowlers position or raise the head of the bed. A patient asks the difference between osteoarthritis and rheumatoid arthritis. What manifestations should the nurse explain are characteristic of rheumatoid arthritis? (Select all that apply.) Correct Ans- Low-grade fever Autoimmune disease e. Early morning stiffness f. Involvement of other major organs A patient has an open reduction of a radial fracture and is casted. Several hours after the operation, the patient reports a throbbing pain in the arm. What nursing action is essential for the nurse to take? Correct Ans- Perform neurovascular checks. A patient in the ambulatory clinic is diagnosed with a muscle strain. What actions should the nurse instruct the patient to do to treat this injury? (Select all that apply.) Correct Ans- a. Rest the limb. b. Elevate the limb apple ice to area wrap w/ elastic bandage
A patient with a spinal cord injury at T1 complains of stuffiness of the nose and a headache. The nurse notes a flushing of the neck and goose flesh. What should be the primary nursing intervention based on these assessments? Correct Ans- Sit upright and check blood pressure A patient with gout has been instructed on the prescribed medication allopurinol (Zyloprim). Which patient statement indicates understanding of the action of this medication? Correct Ans- Blocks formation of uric acid. acute prost. Correct Ans- no prostate massage An 87-year-old female with a history of osteoarthritis reports an average generalized pain score of 4 on a 0-to-10 scale while using acetaminophen prn. Which response about this pain level should the nurse make to the patient? Correct Ans- Are you satisfied with this level of pain control? contractions of muscles Correct Ans- hyponatremia During a health history the nurse becomes concerned that a patient is at risk for developing osteoporosis. Which modifiable risk factors did the nurse use to come to this conclusion? (Select all that apply.) Correct Ans- c. Cigarette smoking d. Sedentary lifestyle e. Low calcium intake
ED Correct Ans- reserpine herniated disc Correct Ans- straight leg raise herniated l4-l5 most common Correct Ans- How is Duchennes muscular dystrophy inherited? Correct Ans- X- linked recessive gene How would the nurse instruct a patient with Parkinson disease to improve activity level? Correct Ans- To walk with hands clasped behind back to help balance Janet is a 30-year-old who has recently been diagnosed with a herniated disc at the level of L5-S1. She is currently in the emergency room with suspicion of cauda equina compression. Which of the following is a sign or symptom of cauda equina compression? Correct Ans- Paresthesia of the perineum and buttocks Jennifer is an 18-year-old who comes to the emergency room after a fall during a soccer game. Jennifer explains that she fell on her left side and kept her arm out straight to break her fall. She has been experiencing severe pain and limited ROM in her left shoulder. The clinician has diagnosed Jennifer with a dislocated shoulder. Which of the following statements are true concerning shoulder dislocation? Correct Ans-
independence and mobility, minimizing disability, and preserving quality of life. Mr. Jackson explains to the clinician that his first choice would be to use complementary therapies to control his condition and asks what therapies are most effective in treating osteoarthritis. What would be the most appropriate response from the clinician? a. "Complementary therapies should be considered only if Correct Ans- "I would be happy to discuss all the treatment options available to you. Complementary therapies, such as acupuncture, acupressure, and tai-chi, are being studied for use in the treatment of osteoarthritis and have shown promise when used with standard medical therapy." Mrs. Allen is a 60-year-old woman who has been diagnosed with osteoporosis. She is very concerned about the risk of breast cancer associated with hormone replacement therapy and is wondering what other treatments are available to her. The clinician explains that bisphosphonates are another class of drugs used in the prevention and treatment of osteoporosis. What teaching should the clinician give Mrs. Allen in regard to taking bisphosphonates? Correct Ans- There is potential for upper GI irritation, so these medications are contraindicated in people with abnormalities of the esophagus or delayed esophageal emptying. Mrs. Anderson is a 35-year-old woman who has been recently diagnosed with carpal tunnel syndrome. She has two young children and asks the clinician what the chances are that they also will develop carpal tunnel syndrome. Which of the following responses would be correct regarding the risk of developing carpal tunnel syndrome? Correct Ans- Carpal tunnel syndrome commonly occurs in families. Genetic factors are thought to account for about one-half the risk of developing carpal tunnel
Mrs. Gray is a 55-year-old woman who presents with tightness, pain, and limited movement in her right shoulder. She denies any history of trauma. Her examination reveals a 75% reduction in both active and passive ROM of the right shoulder. Mrs. Gray also is experiencing tenderness with motion and pain at the deltoid insertion. Her medical history is significant for type 1 diabetes mellitus and hypertension. Her social history reveals that she is a secretary and that she is righthanded. Based on her examination and medical history, you suspect adhesive capsulitis, or "frozen shoulder." Which clue in Mrs. Gray's history supports this diagnosis? Correct Ans- Her history of diabetes mellitus Mrs. Thomas was seen in the office complaining of pain and point tenderness in the area of her elbow. The pain has increased following a day of gardening one week ago. A physical finding that differentiates the diagnosis and is most consistent with lateral epicondylitis (tennis elbow) is: Correct Ans- Pain at the elbow with resisted movements at the wrist and forearm neck stiffness Correct Ans- cervical spondlylitis Normal estrogen function is important for preventing osteoporosis in both men and women. Estrogen works to prevent osteoporosis in which of the following ways? Correct Ans- By decreasing the erosive activity of osteoclasts obese with paresthesia Correct Ans- neuralgia
Which of the following statements would be most appropriate when teaching Sam about the use of NSAIDs? Correct Ans- "You should start with the lowest dose that is effective in managing your pain, because long-term use of NSAIDs can result in gastrointestinal (GI) disorders such as ulcers and hemorrhage." The clinician is caring for Diane, a 22-year-old woman who presents with an injured ankle. Diane asks the clinician if she will need an x-ray. The clinician explains to Diane that an x-ray is not always necessary for an injured ankle and that the decision to obtain radiographs is dependent on the examination and Diane's description of her injury. Which of the following clues in Diane's examination or history would alert the clinician to the need for obtaining radiographs? Correct Ans- a. Inability to bear weight immediately after the injury b. Development of marked ankle swelling and discoloration after the injury c. Crepitation with palpation or movement of the ankle d. All of the above D The clinician suspects that a client has patellar instability. In order to test for this, the client is seated with the quadriceps relaxed, and the knee is placed in extension. Next the patella is displaced laterally, and the knee flexed to 30°. If instability is present, this maneuver displaces the patella to an abnormal position on the lateral femoral condyle, and the client will perceive pain. Testing for patellar instability in this way is known as: Correct Ans- Apprehension sign
The most common type of joint, which are freely movable, are called: Correct Ans- Diarthroses The newly admitted patient to the emergency room after a motorcycle accident has serosanguineous drainage coming from the nose. What is the most appropriate nursing response to this assessment? Correct Ans- Gently wipe nose with absorbent gauze The nurse checks a patients casted right leg resting upon a pillow and finds that the cast appears too tight. What should the nurse do? Correct Ans- Notify the RN. The nurse finds a 2-day postoperative patient who had a right total hip replacement lying supine with crossed legs. What data should the nurse collect on this patient? Correct Ans- The right leg for shortening The nurse is assisting in the development of an educational seminar on prevention of osteoporosis for a group of community members. Which actions should the nurse suggest be included in this presentation? (Select all that apply.) Correct Ans- b. Ensure an adequate intake of calcium each day c. Participate in weight-bearing exercise every day d. Wear well-supporting nonskid shoes at all times e. Consider participating in resistance exercise training
The nurse is caring for a patient with a minor rotator cuff shoulder injury. What should the nurse emphasize when reviewing care with this patient? (Select all that apply.) Correct Ans- a. Apply ice b. Rest the shoulder c. Take NSAIDs as prescribed d. Begin out-patient physical therapy The nurse is caring for a patient with gout. Which laboratory value should the nurse review which indicates that the treatment plan is effective? Correct Ans- Uric acid: 7.9 mg/dL The nurse is collecting data from a patient suspected of developing a fat embolus from a fracture of the right femur. Which manifestations should the nurse expect? (Select all that apply.) Correct Ans- Petechiae tachycardia mental confusion The nurse is contributing to the plan of care for a patient recovering from total hip replacement. Which exercises should the nurse recommend to help prevent deep vein thrombosis (DVT) formation? (Select all that apply.) Correct Ans- foot circles heel pumping quadriceps setting straight leg raises
The nurse is contributing to the plan of care for a patient who has a bone fracture that is splintered and has shattered into numerous fragments. Which term should the nurse use to document this type of fracture? Correct Ans- Comminuted The nurse is contributing to the plan of care for a patient who has a fractured hip and is placed in Bucks (boot) traction while awaiting surgery. What is the desired outcome for placing the patient in Bucks traction? Correct Ans- Relieve patient pain The nurse is contributing to the plan of care for a patient who has a right fractured femur. What intervention should the nurse include in the plan of care to prevent fat emboli? Correct Ans- Maintain immobilization of the right leg The nurse is contributing to the plan of care for a patient who has an upper extremity amputation. Why should the nurse keep in mind that this type of amputation can be more debilitating than a lower extremity amputation when planning care? Correct Ans- The upper extremity is more specialized The nurse is contributing to the plan of care for a patient who is scheduled for a below-theknee amputation. What nursing diagnosis should be recommended for the preoperative plan of care? Correct Ans- Anxiety
The nurse is reinforcing teaching provided to a patient recovering from right total hip replacement. Which patient statement indicates a correct understanding of the teaching Correct Ans- Keep legs apart. The nurse is reinforcing teaching provided to a patient who is postmenopausal, has lost 2 inches of height, and has osteoporosis. Which patient statement indicates correct understanding of the purpose of calcium supplements? Correct Ans- To decrease bone loss The nurse is reinforcing teaching provided to a patient with gout. Which food should the patient state will be avoided that indicates teaching has been effective? Correct Ans- liver The nurse is reinforcing teaching provided to a patient with rheumatoid arthritis (RA). Which patient statement indicates understanding of the symptoms of RA? Correct Ans- fatigue The nurse is reviewing data collected during the health history for a patient with osteoporosis. What should the nurse identify as a risk factor for osteoporosis development? Correct Ans- Increased caffeine intake The nurse observes a petechial rash and respiratory distress in a patient recovering from a fractured femur. What should these findings suggest to the nurse? Correct Ans- Fat embolism The nurse reinforces medication teaching provided to a patient with rheumatoid arthritis. Which medication should the patient identify as
helpful to control the symptoms of the health problem? Correct Ans- Ibuprofen The nurse reinforces teaching on prevention of osteomyelitis with a patient who has an open fracture of the right leg. Which patient statement indicates that teaching has been effective? Correct Ans- Wash hands prior to touching fracture area. The nurse sees a neighbor fall and fracture a leg. What should the nurse do first for the neighbor? Correct Ans- Immobilize the affected limb using minimal movement. vertebral fix Correct Ans- osteoporosis What is a sign of a dislocation? Correct Ans- Deformity at a joint What is the recommended daily calcium intake for adults over the age of 50 with low bone mass? Correct Ans-. 1,500 mg/day Which of the following is true about Duchennes muscular dystrophy? Correct Ans- There is difficulty climbing stairs or standing up at 2 to 3 years of age Which of the following signs or symptoms indicate an inflammatory etiology to musculoskeletal pain? Correct Ans- Morning stiffness
D.
Which of the following tests is considered the gold standard for definitively diagnosing osteoporosis? Correct Ans- Bone mass density measurement by densitometry Which stage of Paget's disease is characterized by elevated numbers of osteoblasts, resulting in abnormal increases in bone remodeling and leading to an irregular deposition of collagen fibers? Correct Ans- Mixed x linked AA Correct Ans- g6p deficiency You are performing muscle strength testing on a patient presenting with musculoskeletal pain and find that the patient has complete ROM with gravity eliminated. Which numeric grade of muscle strength would you give this patient? Correct Ans- 2 You have detected the presence of crepitus on examination of a patient with a musculoskeletal complaint. Additionally, there is limited range of motion (ROM) with both active and passive movement. These findings suggest that the origin of the musculoskeletal complaint is: Correct Ans- Articular
