Rasmussen MDC 1 Exam 2 question and answer, Exams of Advanced Education

Download Rasmussen MDC 1 Exam 2 question and answer and more Exams Advanced Education in PDF only on Docsity! 1 / 11 Rasmussen College MDC 1 Exam 2 Questions and Answers (Verified Answers) 1.Ways to prevent Osteoporosis ANS Avoid alcohol, tobacco, and caffeine Increase Vitamin D and Calcium At least 5 min. of sun exposure Weight bearing exercise 3-5 times a wk 2.The person takes on the values, beliefs, and behaviors of the dominant culture ANS Assimilation 3.Providing for a client's basic care and comfort needs while taking consider- ation the values, beliefs and definitions of health and illness of each individual within our diverse society. ANS culturally competent care 4.Assuming the characteristics of the new culture through a learning process called ANS acculturation 2 / 11 5.Student nurse introduces self, role in the relationship, determines the name the client wishes to be addressed by and establishes the rapport. ANS Orientation phase 6.Marks the end of the relationship whether at the end of the shift or dis- charge. Summarizing all of the work done during the relationship is a good way to end the shift. ANS termination phase 7. You walk in and a patient is on the floor after a fall. Which should you do first? A.Wash hands B.Use call light for assistance C.Obtain Vitals D.Put her in bed ANS B. Use call light for assistance 8. Range of motion- Bending a hinge joint at 90 degrees. A. Adduction B. Circumduction C. Flexion D. Extension ANS C. Flexion 5 / 11 D.Dangling E. use a mechanical lift ANS A. use assistive devices when walking B. Range of motion exercises D. Dangling. 16. Immovable joints are called A.Diarthroses B. Amphiarthroses C. Synarthrosis ANS C. Synarthroses 17. Where are condyloid joints found? A. Knee and elbow B. Shoulder C. Carpal D.Wrist ANS D. Wrist 18. Damage to this area of the body can cause problems with a patient's coordination A. Condyloid B. Cerebellum C. Cerebral cortex D.Acromion process ANS B. Cerebellum 19. A patient cut off his fingers while doing yard work and wrapped his hand in a towel to stop the bleeding. The patient 6 / 11 comes into the ER with the towel still wrapped around his hand. When should the nurse remove the towel? 7 / 11 A. Immediately when he enters the ER B. After receiving the order from the doctor C. In the operating room D.After giving him an IV ANS B. After receiving the order from the doctor 20.A patient on bedrest has what percentage of muscle loss per week? ANS 7-10% 21. How often should a patient do the incentive spirometer when awake? ANS - Every 2 hours 22. How does immobility affect the gastrointestinal system? Select all that applies A. Paralytic Illeus B. Constipation C. Bowel obstruction D.Slows peristalsis E.Diarrhea ANS A. Paralytic Illeus B. Constipation D. Slows Peristalsis 23. What are nursing interventions to help immobile patients not have muscu- loskeletal system? Select all that apply. 10 / B. Egyptians C. Amish D.African Americans ANS C. Amish 27. You can not obtain a pedal pulse manually. What piece of equipment would you get to check blood flow? A.Mechanical Lift B. Xray C.Doppler D.CT scan ANS C. Doppler 28. Muscle strength of a patient is reported at level 3. What does level 3 mean? A.No evidence of muscle strength B.Normal ROM C. Fair Can complete ROM against gravity D.Poor can complete ROM with no gravity E.Good Can complete ROM against gravity with some resistance ANS C. Fair Can complete ROM against gravity 29.Paget's disease effects what body system? ANS Musculoskeletal 30. Which lab result would you look for to see if your patient's most accurate nutrition status? A. Calcium B. Phosphate C. Pre Albumin D.Albumin ANS C. Pre Albumin 11 / 31.what does SPICE stand for? ANS Sleep disorders Problems with eating or feeding Incontinence Confusion Evidence of falls Skin breakdown 32. Which is a priority intervention to decrease risk of pressure ulcer? A. Provide rest and comfort measures B.Use a draw sheet to slide the patient C. Reposition the pt every two hours. D.Sit the pt in chair ANS D. Reposition the pt every two hours 33. Which range below shows a low risk for a Braden Scale? A. 13-14 B. 15-18 C. 10-12 D. 19-23 ANS B. 15-18 12 / 34. The nurse removes a dressing and assesses yellow, foul smelling drainage. How would the nurse document this finding? A. Purulent B. Serous C. Serosanguineous D.Sanguineous ANS A. Purulent 35. The nurse performs a focused musculoskeletal assessment on a patient with a hip fracture. Which should the nurse include for this type of assess- ment? Select all that applies A.Muscle weakness B. Joint tenderness C.Gait D.Range of motion E. Pain ANS B. Joint tenderness D. Range of motion E. Pain 36. Devices such as pillows, trapeze bars, special mattresses, and trochanter rolls are used for what purpose? A. Facilitate ADLs B. Alleviate pressure and maintain proper body alignment C. Provide patient comfort D. Facilitate ROM ANS B. Alleviate pressure and maintain proper body alignment 37. A nurse is preparing to irrigate a client's wound. Which of 15 / 12in to the side. D.Place your weight on the crutch pads at your armpits. ANS B. Keep the rubber crutch tips securely in place. 44. What kind of side effects happen when a pt uses Timolol? Select all that apply A.Hypoglycemia B.Narrow airways C. Bradycardia D.Hypovolemia ANS A, B, C 45. Which foods promote eye health? Select all A. Kale B. Bananas C. Carrots D.Ground Beef E. Shellfish F.Spinach ANS A, B, C, F 46. A 44 year old client with Diabetes asks how often a visit to the eye doctor is recommended? 16 / A. Annually B. Every 6 months C.No examination necessary until 50 years old D. Every 2 years ANS A. Annually 47. A lens opacity that distorts an image is called A.Glaucoma B. Cataract C. Exopthalamus D. Enopthalamus ANS B. Cataract 48. The nurse is caring for a client who reports slow onset of a gradual loss of vision in the center of both eyes. The client describes vision as "foggy" and reports concerns of ongoing headaches from "trying to concentrate to see." What condition does the nurse anticipate? A. Cataract B.Glaucoma C. Conjunctivitis D.Retinal Detachment ANS B. Glaucoma 49. The nurse is teaching a client who must instill multiple types of eyedrops before cataract surgery. Which client statement requires further teaching? A. "I will make a schedule for inserting the eyedrops." B. "Touching the dropper to my eye could cause contamination and infection." C. "If I can't remember when to take which drops, I'll just take 17 / them all at once." D. "If I have trouble instilling the drops, I will have my spouse put them in for me." ANS C. "If I can't remember when to take which drops, I'll just take them all at once." 50. The nurse is caring for four clients. Which has the highest risk for devel- opment of age-related macular degeneration (AMD)? A. 25-year-old, 70 inches tall, with fracture of the right femur B. 38-year-old, 71 inches tall, who has just given birth to a healthy baby C. 45-year-old, 67 inches tall, who is a vegetarian D. 57-year-old, 60 inches tall, with hypertension ANS D. 57-year- old, 60 inches tall, with hypertension 51. A client is being discharged after surgery to correct a retinal detachment. Which symptoms will the nurse teach the client to immediately report to the eye care provider? Select all that apply. A. Purulent discharge in the affected eye B. Fever of 102° F (38.9° C) C. Pupil that constricts in response to light D. Improved visual acuity E. Pain in the eye ANS A, B, E 20 / A.Muscle atrophy B. Slowed movement C. Scoliosis D.Arthritis E.Widened gait ANS A, B,D, E 58. A client returns to the postanesthesia care unit (PACU) after an arthroscopy to repair a knee injury. What is the nurse's priority when caring for this client? A. Perform passive range-of-motion exercises. B. Keep the affected leg immobilized. C. Ensure that the patient uses the patient-controlled analgesia (PCA) pump. D.Check the neurovascular status of the affected leg and foot. ANS D. Check the neurovascular status of the affected leg and foot. 59. Which additional assessment data will the nurse collect from an older Euro-American (white) woman to determine the client's risk for osteoporosis? Select all that apply. A.Tobacco use, especially smoking B. Alcohol use each day C. Exercise and activity level D.Dietary intake of vitamin D E.Use of calcium supplements F.Medication history ANS A, B, C, D, E, F 60. Which statement by the client regarding lifestyle changes to prevent os- teoporosis indicates a need for further teaching 21 / by the nurse? A. "I'm going to continue having my DXA scans as my doctor orders." B. "I'll drink only a half glass of wine occasionally to help me sleep." C. "I plan to increase calcium and vitamin D foods in my diet." D. "I'm going to jog every day for at least 30 minutes." ANS D. "I'm going to jog every day for at least 30 minutes." 61. A client recently diagnosed with primary bone cancer states, "My life is over. I'll never get married now!" What is the nurse's best action at this time? A. Refer the client to a clergy member or spiritual leader. B. Ask the client what is meant by that statement. C. Listen while the client expresses feelings. D.Provide hope that marriage will happen. ANS C. Listen while the client expresses feelings. 62. The nurse is caring for a client immediately after a bunionectomy. What is the nurse's priority action? A. Relieve or reduce the patient's pain. 22 / B. Assess neurovascular status in the affected foot. C. Apply a hot compress to the surgical area. D.Check the surgical dressing for intactness. ANS B. Assess neurovascular status in the affected foot. 63. A client who has a plaster leg splint reports a painful pressure sensation under the elastic wrap that is holding the splint in place. What is the nurse's best initial action? A. Remove the splint to reduce skin pressure. B. Perform a neurovascular assessment. C. Report the client's concern to the primary health care provider. D. Inspect the skin under the elastic bandage. ANS B. Perform a neurovascular assessment. 64. A client has a synthetic cast placed for a right wrist fracture in the emer- gency department. Which priority health teaching is important for the nurse to provide for this client before returning home? Select all that apply. A. "Keep your right arm below the level of your heart as often as possible." B. "Use an ice pack for the first 24 hours to decrease tissue swelling." C. "Move the fingers of the right hand frequently to promote blood flow." D. "Report coolness or discoloration of your right hand to your doctor."