NURS 203 EXAM 4 ATI MEDICAL-SURGICAL |
HIGH-YIELD PRACTICE QUESTIONS WITH
VERIFIED ANSWERS | NURSING STUDY GUIDE
A nurse and a provider's office is assessing a client who has a severe sunburn. Which of the
following classifications should the nurse use to document the burn?
A superficial thickness
B superficial partial thickness
C deep partial thickness
D full thickness - CORRECT ANSWER : A superficial thickness
A nurse in a clinic is preparing to obtain a skin specimen from a client who has a suspected
herpes infection. Which of the following actions should the nurse take? Select all that apply
A scrape the site with a wooden tongue depressor
B use a riser to cut the scabbed area to obtain this is specimen
C use a cotton tipped application to obtain fluid from the lesion
D Place specimen in a potassium hydroxide solution tube
E Place specimen tube on ice after obtaining sample - CORRECT ANSWER : C use a
cotton tipped application to obtain fluid from the lesion
E place specimen tube on ice after obtaining sample
A nurse in the emergency department is planning care for a client who has a right hip
fracture. Which of the following immobilization device is she the nurse anticipate in the plan
of care?
A. Skeletal traction
B Bucks traction
C halo traction
D Bryant's traction - CORRECT ANSWER : B bucks traction
A nurse is admitting a client to the orthopedic unit following a total knee arthroplasty. Which
of the following actions by the nurse are appropriate? Select all that apply
, A check continuous passive motion device settings
B palpate dorsal pedal pulses
C place a pillow behind the knee
D elevate heels off bed
E apply heat therapy to incision - CORRECT ANSWER : A check continuous passive
motion device settings
B palpate dorsal pedal pulses
D elevate heels off bed
A nurse is assessing a client who had an external fixation device applied to hours ago for a
fracture of the left tibia and fibula. Which of the following findings is a manifestation of
compartment syndrome? Select all that apply
A intense pain when the clients left foot is passively moved
B capillary refill of three seconds on the client left toes
C hard, swollen muscle in the client left leg
D Burning and tingling of the clients left foot
E. Client report a minimal pain relief following a second dose of opioid medication -
CORRECT ANSWER : A intense pain when the clients left foot is passively moved
C hard, swollen muscle in the client left leg
D Burning and tingling of the clients left foot
E. Client report a minimal pain relief following a second dose of opioid medication
A nurse is assessing a client who has a casted compound fracture of the femur. Which of the
following findings is a manifestation of a fat embolus?
A altered mental status
B reduced bowel sounds
C swelling of the toes distal to the injury
D pain with passive movement of the foot distal to the injury - CORRECT ANSWER : A
altered mental status
HIGH-YIELD PRACTICE QUESTIONS WITH
VERIFIED ANSWERS | NURSING STUDY GUIDE
A nurse and a provider's office is assessing a client who has a severe sunburn. Which of the
following classifications should the nurse use to document the burn?
A superficial thickness
B superficial partial thickness
C deep partial thickness
D full thickness - CORRECT ANSWER : A superficial thickness
A nurse in a clinic is preparing to obtain a skin specimen from a client who has a suspected
herpes infection. Which of the following actions should the nurse take? Select all that apply
A scrape the site with a wooden tongue depressor
B use a riser to cut the scabbed area to obtain this is specimen
C use a cotton tipped application to obtain fluid from the lesion
D Place specimen in a potassium hydroxide solution tube
E Place specimen tube on ice after obtaining sample - CORRECT ANSWER : C use a
cotton tipped application to obtain fluid from the lesion
E place specimen tube on ice after obtaining sample
A nurse in the emergency department is planning care for a client who has a right hip
fracture. Which of the following immobilization device is she the nurse anticipate in the plan
of care?
A. Skeletal traction
B Bucks traction
C halo traction
D Bryant's traction - CORRECT ANSWER : B bucks traction
A nurse is admitting a client to the orthopedic unit following a total knee arthroplasty. Which
of the following actions by the nurse are appropriate? Select all that apply
, A check continuous passive motion device settings
B palpate dorsal pedal pulses
C place a pillow behind the knee
D elevate heels off bed
E apply heat therapy to incision - CORRECT ANSWER : A check continuous passive
motion device settings
B palpate dorsal pedal pulses
D elevate heels off bed
A nurse is assessing a client who had an external fixation device applied to hours ago for a
fracture of the left tibia and fibula. Which of the following findings is a manifestation of
compartment syndrome? Select all that apply
A intense pain when the clients left foot is passively moved
B capillary refill of three seconds on the client left toes
C hard, swollen muscle in the client left leg
D Burning and tingling of the clients left foot
E. Client report a minimal pain relief following a second dose of opioid medication -
CORRECT ANSWER : A intense pain when the clients left foot is passively moved
C hard, swollen muscle in the client left leg
D Burning and tingling of the clients left foot
E. Client report a minimal pain relief following a second dose of opioid medication
A nurse is assessing a client who has a casted compound fracture of the femur. Which of the
following findings is a manifestation of a fat embolus?
A altered mental status
B reduced bowel sounds
C swelling of the toes distal to the injury
D pain with passive movement of the foot distal to the injury - CORRECT ANSWER : A
altered mental status
