NUR 211 FINAL EXAM TEST 2026 QUESTIONS AND
100% VERIFIED ANSWERS | GRADED A+ |
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A home health nurse assesses a client with diabetes who has a new cast on the arm.
The nurse notes the client's fingers are pale, cool, and slightly swollen. Which
action should the nurse take first?
A. Raise the arm above the level of the heart
B. Encourage ROM
C. Apply heat to the affected hand
D. Bivalve the cast to decrease pressure
- answer-A. Raise the arm above the level of the heart
Arm casts can impair circulation when the arm is in the dependent position. The
nurse should immediately elevate the arm above the level of the heart, ensuring
that the hand is above the elbow, and should re-assess the extremity in 15 minutes.
If the fingers are warmer and less swollen, the cast is not too tight and adjustments
do not need to be made, but a sling should be worn when the client is upright.
Encouraging ROM would not assist the client as much as elevating the arm. Heat
would cause increased edema and should not be used. If the cast is confirmed to be
too tight, it could be bivalved.
A nurse assesses a client with a fracture who is being treated with skeletal traction.
Which assessment should alert the nurse to urgently contact the health provider?
A. Blood pressure increases to 136/86
B. Traction weights are resting on the floor
C. Oozing of clear fluid is noted at the pin site
D. Capillary refill is less than three seconds
- answer-B. Traction weights are resting on the floor
The immediate action of the nurse should be to reapply the weights to give traction
to the fractures. The health care provider must be notified that the weights were
lying on the floor, and the client should be realigned in bed. The client's blood
pressure is slightly elevated; this could be related to pain and muscle spasms
resulting from lack of pressure to reduce the fracture. Oozing of clear fluid is
normal, as is the capillary refill time.
, A nurse assesses a client with a pelvic fracture. Which assessment finding should
the nurse identify as a complication of this injury?
A. Hypertension
B. Constipation
C. Infection
D. Hematuria
- answer-D. Hematuria
The pelvis is very vascular and close to major organs. Injury to the pelvis can
cause integral damage that may manifest as blood in the urine or stool. The nurse
should also assess for sings of hemorrhage and hypovolemic shock, which include
hypotension and tachycardia. Constipation and infection are not complications of a
pelvic fracture.
A nurse assesses a client with a rotator cuff injury. Which finding should the nurse
expect to assess?
A. Inability to maintain adduction of the affected arm for more than 3o seconds
B. Shoulder pain that is relieved with overhead stretches and at night
C. Inability to initiate or maintain abduction of the affected shoulder
D. Referred pain to the shoulder and arm opposite the affected shoulder.
- answer-C. Inability to initiate or maintain abduction of the affected shoulder
Clients with a rotator cuff tear are unable to initiate or maintain abduction of the
affected arm at the shoulder. This is known as the drop arm test. The client should
not have difficulty with adduction of the arm, nor experience referred pain to the
opposite shoulder. Pain is usually more intense at night and with overhead
activities
A nurse assesses an older adult client who was admitted 2 days ago with a
fractured hip. The nurse notes that the client is confused and restless. The client's
vital signs are HR 98, RR 32, BP 132/78, and SpO2 88%. Which action should the
nurse take first?
A. Administer oxygen via nasal cannula
B. Re-position to a high fowler's position
C. Increase the IV flow rate
D. Assess response to pain medications.
- answer-A. Administer oxygen via nasal cannula
The client is at a high risk for fat embolism and has some of the clinical
manifestations of AMS and dyspnea. Although this is a life-threatening
100% VERIFIED ANSWERS | GRADED A+ |
GUARANTEED PASS!!
A home health nurse assesses a client with diabetes who has a new cast on the arm.
The nurse notes the client's fingers are pale, cool, and slightly swollen. Which
action should the nurse take first?
A. Raise the arm above the level of the heart
B. Encourage ROM
C. Apply heat to the affected hand
D. Bivalve the cast to decrease pressure
- answer-A. Raise the arm above the level of the heart
Arm casts can impair circulation when the arm is in the dependent position. The
nurse should immediately elevate the arm above the level of the heart, ensuring
that the hand is above the elbow, and should re-assess the extremity in 15 minutes.
If the fingers are warmer and less swollen, the cast is not too tight and adjustments
do not need to be made, but a sling should be worn when the client is upright.
Encouraging ROM would not assist the client as much as elevating the arm. Heat
would cause increased edema and should not be used. If the cast is confirmed to be
too tight, it could be bivalved.
A nurse assesses a client with a fracture who is being treated with skeletal traction.
Which assessment should alert the nurse to urgently contact the health provider?
A. Blood pressure increases to 136/86
B. Traction weights are resting on the floor
C. Oozing of clear fluid is noted at the pin site
D. Capillary refill is less than three seconds
- answer-B. Traction weights are resting on the floor
The immediate action of the nurse should be to reapply the weights to give traction
to the fractures. The health care provider must be notified that the weights were
lying on the floor, and the client should be realigned in bed. The client's blood
pressure is slightly elevated; this could be related to pain and muscle spasms
resulting from lack of pressure to reduce the fracture. Oozing of clear fluid is
normal, as is the capillary refill time.
, A nurse assesses a client with a pelvic fracture. Which assessment finding should
the nurse identify as a complication of this injury?
A. Hypertension
B. Constipation
C. Infection
D. Hematuria
- answer-D. Hematuria
The pelvis is very vascular and close to major organs. Injury to the pelvis can
cause integral damage that may manifest as blood in the urine or stool. The nurse
should also assess for sings of hemorrhage and hypovolemic shock, which include
hypotension and tachycardia. Constipation and infection are not complications of a
pelvic fracture.
A nurse assesses a client with a rotator cuff injury. Which finding should the nurse
expect to assess?
A. Inability to maintain adduction of the affected arm for more than 3o seconds
B. Shoulder pain that is relieved with overhead stretches and at night
C. Inability to initiate or maintain abduction of the affected shoulder
D. Referred pain to the shoulder and arm opposite the affected shoulder.
- answer-C. Inability to initiate or maintain abduction of the affected shoulder
Clients with a rotator cuff tear are unable to initiate or maintain abduction of the
affected arm at the shoulder. This is known as the drop arm test. The client should
not have difficulty with adduction of the arm, nor experience referred pain to the
opposite shoulder. Pain is usually more intense at night and with overhead
activities
A nurse assesses an older adult client who was admitted 2 days ago with a
fractured hip. The nurse notes that the client is confused and restless. The client's
vital signs are HR 98, RR 32, BP 132/78, and SpO2 88%. Which action should the
nurse take first?
A. Administer oxygen via nasal cannula
B. Re-position to a high fowler's position
C. Increase the IV flow rate
D. Assess response to pain medications.
- answer-A. Administer oxygen via nasal cannula
The client is at a high risk for fat embolism and has some of the clinical
manifestations of AMS and dyspnea. Although this is a life-threatening
