NSG 430 EXAM 3 - COMPLETE QUESTIONS
AND DETAILED SOLUTIONS LATEST UPDATE JUST
RELEASED
Question 1: Which response by the
nurse isbest?
A. You are upset, but you may lose the foot anyway.
B. Many people are able to function with a foot prosthesis.
C. Tell me what you know about your options for treatment.
D. If you do not want an amputation, you do not have to have it.
Answer:
c. Tell me what you know about your options for treatment.
Question 2: A patient who slipped and fell in the shower at home
has a proximal humerus fracture immobilized with a
left-sided long-arm cast and a sling. Which nursing intervention will
be included in the plan of care?
A. Use surgical net dressing to hang the arm from an IV pole.
B. Immobilize the fingers of the left hand with gauze dressings.
C. Assess the left axilla and change absorbent dressings as needed.
D. Assist the patient in passive range of motion (ROM) for the right
arm.
Answer:
c. Assess the left axilla and change absorbent dressings as needed.
Question 3: After being hospitalized for 3 days with a right femur
fracture, a 32-year-old patient suddenly develops
shortness of breath and tachypnea. The patient tells the nurse, I
feel like I am going to die! Which action
,should the nurse take first?
A. Stay with the patient and offer reassurance.
B. Administer the prescribed PRN oxygen at 4 L/min.
C. Check the patients legs for swelling or tenderness.
D. Notify the health care provider about the symptoms.
Answer:
b. Administer the prescribed PRN oxygen at 4 L/min.
Question 4: Following a motorcycle accident, a 58-year-old patient
arrives in the emergency department with massive
left lower leg swelling. Which action will the nurse take first?
A. Elevate the leg on 2 pillows.
B. Apply a compression bandage.
C. Check leg pulses and sensation.
D. Place ice packs on the lower leg.
Answer:
c. Check leg pulses and sensation.
Question 5: 34. The day after a 60-year-old patient has an open
reduction and internal fixation (ORIF) for an open,
displaced tibial fracture, the priority nursing diagnosis is
A. activity intolerance related to deconditioning.
B. risk for constipation related to prolonged bed rest.
C. risk for impaired skin integrity related to immobility.
D. risk for infection related to disruption of skin integrity.
Answer:
d. risk for infection related to disruption of skin integrity.
,Question 6: The second day after admission with a fractured pelvis,
a 64-year-old patient suddenly develops confusion.
Which action should the nurse take first?
A. Take the blood pressure.
B. Assess patient orientation.
C. Check the oxygen saturation.
D. Observe for facial asymmetry.
Answer:
c. Check the oxygen saturation.
Question 7: A 42-year-old patient is admitted to the emergency
department with a left femur fracture. Which
information obtained by the nurse is most important to report to the
health care provider?
A. Ecchymosis of the left thigh
B. Complaints of severe thigh pain
C. Slow capillary refill of the left foot
D. Outward pointing toes on the left foot
Answer:
c. Slow capillary refill of the left foot
Question 8: A patient undergoes a left above-the-knee amputation
with an immediate prosthetic fitting. When the
patient arrives on the orthopedic unit after surgery, the nurse
should
A. place the patient in a prone position.
B. check the surgical site for hemorrhage.
C. remove the prosthesis and wrap the site.
D. keep the residual leg elevated on a pillow.
, Answer:
b. check the surgical site for hemorrhage.
Question 9: When a patient arrives in the emergency department
with a facial fracture, which action will the nurse take
first?
A. Assess for nasal bleeding and pain.
B. Apply ice to the face to reduce swelling.
C. Use a cervical collar to stabilize the spine.
D. Check the patients alertness and orientation.
Answer:
c. Use a cervical collar to stabilize the spine.
Question 10: After change-of-shift report, which patient should the
nurse assessfirst?
A. Patient with a Colles fracture who has right wrist swelling and
deformity
B. Patient with a intracapsular left hip fracture whose leg is externally
rotated
C. Patient with a repaired mandibular fracture who is complaining of
facial pain
D. Patient with right femoral shaft fracture whose thigh is swollen and
ecchymotic
Answer:
d. Patient with right femoral shaft fracture whose thigh is swollen and
ecchymotic
Question 11: When caring for a patient who is using Bucks traction
after a hip fracture, which action can the nurse
delegate to unlicensed assistive personnel (UAP)?
AND DETAILED SOLUTIONS LATEST UPDATE JUST
RELEASED
Question 1: Which response by the
nurse isbest?
A. You are upset, but you may lose the foot anyway.
B. Many people are able to function with a foot prosthesis.
C. Tell me what you know about your options for treatment.
D. If you do not want an amputation, you do not have to have it.
Answer:
c. Tell me what you know about your options for treatment.
Question 2: A patient who slipped and fell in the shower at home
has a proximal humerus fracture immobilized with a
left-sided long-arm cast and a sling. Which nursing intervention will
be included in the plan of care?
A. Use surgical net dressing to hang the arm from an IV pole.
B. Immobilize the fingers of the left hand with gauze dressings.
C. Assess the left axilla and change absorbent dressings as needed.
D. Assist the patient in passive range of motion (ROM) for the right
arm.
Answer:
c. Assess the left axilla and change absorbent dressings as needed.
Question 3: After being hospitalized for 3 days with a right femur
fracture, a 32-year-old patient suddenly develops
shortness of breath and tachypnea. The patient tells the nurse, I
feel like I am going to die! Which action
,should the nurse take first?
A. Stay with the patient and offer reassurance.
B. Administer the prescribed PRN oxygen at 4 L/min.
C. Check the patients legs for swelling or tenderness.
D. Notify the health care provider about the symptoms.
Answer:
b. Administer the prescribed PRN oxygen at 4 L/min.
Question 4: Following a motorcycle accident, a 58-year-old patient
arrives in the emergency department with massive
left lower leg swelling. Which action will the nurse take first?
A. Elevate the leg on 2 pillows.
B. Apply a compression bandage.
C. Check leg pulses and sensation.
D. Place ice packs on the lower leg.
Answer:
c. Check leg pulses and sensation.
Question 5: 34. The day after a 60-year-old patient has an open
reduction and internal fixation (ORIF) for an open,
displaced tibial fracture, the priority nursing diagnosis is
A. activity intolerance related to deconditioning.
B. risk for constipation related to prolonged bed rest.
C. risk for impaired skin integrity related to immobility.
D. risk for infection related to disruption of skin integrity.
Answer:
d. risk for infection related to disruption of skin integrity.
,Question 6: The second day after admission with a fractured pelvis,
a 64-year-old patient suddenly develops confusion.
Which action should the nurse take first?
A. Take the blood pressure.
B. Assess patient orientation.
C. Check the oxygen saturation.
D. Observe for facial asymmetry.
Answer:
c. Check the oxygen saturation.
Question 7: A 42-year-old patient is admitted to the emergency
department with a left femur fracture. Which
information obtained by the nurse is most important to report to the
health care provider?
A. Ecchymosis of the left thigh
B. Complaints of severe thigh pain
C. Slow capillary refill of the left foot
D. Outward pointing toes on the left foot
Answer:
c. Slow capillary refill of the left foot
Question 8: A patient undergoes a left above-the-knee amputation
with an immediate prosthetic fitting. When the
patient arrives on the orthopedic unit after surgery, the nurse
should
A. place the patient in a prone position.
B. check the surgical site for hemorrhage.
C. remove the prosthesis and wrap the site.
D. keep the residual leg elevated on a pillow.
, Answer:
b. check the surgical site for hemorrhage.
Question 9: When a patient arrives in the emergency department
with a facial fracture, which action will the nurse take
first?
A. Assess for nasal bleeding and pain.
B. Apply ice to the face to reduce swelling.
C. Use a cervical collar to stabilize the spine.
D. Check the patients alertness and orientation.
Answer:
c. Use a cervical collar to stabilize the spine.
Question 10: After change-of-shift report, which patient should the
nurse assessfirst?
A. Patient with a Colles fracture who has right wrist swelling and
deformity
B. Patient with a intracapsular left hip fracture whose leg is externally
rotated
C. Patient with a repaired mandibular fracture who is complaining of
facial pain
D. Patient with right femoral shaft fracture whose thigh is swollen and
ecchymotic
Answer:
d. Patient with right femoral shaft fracture whose thigh is swollen and
ecchymotic
Question 11: When caring for a patient who is using Bucks traction
after a hip fracture, which action can the nurse
delegate to unlicensed assistive personnel (UAP)?
