SPECIALISTS EXAM
REGIS NU 665 FINAL EXAM
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 Answer > Obtain a
wrist x-ray and place her wrist in a splint or prescribe a splint.
Osteoarthritis is primarily a noninflammatory condition. - ✔✔✔
Correct Answer > True
The presence of a positive rheumatoid factor is always indicative of rheumatoid
arthritis. - ✔✔✔ Correct Answer > False
The nurse is caring for a home health patient who had a spinal cord injury at C5
three years ago. The nurse bases the plan of care on the knowledge that the
patient will be able to: - ✔✔✔ Correct Answer > feed self with setup and
adaptive equipment.
A frantic family member is distressed about the flaccid paralysis of her son
following a spinal cord injury several hours ago. What does the
SPECIALISTS EXAM
, SPECIALISTS EXAM
nurse know about this condition? - ✔✔✔ Correct Answer > It is possibly a
temporary condition and will clear.
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
Answer > Sit upright and check blood pressure
The nurse is aware that the characteristic gait of the person with Parkinson
disease is a propulsive gait, which causes the patient to: -
✔✔✔ Correct Answer > shuffle with arms flexed.
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 Answer >
Gently wipe nose with absorbent gauze
How would the nurse instruct a patient with Parkinson disease to improve activity
level? - ✔✔✔ Correct Answer > To walk with hands clasped behind back to help
balance
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 Answer >
SPECIALISTS EXAM
, SPECIALISTS EXAM
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 Answer > Maintain immobilization of the
right leg.
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 Answer > Perform neurovascular checks.
The nurse is monitoring a patient with a casted left tibial fracture and a contusion
of the thigh. The patient reports increasing pain in the left foot that has not been
relieved by morphine injections. What should the nurse do? - ✔✔✔ Correct
Answer > Ensure physician is immediately notified.
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 Answer > The right leg for shortening
The nurse is caring for a patient who had a closed reduction of the ulna with a
cast applied. Later the patient reports left arm pain. What should the nurse do
first? - ✔✔✔ Correct Answer > Perform neurovascular check on fingers.
SPECIALISTS EXAM
, SPECIALISTS EXAM
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 Answer > Keep legs apart.
A patient with a casted, fractured left leg asks why the leg has to be elevated.
What should the nurse respond to this patient? - ✔✔✔ Correct Answer >
Decreases swelling.
The nurse is caring for a patient who has had a right hip replacement. For which
position is the nurse attempting to achieve when a pillow is placed between the
legs during turning? - ✔✔✔ Correct Answer > Abduction of the thighs
The nurse sees a neighbor fall and fracture a leg. What should the nurse do first
for the neighbor? - ✔✔✔ Correct Answer > Immobilize the affected limb using
minimal movement.
The nurse is reinforcing teaching provided to a patient with rheumatoid arthritis
(RA). Which patient statement indicates understanding of the symptoms of RA? -
✔✔✔ Correct Answer > Fatigue
A patient with a 36-hour-old fractured femur is in traction and is prescribed
morphine 10 mg every 3 hours as needed. The patient received a dose 3 hours
ago and is now reporting a pain level of 8. The
patient is stable. Which action should the nurse take? - ✔✔✔ Correct Answer >
Give pain medication as ordered.
SPECIALISTS EXAM
REGIS NU 665 FINAL EXAM
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 Answer > Obtain a
wrist x-ray and place her wrist in a splint or prescribe a splint.
Osteoarthritis is primarily a noninflammatory condition. - ✔✔✔
Correct Answer > True
The presence of a positive rheumatoid factor is always indicative of rheumatoid
arthritis. - ✔✔✔ Correct Answer > False
The nurse is caring for a home health patient who had a spinal cord injury at C5
three years ago. The nurse bases the plan of care on the knowledge that the
patient will be able to: - ✔✔✔ Correct Answer > feed self with setup and
adaptive equipment.
A frantic family member is distressed about the flaccid paralysis of her son
following a spinal cord injury several hours ago. What does the
SPECIALISTS EXAM
, SPECIALISTS EXAM
nurse know about this condition? - ✔✔✔ Correct Answer > It is possibly a
temporary condition and will clear.
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
Answer > Sit upright and check blood pressure
The nurse is aware that the characteristic gait of the person with Parkinson
disease is a propulsive gait, which causes the patient to: -
✔✔✔ Correct Answer > shuffle with arms flexed.
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 Answer >
Gently wipe nose with absorbent gauze
How would the nurse instruct a patient with Parkinson disease to improve activity
level? - ✔✔✔ Correct Answer > To walk with hands clasped behind back to help
balance
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 Answer >
SPECIALISTS EXAM
, SPECIALISTS EXAM
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 Answer > Maintain immobilization of the
right leg.
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 Answer > Perform neurovascular checks.
The nurse is monitoring a patient with a casted left tibial fracture and a contusion
of the thigh. The patient reports increasing pain in the left foot that has not been
relieved by morphine injections. What should the nurse do? - ✔✔✔ Correct
Answer > Ensure physician is immediately notified.
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 Answer > The right leg for shortening
The nurse is caring for a patient who had a closed reduction of the ulna with a
cast applied. Later the patient reports left arm pain. What should the nurse do
first? - ✔✔✔ Correct Answer > Perform neurovascular check on fingers.
SPECIALISTS EXAM
, SPECIALISTS EXAM
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 Answer > Keep legs apart.
A patient with a casted, fractured left leg asks why the leg has to be elevated.
What should the nurse respond to this patient? - ✔✔✔ Correct Answer >
Decreases swelling.
The nurse is caring for a patient who has had a right hip replacement. For which
position is the nurse attempting to achieve when a pillow is placed between the
legs during turning? - ✔✔✔ Correct Answer > Abduction of the thighs
The nurse sees a neighbor fall and fracture a leg. What should the nurse do first
for the neighbor? - ✔✔✔ Correct Answer > Immobilize the affected limb using
minimal movement.
The nurse is reinforcing teaching provided to a patient with rheumatoid arthritis
(RA). Which patient statement indicates understanding of the symptoms of RA? -
✔✔✔ Correct Answer > Fatigue
A patient with a 36-hour-old fractured femur is in traction and is prescribed
morphine 10 mg every 3 hours as needed. The patient received a dose 3 hours
ago and is now reporting a pain level of 8. The
patient is stable. Which action should the nurse take? - ✔✔✔ Correct Answer >
Give pain medication as ordered.
SPECIALISTS EXAM
