NURS 175 Exam 4 Questions
With Correct Answers
The nurse is assessing a client that reports lumbar back pain that for the last 4
months. What type of back pain would the nurse categorize this as? (Single
Choice)
A Chronic pain
B Subacute pain
C Acute Pain
D Transitional Pain - Answer-A
The client with a herniated disc and lumbar back pain continues to move around
in bed in an attempt to become comfortable. What position does the nurse
consider for the client to help relieve some of the discomfort? (Single Choice)*
A Left side lying position
B High fowler's position
C Trendelenburg position
D Williams position - Answer-D
,An ankle X-ray confirms that the patient has an ankle fracture. A fiberglass cast is
applied to immobilize the ankle and allow for healing. Which nursing
interventions are appropriate after the cast is applied? (Select all that apply.)
A Monitor for signs of infection
B Assess the peripheral capillary refill
C Ask the patient if he will jog in the future
D Keep the cast uncovered for air-drying over several hours
E nsert a finger between the skin and the cast to be sure the cast is not too tight -
Answer-A, B, E
The patient tells the nurse that he was jogging to train for a marathon, which has
been a lifelong goal. He asks, "Will I ever be able to run a marathon now?" What
is the appropriate nursing response?
A "The doctor will be able to tell you that."
B "Of course, after this heals, you will be fine."
C "It is unlikely that your ankle will regain the necessary strength."
D "It sounds like you are concerned that you may not be able to achieve your
goal." - Answer-D
The patient's ankle heals, and his cast is removed. What teaching will the nurse
provide regarding care for his ankle?
A "Scrub your lower leg and ankle to remove dead, scaly skin."
B "Wear a support stocking to prevent lower extremity swelling."
, C "Keep your ankle in a low position to facilitate perfusion to the healed bone."
D "Exercise vigorously at least three times a day as directed by the physical
therapist." - Answer-B
Your 30 year old client has a femur fracture after being in a motor vehicle
accident. What assessment findings would be concerning for pulmonary
embolism or fat embolism?
A Hypertension
B Dyspnea
C Pain at the fracture site
D Coolness of the skin on bilateral lower extremities. - Answer-B
Scoliosis is most often considered idiopathic
A True
B False - Answer-A
The client is placed in Buck's traction while awaiting internal fixation of the right
hip. What finding by the nurse would require immediate intervention?
A The weights for the traction are lying on the ground
B The client uses a trapeze to help reposition in bed
C The client requires q4hr opioids to maintain comfort
D Patient needs realignment due to muscle pain in the right leg - Answer-A
With Correct Answers
The nurse is assessing a client that reports lumbar back pain that for the last 4
months. What type of back pain would the nurse categorize this as? (Single
Choice)
A Chronic pain
B Subacute pain
C Acute Pain
D Transitional Pain - Answer-A
The client with a herniated disc and lumbar back pain continues to move around
in bed in an attempt to become comfortable. What position does the nurse
consider for the client to help relieve some of the discomfort? (Single Choice)*
A Left side lying position
B High fowler's position
C Trendelenburg position
D Williams position - Answer-D
,An ankle X-ray confirms that the patient has an ankle fracture. A fiberglass cast is
applied to immobilize the ankle and allow for healing. Which nursing
interventions are appropriate after the cast is applied? (Select all that apply.)
A Monitor for signs of infection
B Assess the peripheral capillary refill
C Ask the patient if he will jog in the future
D Keep the cast uncovered for air-drying over several hours
E nsert a finger between the skin and the cast to be sure the cast is not too tight -
Answer-A, B, E
The patient tells the nurse that he was jogging to train for a marathon, which has
been a lifelong goal. He asks, "Will I ever be able to run a marathon now?" What
is the appropriate nursing response?
A "The doctor will be able to tell you that."
B "Of course, after this heals, you will be fine."
C "It is unlikely that your ankle will regain the necessary strength."
D "It sounds like you are concerned that you may not be able to achieve your
goal." - Answer-D
The patient's ankle heals, and his cast is removed. What teaching will the nurse
provide regarding care for his ankle?
A "Scrub your lower leg and ankle to remove dead, scaly skin."
B "Wear a support stocking to prevent lower extremity swelling."
, C "Keep your ankle in a low position to facilitate perfusion to the healed bone."
D "Exercise vigorously at least three times a day as directed by the physical
therapist." - Answer-B
Your 30 year old client has a femur fracture after being in a motor vehicle
accident. What assessment findings would be concerning for pulmonary
embolism or fat embolism?
A Hypertension
B Dyspnea
C Pain at the fracture site
D Coolness of the skin on bilateral lower extremities. - Answer-B
Scoliosis is most often considered idiopathic
A True
B False - Answer-A
The client is placed in Buck's traction while awaiting internal fixation of the right
hip. What finding by the nurse would require immediate intervention?
A The weights for the traction are lying on the ground
B The client uses a trapeze to help reposition in bed
C The client requires q4hr opioids to maintain comfort
D Patient needs realignment due to muscle pain in the right leg - Answer-A
