NURS 175 EXAM 4 PRACTICE QUESTIONS AND
VERIFIED 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 - Answers - 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 - Answers - D
The nurse is caring for a client who reports all non-pharmacological therapies have
been ineffective for their acute lower back pain. The nurse considers which medication
to be best for initial management? (Single Choice)*
A Acetaminophen
B Ibuprofen
C Oxycodone
D Tramadol - Answers - B
The nurse takes over care of a client 8 hours after having lumbar laminectomy. The
patient reports lower abdominal discomfort and pressure. What questioning would help
provide further information regarding the client's issues? (Single Choice)*
A When did you last get out of bed?
B When was the last time you voided?
C When did you speak with the surgeon?
D When did you last receive pain medication? - Answers - B
The client returns home after having a MIS microdiscectomy? The client calls the triage
nurse from home and reports clear fluid leaking around the steri-strips. What is the
nurse's best response? (Single Choice)*
A I will contact the surgeon and get back to you with further instructions
,B Check your blood pressure and give me the reading
C Remove the dressing and place sterile gauze over the site
D This is a normal finding after a microdiscectomy - Answers - A
A 52-year-old man is brought to the ED with a deformed right ankle. He states that he
was jogging close to the edge of a hillside, and that he tripped and fell down the hill.
There are no openings in the skin. A pulse cannot be obtained by touch to the right foot.
The foot and ankle are edematous and warm. The patient rates his pain as an "8" on a
0-to-10 scale.
What is the priority action by the nurse?
A Prepare for reduction
B Administer pain medication
C Obtain a Doppler of the right foot pulse
D Place oxygen on the client - Answers - C
A 52-year-old man is brought to the ED with a deformed right ankle. He states that he
was jogging close to the edge of a hillside, and that he tripped and fell down the hill.
There are no openings in the skin. A pulse cannot be obtained by touch to the right foot.
The foot and ankle are edematous and warm. The patient rates his pain as an "8" on a
0-to-10 scale.
To control the patient's pain, which order does the nurse anticipate will be given by the
provider?
A Morphine 1 to 2 mg IV
B Meperdine 50 mg IM
C Acetaminophen 650 mg by mouth
D Apply ice packs to the right ankle - Answers - A
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 -
Answers - 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." -
Answers - 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." -
Answers - 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. - Answers - B
Scoliosis is most often considered idiopathic
A True
B False - Answers - 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 - Answers - A
Similar to Huntington Disease, Parkinson disease is a hereditary disease transmitted by
an autosomal-dominant trait at conception?
A. True
B. False - Answers - B
Pick the symptoms that are considered cardinal symptoms of Parkinson's disease.
Select all that apply.
VERIFIED 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 - Answers - 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 - Answers - D
The nurse is caring for a client who reports all non-pharmacological therapies have
been ineffective for their acute lower back pain. The nurse considers which medication
to be best for initial management? (Single Choice)*
A Acetaminophen
B Ibuprofen
C Oxycodone
D Tramadol - Answers - B
The nurse takes over care of a client 8 hours after having lumbar laminectomy. The
patient reports lower abdominal discomfort and pressure. What questioning would help
provide further information regarding the client's issues? (Single Choice)*
A When did you last get out of bed?
B When was the last time you voided?
C When did you speak with the surgeon?
D When did you last receive pain medication? - Answers - B
The client returns home after having a MIS microdiscectomy? The client calls the triage
nurse from home and reports clear fluid leaking around the steri-strips. What is the
nurse's best response? (Single Choice)*
A I will contact the surgeon and get back to you with further instructions
,B Check your blood pressure and give me the reading
C Remove the dressing and place sterile gauze over the site
D This is a normal finding after a microdiscectomy - Answers - A
A 52-year-old man is brought to the ED with a deformed right ankle. He states that he
was jogging close to the edge of a hillside, and that he tripped and fell down the hill.
There are no openings in the skin. A pulse cannot be obtained by touch to the right foot.
The foot and ankle are edematous and warm. The patient rates his pain as an "8" on a
0-to-10 scale.
What is the priority action by the nurse?
A Prepare for reduction
B Administer pain medication
C Obtain a Doppler of the right foot pulse
D Place oxygen on the client - Answers - C
A 52-year-old man is brought to the ED with a deformed right ankle. He states that he
was jogging close to the edge of a hillside, and that he tripped and fell down the hill.
There are no openings in the skin. A pulse cannot be obtained by touch to the right foot.
The foot and ankle are edematous and warm. The patient rates his pain as an "8" on a
0-to-10 scale.
To control the patient's pain, which order does the nurse anticipate will be given by the
provider?
A Morphine 1 to 2 mg IV
B Meperdine 50 mg IM
C Acetaminophen 650 mg by mouth
D Apply ice packs to the right ankle - Answers - A
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 -
Answers - 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." -
Answers - 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." -
Answers - 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. - Answers - B
Scoliosis is most often considered idiopathic
A True
B False - Answers - 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 - Answers - A
Similar to Huntington Disease, Parkinson disease is a hereditary disease transmitted by
an autosomal-dominant trait at conception?
A. True
B. False - Answers - B
Pick the symptoms that are considered cardinal symptoms of Parkinson's disease.
Select all that apply.
