The nurse on the postoperative inpatient unit assesses a client after a total hip
replacement. The clients surgical leg is visibly shorter than the other one and the
client reports extreme pain. While a co-worker calls the surgeon, what action by the
nurse is best?
a. Assess neurovascular status in both legs.
b. Elevate the affected leg and apply ice.
c. Prepare to administer pain medication.
d. Try to place the affected leg in abduction.
Give this one a try later!
a. Assess neurovascular status in both legs.
A male client with Bell's palsy asks the nurse what has caused this problem. The nurse's
response is based on an understanding that the cause is:
a. Unknown, but possibly includes ischemia, viral infection, or an autoimmune problem
,b. Unknown, but possibly includes long-term tissue malnutrition and cellular hypoxia
c. Primary genetic in origin, triggered by exposure to meningitis
d. Primarily genetic in origin, triggered by exposure to neurotoxins
Give this one a try later!
a. Unknown, but possibly includes ischemia, viral infection, or an
autoimmune problem
The nurse is caring for a client with systemic sclerosis (SSc). What comfort measures
can the nurse delegate to the unlicensed assistive personnel (UAP)? (Select all that
apply.)
a. Collaborate with a registered dietitian for appropriate foods.
b. Inspect the skin and note any areas of ulceration.
c. Keep the room at a comfortably warm temperature.
d. Place a foot cradle at the end of the bed to lift sheets.
e. Remind the client to elevate the head of the bed after eating.
Give this one a try later!
c. Keep the room at a comfortably warm temperature.
d. Place a foot cradle at the end of the bed to lift sheets.
e. Remind the client to elevate the head of the bed after eating.
2) A client with a subdural hematoma becomes restless and confused, with dilation of
the ipsilateral pupil. The physician orders mannitol for which of the following reasons?
1. To reduce intraocular pressure
2. To prevent acute tubular necrosis
3. To promote osmotic diuresis to decrease ICP
4. To draw water into the vascular system to increase blood pressure
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, 3. To promote osmotic diuresis to decrease ICP
A client is scheduled for a bone biopsy. What action by the nurse takes priority?
a. Administering the preoperative medications
b. Answering any questions about the procedure
c. Ensuring that informed consent is on the chart
d. Showing the clients family where to wait
Give this one a try later!
c. Ensuring that informed consent is on the chart
22) Which of the following assessment data indicated nuchal rigidity?
1. Positive Kernig's sign
2. Negative Brudzinski's sign
3. Positive homan's sign
4. Negative Kernig's sign
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1. Positive Kernig's sign
A nurse sees clients in an osteoporosis clinic. Which client should the nurse see first?
a. Client taking calcium with vitamin D (Os-Cal) who reports flank pain 2 weeks ago
b. Client taking ibandronate (Boniva) who cannot remember when the last dose was
c. Client taking raloxifene (Evista) who reports unilateral calf swelling
d. Client taking risedronate (Actonel) who reports occasional dyspepsia
, Give this one a try later!
c. Client taking raloxifene (Evista) who reports unilateral calf swelling
The client with a brain attack (stroke) has residual dysphagia. When a diet order is
initiated, the nurse avoids doing which of the following?
a. Giving the client thin liquids
b. Thickening liquids to the consistency of oatmeal
c. Placing food on the unaffected side of the mouth
d. Allowing plenty of time for chewing and swallowing
Give this one a try later!
a. Giving the client thin liquids
10) The client is having a lumbar puncture performed. The nurse would plan to place
the client in which position for the procedure?
1. Side-lying, with legs pulled up and head bent down onto the chest
2. Side-lying, with a pillow under the hip
3. Prone, in a slight Trendelenburg's position
4. Prone, with a pillow under the abdomen.
Give this one a try later!
1. Side-lying, with legs pulled up and head bent down onto the chest
A client with rheumatoid arthritis (RA) is on the postoperative nursing unit after having
elective surgery. The client reports that one arm feels like pins and needles and that
the neck is very painful since returning from surgery. What action by the nurse is best?
replacement. The clients surgical leg is visibly shorter than the other one and the
client reports extreme pain. While a co-worker calls the surgeon, what action by the
nurse is best?
a. Assess neurovascular status in both legs.
b. Elevate the affected leg and apply ice.
c. Prepare to administer pain medication.
d. Try to place the affected leg in abduction.
Give this one a try later!
a. Assess neurovascular status in both legs.
A male client with Bell's palsy asks the nurse what has caused this problem. The nurse's
response is based on an understanding that the cause is:
a. Unknown, but possibly includes ischemia, viral infection, or an autoimmune problem
,b. Unknown, but possibly includes long-term tissue malnutrition and cellular hypoxia
c. Primary genetic in origin, triggered by exposure to meningitis
d. Primarily genetic in origin, triggered by exposure to neurotoxins
Give this one a try later!
a. Unknown, but possibly includes ischemia, viral infection, or an
autoimmune problem
The nurse is caring for a client with systemic sclerosis (SSc). What comfort measures
can the nurse delegate to the unlicensed assistive personnel (UAP)? (Select all that
apply.)
a. Collaborate with a registered dietitian for appropriate foods.
b. Inspect the skin and note any areas of ulceration.
c. Keep the room at a comfortably warm temperature.
d. Place a foot cradle at the end of the bed to lift sheets.
e. Remind the client to elevate the head of the bed after eating.
Give this one a try later!
c. Keep the room at a comfortably warm temperature.
d. Place a foot cradle at the end of the bed to lift sheets.
e. Remind the client to elevate the head of the bed after eating.
2) A client with a subdural hematoma becomes restless and confused, with dilation of
the ipsilateral pupil. The physician orders mannitol for which of the following reasons?
1. To reduce intraocular pressure
2. To prevent acute tubular necrosis
3. To promote osmotic diuresis to decrease ICP
4. To draw water into the vascular system to increase blood pressure
Give this one a try later!
, 3. To promote osmotic diuresis to decrease ICP
A client is scheduled for a bone biopsy. What action by the nurse takes priority?
a. Administering the preoperative medications
b. Answering any questions about the procedure
c. Ensuring that informed consent is on the chart
d. Showing the clients family where to wait
Give this one a try later!
c. Ensuring that informed consent is on the chart
22) Which of the following assessment data indicated nuchal rigidity?
1. Positive Kernig's sign
2. Negative Brudzinski's sign
3. Positive homan's sign
4. Negative Kernig's sign
Give this one a try later!
1. Positive Kernig's sign
A nurse sees clients in an osteoporosis clinic. Which client should the nurse see first?
a. Client taking calcium with vitamin D (Os-Cal) who reports flank pain 2 weeks ago
b. Client taking ibandronate (Boniva) who cannot remember when the last dose was
c. Client taking raloxifene (Evista) who reports unilateral calf swelling
d. Client taking risedronate (Actonel) who reports occasional dyspepsia
, Give this one a try later!
c. Client taking raloxifene (Evista) who reports unilateral calf swelling
The client with a brain attack (stroke) has residual dysphagia. When a diet order is
initiated, the nurse avoids doing which of the following?
a. Giving the client thin liquids
b. Thickening liquids to the consistency of oatmeal
c. Placing food on the unaffected side of the mouth
d. Allowing plenty of time for chewing and swallowing
Give this one a try later!
a. Giving the client thin liquids
10) The client is having a lumbar puncture performed. The nurse would plan to place
the client in which position for the procedure?
1. Side-lying, with legs pulled up and head bent down onto the chest
2. Side-lying, with a pillow under the hip
3. Prone, in a slight Trendelenburg's position
4. Prone, with a pillow under the abdomen.
Give this one a try later!
1. Side-lying, with legs pulled up and head bent down onto the chest
A client with rheumatoid arthritis (RA) is on the postoperative nursing unit after having
elective surgery. The client reports that one arm feels like pins and needles and that
the neck is very painful since returning from surgery. What action by the nurse is best?
