NUR 130 COMPREHENSIVE QUESTIONS AND
ANSWERS SET A+
✔✔A client has trigeminal neuralgia and has begun skipping meals and not brushing his
teeth, and his family believes he has become depressed. What action by the nurse is
best? - ✔✔Ask the client to explain his feelings related to this disorder.
✔✔A client with myasthenia gravis has the priority client problem of inadequate
nutrition. What assessment does the finding indicate that the priority goal for this client
problem has been met? - ✔✔Weight gain of 3 pounds in 1 month
✔✔A client is taking long-term corticosteroids for myasthenia gravis. What teaching is
most important? - ✔✔Avoid large crowds and people who are sick
✔✔A client with Guillain-Barr syndrome is admitted to the hospital. The nurse plans
caregiving priority to interventions that address which priority client problem? -
✔✔Inadequate airway
✔✔The nurse learns that the pathophysiology of Guillain-Barr syndrome includes
segmental demyelination. The nurse should understand that this causes what? -
✔✔Slowed nerve impulse transmission
✔✔A client is admitted with Guillain-Barr syndrome (GBS). What assessment takes
priority? - ✔✔Respiratory system
✔✔A nurse assesses a client with a cast for potential compartment syndrome. Which
clinical manifestations are correctly paired with the physiologic changes of compartment
syndrome? (Select all that apply.) - ✔✔Edema Increased capillary permeability,
Unequal pulses Increased production of lactic acid, Cyanosis Anaerobic metabolism
, ✔✔A phone triage nurse speaks with a client who has an arm cast. The client states,
My arm feels really tight and puffy. How should the nurse respond? - ✔✔Please come
to the clinic today to have your arm checked out by the provider
✔✔A nurse assesses a client with a pelvic fracture. Which assessment finding should
the nurse identify as a complication of this injury? - ✔✔Hematuria
✔✔A nurse cares for a client who had a wrist cast applied 3 days ago. The client states,
The cast is loose enough to slide off. How should the nurse respond? - ✔✔You will
need a new cast now that the swelling has decreased
✔✔A home health nurse assesses a client with diabetes who has a new cast on the
arm. The nurse notes the clients fingers are pale, cool, and slightly swollen. Which
action should the nurse take first? - ✔✔Raise the arm above the level of the heart
✔✔A nurse delegates care of a client in traction to an unlicensed assistive personnel
(UAP). Which statement should the nurse include when delegating hygiene care for this
client? - ✔✔Ensure that the weights remain freely hanging at all times.
✔✔A trauma nurse cares for several clients with fractures. Which client should the
nurse identify as at highest risk for developing deep vein thrombosis - ✔✔A 74-year-old
man who smokes and has a fractured pelvis
✔✔A nurse coordinates care for a client with a wet plaster cast. Which statement should
the nurse include when delegating care for this client to unlicensed assistive personnel
(UAP)? - ✔✔Use a cloth-covered pillow to elevate the legs
✔✔A nurse is providing education to a community women's group about lifestyle
changes helpful in preventing osteoporosis. What topics does the nurse cover? (Select
all that apply.) - ✔✔strengthening exercises are important, take recommended calcium
and Vit D, walk 30 min at least 3x/week
✔✔A nurse is assessing a community group for dietary factors that contribute to
osteoporosis. In addition to inquiring about calcium, the nurse also assesses for which
other dietary components? (Select all that apply.) - ✔✔Alcohol, Caffeine, Carbonated
beverages, Vitamin D
✔✔A client with osteoporosis is going home, where the client lives alone. What action
by the nurse is best? - ✔✔Arrange a home safety evaluation
✔✔What information does the nurse teach a women's group about osteoporosis? -
✔✔For 5 years after menopause, you lose 2% of bone mass yearly.
ANSWERS SET A+
✔✔A client has trigeminal neuralgia and has begun skipping meals and not brushing his
teeth, and his family believes he has become depressed. What action by the nurse is
best? - ✔✔Ask the client to explain his feelings related to this disorder.
✔✔A client with myasthenia gravis has the priority client problem of inadequate
nutrition. What assessment does the finding indicate that the priority goal for this client
problem has been met? - ✔✔Weight gain of 3 pounds in 1 month
✔✔A client is taking long-term corticosteroids for myasthenia gravis. What teaching is
most important? - ✔✔Avoid large crowds and people who are sick
✔✔A client with Guillain-Barr syndrome is admitted to the hospital. The nurse plans
caregiving priority to interventions that address which priority client problem? -
✔✔Inadequate airway
✔✔The nurse learns that the pathophysiology of Guillain-Barr syndrome includes
segmental demyelination. The nurse should understand that this causes what? -
✔✔Slowed nerve impulse transmission
✔✔A client is admitted with Guillain-Barr syndrome (GBS). What assessment takes
priority? - ✔✔Respiratory system
✔✔A nurse assesses a client with a cast for potential compartment syndrome. Which
clinical manifestations are correctly paired with the physiologic changes of compartment
syndrome? (Select all that apply.) - ✔✔Edema Increased capillary permeability,
Unequal pulses Increased production of lactic acid, Cyanosis Anaerobic metabolism
, ✔✔A phone triage nurse speaks with a client who has an arm cast. The client states,
My arm feels really tight and puffy. How should the nurse respond? - ✔✔Please come
to the clinic today to have your arm checked out by the provider
✔✔A nurse assesses a client with a pelvic fracture. Which assessment finding should
the nurse identify as a complication of this injury? - ✔✔Hematuria
✔✔A nurse cares for a client who had a wrist cast applied 3 days ago. The client states,
The cast is loose enough to slide off. How should the nurse respond? - ✔✔You will
need a new cast now that the swelling has decreased
✔✔A home health nurse assesses a client with diabetes who has a new cast on the
arm. The nurse notes the clients fingers are pale, cool, and slightly swollen. Which
action should the nurse take first? - ✔✔Raise the arm above the level of the heart
✔✔A nurse delegates care of a client in traction to an unlicensed assistive personnel
(UAP). Which statement should the nurse include when delegating hygiene care for this
client? - ✔✔Ensure that the weights remain freely hanging at all times.
✔✔A trauma nurse cares for several clients with fractures. Which client should the
nurse identify as at highest risk for developing deep vein thrombosis - ✔✔A 74-year-old
man who smokes and has a fractured pelvis
✔✔A nurse coordinates care for a client with a wet plaster cast. Which statement should
the nurse include when delegating care for this client to unlicensed assistive personnel
(UAP)? - ✔✔Use a cloth-covered pillow to elevate the legs
✔✔A nurse is providing education to a community women's group about lifestyle
changes helpful in preventing osteoporosis. What topics does the nurse cover? (Select
all that apply.) - ✔✔strengthening exercises are important, take recommended calcium
and Vit D, walk 30 min at least 3x/week
✔✔A nurse is assessing a community group for dietary factors that contribute to
osteoporosis. In addition to inquiring about calcium, the nurse also assesses for which
other dietary components? (Select all that apply.) - ✔✔Alcohol, Caffeine, Carbonated
beverages, Vitamin D
✔✔A client with osteoporosis is going home, where the client lives alone. What action
by the nurse is best? - ✔✔Arrange a home safety evaluation
✔✔What information does the nurse teach a women's group about osteoporosis? -
✔✔For 5 years after menopause, you lose 2% of bone mass yearly.
