Exam 4: NUR201/ NUR 201 (New 2024/ 2025
Update) Medical Surgical Nursing I Guide |
Questions and Verified Answers| 100%
Correct| A Grade – Fortis
QUESTION
The nurse should determine that teaching about migraine headaches has been effective when the
patient says which of the following?
Answer:
I will lie down someplace dark and quiet when the headaches begin
QUESTION
An unconscious pt has just arrived in the ER with a head injury cause by a motorcycle crash.
Which planned intervention by the healthcare provider should the nurse question?
Answer:
Prepare the pt for lumbar puncture
QUESTION
While the nurse is transporting a patient on a stretcher to the radiology department, the patient
begins having a tonic-clonic seizure. Which action should the nurse take?
Answer:
Time and observe and record the details of the seizure and postictal state.
QUESTION
When reviewing the health record for a new pt with rheumatoid arthritis the nurse reads that the
pt has swan neck deformities. Which deformities should the nurse expect to observe when
assessing the pt?
,Answer:
Swan neck deformity involves distal interphalangeal joint hyper flex ion and proximal
interphalangeal joint hyper extension of the hands
QUESTION
Which finding should the nurse expect when assessing a pt hi has osteoarthritis of the knee?
Answer:
Discomfort with joint movement
QUESTION
Which action should the nurse include in the plan of care for a pt with a new diagnosis of
rheumatoid arthritis?
Answer:
Encourage pt to take nap in the afternoon
QUESTION
A patient with left knee pain is diagnosed with bursitis. The nurse will explain that bursitis is an
inflammation of
Answer:
a small, fluid-filled sac found at some joints.
QUESTION
The nurse notes that a 59 yr old patient has lost 1 inch in height over the past 2 years. What
diagnostic test should the nurse plan to discuss with the patient?
Answer:
Dual energy X-ray absorptiometry (DXA)
, QUESTION
Which information in a 67 yr old womens health hx should alert the nurse to do a focused
assessment of the musculoskeletal system?
Answer:
The pt mother became shorter with acing
QUESTION
The nurse notes crackling sounds and a grating sensation with palpation of an older patient's
elbow. How will this finding be documented?
Answer:
Crepitation
QUESTION
During the assessment of the pt with fibromyalgia the nurse should expect the pt to report which
of the following?
Answer:
A. Sleep disturbances
B. Multiple tender points
C. Widespread bilateral burning
D. Musculoskeletal pain
QUESTION
Which action should the nurse include when performing the straight leg raising test for an
ambulatory pt with back pain?
Answer:
Lift pt leg 60* from bed
Update) Medical Surgical Nursing I Guide |
Questions and Verified Answers| 100%
Correct| A Grade – Fortis
QUESTION
The nurse should determine that teaching about migraine headaches has been effective when the
patient says which of the following?
Answer:
I will lie down someplace dark and quiet when the headaches begin
QUESTION
An unconscious pt has just arrived in the ER with a head injury cause by a motorcycle crash.
Which planned intervention by the healthcare provider should the nurse question?
Answer:
Prepare the pt for lumbar puncture
QUESTION
While the nurse is transporting a patient on a stretcher to the radiology department, the patient
begins having a tonic-clonic seizure. Which action should the nurse take?
Answer:
Time and observe and record the details of the seizure and postictal state.
QUESTION
When reviewing the health record for a new pt with rheumatoid arthritis the nurse reads that the
pt has swan neck deformities. Which deformities should the nurse expect to observe when
assessing the pt?
,Answer:
Swan neck deformity involves distal interphalangeal joint hyper flex ion and proximal
interphalangeal joint hyper extension of the hands
QUESTION
Which finding should the nurse expect when assessing a pt hi has osteoarthritis of the knee?
Answer:
Discomfort with joint movement
QUESTION
Which action should the nurse include in the plan of care for a pt with a new diagnosis of
rheumatoid arthritis?
Answer:
Encourage pt to take nap in the afternoon
QUESTION
A patient with left knee pain is diagnosed with bursitis. The nurse will explain that bursitis is an
inflammation of
Answer:
a small, fluid-filled sac found at some joints.
QUESTION
The nurse notes that a 59 yr old patient has lost 1 inch in height over the past 2 years. What
diagnostic test should the nurse plan to discuss with the patient?
Answer:
Dual energy X-ray absorptiometry (DXA)
, QUESTION
Which information in a 67 yr old womens health hx should alert the nurse to do a focused
assessment of the musculoskeletal system?
Answer:
The pt mother became shorter with acing
QUESTION
The nurse notes crackling sounds and a grating sensation with palpation of an older patient's
elbow. How will this finding be documented?
Answer:
Crepitation
QUESTION
During the assessment of the pt with fibromyalgia the nurse should expect the pt to report which
of the following?
Answer:
A. Sleep disturbances
B. Multiple tender points
C. Widespread bilateral burning
D. Musculoskeletal pain
QUESTION
Which action should the nurse include when performing the straight leg raising test for an
ambulatory pt with back pain?
Answer:
Lift pt leg 60* from bed
