NURS 120/NURS120 Midterm Exam | Latest Update 2025/2026 | Questions and Answers | 100 out of 100 | GRADED A | 100% Correct.

NURS 120/NURS120 Midterm Exam | Latest Update 2025/2026 | Questions and Answers | 100 out of 100 | GRADED A | 100% Correct. Question: What characteristic of fluid noted during surgery is most concerning? purulent color Question: A patient with an (ORIF) of left shoulder C/O os severe pain at the site post pain med. What action should the nurse take? Call the MD Question: True or false: You should always assess the patients GI system post surgery. True Question: When planning care for a patient who had hip replacement surgery, which nursing action should the nurse delegate to the CNA? reposition the patient every 1 to 2 hours Question: A patient is admitted to the ED with possible left lower leg fracture. What is the initial action? Check the popliteal, dorsalis pedis, and posterior tibial pulses Question: A patient that was admitted with a left femur fracture. What is the most important to report to the health care provider? Capillary refill longer than 5 secs Question: True or false: A patient comes to the ED with a swollen ankle. The nurse should elevate the extremity above the heart. True Question: A dark skinned patient was admitted to the hospital with CHF. How would the nurse assess the patient for cyanosis. through the lips and oral mucosa Question: True or false: A nurse caring for a patient with deep vein thrombosis of the lower leg should elevate the affect limb? True Question: The patient is C/O knee pain following an arthroscopic procedure. What action should the nurse anticipate? Question: The patient who has had an open reduction and internal fixation (ORIF) of left lower leg fractures. List 4 assessments and actions should the nurse take? -check post op orders for patients weight bearing status -assess skin integrity -turn every 2 hours, maintain abduction Question: The nurse is assessing a patient who is on bed rest after having a complex pelvic fracture, which assessment finding is most important to report to the health care provider? abdomen is distended and bowel sounds are absent Question: The patient with lower leg fracture has an external fixation device in place and is scheduled for discharge. Which information will the nurse include in the discharge teaching? You will need to check and clean the pin insertion sites daily -maintain abduction (change position every 2 hours) -avoid extreme hip flexion Question: On the first postoperative day, a patient with a below-the-knee amputation complains of pain in the amputated limb. Which action is best for the nurse to take? administer prescribed opioids to relieve the pain Question: The patient is admitted to the emergency department with possible left lower leg fractures. List 4 actions by the nurse? assess leg pulses and sensations -pallor, pain, paralysis, pressure Question: To teach a client how to observe and manage his casted extremity at home, the nurse should include what 4 instructions? report any worsening or unrelieved pain -plaster (not wet, dry with hairdryer) -fiberglass (can get wet) Question: To prevent further tissue damage, what instructions are most important for the nurse to teach patient and the family patient stage 2 ulcers? change the patient's position every 1 to 2 hours Question: List 4 actions for a patient with a swollen ankle? rest, ice, compression, elevation Question: What signs and symptoms should alert the nurse to impending organ failure? dark, scanty urine Question: After receiving a change-of-shift report, which patient should the nurse assess first? Question: The nurse could delegate care of which patient to a licensed vocational nurse (LVN)? Question: What activities can the nurse working in the outpatient clinic delegate to a licensed vocation nurse (LVN)? -administer patch testing to a patient with allergic dermatitis -apply a sterile dressing after the health care provider excises a mole Question: List the best action to prevent spread of infection with Staphylococcus Aureus? hand hygiene Question: List 4 actions should the nurse include in the plan pt. cellulitis. elevate the leg on two pillows Question: The nurse is assessing a client's wound dressing and observes a watery red drainage.? to document. serosanguineous