NUR 313 EXAM 3 PRACTICE QUESTIONS & ANSWERS
The nurse instructs the client with right below knee amputation to lie on his stomach, the
pt asks why? - answer -to prevent contractures
The recovery nurse is caring for a client that had a left below knee amputation, which
intervention should you implement?
A. Assess client dressing every 2 hrs
B. Don't allow client to see residual limb
C. Keep a tourniquet at the bedside
D. Perform passing rom on right leg - answer -c
Tourniquet at bedside because we are worried about bleeding. A should be more often,
b is wrong, d is wrong leg and not passive
Which task should the nurse delegate to uap?
A. Help client with 2 day post op amp put on prosthesis
B. Request uap double check unit of blood to be hung
C. Change surgical dressing
D. Ask uap to take client to pt department - answer -d
A, b, c, are all out of their scope of practice
32 yo male client with traumatic left above knee amp is being discharged, which
instruction should be included? Sata.
A. Report any pain not reported with analgesics
B. Eat a well balanced diet and increase protein intake
C. Be sure to attend all outpatient rehab appts
D. Encourage client to attend support group for amputations
E. Stay at home as much as possible for the first couple months - answer -a, b, c, d
A is correct out of concern for compartment syndrome, b is correct bc it promotes
wound healing, c and d are correct bc its proper assimiliation to new wound
Client is taken to ed with injury to right arm, what is the nurse's priority?
A. Assess cap refill
B. Remove clothing from arm
C. Prepare client for application of cast
D. Call radiology for immediate x ray - answer -a
, A is correct because we need more info. Circulation is abc priority
Pt has fracture of left tibia and fibula, which should be reported immediately?
A. Generalized weakness and increased touch sensitivity
B. Dorsalis pedal pulse cannot be located and increased pain
C. Localized edema and discoloration hours after injury
D. Pain relief after taking meds - answer -b
B is correct because circulation is abc priority
Uap reports client with fractured femur has globs floating in urine, which intervention
should nurse implement first?
A. Assess for dyspnea and altered mental status
B. Obtain abg and order portable chest x ray
C. Call provider for ventilation perfusion scan
D. Instruct uap to keep client on strict bed rest - answer -a
A is correct because we need more info, hence assessing
Pt with fractured hip is in bucks traction (which is skin traction) is complaining of severe
pain, which intervention would we implement?
A. Adjust pt controlled analgesics for lower dose
B. Assure traction weights are off the floor
C. Raise hob to 45 degrees
D. Turn client on affected leg - answer -b
A is wrong because the dose would not be lowered for pain. C is wrong because you
never want the raise the hob with traction over 25 degrees. D is incorrect
The nurse and uap are caring for clients on med floor, which nursing task is most
appropriate to be delegated to uap?
A. Collect a clean midstream urine specimen
B. Assess clients 8 hour intake and output
C. Assist in checking a unit of blood prior to hanging
D. Administer an enema - answer -a
A is correct bc everything else is out of scope, b is wrong because they can measure
i&o but cannot assess
Pt is admin to ed after gsw to abdomen, which should be implemented to prevent pre
renal aki?
The nurse instructs the client with right below knee amputation to lie on his stomach, the
pt asks why? - answer -to prevent contractures
The recovery nurse is caring for a client that had a left below knee amputation, which
intervention should you implement?
A. Assess client dressing every 2 hrs
B. Don't allow client to see residual limb
C. Keep a tourniquet at the bedside
D. Perform passing rom on right leg - answer -c
Tourniquet at bedside because we are worried about bleeding. A should be more often,
b is wrong, d is wrong leg and not passive
Which task should the nurse delegate to uap?
A. Help client with 2 day post op amp put on prosthesis
B. Request uap double check unit of blood to be hung
C. Change surgical dressing
D. Ask uap to take client to pt department - answer -d
A, b, c, are all out of their scope of practice
32 yo male client with traumatic left above knee amp is being discharged, which
instruction should be included? Sata.
A. Report any pain not reported with analgesics
B. Eat a well balanced diet and increase protein intake
C. Be sure to attend all outpatient rehab appts
D. Encourage client to attend support group for amputations
E. Stay at home as much as possible for the first couple months - answer -a, b, c, d
A is correct out of concern for compartment syndrome, b is correct bc it promotes
wound healing, c and d are correct bc its proper assimiliation to new wound
Client is taken to ed with injury to right arm, what is the nurse's priority?
A. Assess cap refill
B. Remove clothing from arm
C. Prepare client for application of cast
D. Call radiology for immediate x ray - answer -a
, A is correct because we need more info. Circulation is abc priority
Pt has fracture of left tibia and fibula, which should be reported immediately?
A. Generalized weakness and increased touch sensitivity
B. Dorsalis pedal pulse cannot be located and increased pain
C. Localized edema and discoloration hours after injury
D. Pain relief after taking meds - answer -b
B is correct because circulation is abc priority
Uap reports client with fractured femur has globs floating in urine, which intervention
should nurse implement first?
A. Assess for dyspnea and altered mental status
B. Obtain abg and order portable chest x ray
C. Call provider for ventilation perfusion scan
D. Instruct uap to keep client on strict bed rest - answer -a
A is correct because we need more info, hence assessing
Pt with fractured hip is in bucks traction (which is skin traction) is complaining of severe
pain, which intervention would we implement?
A. Adjust pt controlled analgesics for lower dose
B. Assure traction weights are off the floor
C. Raise hob to 45 degrees
D. Turn client on affected leg - answer -b
A is wrong because the dose would not be lowered for pain. C is wrong because you
never want the raise the hob with traction over 25 degrees. D is incorrect
The nurse and uap are caring for clients on med floor, which nursing task is most
appropriate to be delegated to uap?
A. Collect a clean midstream urine specimen
B. Assess clients 8 hour intake and output
C. Assist in checking a unit of blood prior to hanging
D. Administer an enema - answer -a
A is correct bc everything else is out of scope, b is wrong because they can measure
i&o but cannot assess
Pt is admin to ed after gsw to abdomen, which should be implemented to prevent pre
renal aki?
