RN Targeted Medical Surgical Neurosensory and Musculoskeletal
Online Practice Questions and Answers Rated A
A nurse is planning care for a client who has. vascular compromise.
closed traumatic brain injury from a fall and is
receiving mechanical ventilation. Which of the
following interventions is the nurses priority? - A nurse is caring for a client who has a history of
- maintain a PaCO2 of approximately 35 status epilepticus and requires seizure
mmHg precautions. Which of the following actions
should the nurse take? - - establish IV
The greatest risk to this client is injury from access
increased intracranial pressure. Therefore, the
nurse's priority intervention is to maintain the The nurse should plan to establish IV access with
PaCO2 at 35 to 38 mm Hg to prevent a large-bore catheter and administer 0.9%
hypercarbia and subsequent vasodilation that sodium chloride if seizures are imminent. If the
can lead to an increase in intracranial pressure. client is stable, the nurse should initiate a saline
lock.
A nurse is caring for a client who has a retinal
detachment. Which of the following findings A nurse is teaching a client and her family about
should the nurse expect? - - flashes of the diagnosis and treatment of Alzheimer's
bright light disease. Which of the following statements
should the nurse identify as an indication that the
The nurse should expect a client who has a family understands the teaching? - - "The
retinal detachment to see flashes of bright light or medications that treat Alzheimer's disease can
floating dark spots in the affected eye as the help delay cognitive changes."
retinal layers separate.
Medications that treat Alzheimer's disease
enhance the availability of acetylcholine, which
a nurse is caring for a client who has a spastic can slow cognitive decline in some clients.
bladder following a spinal cord injury. Which of
the following actions should the nurse take to
help stimulate micturition? - - stroke the A nurse is assessing a client who has a new
client's inner thigh diagnosis of osteoarthritis. Which of the following
findings should the nurse expect? - --
The nurse should stimulate micturition by Crepitus with joint movement
stroking the client's inner thigh. Other techniques -decreased range of motion of the affected joint
include pinching the skin above the groin and -joint pain that resolves with rest
providing digital anal stimulation.
-Crepitus with joint movement is correct.
Osteoarthritis is a degenerative joint disease.
A nurse is caring for a client who has viral Crepitus, a grating sound, is an expected finding
meningitis. Which of the following actions should with clients who have osteoarthritis as loosened
the nurse take? - - check capillary refill at bone and cartilage move around in the fluid
least every 4 hr inside the joint.
-Decreased range of motion of the affected joint
The nurse should perform a complete vascular is correct. Decreased range of motion is an
assessment at least every 4 hr to monitor for expected finding with clients who have
1/5
, RN Targeted Medical Surgical Neurosensory and Musculoskeletal
Online Practice Questions and Answers Rated A
osteoarthritis because the client's pain limits A nurse a caring for a client who is 72 hr
movement. postoperative following an above-the-knee
-Joint pain that resolves with rest is correct. Joint amputation and reports phantom limb pain.
pain that resolves with rest is an expected finding Which of the following actions should the nurse
with clients who have osteoarthritis. A client who take? - - request a prescription for
has osteoarthritis experiences increased pain gabapentin for the client.
with activity and decreased pain with rest.
The nurse should request a prescription for a
nonopioid medication to help minimize phantom
A nurse is teaching a client who has limb pain. Gabapentin is an oral antiepileptic
osteoporosis and has a new prescription for medication that is effective for treating sharp,
alendronate. Which of the following information burning, phantom limb pain.
should the nurse include in the teaching? -
- "Remain upright for 30 minutes after
taking this medication." A nurse is developing a teaching plan for a client
who has Ménière's disease. Which of the
To prevent esophagitis or esophageal ulcers, following instructions should the nurse include? -
which can result from alendronate therapy, the - "Move your head slowly to decrease
client should sit upright for 30 min after taking vertigo."
this medication.
The nurse should instruct the client to use slow
head movements to keep from worsening the
A nurse is planning care for a client following a vertigo.
lumbar puncture. Which of the following actions
should the nurse plan to take? - - ensure
that the client lies flat for up to 12 hr A nurse is reviewing postoperative instructions
with a client following cataract surgery. Which of
The client should lie flat for up to 12 hr to prevent the following client statements indicates an
cerebrospinal fluid leakage from the puncture understanding of the instructions? - - "I
site, which can cause a headache. should call my doctor if my vision gets worse."
The client should expect an improvement in
A nurse is assessing a client who has vision after the surgery, so the nurse should
rheumatoid arthritis. Which of the following instruct the client to report negative changes in
findings should the nurse expect? - - ulnar vision immediately.
deviation
A client who has rheumatoid arthritis can A nurse is assessing a client who has a head
experience inflammation in the hand joints that injury following a motor-vehicle crash. The nurse
can make them susceptible to deformity from should identify that which of the following findings
daily use. Ulnar deviation, or lateral deviation of indicates increasing intracranial pressure? -
the fingers, can occur from opening jars and - restlessness
other similar motions.
Behavioral changes, such as restlessness and
irritability, are early manifestations of increased
2/5
Online Practice Questions and Answers Rated A
A nurse is planning care for a client who has. vascular compromise.
closed traumatic brain injury from a fall and is
receiving mechanical ventilation. Which of the
following interventions is the nurses priority? - A nurse is caring for a client who has a history of
- maintain a PaCO2 of approximately 35 status epilepticus and requires seizure
mmHg precautions. Which of the following actions
should the nurse take? - - establish IV
The greatest risk to this client is injury from access
increased intracranial pressure. Therefore, the
nurse's priority intervention is to maintain the The nurse should plan to establish IV access with
PaCO2 at 35 to 38 mm Hg to prevent a large-bore catheter and administer 0.9%
hypercarbia and subsequent vasodilation that sodium chloride if seizures are imminent. If the
can lead to an increase in intracranial pressure. client is stable, the nurse should initiate a saline
lock.
A nurse is caring for a client who has a retinal
detachment. Which of the following findings A nurse is teaching a client and her family about
should the nurse expect? - - flashes of the diagnosis and treatment of Alzheimer's
bright light disease. Which of the following statements
should the nurse identify as an indication that the
The nurse should expect a client who has a family understands the teaching? - - "The
retinal detachment to see flashes of bright light or medications that treat Alzheimer's disease can
floating dark spots in the affected eye as the help delay cognitive changes."
retinal layers separate.
Medications that treat Alzheimer's disease
enhance the availability of acetylcholine, which
a nurse is caring for a client who has a spastic can slow cognitive decline in some clients.
bladder following a spinal cord injury. Which of
the following actions should the nurse take to
help stimulate micturition? - - stroke the A nurse is assessing a client who has a new
client's inner thigh diagnosis of osteoarthritis. Which of the following
findings should the nurse expect? - --
The nurse should stimulate micturition by Crepitus with joint movement
stroking the client's inner thigh. Other techniques -decreased range of motion of the affected joint
include pinching the skin above the groin and -joint pain that resolves with rest
providing digital anal stimulation.
-Crepitus with joint movement is correct.
Osteoarthritis is a degenerative joint disease.
A nurse is caring for a client who has viral Crepitus, a grating sound, is an expected finding
meningitis. Which of the following actions should with clients who have osteoarthritis as loosened
the nurse take? - - check capillary refill at bone and cartilage move around in the fluid
least every 4 hr inside the joint.
-Decreased range of motion of the affected joint
The nurse should perform a complete vascular is correct. Decreased range of motion is an
assessment at least every 4 hr to monitor for expected finding with clients who have
1/5
, RN Targeted Medical Surgical Neurosensory and Musculoskeletal
Online Practice Questions and Answers Rated A
osteoarthritis because the client's pain limits A nurse a caring for a client who is 72 hr
movement. postoperative following an above-the-knee
-Joint pain that resolves with rest is correct. Joint amputation and reports phantom limb pain.
pain that resolves with rest is an expected finding Which of the following actions should the nurse
with clients who have osteoarthritis. A client who take? - - request a prescription for
has osteoarthritis experiences increased pain gabapentin for the client.
with activity and decreased pain with rest.
The nurse should request a prescription for a
nonopioid medication to help minimize phantom
A nurse is teaching a client who has limb pain. Gabapentin is an oral antiepileptic
osteoporosis and has a new prescription for medication that is effective for treating sharp,
alendronate. Which of the following information burning, phantom limb pain.
should the nurse include in the teaching? -
- "Remain upright for 30 minutes after
taking this medication." A nurse is developing a teaching plan for a client
who has Ménière's disease. Which of the
To prevent esophagitis or esophageal ulcers, following instructions should the nurse include? -
which can result from alendronate therapy, the - "Move your head slowly to decrease
client should sit upright for 30 min after taking vertigo."
this medication.
The nurse should instruct the client to use slow
head movements to keep from worsening the
A nurse is planning care for a client following a vertigo.
lumbar puncture. Which of the following actions
should the nurse plan to take? - - ensure
that the client lies flat for up to 12 hr A nurse is reviewing postoperative instructions
with a client following cataract surgery. Which of
The client should lie flat for up to 12 hr to prevent the following client statements indicates an
cerebrospinal fluid leakage from the puncture understanding of the instructions? - - "I
site, which can cause a headache. should call my doctor if my vision gets worse."
The client should expect an improvement in
A nurse is assessing a client who has vision after the surgery, so the nurse should
rheumatoid arthritis. Which of the following instruct the client to report negative changes in
findings should the nurse expect? - - ulnar vision immediately.
deviation
A client who has rheumatoid arthritis can A nurse is assessing a client who has a head
experience inflammation in the hand joints that injury following a motor-vehicle crash. The nurse
can make them susceptible to deformity from should identify that which of the following findings
daily use. Ulnar deviation, or lateral deviation of indicates increasing intracranial pressure? -
the fingers, can occur from opening jars and - restlessness
other similar motions.
Behavioral changes, such as restlessness and
irritability, are early manifestations of increased
2/5
