NRS 3025 EXAM 3 (LATEST UPDATE
2026/2027) QUESTION WITH VERIFIED
ANSWER {GRADE A} -OAKLAND
UNIVERSITY
A client with a skull fracture has a clear liquid coming from his nose. What finding
shows it is CSF? - Correct answer fluid separates into rings and tests positive for
glucose
Rn is caring for a pt who is in status epilepticus. What med should the rn anticipate
administering to halt the seizure? - Correct answer diazepam IV
The RN is caring for a pt who is in traction. To prevent skin breakdown, what action
should be included? - Correct answer Assess the pin insertion site every 8 hours
A pt had a knee replacement. The affected leg has a decreased pedal pulse. What is the
priority diagnosis for this pt? - Correct answer Risk for ineffective peripheral tissue
perfusion
,A pt had a total hip sx and after moving, the patient has a new onset of pain at the
surgical site. What is the RN's best action? - Correct answer Assess the surgical site
and the affected extremity
The RN observes a pt using a pencil to scratch the skin under their cast. How should
the nurse respond? - Correct answer Encourage the pt to avoid scratching, and give
medication if itching continues
A pt is in a cast w/ pain. RN gave meds and elevated the extremity, but the pain is
unrelieved. What complication is this? - Correct answer Compartment syndrome
When assessing a client's lower limbs, what sign and symptom is suggestive of DVT? -
Correct answer increased warmth of calf
The nurse is providing discharge education to a pt who is going home with a cast on his
leg. What topic should the nurse provide to the patient? - Correct answer Report signs
of impaired circulation
, A pt with a right tibia fx is being d/c home after having a cast applied. What
instructions are priority to provide to the patient? - Correct answer Keep your right leg
elevated above heart level
An elderly pt's hip joint is immobilized prior to surgery to correct femoral head fx.
What is the priority assessment? - Correct answer signs of neurovascular
compromise
A pt has had a brace prescribed to facilitate recovery. What are the potential
therapeutic benefits of the brace? - Correct answer prevents additional injury
provides support
controls movement
RN is unable to palpate the pt's DP or PT pulse and the pt's foot is pale. What is the
nurse's most appropriate action? - Correct answer Inform primary provider
immediately
2026/2027) QUESTION WITH VERIFIED
ANSWER {GRADE A} -OAKLAND
UNIVERSITY
A client with a skull fracture has a clear liquid coming from his nose. What finding
shows it is CSF? - Correct answer fluid separates into rings and tests positive for
glucose
Rn is caring for a pt who is in status epilepticus. What med should the rn anticipate
administering to halt the seizure? - Correct answer diazepam IV
The RN is caring for a pt who is in traction. To prevent skin breakdown, what action
should be included? - Correct answer Assess the pin insertion site every 8 hours
A pt had a knee replacement. The affected leg has a decreased pedal pulse. What is the
priority diagnosis for this pt? - Correct answer Risk for ineffective peripheral tissue
perfusion
,A pt had a total hip sx and after moving, the patient has a new onset of pain at the
surgical site. What is the RN's best action? - Correct answer Assess the surgical site
and the affected extremity
The RN observes a pt using a pencil to scratch the skin under their cast. How should
the nurse respond? - Correct answer Encourage the pt to avoid scratching, and give
medication if itching continues
A pt is in a cast w/ pain. RN gave meds and elevated the extremity, but the pain is
unrelieved. What complication is this? - Correct answer Compartment syndrome
When assessing a client's lower limbs, what sign and symptom is suggestive of DVT? -
Correct answer increased warmth of calf
The nurse is providing discharge education to a pt who is going home with a cast on his
leg. What topic should the nurse provide to the patient? - Correct answer Report signs
of impaired circulation
, A pt with a right tibia fx is being d/c home after having a cast applied. What
instructions are priority to provide to the patient? - Correct answer Keep your right leg
elevated above heart level
An elderly pt's hip joint is immobilized prior to surgery to correct femoral head fx.
What is the priority assessment? - Correct answer signs of neurovascular
compromise
A pt has had a brace prescribed to facilitate recovery. What are the potential
therapeutic benefits of the brace? - Correct answer prevents additional injury
provides support
controls movement
RN is unable to palpate the pt's DP or PT pulse and the pt's foot is pale. What is the
nurse's most appropriate action? - Correct answer Inform primary provider
immediately
