NURSADNA2 FINAL EXAM QUESTIONS WITH CORRECT ANSWERS
2025 EDITION
Why does it take a while for strains or sprains to heal? - ✔✔ There is not much blood flow to
them
A nurse is positioning a patient with a *BKA (below knee amputation)*. Which position might
the patient be placed (for a period of time) to prevent stiffening and immobilization of the
tendons in the remaining limb?
A. Supine
B. Prone
C. Fowlers
D. Sims - ✔✔ B. Prone
In the prone position, gravity will assist the remaining limb in straightening to prevent stiffening
into a bent position
How should the nurse place a patient who is *postop from a unilateral hip replacement*?
A. Supine with legs adducted together
B. Supine with legs abducted with a pillow
C. Supine with legs elevated on a pillow and toes pointing upward
D. Supine with only the affected leg elevated on a pillow. - ✔✔ B. Supine with legs abducted
with a pillow
,A patient is lying down on the exam table and the nurse notices the *right leg is shortened, with
the foot externally rotated*. The nurse suspects the doctor will diagnose the patient with which
of the following?
A. Left hip dislocation
B. Right hip dislocation
C. Right hip fracture
D. Right ankle fracture - ✔✔ C. Right hip fracture
What is a stable hip fracture? - ✔✔ Part of the pelvic bone is broken but spinal cord remains
intact; The bone does not move out of its normal anatomical position and alignment. A stable
fracture may "set" and heal itself
What is an unstable hip fracture? - ✔✔ Usually two or more breaks in the pelvic ring and the
ends of the broken bones do not line up correctly; The bone is more likely to move out of its
normal position and alignment; Requires immediate emergency treatment
What is *preload*? - ✔✔ Volume of blood in ventricles at end of diastole (when heart muscle
relaxes to allow blood to fill chambers)
What is *afterload*? - ✔✔ Resistance (the constriction or dilation of the arteries) the left
ventricle must overcome to circulate blood
, What is *contractility*? - ✔✔ Normal ability of muscle to contract at a given force for a given
stretch. It is independent of preload/afterload
Knowing what you know about afterload. Would afterload be *increased or decreased* in one
with hypertension? - ✔✔ Increased
Rationale: The workload of the heart is increased because there is more force to go against in
order to push blood to the rest of the body
What does digoxin do? - ✔✔ Slows, strengthens, and regulates the heartbeat while deepening
contractions of the heart to pump more efficiently
A patient presents with pulmonary edema, SOB, cyanotic extremities and ataxia (weakness).
Which side of the heart might be failing? Is this diastolic or systolic? - ✔✔ Left/Systolic
A patient presents with peripheral edema, jugular distention and a rounded midsection, indicating
ascites. Which side of the heart might be failing? Is this diastolic or systolic? - ✔✔
Right/Diastolic
A patient presents to the ER with a blood pressure of 190/126 and shows signs of *acute kidney
injury (AKI)*. Is this a hypertensive emergency or urgency? Why? - ✔✔ Hypertensive
emergency
An HTN Emergency indicates organ involvement while urgency does not. Regardless, the
hypertension must still be addressed and treated.
2025 EDITION
Why does it take a while for strains or sprains to heal? - ✔✔ There is not much blood flow to
them
A nurse is positioning a patient with a *BKA (below knee amputation)*. Which position might
the patient be placed (for a period of time) to prevent stiffening and immobilization of the
tendons in the remaining limb?
A. Supine
B. Prone
C. Fowlers
D. Sims - ✔✔ B. Prone
In the prone position, gravity will assist the remaining limb in straightening to prevent stiffening
into a bent position
How should the nurse place a patient who is *postop from a unilateral hip replacement*?
A. Supine with legs adducted together
B. Supine with legs abducted with a pillow
C. Supine with legs elevated on a pillow and toes pointing upward
D. Supine with only the affected leg elevated on a pillow. - ✔✔ B. Supine with legs abducted
with a pillow
,A patient is lying down on the exam table and the nurse notices the *right leg is shortened, with
the foot externally rotated*. The nurse suspects the doctor will diagnose the patient with which
of the following?
A. Left hip dislocation
B. Right hip dislocation
C. Right hip fracture
D. Right ankle fracture - ✔✔ C. Right hip fracture
What is a stable hip fracture? - ✔✔ Part of the pelvic bone is broken but spinal cord remains
intact; The bone does not move out of its normal anatomical position and alignment. A stable
fracture may "set" and heal itself
What is an unstable hip fracture? - ✔✔ Usually two or more breaks in the pelvic ring and the
ends of the broken bones do not line up correctly; The bone is more likely to move out of its
normal position and alignment; Requires immediate emergency treatment
What is *preload*? - ✔✔ Volume of blood in ventricles at end of diastole (when heart muscle
relaxes to allow blood to fill chambers)
What is *afterload*? - ✔✔ Resistance (the constriction or dilation of the arteries) the left
ventricle must overcome to circulate blood
, What is *contractility*? - ✔✔ Normal ability of muscle to contract at a given force for a given
stretch. It is independent of preload/afterload
Knowing what you know about afterload. Would afterload be *increased or decreased* in one
with hypertension? - ✔✔ Increased
Rationale: The workload of the heart is increased because there is more force to go against in
order to push blood to the rest of the body
What does digoxin do? - ✔✔ Slows, strengthens, and regulates the heartbeat while deepening
contractions of the heart to pump more efficiently
A patient presents with pulmonary edema, SOB, cyanotic extremities and ataxia (weakness).
Which side of the heart might be failing? Is this diastolic or systolic? - ✔✔ Left/Systolic
A patient presents with peripheral edema, jugular distention and a rounded midsection, indicating
ascites. Which side of the heart might be failing? Is this diastolic or systolic? - ✔✔
Right/Diastolic
A patient presents to the ER with a blood pressure of 190/126 and shows signs of *acute kidney
injury (AKI)*. Is this a hypertensive emergency or urgency? Why? - ✔✔ Hypertensive
emergency
An HTN Emergency indicates organ involvement while urgency does not. Regardless, the
hypertension must still be addressed and treated.
