Rn Targeted Medical Surgical Neurosensory And
Musculoskeletal Online Practice Newest 2025
Actual Exam Questions And Correct Detailed
Answers
A nurse is planning care for a client who has. closed traumatic brain injury from a fall
and is receiving mechanical ventilation. Which of the following interventions is the
nurses priority? - CORRECT ANSWER - maintain a PaCO2 of approximately 35 mmHg
The greatest risk to this client is injury from increased intracranial pressure. Therefore,
the nurse's priority intervention is to maintain the PaCO2 at 35 to 38 mm Hg to prevent
hypercarbia and subsequent vasodilation that can lead to an increase in intracranial
pressure.
A nurse is caring for a client who has a retinal detachment. Which of the following
findings should the nurse expect? - CORRECT ANSWER - flashes of bright light
The nurse should expect a client who has a retinal detachment to see flashes of bright
light or floating dark spots in the affected eye as the retinal layers separate.
a nurse is caring for a client who has a spastic bladder following a spinal cord injury.
Which of the following actions should the nurse take to help stimulate micturition? -
CORRECT ANSWER - stroke the client's inner thigh
The nurse should stimulate micturition by stroking the client's inner thigh. Other
techniques include pinching the skin above the groin and providing digital anal
stimulation.
A nurse is caring for a client who has viral meningitis. Which of the following actions
should the nurse take? - CORRECT ANSWER - check capillary refill at least every 4 hr
The nurse should perform a complete vascular assessment at least every 4 hr to
monitor for vascular compromise.
A nurse is caring for a client who has a history of status epilepticus and requires seizure
precautions. Which of the following actions should the nurse take? - CORRECT
ANSWER - establish IV access
The nurse should plan to establish IV access with a large-bore catheter and administer
0.9% sodium chloride if seizures are imminent. If the client is stable, the nurse should
initiate a saline lock.
A nurse is teaching a client and her family about the diagnosis and treatment of
Alzheimer's disease. Which of the following statements should the nurse identify as an
, indication that the family understands the teaching? - CORRECT ANSWER - "The
medications that treat Alzheimer's disease can help delay cognitive changes."
Medications that treat Alzheimer's disease enhance the availability of acetylcholine,
which can slow cognitive decline in some clients.
A nurse is assessing a client who has a new diagnosis of osteoarthritis. Which of the
following findings should the nurse expect? - CORRECT ANSWER - -Crepitus with joint
movement
-decreased range of motion of the affected joint
-joint pain that resolves with rest
-Crepitus with joint movement is correct. Osteoarthritis is a degenerative joint disease.
Crepitus, a grating sound, is an expected finding with clients who have osteoarthritis as
loosened bone and cartilage move around in the fluid inside the joint.
-Decreased range of motion of the affected joint is correct. Decreased range of motion
is an expected finding with clients who have osteoarthritis because the client's pain
limits movement.
-Joint pain that resolves with rest is correct. Joint pain that resolves with rest is an
expected finding with clients who have osteoarthritis. A client who has osteoarthritis
experiences increased pain with activity and decreased pain with rest.
A nurse is teaching a client who has osteoporosis and has a new prescription for
alendronate. Which of the following information should the nurse include in the
teaching? - CORRECT ANSWER - "Remain upright for 30 minutes after taking this
medication."
To prevent esophagitis or esophageal ulcers, which can result from alendronate
therapy, the client should sit upright for 30 min after taking this medication.
A nurse is planning care for a client following a lumbar puncture. Which of the following
actions should the nurse plan to take? - CORRECT ANSWER - ensure that the client
lies flat for up to 12 hr
The client should lie flat for up to 12 hr to prevent cerebrospinal fluid leakage from the
puncture site, which can cause a headache.
A nurse is assessing a client who has rheumatoid arthritis. Which of the following
findings should the nurse expect? - CORRECT ANSWER - ulnar deviation
A client who has rheumatoid arthritis can experience inflammation in the hand joints that
can make them susceptible to deformity from daily use. Ulnar deviation, or lateral
deviation of the fingers, can occur from opening jars and other similar motions.
Musculoskeletal Online Practice Newest 2025
Actual Exam Questions And Correct Detailed
Answers
A nurse is planning care for a client who has. closed traumatic brain injury from a fall
and is receiving mechanical ventilation. Which of the following interventions is the
nurses priority? - CORRECT ANSWER - maintain a PaCO2 of approximately 35 mmHg
The greatest risk to this client is injury from increased intracranial pressure. Therefore,
the nurse's priority intervention is to maintain the PaCO2 at 35 to 38 mm Hg to prevent
hypercarbia and subsequent vasodilation that can lead to an increase in intracranial
pressure.
A nurse is caring for a client who has a retinal detachment. Which of the following
findings should the nurse expect? - CORRECT ANSWER - flashes of bright light
The nurse should expect a client who has a retinal detachment to see flashes of bright
light or floating dark spots in the affected eye as the retinal layers separate.
a nurse is caring for a client who has a spastic bladder following a spinal cord injury.
Which of the following actions should the nurse take to help stimulate micturition? -
CORRECT ANSWER - stroke the client's inner thigh
The nurse should stimulate micturition by stroking the client's inner thigh. Other
techniques include pinching the skin above the groin and providing digital anal
stimulation.
A nurse is caring for a client who has viral meningitis. Which of the following actions
should the nurse take? - CORRECT ANSWER - check capillary refill at least every 4 hr
The nurse should perform a complete vascular assessment at least every 4 hr to
monitor for vascular compromise.
A nurse is caring for a client who has a history of status epilepticus and requires seizure
precautions. Which of the following actions should the nurse take? - CORRECT
ANSWER - establish IV access
The nurse should plan to establish IV access with a large-bore catheter and administer
0.9% sodium chloride if seizures are imminent. If the client is stable, the nurse should
initiate a saline lock.
A nurse is teaching a client and her family about the diagnosis and treatment of
Alzheimer's disease. Which of the following statements should the nurse identify as an
, indication that the family understands the teaching? - CORRECT ANSWER - "The
medications that treat Alzheimer's disease can help delay cognitive changes."
Medications that treat Alzheimer's disease enhance the availability of acetylcholine,
which can slow cognitive decline in some clients.
A nurse is assessing a client who has a new diagnosis of osteoarthritis. Which of the
following findings should the nurse expect? - CORRECT ANSWER - -Crepitus with joint
movement
-decreased range of motion of the affected joint
-joint pain that resolves with rest
-Crepitus with joint movement is correct. Osteoarthritis is a degenerative joint disease.
Crepitus, a grating sound, is an expected finding with clients who have osteoarthritis as
loosened bone and cartilage move around in the fluid inside the joint.
-Decreased range of motion of the affected joint is correct. Decreased range of motion
is an expected finding with clients who have osteoarthritis because the client's pain
limits movement.
-Joint pain that resolves with rest is correct. Joint pain that resolves with rest is an
expected finding with clients who have osteoarthritis. A client who has osteoarthritis
experiences increased pain with activity and decreased pain with rest.
A nurse is teaching a client who has osteoporosis and has a new prescription for
alendronate. Which of the following information should the nurse include in the
teaching? - CORRECT ANSWER - "Remain upright for 30 minutes after taking this
medication."
To prevent esophagitis or esophageal ulcers, which can result from alendronate
therapy, the client should sit upright for 30 min after taking this medication.
A nurse is planning care for a client following a lumbar puncture. Which of the following
actions should the nurse plan to take? - CORRECT ANSWER - ensure that the client
lies flat for up to 12 hr
The client should lie flat for up to 12 hr to prevent cerebrospinal fluid leakage from the
puncture site, which can cause a headache.
A nurse is assessing a client who has rheumatoid arthritis. Which of the following
findings should the nurse expect? - CORRECT ANSWER - ulnar deviation
A client who has rheumatoid arthritis can experience inflammation in the hand joints that
can make them susceptible to deformity from daily use. Ulnar deviation, or lateral
deviation of the fingers, can occur from opening jars and other similar motions.
