RN TARGETED MEDICAL SURGICAL NEUROSENSORY AND
MUSCULOSKELETAL ONLINE PRACTICE EXAM | QUESTIONS AND
ANSWERS | VERIFIED AND WELL DETAILED ANSWERS | LATEST
EXAM UPDATE
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.
A nurse a caring for a client who is 72 hr postoperative following an above-the-
knee amputation and reports phantom limb pain. Which of the following actions
should the nurse take? - CORRECT ANSWER - request a prescription for
gabapentin for the client.
The nurse should request a prescription for a nonopioid medication to help
minimize phantom limb pain. Gabapentin is an oral antiepileptic medication that is
effective for treating sharp, burning, phantom limb pain.
A nurse is developing a teaching plan for a client who has Ménière's disease.
Which of the following instructions should the nurse include? - CORRECT
ANSWER - "Move your head slowly to decrease vertigo."
The nurse should instruct the client to use slow head movements to keep from
worsening the vertigo.
MUSCULOSKELETAL ONLINE PRACTICE EXAM | QUESTIONS AND
ANSWERS | VERIFIED AND WELL DETAILED ANSWERS | LATEST
EXAM UPDATE
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.
A nurse a caring for a client who is 72 hr postoperative following an above-the-
knee amputation and reports phantom limb pain. Which of the following actions
should the nurse take? - CORRECT ANSWER - request a prescription for
gabapentin for the client.
The nurse should request a prescription for a nonopioid medication to help
minimize phantom limb pain. Gabapentin is an oral antiepileptic medication that is
effective for treating sharp, burning, phantom limb pain.
A nurse is developing a teaching plan for a client who has Ménière's disease.
Which of the following instructions should the nurse include? - CORRECT
ANSWER - "Move your head slowly to decrease vertigo."
The nurse should instruct the client to use slow head movements to keep from
worsening the vertigo.
