N4010 EXAM 1 : PRACTICE QUESTIONS

N4010 EXAM 1 : PRACTICE QUESTIONS A nurse in a long-term care facility is caring for an older adult client who had a stroke 4 weeks ago and who is unable to move independently. The nurse should monitor for which of the following complications of immobility? A. A reddened area over the sacrum B. Stiffness in the lower extremities C. Difficulty moving the upper extremities D. Difficulty hearing some types of sounds - Answer A A nurse is assessing a client who has carpal tunnel syndrome. The nurse should expect which of the following findings? A. Decreased radial pulse B. Positive Chvostek's sign C. Cool extremities D. Positive Phalen's sign - Answer D A nurse is caring for a client who is postoperative following knee arthroplasty and has a continuous passive motion (CPM) machine. Which of the following actions should the nurse take? A. Store the CPM machine on the floor when not in use. B. Use a special pillow to rotate the affected knee internally. C. Set the CPM to fully flex the knee joint. D. Apply ice to the operative knee. - Answer D A nurse is conducting a primary survey of a client who has sustained life-threatening injuries due to a motor-vehicle crash. Identify the sequence of actions the nurse should take. A. Perform a Glasgow Coma Scale assessment. B. Establish IV access. C. Open the airway using a jaw-thrust maneuver. D. Determine effectiveness of ventilator efforts. E. Remove clothing for a thorough assessment. - Answer C, D, B, A, E A nurse in the emergency department is monitoring a client who has a cervical spinal cord injury from a fall. The nurse should monitor the client for which of the following complications? (Select all that apply.) A. Hypotension B. Polyuria C. Hyperthermia D. Absence of bowel sounds E. Weakened gag reflex - Answer A, D, E A nurse is teaching a client about risk factors for osteoarthritis. Which of the following factors should the nurse include in the teaching? (Select all that apply.) A. Bacteria B. Diuretics C. Aging D. Obesity E. Smoking - Answer C, D, E A nurse caring for a client who had a right-sided stroke and is exhibiting homonymous hemianopsia when eating. Which of the following actions should the nurse take? A. Provide a nonskid mat to alleviate plate movement. B. Encourage the client to use his right hand when feeding himself. C. Remind the client to look for food on the left side of the tray. D. Encourage the use of the wide grip utensils. - Answer C A rehabilitation nurse is caring for a client who has had a spinal cord injury that resulted in paraplegia. After a week on the unit, the nurse notes that the client is withdrawn and increasingly resistant to rehabilitative efforts by the staff. Which of the following actions should the nurse take? A. Inform the client that privileges are related to participation in therapy. B. Limit visiting hours until the client begins to participate in therapy. C. Allow the client to control the timing and frequency of the therapy. D. Establish a plan of care with the client that sets attainable goals. - Answer D