Nurs 400 Midterm Questions With Complete Solutions
A client is at moderate risk for falling according to a fall risk
assessment scale. What should the nurse instruct the unlicensed
assistive personnel (UAP) to do?
a) Remain with the client during toileting.
b) Reorient the client to time and place every hour.
c) Activate the bed and chair alarms.
d) Apply a protective chest restraint.
c) Activate the bed and chair alarms.
A nurse is assigned a client with an acute exacerbation of
rheumatoid arthritis (RA). Which medical facts about RA are
essential in developing a plan of care? Select all that apply.
a) Onset is acute and usually occurs between ages 20 and 40.
b) The client experiences stiff, swollen joints bilaterally.
c) The client may not exercise once the disease is diagnosed.
d) Erythrocyte sedimentation rate (ESR) is elevated, and x-rays
show erosions and decalcification of involved joints.
e) Inflamed cartilage triggers complement activation, which
stimulates the release of additional inflammatory mediators.
f) The first-line treatment is gold salts and methotrexate.
b) The client experiences stiff, swollen joints bilaterally.
d) Erythrocyte sedimentation rate (ESR) is elevated, and x-rays
show erosions and decalcification of involved joints.
e) Inflamed cartilage triggers complement activation, which
stimulates the release of additional inflammatory mediators.
,A client who has been taking diazepam for 3 months for skeletal
muscle spasms and lower back pain has stopped taking the
medication 2 days ago because it was no longer helping. Now
the pain has increased. The nurse should assess the client for
which sign(s) of withdrawal? Select all that apply.
a) insomnia
b) euphoria
c) bradycardia
d) diaphoresis
e) tremor
f) vomiting
a) insomnia
d) diaphoresis
e) tremor
f) vomiting
A client of African descent is admitted to the hospital after
sustaining a hip fracture. The client is 5 feet, 4 inches (163 cm)
tall and weighs 96 lb (44 kg). The client has five children and
reports that they "just stepped forward and fell." The results of
the client's bone density tests indicate they have osteoporosis.
What is a risk factor for osteoporosis for this client?
a) race
b) weight
c) parity
d) balance
b) weight
,A client is diagnosed with rheumatoid arthritis and is ordered
oral indomethacin. What should the nurse include in the client's
teaching concerning the administration of indomethacin? Select
all that apply.
a) "Take the drug with a glass of water only."
b) "It is OK to continue to consume alcohol at dinner."
c) "Avoid any hazardous activity until you know how you react
to this drug."
d) "Tell your health care provider immediately about changes in
your hearing."
e) "Do not use aspirin while taking this drug."
c) "Avoid any hazardous activity until you know how you react
to this drug."
d) "Tell your health care provider immediately about changes in
your hearing."
e) "Do not use aspirin while taking this drug."
A client has an intracapsular hip fracture. The nurse should
conduct a focused assessment to detect which change near the
fracture?
a) internal rotation
b) muscle flaccidity
c) shortening of the affected leg
d) absence of pain in the area
c) shortening of the affected leg
The nurse is assessing a client's left leg for neurovascular
changes following a total left knee replacement. Which
finding(s) would be expected as normal? Select all that apply.
, a) moderate edema of the left knee
b) skin warm to touch
c) capillary refill response of less than 3 seconds
d) moves toes
e) pain absent
f) pulse on the left leg weaker than the right leg
a) moderate edema of the left knee
b) skin warm to touch
c) capillary refill response of less than 3 seconds
d) moves toes
A client reports to the emergency department after experiencing
pain in the left arm. The client reports that they extended their
arms in an attempt to prevent a fall. Which fracture type does
the nurse anticipate?
a) Colles' fracture
b) spiral fracture
c) greenstick fracture
d) compound fracture
a) Colles' fracture
A nurse is assessing a client who recently experienced a stroke.
The client has a left facial droop, hemiparesis of the upper left
extremity, and diplopia. Which nursing intervention is most
appropriate for this client?
a) Assess the vagus nerve function before giving food or fluids.
b) Encourage the client to write rather than attempt to speak.
c) Match visual tasks with a verbal statement.
d) Consistently place client care items in the same location.
A client is at moderate risk for falling according to a fall risk
assessment scale. What should the nurse instruct the unlicensed
assistive personnel (UAP) to do?
a) Remain with the client during toileting.
b) Reorient the client to time and place every hour.
c) Activate the bed and chair alarms.
d) Apply a protective chest restraint.
c) Activate the bed and chair alarms.
A nurse is assigned a client with an acute exacerbation of
rheumatoid arthritis (RA). Which medical facts about RA are
essential in developing a plan of care? Select all that apply.
a) Onset is acute and usually occurs between ages 20 and 40.
b) The client experiences stiff, swollen joints bilaterally.
c) The client may not exercise once the disease is diagnosed.
d) Erythrocyte sedimentation rate (ESR) is elevated, and x-rays
show erosions and decalcification of involved joints.
e) Inflamed cartilage triggers complement activation, which
stimulates the release of additional inflammatory mediators.
f) The first-line treatment is gold salts and methotrexate.
b) The client experiences stiff, swollen joints bilaterally.
d) Erythrocyte sedimentation rate (ESR) is elevated, and x-rays
show erosions and decalcification of involved joints.
e) Inflamed cartilage triggers complement activation, which
stimulates the release of additional inflammatory mediators.
,A client who has been taking diazepam for 3 months for skeletal
muscle spasms and lower back pain has stopped taking the
medication 2 days ago because it was no longer helping. Now
the pain has increased. The nurse should assess the client for
which sign(s) of withdrawal? Select all that apply.
a) insomnia
b) euphoria
c) bradycardia
d) diaphoresis
e) tremor
f) vomiting
a) insomnia
d) diaphoresis
e) tremor
f) vomiting
A client of African descent is admitted to the hospital after
sustaining a hip fracture. The client is 5 feet, 4 inches (163 cm)
tall and weighs 96 lb (44 kg). The client has five children and
reports that they "just stepped forward and fell." The results of
the client's bone density tests indicate they have osteoporosis.
What is a risk factor for osteoporosis for this client?
a) race
b) weight
c) parity
d) balance
b) weight
,A client is diagnosed with rheumatoid arthritis and is ordered
oral indomethacin. What should the nurse include in the client's
teaching concerning the administration of indomethacin? Select
all that apply.
a) "Take the drug with a glass of water only."
b) "It is OK to continue to consume alcohol at dinner."
c) "Avoid any hazardous activity until you know how you react
to this drug."
d) "Tell your health care provider immediately about changes in
your hearing."
e) "Do not use aspirin while taking this drug."
c) "Avoid any hazardous activity until you know how you react
to this drug."
d) "Tell your health care provider immediately about changes in
your hearing."
e) "Do not use aspirin while taking this drug."
A client has an intracapsular hip fracture. The nurse should
conduct a focused assessment to detect which change near the
fracture?
a) internal rotation
b) muscle flaccidity
c) shortening of the affected leg
d) absence of pain in the area
c) shortening of the affected leg
The nurse is assessing a client's left leg for neurovascular
changes following a total left knee replacement. Which
finding(s) would be expected as normal? Select all that apply.
, a) moderate edema of the left knee
b) skin warm to touch
c) capillary refill response of less than 3 seconds
d) moves toes
e) pain absent
f) pulse on the left leg weaker than the right leg
a) moderate edema of the left knee
b) skin warm to touch
c) capillary refill response of less than 3 seconds
d) moves toes
A client reports to the emergency department after experiencing
pain in the left arm. The client reports that they extended their
arms in an attempt to prevent a fall. Which fracture type does
the nurse anticipate?
a) Colles' fracture
b) spiral fracture
c) greenstick fracture
d) compound fracture
a) Colles' fracture
A nurse is assessing a client who recently experienced a stroke.
The client has a left facial droop, hemiparesis of the upper left
extremity, and diplopia. Which nursing intervention is most
appropriate for this client?
a) Assess the vagus nerve function before giving food or fluids.
b) Encourage the client to write rather than attempt to speak.
c) Match visual tasks with a verbal statement.
d) Consistently place client care items in the same location.
