Med /Surg Final Exam 75 Questions with
Verified Solutions Latest 2025
A patient with osteoporosis is post-op day two in the hospital
after a hip fracture. Which of the following would improve her
outcomes? Select all that apply. Select all that apply.
1. Encouraging ambulation
2. Involving and educating the patient's significant other in
care
3. Leaving the Foley catheter in place to prevent incontinence
until better mobility is regained
4. Recommending that visitors come in the afternoon to avoid
conflicting with morning nursing cares.
5. Working with the patient to develop a care plan that will
meet her discharge goals - Correct Answers ✅1.
Encouraging ambulation
2. Involving and educating the patient's significant other in
care
5. Working with the patient to develop a care plan that will
meet her discharge goals
Rationale: The patient should be involved in developing the
care plan. This involvement will improve compliance and
outcomes. Involving the patient's significant other is
important in developing the care plan and ensuring a smooth
transition to discharge. It is important to encourage
ambulation post-op, and best rest is generally discontinued
by day two. Early ambulation is associated with lower
mortality and improved outcomes. Arranging visiting hours
around the staff's schedule does not help to improve patient
outcomes. Foley catheters should be removed as soon as
,Med /Surg Final Exam 75 Questions with
Verified Solutions Latest 2025
they are no longer needed and never left in for caregiver
convenience.
The nurse is reviewing the x-ray of a patient with a fractured
humerus. The x-ray shows one side of the bone is broken
while the other side is bent. What type of fracture is this?
1. Compression fracture
2. Greenstick fracture
3. Impacted fracture
4. Oblique fracture - Correct Answers ✅2. Greenstick
fracture
Rationale: A greenstick fracture is when one side of the bone
is broken while the other side is only bent. These fractures
most occur often in children. An impacted fracture is when a
part of the bone is driven into another bone. A compression
fracture is when the fractured bone is compressed by other
bone tissue. An oblique fracture is when the fracture is
diagonal to the bone's long axis.
The nurse is assessing a patient in a Thomas splint traction, a
device used to immobilize a hip fracture. The nurse should
assess for complications as indicated by:
1. Pain at the site of a fracture
2. Redness on the skin that does not blanch when pressed
3. Tight bandages overlapping the length of the leg from
ankle to groin
,Med /Surg Final Exam 75 Questions with
Verified Solutions Latest 2025
4. Warm toes
5. Weak posterior tibial pulse - Correct Answers ✅2.
Redness on the skin that does not blanch when pressed
5. Weak posterior tibial pulse
Rationale: Weak posterior tibial pulses are a sign of poor
perfusion and arterial compromise. This could be caused by
tissue pressure from the traction devise. Redness that doesn't
blanch with pressure is a sign of a developing pressure ulcer,
a complication possible with the pressure of the bandage with
a Thomas splint. A Thomas splint applies traction by use of
bandages that overlap the length of the entire leg, applying
the pressure evenly with weight at the bottom. This is an
expected finding. Warm toes are a sign of good perfusion.
Pain at the fracture site is an expected finding.
The nurse is caring for a patient with a closed ulna fracture
after the application of a cast. After the patient complains of
severe pain, the nurse administers an analgesic and applies
an ice pack. When the patient states that the medication
provided no relief, the nurse should be alert to the possible
of:
1. Anxiety
2. Arterial compromise
3. Infection
4. The short time frame since the ulna is fracture. - Correct
Answers ✅2. Arterial compromise.
, Med /Surg Final Exam 75 Questions with
Verified Solutions Latest 2025
Rationale: Fracture pain is usually relieved by analgesics,
elevation, cold packs, and rest. Pain that is not improved from
these interventions is most likely due to impaired perfusion
and ischemia. The nurse should assess for vascular
compromise and then notify the physician immediately.
Anxiety often increases pain, but failure to relieve pain from
normal interventions is suspicious of vascular compromise.
Infection and is accompanied pain do not develop
immediately.
An elderly woman with rheumatoid arthritis informs the nurse
that most of her friends have osteoarthritis and asks what the
difference is between the two diseases. The nurse should
understand that:
1. Osteoarthritis pain generally occurs after periods of
inactivity, while rheumatoid arthritis pain occurs after activity
2. Rheumatoid arthritis affects the larger joints, while
osteoarthritis affect the smaller joints
3. Rheumatoid arthritis causes joints to be inflamed, red, and
swollen while osteoarthritis does not generally cause swelling
4. Rheumatoid arthritis is most common in men, while
osteoarthritis is most common in women - Correct Answers
✅3. Rheumatoid arthritis causes joints to be inflamed, red,
and swollen while osteoarthritis does not generally cause
swelling
Rationale: Osteoarthritis is a degenerative disease, causing
pain with activity. Inflammation occurs, but the joint does not
usually become swollen or red. It commonly affects the
larger, weight bearing joints and affects both genders equally.
Verified Solutions Latest 2025
A patient with osteoporosis is post-op day two in the hospital
after a hip fracture. Which of the following would improve her
outcomes? Select all that apply. Select all that apply.
1. Encouraging ambulation
2. Involving and educating the patient's significant other in
care
3. Leaving the Foley catheter in place to prevent incontinence
until better mobility is regained
4. Recommending that visitors come in the afternoon to avoid
conflicting with morning nursing cares.
5. Working with the patient to develop a care plan that will
meet her discharge goals - Correct Answers ✅1.
Encouraging ambulation
2. Involving and educating the patient's significant other in
care
5. Working with the patient to develop a care plan that will
meet her discharge goals
Rationale: The patient should be involved in developing the
care plan. This involvement will improve compliance and
outcomes. Involving the patient's significant other is
important in developing the care plan and ensuring a smooth
transition to discharge. It is important to encourage
ambulation post-op, and best rest is generally discontinued
by day two. Early ambulation is associated with lower
mortality and improved outcomes. Arranging visiting hours
around the staff's schedule does not help to improve patient
outcomes. Foley catheters should be removed as soon as
,Med /Surg Final Exam 75 Questions with
Verified Solutions Latest 2025
they are no longer needed and never left in for caregiver
convenience.
The nurse is reviewing the x-ray of a patient with a fractured
humerus. The x-ray shows one side of the bone is broken
while the other side is bent. What type of fracture is this?
1. Compression fracture
2. Greenstick fracture
3. Impacted fracture
4. Oblique fracture - Correct Answers ✅2. Greenstick
fracture
Rationale: A greenstick fracture is when one side of the bone
is broken while the other side is only bent. These fractures
most occur often in children. An impacted fracture is when a
part of the bone is driven into another bone. A compression
fracture is when the fractured bone is compressed by other
bone tissue. An oblique fracture is when the fracture is
diagonal to the bone's long axis.
The nurse is assessing a patient in a Thomas splint traction, a
device used to immobilize a hip fracture. The nurse should
assess for complications as indicated by:
1. Pain at the site of a fracture
2. Redness on the skin that does not blanch when pressed
3. Tight bandages overlapping the length of the leg from
ankle to groin
,Med /Surg Final Exam 75 Questions with
Verified Solutions Latest 2025
4. Warm toes
5. Weak posterior tibial pulse - Correct Answers ✅2.
Redness on the skin that does not blanch when pressed
5. Weak posterior tibial pulse
Rationale: Weak posterior tibial pulses are a sign of poor
perfusion and arterial compromise. This could be caused by
tissue pressure from the traction devise. Redness that doesn't
blanch with pressure is a sign of a developing pressure ulcer,
a complication possible with the pressure of the bandage with
a Thomas splint. A Thomas splint applies traction by use of
bandages that overlap the length of the entire leg, applying
the pressure evenly with weight at the bottom. This is an
expected finding. Warm toes are a sign of good perfusion.
Pain at the fracture site is an expected finding.
The nurse is caring for a patient with a closed ulna fracture
after the application of a cast. After the patient complains of
severe pain, the nurse administers an analgesic and applies
an ice pack. When the patient states that the medication
provided no relief, the nurse should be alert to the possible
of:
1. Anxiety
2. Arterial compromise
3. Infection
4. The short time frame since the ulna is fracture. - Correct
Answers ✅2. Arterial compromise.
, Med /Surg Final Exam 75 Questions with
Verified Solutions Latest 2025
Rationale: Fracture pain is usually relieved by analgesics,
elevation, cold packs, and rest. Pain that is not improved from
these interventions is most likely due to impaired perfusion
and ischemia. The nurse should assess for vascular
compromise and then notify the physician immediately.
Anxiety often increases pain, but failure to relieve pain from
normal interventions is suspicious of vascular compromise.
Infection and is accompanied pain do not develop
immediately.
An elderly woman with rheumatoid arthritis informs the nurse
that most of her friends have osteoarthritis and asks what the
difference is between the two diseases. The nurse should
understand that:
1. Osteoarthritis pain generally occurs after periods of
inactivity, while rheumatoid arthritis pain occurs after activity
2. Rheumatoid arthritis affects the larger joints, while
osteoarthritis affect the smaller joints
3. Rheumatoid arthritis causes joints to be inflamed, red, and
swollen while osteoarthritis does not generally cause swelling
4. Rheumatoid arthritis is most common in men, while
osteoarthritis is most common in women - Correct Answers
✅3. Rheumatoid arthritis causes joints to be inflamed, red,
and swollen while osteoarthritis does not generally cause
swelling
Rationale: Osteoarthritis is a degenerative disease, causing
pain with activity. Inflammation occurs, but the joint does not
usually become swollen or red. It commonly affects the
larger, weight bearing joints and affects both genders equally.
