NUR 211 Exam 2 Study Questions
with Already Verified Results
Graded A+
1. Joint replacement - ANSWER Surgical removal of a damaged joint and
replacement with an artificial joint.
2. Prosthesis - ANSWER Artificial device that replaces a missing body part,
used after amputation.
3. External fixators - ANSWER Stabilizing devices outside the body, used for
complex fractures and unstable bones.
4. Skeletal traction - ANSWER Traction applied directly to the bone using
pins or wires inserted surgically.
5. Skin traction - ANSWER Traction applied to the skin, used short-term with
less force than skeletal traction.
6. Continuous Passive Motion (CPM) - ANSWER Machine that continuously
moves a joint, commonly used after knee replacement.
7. The hospital has just implemented the use of electronic health records
(EHRs). While learning how to use this new system, the nurse realizes that
EHRs may do which of the following?
a. Limit access to the patient record to one person at a time
b. Improve access to client information at the point of care
, c. Negate the use of nursing documentation
d. increase the potential for medication errors - ANSWER b
Use of EHRs can improve access to patients' information. An unlimited number
of people at a time can access a patient's medical record. Nursing
documentation is an essential part of nursing care, whether it is completed on
paper or electronically. The potential for medication errors decreases when
electronic medication administration records are used.
8. Which statement best contributes to the nurse's documentation of assessment
of patient status in the patient's medical chart?
a. "patient had a good day with minimal complaints. Pt was pleasant and
cooperative during morning care."
b. "Pt complained that the nurse didn't come quickly enough when she
pressed the call button."
c. "Pt complained of pain 7 of 10 at 7:45 am. Received pain med at 8am,
reporting pain 3 of 10 at 8:30am"
d. "Pt was grumpy today, even after administration of pain medication, a
back massage, and a nap" - ANSWER c
This entry is concise, complete, and objective. It gives exact times, pain levels,
and nursing interventions performed. Using terms like good or grumpy are
subjective judgments or opinions and should be avoided. Stating a patient
complaint would be okay if it listed specific times of occurrence, nursing
assessment performed, and the nursing interventions performed to correct the
issue.
9. A visually impaired diabetic patient states that he has lost the call light.
What is the next step the nurse should take?
a. Clip the light closer to the patient
b. Tell the patient that the call light is clipped to the bed
c. Describe the call light location, and take the patient's hand and guide
it to that location
d. Instruct the patient to verbally call for staff member because
"someone is always nearby". - ANSWER: c
,Always leave the call light within easy reach of the patient. Use of the patient's
senses of both touch and hearing enables the patient to locate the call light
easier. Simply telling the patient that the call light is clipped to the bed is not
adequate, because the patient will not know where on the bed to look. Verbally
calling for the nurse is not acceptable because the nurse and other staff
members might be out of hearing range.
10.Which area of the central nervous system has most likely sustained damage
if a patient exhibits a lack of coordination and an unsteady gait after a
traumatic head injury?
a. Medulla oblongata
b. Articular disk
c. Brainstem
d. Cerebellum - ANSWER d
Injury to the cerebellum directly affects a patient's ability to ambulate and
control movement. The medulla oblongata regulates heart rate, breathing, blood
pressure, and reflexive actions such as vomiting. The articular disk is fibrous
connective tissue in the temporomandibular joint, which facilitates jaw
movement. The brainstem connects the spinal cord to the hemispheres of the
brain.
11.A nurse is providing patient education on the prevention of osteoporosis.
Which important fact should the nurse include in the teaching care plan?
a. Calcium should be taken with vitamin D to increase calcium
absorption.
b. African American women are more prone to developing osteoporosis
than are Asian American women.
c. Increased phosphorus metabolism may lead to bone fragility.
d. Aerobic exercise is more advantageous than weight-bearing exercise
in preventing osteoporosis. - ANSWER a
Vitamin D is required for calcium metabolism. Asian American women are
more prone to osteoporosis than African American women. Phosphorus
deficiency may lead to malformation of bones. Weight-bearing exercise is more
beneficial than aerobic exercise in the prevention of osteoporosis.
, 12.What nursing intervention would be most effective in preventing flaccidity
in a hospitalized patient?
a. Early ambulation after surgery
b. Administering calcium with vitamin D
c. Coughing and deep breathing exercises
d. Referring the patient to occupational therapy - ANSWER a
Ambulation is the most effective intervention to promote maintenance of
muscle tone and prevent flaccidity. Calcium with vitamin D helps prevent
osteoporosis. Coughing and deep breathing is important for the prevention of
pneumonia associated with immobility, and occupational therapy is typically
ordered to help patients regain their ability to complete activities of daily living
(ADLs) independently.
13.Identify all nursing interventions that are necessary when caring for a
quadriplegic patient injured 2 years earlier in a motor vehicle accident.
(Select all that apply.)
a. Monitoring respiratory status and breathing difficulties
b. Assisting with feeding and ADLs
c. Developing a care plan with the patient's power of attorney
d. Using mechanical lifts to assist with transferring the patient
e. Placing a gait belt around the patient's waist before ambulation -
ANSWER a, b, d
Quadriplegia is the result of a high spinal cord injury that affects a patient's
ability to breathe without mechanical assistance and severely limits the patient's
ability to move all extremities. Most quadriplegics are confined to a wheelchair
and unable to ambulate even with assistance. Mechanical lifts should be used to
safely transfer this type of patient. Quadriplegic patients should be given the
opportunity to direct their care and fully participate in setting care plan goals.
Which are reasons that accurate documentation in the medical record is important?
(select all that apply)
a. remimbursement for care
with Already Verified Results
Graded A+
1. Joint replacement - ANSWER Surgical removal of a damaged joint and
replacement with an artificial joint.
2. Prosthesis - ANSWER Artificial device that replaces a missing body part,
used after amputation.
3. External fixators - ANSWER Stabilizing devices outside the body, used for
complex fractures and unstable bones.
4. Skeletal traction - ANSWER Traction applied directly to the bone using
pins or wires inserted surgically.
5. Skin traction - ANSWER Traction applied to the skin, used short-term with
less force than skeletal traction.
6. Continuous Passive Motion (CPM) - ANSWER Machine that continuously
moves a joint, commonly used after knee replacement.
7. The hospital has just implemented the use of electronic health records
(EHRs). While learning how to use this new system, the nurse realizes that
EHRs may do which of the following?
a. Limit access to the patient record to one person at a time
b. Improve access to client information at the point of care
, c. Negate the use of nursing documentation
d. increase the potential for medication errors - ANSWER b
Use of EHRs can improve access to patients' information. An unlimited number
of people at a time can access a patient's medical record. Nursing
documentation is an essential part of nursing care, whether it is completed on
paper or electronically. The potential for medication errors decreases when
electronic medication administration records are used.
8. Which statement best contributes to the nurse's documentation of assessment
of patient status in the patient's medical chart?
a. "patient had a good day with minimal complaints. Pt was pleasant and
cooperative during morning care."
b. "Pt complained that the nurse didn't come quickly enough when she
pressed the call button."
c. "Pt complained of pain 7 of 10 at 7:45 am. Received pain med at 8am,
reporting pain 3 of 10 at 8:30am"
d. "Pt was grumpy today, even after administration of pain medication, a
back massage, and a nap" - ANSWER c
This entry is concise, complete, and objective. It gives exact times, pain levels,
and nursing interventions performed. Using terms like good or grumpy are
subjective judgments or opinions and should be avoided. Stating a patient
complaint would be okay if it listed specific times of occurrence, nursing
assessment performed, and the nursing interventions performed to correct the
issue.
9. A visually impaired diabetic patient states that he has lost the call light.
What is the next step the nurse should take?
a. Clip the light closer to the patient
b. Tell the patient that the call light is clipped to the bed
c. Describe the call light location, and take the patient's hand and guide
it to that location
d. Instruct the patient to verbally call for staff member because
"someone is always nearby". - ANSWER: c
,Always leave the call light within easy reach of the patient. Use of the patient's
senses of both touch and hearing enables the patient to locate the call light
easier. Simply telling the patient that the call light is clipped to the bed is not
adequate, because the patient will not know where on the bed to look. Verbally
calling for the nurse is not acceptable because the nurse and other staff
members might be out of hearing range.
10.Which area of the central nervous system has most likely sustained damage
if a patient exhibits a lack of coordination and an unsteady gait after a
traumatic head injury?
a. Medulla oblongata
b. Articular disk
c. Brainstem
d. Cerebellum - ANSWER d
Injury to the cerebellum directly affects a patient's ability to ambulate and
control movement. The medulla oblongata regulates heart rate, breathing, blood
pressure, and reflexive actions such as vomiting. The articular disk is fibrous
connective tissue in the temporomandibular joint, which facilitates jaw
movement. The brainstem connects the spinal cord to the hemispheres of the
brain.
11.A nurse is providing patient education on the prevention of osteoporosis.
Which important fact should the nurse include in the teaching care plan?
a. Calcium should be taken with vitamin D to increase calcium
absorption.
b. African American women are more prone to developing osteoporosis
than are Asian American women.
c. Increased phosphorus metabolism may lead to bone fragility.
d. Aerobic exercise is more advantageous than weight-bearing exercise
in preventing osteoporosis. - ANSWER a
Vitamin D is required for calcium metabolism. Asian American women are
more prone to osteoporosis than African American women. Phosphorus
deficiency may lead to malformation of bones. Weight-bearing exercise is more
beneficial than aerobic exercise in the prevention of osteoporosis.
, 12.What nursing intervention would be most effective in preventing flaccidity
in a hospitalized patient?
a. Early ambulation after surgery
b. Administering calcium with vitamin D
c. Coughing and deep breathing exercises
d. Referring the patient to occupational therapy - ANSWER a
Ambulation is the most effective intervention to promote maintenance of
muscle tone and prevent flaccidity. Calcium with vitamin D helps prevent
osteoporosis. Coughing and deep breathing is important for the prevention of
pneumonia associated with immobility, and occupational therapy is typically
ordered to help patients regain their ability to complete activities of daily living
(ADLs) independently.
13.Identify all nursing interventions that are necessary when caring for a
quadriplegic patient injured 2 years earlier in a motor vehicle accident.
(Select all that apply.)
a. Monitoring respiratory status and breathing difficulties
b. Assisting with feeding and ADLs
c. Developing a care plan with the patient's power of attorney
d. Using mechanical lifts to assist with transferring the patient
e. Placing a gait belt around the patient's waist before ambulation -
ANSWER a, b, d
Quadriplegia is the result of a high spinal cord injury that affects a patient's
ability to breathe without mechanical assistance and severely limits the patient's
ability to move all extremities. Most quadriplegics are confined to a wheelchair
and unable to ambulate even with assistance. Mechanical lifts should be used to
safely transfer this type of patient. Quadriplegic patients should be given the
opportunity to direct their care and fully participate in setting care plan goals.
Which are reasons that accurate documentation in the medical record is important?
(select all that apply)
a. remimbursement for care
