Complete Solutions
A 24-year old patient is admitted to the trauma unit with a
diagnosis of a fractured femur after a motor vehicle accident. He
states that he has pain in the injured leg. What should be the first
action taken by the nurse?
a. Administer the lowest dose of pain medication
b. Assess the characteristics of the pain
c. Call the orthopedic surgeon
d. Complete the admission assessment Correct Answers B
A 40-year-old woman has sought care from her primary care
provider because of "intimacy problems". Upon questioning, the
woman reveals that she is experiencing sexual desire, but the
intercourse causes her significant pain. What should the
clinician recognize that this patient is most likely experiencing?
A. Dyspareunia
B. STI
C. Vaginismus
D. Vulvodynia Correct Answers A
A 73-year-old patient who sustained a right hip fracture in a fall
requests pain medication from the nurse. Based on his injury,
which type of pain is this patient most likely experiencing
a. Phantom
b. Visceral
c. Deep somatic
d. Referred Correct Answers C
,A client's wound is draining thick yellow material. The nurse
correctly describes the drainage as:
A. Sanguineous
B. Serous-sanguineous
C. Serous
D. Purulent Correct Answers D
A male patient informs the urology nurse that he is embarrassed
because his wife rarely has time to reach sexual satisfaction
because he experiences an orgasm as soon as he enters the
vagina. What is the condition best known as?
A. Impotence
B. Erective failure
C. Retarded Ejaculation
D. Premature ejaculation Correct Answers D
A nurse is caring for patients with a variety of wounds. Which
would will most likely heal by primary intention?
A. Cut in the skin from a kitchen knife
B. Excoriated perineal area
C. Abrasion of the skin
D. Pressure ulcer Correct Answers A
A patient diagnosed with terminal cancer says to the nurse "i'm
going to die, and I wish my family would stop hoping for a cure!
I get so angry when they carry on like this. After all, I'm the one
who's dying." Which response by the nurse is therapeutic?
a- have you shared your feelings with your family?
b- I think we should talk more about your anger with your
family
, c- you're feeling angry that your family continues to hope for
you to be cured?
d- you are probably depressed, which is understandable with
such a diagnosis Correct Answers C
A patient reports for a preoperative appointment in preparation
for surgery that will change his body from female to male. The
patient has expressed to the nurse and physician that he should
have been born a man. What sexual orientation is the patient
demonstrating?
A. Bisexual
B. Transsexual
C. Homosexual
D. Transvestite Correct Answers B
A patient with a history of stroke 4 years ago resulting in
aphasia (inability to verbally express thoughts) returns to the
surgical unit after a cholecystectomy. The surgeon ordered
intravenous pain medication every 4 hours as needed (PRN) for
postoperative pain. The best nursing intervention related to pain
control after surgery would be to:
a. Administer the pain medication when the patient becomes
restless
b. Wait until the patient verbalizes that he is experiencing pain
to administer the pain medication.
c. Assess the patient's level of pain using a Faces Pain Scale and
administer pain medication as ordered
d. Administer the pain medication every 4 hours as the client
can't express pain. Correct Answers C