Quiz 13 Nurs 309 UPDATED ACTUAL Questions and CORRECT
Answers
Which signs/symptoms represent the priority concepts c. patient reports decreased range of motion and pain in leg that is unrelieved by
for musculoskeletal trauma? medication
a. patient notes mild shortness of breath and palpitations
with minor exertion.
b. patient describes discomfort in knee and hip joints that
is worse in the morning
c. patient reports decreased range of motion and pain in
leg that is unrelieved by medication
d. patient has problems getting adequate calcium and
vitamin D because of lactose intolerance
The nurse is caring for several patients on an orthopedic a. lower legs caught between the bumpers of two cars
trauma unit. Which conditions pose a high risk for b. massive infiltration of IV fluid into forearm
development of acute compartment syndrome? SATA d. multiple insect bites to lower legs
f. severe burns to the upper extremities
a. lower legs caught between the bumpers of two cars
b. massive infiltration of IV fluid into forearm
c. bivalve cast on the lower leg
d. multiple insect bites to lower legs
e. daily use of oral contraceptives
f. severe burns to the upper extremities
A patient has a fracture of the right wrist. What is an early d. patient reports a subjective numbness and tingling
sign that indicates this patient may be having a
complication?
a. patient loses ability to wiggle fingers without pain
b. fingers are cold and pale; pulses are impalpable
c. pain is severe and seems out of proportion to injury
d. patient reports a subjective numbness and tingling
, The nurse is assessing a patient for severe pain in the b. asks the patient to move the fingers
right wrist after falling off a step stool. How does the
nurse assess this patient's motor function?
a. performs passive range of motion for the wrist
b. asks the patient to move the fingers
c. has the patient flex and extend the elbow
d. instructs the patient to rotate the wrist
A patient in traction reports severe pain from a muscle a. assess the patient's body alignment
spasm. What is the nurse's priority action?
a. assess the patient's body alignment
b. give the patient a prn pain medication
c. notify the health care provider
d. remove some of the traction weights
The nurse is reviewing the orders for a patient who was b. perform neurovascular assessments every 8 hours
admitted for 24 hour observation of a leg fracture. A cast
is in place. Which order does the nurse question?
a. elevate lower leg above the level of the heart
b. perform neurovascular assessments every 8 hours
c. apply ice pack for 24 hours
d. provide regular diet as tolerated
A patient with a leg cast denies pain toes are pink, c. acute compartment syndrome
capillary refill is brisk and toes move freely, and the leg is
elevated with an ice pack. Six hours alter, the patient
reports worsening pain unrelieved by medication. The
patient's toes are cool, and pulse is difficult to detect.
What does the nurse suspect is occurring with this
patient?
a. Crush syndrome
b. fat embolism syndrome
c. acute compartment syndrome
d. fasciitis
What is the priority concept related to changes that d. perfusion
occur during the ischemia-edema cycle?
a. comfort
b. mobility
c. tissue integrity
d. perfusion
An older adult has been admitted with a hip fracture. c. change in mental status
Approximately 20 hours after injury, the patient develops
a sign/symptom that the nurse recognizes as an early
indicator of fat embolism syndrome. Which sign/symptom
is the patient displaying?
a. severe respiratory distress
b. significantly increased pulse rate
c. change in mental status
d. petechial rash over the neck
Answers
Which signs/symptoms represent the priority concepts c. patient reports decreased range of motion and pain in leg that is unrelieved by
for musculoskeletal trauma? medication
a. patient notes mild shortness of breath and palpitations
with minor exertion.
b. patient describes discomfort in knee and hip joints that
is worse in the morning
c. patient reports decreased range of motion and pain in
leg that is unrelieved by medication
d. patient has problems getting adequate calcium and
vitamin D because of lactose intolerance
The nurse is caring for several patients on an orthopedic a. lower legs caught between the bumpers of two cars
trauma unit. Which conditions pose a high risk for b. massive infiltration of IV fluid into forearm
development of acute compartment syndrome? SATA d. multiple insect bites to lower legs
f. severe burns to the upper extremities
a. lower legs caught between the bumpers of two cars
b. massive infiltration of IV fluid into forearm
c. bivalve cast on the lower leg
d. multiple insect bites to lower legs
e. daily use of oral contraceptives
f. severe burns to the upper extremities
A patient has a fracture of the right wrist. What is an early d. patient reports a subjective numbness and tingling
sign that indicates this patient may be having a
complication?
a. patient loses ability to wiggle fingers without pain
b. fingers are cold and pale; pulses are impalpable
c. pain is severe and seems out of proportion to injury
d. patient reports a subjective numbness and tingling
, The nurse is assessing a patient for severe pain in the b. asks the patient to move the fingers
right wrist after falling off a step stool. How does the
nurse assess this patient's motor function?
a. performs passive range of motion for the wrist
b. asks the patient to move the fingers
c. has the patient flex and extend the elbow
d. instructs the patient to rotate the wrist
A patient in traction reports severe pain from a muscle a. assess the patient's body alignment
spasm. What is the nurse's priority action?
a. assess the patient's body alignment
b. give the patient a prn pain medication
c. notify the health care provider
d. remove some of the traction weights
The nurse is reviewing the orders for a patient who was b. perform neurovascular assessments every 8 hours
admitted for 24 hour observation of a leg fracture. A cast
is in place. Which order does the nurse question?
a. elevate lower leg above the level of the heart
b. perform neurovascular assessments every 8 hours
c. apply ice pack for 24 hours
d. provide regular diet as tolerated
A patient with a leg cast denies pain toes are pink, c. acute compartment syndrome
capillary refill is brisk and toes move freely, and the leg is
elevated with an ice pack. Six hours alter, the patient
reports worsening pain unrelieved by medication. The
patient's toes are cool, and pulse is difficult to detect.
What does the nurse suspect is occurring with this
patient?
a. Crush syndrome
b. fat embolism syndrome
c. acute compartment syndrome
d. fasciitis
What is the priority concept related to changes that d. perfusion
occur during the ischemia-edema cycle?
a. comfort
b. mobility
c. tissue integrity
d. perfusion
An older adult has been admitted with a hip fracture. c. change in mental status
Approximately 20 hours after injury, the patient develops
a sign/symptom that the nurse recognizes as an early
indicator of fat embolism syndrome. Which sign/symptom
is the patient displaying?
a. severe respiratory distress
b. significantly increased pulse rate
c. change in mental status
d. petechial rash over the neck
