Adult 1 Exam 2 Questions With Complete Solutions
1. A nurse admits a patient who has a fracture of the nose that
has resulted in a skin tear and involvement of the mucous
membranes of the nasal passages. The orthopedic nurse is aware
that this description likely indicates which type of fracture?
A) Compression
B) Compound
C) Impacted
D) Transverse Correct Answers B
26. A nurse is planning the care of a patient who will require a
prolonged course of skeletal traction. When planning this
patients care, the nurse should prioritize interventions related to
which of the following risk nursing diagnoses?
A) Risk for Impaired Skin Integrity
B) Risk for Falls
C) Risk for Imbalanced Fluid Volume
D) Risk for Aspiration Correct Answers A
A 15-year-old is admitted to the renal unit with a diagnosis of
postinfectious glomerular disease. The nurse should recognize
that this form of kidney disease may have been precipitated by
what event?
A) Psychosocial stress
B) Hypersensitivity to an immunization
C) Menarche
D) Streptococcal infection Correct Answers D
,A 16-year-old has come to the clinic and asks to talk to a nurse.
The nurse asks the teen what she needs and the teen responds
that she has become sexually active and is concerned about
getting HIV. The teen asks the nurse what she can do keep from
getting HIV. What would be the nurses best response?
A) Theres no way to be sure you wont get HIV except to use
condoms correctly.
B) Only the correct use of a female condom protects against the
transmission of HIV.
C) There are new ways of protecting yourself from HIV that are
being discovered every day.
D) Other than abstinence, only the consistent and correct use of
condoms is effective in preventing
HIV. Correct Answers D
A 16-year-old male patient comes to the free clinic and is
subsequently diagnosed with primary syphilis. What health
problem most likely prompted the patient to seek care?
A) The emergence of a chancre on his penis
B) Painful urination
C) Signs of a systemic infection
D) Unilateral testicular swelling Correct Answers A
A 2-year-old is brought to the clinic by her mother who tells the
nurse her daughter has diarrhea and the child is complaining of
pain in her stomach. The mother says that the little girl had not
eaten anything unusual, consuming homemade chicken strips
and carrot sticks the evening prior. Which bacterial infection
would the nurse suspect this little girl of contracting?
,A) Escherichia coli
B) Salmonella
C) Shigella
D) Giardia lamblia Correct Answers B
A 20 year-old is brought in by ambulance to the emergency
department after being involved in a
motorcycle accident. The patient has an open fracture of his
tibia. The wound is highly contaminated and there is extensive
soft-tissue damage. How would this patients fracture likely be
graded?
A) Grade I
B) Grade II
C) Grade III
D) Grade IV Correct Answers C
A 25-year-old man is involved in a motorcycle accident and
injures his arm. The physician diagnoses the man with an intra-
articular fracture and splints the injury. The nurse implements
the teaching plan developed for this patient. What sequela of
intra-articular fractures should the nurse describe regarding
this patient?
A) Post-traumatic arthritis
B) Fat embolism syndrome (FES)
C) Osteomyelitis
D) Compartment syndrome Correct Answers A
A 30 year-old female patient has been diagnosed with Cushing
syndrome. What psychosocial nursing diagnosis should the
nurse most likely prioritize when planning the patients care?
A) Decisional conflict related to treatment options
, B) Spiritual distress related to changes in cognitive function
C) Disturbed body image related to changes in physical
appearance
D) Powerlessness related to disease progression Correct
Answers C
A 30-year-old male patient has just returned from the operating
room after having a flap done following a motorcycle accident.
The patients wife asks the nurse about the major complications
following this type of surgery. What would be the nurses best
response?
A) The major complication is when the patient develops chronic
pain.
B) The major complication is when the patient loses sensation in
the flap.
C) The major complication is when the pedicle tears loose and
the flap dies.
D) The major complication is when the blood supply fails and
the tissue in the flap dies. Correct Answers D
A 32-year-old patient comes to the clinic complaining of
shoulder tenderness, pain, and limited movement. Upon
assessment the nurse finds edema. An MRI shows hemorrhage
of the rotator cuff tendons and the patient is diagnosed with
impingement syndrome. What action should the nurse
recommend in order to promote healing?
A) Support the affected arm on pillows at night.
B) Take prescribed corticosteroids as ordered.
C) Put the shoulder through its full range of motion 3 times
daily.
1. A nurse admits a patient who has a fracture of the nose that
has resulted in a skin tear and involvement of the mucous
membranes of the nasal passages. The orthopedic nurse is aware
that this description likely indicates which type of fracture?
A) Compression
B) Compound
C) Impacted
D) Transverse Correct Answers B
26. A nurse is planning the care of a patient who will require a
prolonged course of skeletal traction. When planning this
patients care, the nurse should prioritize interventions related to
which of the following risk nursing diagnoses?
A) Risk for Impaired Skin Integrity
B) Risk for Falls
C) Risk for Imbalanced Fluid Volume
D) Risk for Aspiration Correct Answers A
A 15-year-old is admitted to the renal unit with a diagnosis of
postinfectious glomerular disease. The nurse should recognize
that this form of kidney disease may have been precipitated by
what event?
A) Psychosocial stress
B) Hypersensitivity to an immunization
C) Menarche
D) Streptococcal infection Correct Answers D
,A 16-year-old has come to the clinic and asks to talk to a nurse.
The nurse asks the teen what she needs and the teen responds
that she has become sexually active and is concerned about
getting HIV. The teen asks the nurse what she can do keep from
getting HIV. What would be the nurses best response?
A) Theres no way to be sure you wont get HIV except to use
condoms correctly.
B) Only the correct use of a female condom protects against the
transmission of HIV.
C) There are new ways of protecting yourself from HIV that are
being discovered every day.
D) Other than abstinence, only the consistent and correct use of
condoms is effective in preventing
HIV. Correct Answers D
A 16-year-old male patient comes to the free clinic and is
subsequently diagnosed with primary syphilis. What health
problem most likely prompted the patient to seek care?
A) The emergence of a chancre on his penis
B) Painful urination
C) Signs of a systemic infection
D) Unilateral testicular swelling Correct Answers A
A 2-year-old is brought to the clinic by her mother who tells the
nurse her daughter has diarrhea and the child is complaining of
pain in her stomach. The mother says that the little girl had not
eaten anything unusual, consuming homemade chicken strips
and carrot sticks the evening prior. Which bacterial infection
would the nurse suspect this little girl of contracting?
,A) Escherichia coli
B) Salmonella
C) Shigella
D) Giardia lamblia Correct Answers B
A 20 year-old is brought in by ambulance to the emergency
department after being involved in a
motorcycle accident. The patient has an open fracture of his
tibia. The wound is highly contaminated and there is extensive
soft-tissue damage. How would this patients fracture likely be
graded?
A) Grade I
B) Grade II
C) Grade III
D) Grade IV Correct Answers C
A 25-year-old man is involved in a motorcycle accident and
injures his arm. The physician diagnoses the man with an intra-
articular fracture and splints the injury. The nurse implements
the teaching plan developed for this patient. What sequela of
intra-articular fractures should the nurse describe regarding
this patient?
A) Post-traumatic arthritis
B) Fat embolism syndrome (FES)
C) Osteomyelitis
D) Compartment syndrome Correct Answers A
A 30 year-old female patient has been diagnosed with Cushing
syndrome. What psychosocial nursing diagnosis should the
nurse most likely prioritize when planning the patients care?
A) Decisional conflict related to treatment options
, B) Spiritual distress related to changes in cognitive function
C) Disturbed body image related to changes in physical
appearance
D) Powerlessness related to disease progression Correct
Answers C
A 30-year-old male patient has just returned from the operating
room after having a flap done following a motorcycle accident.
The patients wife asks the nurse about the major complications
following this type of surgery. What would be the nurses best
response?
A) The major complication is when the patient develops chronic
pain.
B) The major complication is when the patient loses sensation in
the flap.
C) The major complication is when the pedicle tears loose and
the flap dies.
D) The major complication is when the blood supply fails and
the tissue in the flap dies. Correct Answers D
A 32-year-old patient comes to the clinic complaining of
shoulder tenderness, pain, and limited movement. Upon
assessment the nurse finds edema. An MRI shows hemorrhage
of the rotator cuff tendons and the patient is diagnosed with
impingement syndrome. What action should the nurse
recommend in order to promote healing?
A) Support the affected arm on pillows at night.
B) Take prescribed corticosteroids as ordered.
C) Put the shoulder through its full range of motion 3 times
daily.
