NUR 372 Exam 4 Practice Questions
and Answers
1. The nurse is assessing the client who is to have a closed
reduction for a right elbow fracture. Which should be the nurse's
priority?
A. Presence of bruising to the right elbow
B. Pain level rating of 3 on a 0 to 10 scale
C. Sensation and pulse of the right forearm
D. Left-handedness or right-handedness -
correct answer ✅c
impairment of the neurovascylar system is a priority. the close
reduction could cause further damage, which would be noted distal
to the injury. bruising is a common finding with dislocation.
handedness becomes important with discharge teaching but is not
a medical emergency. pain of 3/10 is expected and should be
treated prior to the intervention but is not priority.
The experienced nurse observes the new nurse caring for the client
who is in skeletal traction to stabilize a proximal femur fracture
prior to surgery. Which observation by the experienced nurse
indicates that the new nurse needs additional orientation?
A. Positions the client so the client's feet stay clear of the bottom of
the bed
,NUR 372 Exam 4 Practice Questions
and Answers
B. Checks ropes so that they are positioned in the wheel grooves of
the pulleys
C. Removes weights from ropes until the weights hang free of the
bed frame
D. Performs pin site care with chlorhexidine solution once during
the 8-hour shift -
correct answer ✅c
weights should be hanging freely, but weights should never be
removed (unless its a life threatening emergency) because removal
could result in injury and defeats the purpose of the practice. the
lengths of ropes should be adjusted instead so that the weights can
hang freely
The nurse caring for a patient with liver failure notes a change in
mental status and elevated ammonia level. Which ordered
interventions are most directly related to treating these clinical
manifestations?
A. Diuretics
B. High-protein diet
C. Coumadin
,NUR 372 Exam 4 Practice Questions
and Answers
D. Lactulose and neomycin -
correct answer ✅d
interventions to decrease the build up of ammonia in the body
include laxative and antibiotic therapy. protein restricted diets are
important with liver failure, diuretics are used in liver failure for
fluid overload, and coumadin is a blood thinning agent.
What is the main nursing intervention in caring for a patient with
muscular dystrophy (MD)?
A. Prevent falls and fractures
B. Promote comfort and function
C. Prevent cardiac and pulmonary dysfunction
D. Promote collaborative and genetic care -
correct answer ✅a
a primary goal is to prevent falls and fractures. a secondary goal is
to promote comfort and function. nursing interventions will prevent
cardiac and pulmonary dysfunction and we should assess them and
promote collaborative and genetic care but these are not the main
interventions.
, NUR 372 Exam 4 Practice Questions
and Answers
The LPN is reporting observations and care plans to the RN. Based
on the LPN's report, which client should the RN assess
immediately?
A. The client 2-hours status-post total knee replacement who has
100mL bloody drainage in the autotransfusion drainage system
container
B. The client with a crush injury to the arm who was given another
analgesic and a skeletal muscle relaxant for throbbing, unrelenting
pain
C. The client with a new body cast who was turned every 2 hours
and is being supported with waterproof pillows
D. The client with a left leg external fixator who has serous drainage
from the pin sites and pulses that are present by Doppler -
correct answer ✅b
the rn should assess this client immediately as throbbing,
unrelenting pain could be a first sign of compartment syndrome.
the neurovascular status of the extremity should be assessed.
unrelieved pressure can lead to compromised circulation and
avascular necrosis. post op drainage from a TKR can typically range
from 100-400 mL during the first 24 hours. a client in a full body
cast should be turned q2 and supported with pillows to prevent
and Answers
1. The nurse is assessing the client who is to have a closed
reduction for a right elbow fracture. Which should be the nurse's
priority?
A. Presence of bruising to the right elbow
B. Pain level rating of 3 on a 0 to 10 scale
C. Sensation and pulse of the right forearm
D. Left-handedness or right-handedness -
correct answer ✅c
impairment of the neurovascylar system is a priority. the close
reduction could cause further damage, which would be noted distal
to the injury. bruising is a common finding with dislocation.
handedness becomes important with discharge teaching but is not
a medical emergency. pain of 3/10 is expected and should be
treated prior to the intervention but is not priority.
The experienced nurse observes the new nurse caring for the client
who is in skeletal traction to stabilize a proximal femur fracture
prior to surgery. Which observation by the experienced nurse
indicates that the new nurse needs additional orientation?
A. Positions the client so the client's feet stay clear of the bottom of
the bed
,NUR 372 Exam 4 Practice Questions
and Answers
B. Checks ropes so that they are positioned in the wheel grooves of
the pulleys
C. Removes weights from ropes until the weights hang free of the
bed frame
D. Performs pin site care with chlorhexidine solution once during
the 8-hour shift -
correct answer ✅c
weights should be hanging freely, but weights should never be
removed (unless its a life threatening emergency) because removal
could result in injury and defeats the purpose of the practice. the
lengths of ropes should be adjusted instead so that the weights can
hang freely
The nurse caring for a patient with liver failure notes a change in
mental status and elevated ammonia level. Which ordered
interventions are most directly related to treating these clinical
manifestations?
A. Diuretics
B. High-protein diet
C. Coumadin
,NUR 372 Exam 4 Practice Questions
and Answers
D. Lactulose and neomycin -
correct answer ✅d
interventions to decrease the build up of ammonia in the body
include laxative and antibiotic therapy. protein restricted diets are
important with liver failure, diuretics are used in liver failure for
fluid overload, and coumadin is a blood thinning agent.
What is the main nursing intervention in caring for a patient with
muscular dystrophy (MD)?
A. Prevent falls and fractures
B. Promote comfort and function
C. Prevent cardiac and pulmonary dysfunction
D. Promote collaborative and genetic care -
correct answer ✅a
a primary goal is to prevent falls and fractures. a secondary goal is
to promote comfort and function. nursing interventions will prevent
cardiac and pulmonary dysfunction and we should assess them and
promote collaborative and genetic care but these are not the main
interventions.
, NUR 372 Exam 4 Practice Questions
and Answers
The LPN is reporting observations and care plans to the RN. Based
on the LPN's report, which client should the RN assess
immediately?
A. The client 2-hours status-post total knee replacement who has
100mL bloody drainage in the autotransfusion drainage system
container
B. The client with a crush injury to the arm who was given another
analgesic and a skeletal muscle relaxant for throbbing, unrelenting
pain
C. The client with a new body cast who was turned every 2 hours
and is being supported with waterproof pillows
D. The client with a left leg external fixator who has serous drainage
from the pin sites and pulses that are present by Doppler -
correct answer ✅b
the rn should assess this client immediately as throbbing,
unrelenting pain could be a first sign of compartment syndrome.
the neurovascular status of the extremity should be assessed.
unrelieved pressure can lead to compromised circulation and
avascular necrosis. post op drainage from a TKR can typically range
from 100-400 mL during the first 24 hours. a client in a full body
cast should be turned q2 and supported with pillows to prevent
