EXAM| NURSE PRACTITIONERS IN
PRIMARY CARE I EXAM 4 REVIEW
WITH COMPLETE 300 REAL EXAM
QUESTIONS AND CORRECT VERIFIED
ANSWERS/ ALREADY GRADED A+
(MOST RECENT!!)
Anclientnonninnthenhospitalnhasnanlegnthatnisnimmobilizedninntraction.nWhichnobservationnbynthennur
senindicatesnthatnthenclientnunderstandsnactionsntontakentonpreventnmusclenatrophy?
-Thenpatientnadductsnthenaffectednlegneveryn2nhours
-Thenpatientnrollsnthenaffectednlegnawaynfromnthenbody'snmidlinentwicenpernday
-Thenpatientnperformsnisometricnexercisesntonthenaffectednextremitynthreentimesnanday
-Thenpatientnasksnthennursentonaddnan5-lbn(2-3kg)nweightntonthentractionnforn35nminnandayn-
nCORRECTnANSWERnThenpatientnperformsnisometricnexercisesntonthenaffectednextremitynthreentim
esnanday
Thennursenisncaringnfornanclientnwhonisn30nyearsnofnagenwithnanfracturenofnthenrightnfemurnandnleftnti
bia.nBothnlegsnhavencasts.nThennursenassessesnthenfollowing:
Respiration'snaren35npernminute,nrapidnandnshallow
Presencenofnfaintnexpiratorynwheeze
Coughnthatnproducesnthinnpinknsputum
Thenclientnisnyellingnatnthennursenandnwantsntonbenreleasednfromnthenhospital.nHisnbehaviornunliken
thatnpreviouslynreportednbynothernnursenwhonhavencarednfornhim.nThenlastndosenofnpainnmedicatio
nnwasnadministerednthreenhoursnago.nWhatnshouldnbenthennurse'snfirstnaction:
-Cutnslitsninnthentopnofnthencasts
-Administernpainnmedication
-Notifynthenhealthcarenprovidern(HCP)
,-Obtainnanchestnx-rayn-nCORRECTnANSWERnNotifynthenhealthcarenprovidern(HCP)
Whichnclientnstatementnidentifiesnanknowledgendeficitnaboutncastncare?
"Inwillnelevatenthencastnabovenmynheartninitially"
"Inwillnexercisenmynjointsnabovenandnbelownthencast."
"Inwillnapplynicenforn10nminutesntoncontrolnedemanfornthenfirstn24nhours."
n"Incannpullnoutncastnpaddingntonscratchninsidenthencast."n-
nCORRECTnANSWERn"Incannpullnoutncastnpaddingntonscratchninsidenthencast."
Afternteachingnthenclientnaboutnthenusenofntraction,nwhichnstatementnmadenbynthenpatientnaboutnt
henpurposenofnthentractionnindicatesnthenclientnneedsnadditionalnteaching?
-n"IncannmovenupnandndownninnbednifnInneednto"
-"Tractionnwillnhelpnalignnmyninjurednbone"
-"Tractionnwillnprovidenconstantnpull"
-"Tractionnwillnhelpnreducenmusclenspasms"n-
nCORRECTnANSWERn"IncannmovenupnandndownninnbednifnInneednto"
Thennursenshouldninstructnthenclientnwithnancastntonavoid.n(Selectnallnthatnapply)
-nDirectnpressurenonnthencastnduringnthendryingnperiod
-nAllowingndirtntongetninsidenthencast
-!nWashingnthencastnwithnbleach
-Usingnancoatnhangerntonscratchnanitchninsidenthencast
-nStoringnM&Msninsidenmyncastnfornansnacknlatern-nCORRECTnANSWERn-
nDirectnpressurenonnthencastnduringnthendryingnperiod
-nAllowingndirtntongetninsidenthencast
-!nWashingnthencastnwithnbleach
-Usingnancoatnhangerntonscratchnanitchninsidenthencast
,-nStoringnM&Msninsidenmyncastnfornansnacknlater
Bracesnandnsplintsnarenthensamenthing
True
n
Falsen-nCORRECTnANSWERnFalse
Thennursendevelopsnanteachingnplannfornanpatientnneedingnanhingednkneenbracenfornanninjurynsustai
nednafternanfall.nWhichnstatementnmadenbynthenpatientnindicatesneffectiventeaching?
-"Incannusenanyntypenofnpowdernundernthenbracentonabsorbnperspiration"
-"Inwillnapplynlotionnandnthicknlayersnofnclothingnbeforenputtingnmynbracenon"
-n"InneedntonwearnthenbracenuntilnmynrechecknbutnIncanntakenitnoffntonlooknatnmynskin"
-"InwillntightennthenbracenasntightnasnIncannmakenit"n-nCORRECTnANSWERn-
n"InneedntonwearnthenbracenuntilnmynrechecknbutnIncanntakenitnoffntonlooknatnmynskin"
Duringnthennurse'snmorningnassessment,nanpatientnhasnannabsentnperipheralndistalnpulsenandnpainn
atnrestnafternansplintnwasnplaced.nWhatnshouldnthennursendonfirst?
-RequestnthatnanvenousnDopplernexamnbenordered
-Removenthensplintnuntilnthenprovidernmakesntheirnrounds
-Administernthenorderednonentimendosenofnpainnmedication
-Notifynthenhealthcarenprovidern(HCP)nimmediatelyn-
nCORRECTnANSWERnNotifynthenhealthcarenprovidern(HCP)nimmediately
Thenpatientnhasnsustainednancomplexnfracturenandnisnbroughtntonthenhospital.nWhatntreatmentnsho
uldnthennursenanticipatenbeingnordered?n(Selectnallnthatnapply)
-Consultnfornpossiblenorthopedicnsurgery
-Applynanflexiblenbracenfornlong-termnusenuntilnhealed
-Applynanstabilizingnsplintnandnassessnneurovascularnstatusnafternplacement
, -nIVnanalgesicnpainnmanagementn-nCORRECTnANSWERn-Consultnfornpossiblenorthopedicnsurgery
-Applynanstabilizingnsplintnandnassessnneurovascularnstatusnafternplacement
-IVnanalgesicnpainnmanagement
Whichninformationnshouldnthennursenincludeninnthenteachingnsessionnwhennpreparingnanclientnforn
ancast?n(Selectnallnthatnapply)
-nSignsnandnsymptomsnofnappropriatenpainncontrol
-Skinnchecksninitiallynandnaftercare
-Whennandnhowntheyncannremoventheirncast
-Explainnthenproceduren-nCORRECTnANSWERn-Signsnandnsymptomsnofnappropriatenpainncontrol
-Skinnchecksninitiallynandnaftercare
-Explainnthenprocedure
Ofnthenpatientsnlistednbelow,nwhonisnatnhighernrisknforndevelopingnrheumatoidnarthritis(RA)?n(Selec
tnallnthatnapply)
-nAdultsnbetweennthenpeaknagenofn30nton50nyearsnold
-nOldernadultsnwithndegenerativenjointndiseasen
-nAdultsnwhonarenofnfemalengender
-nAdultsnwhonplaynsportsnandnhavenhadnsurgerynduentoninjury
-nAdultsnwhonhavenosteoarthritisn-nCORRECTnANSWERn-
nAdultsnbetweennthenpeaknagenofn30nton50nyearsnold
-nAdultsnwhonarenofnfemalengender
Thennursenteachesnanclientnaboutnheatnandncoldntreatmentsntonmanagenarthritisnpain.nWhichnstate
mentnindicatesnthatnthenclientnstillnhasnanknowledgendeficit?
-nAn"IncannusenheatnandncoldnasnoftennasnInwant"
-n"Whatnheat,nInshouldnapplynitnfornnonlongernthann20nminutesnatnantime"