MDC1 2356 EXAM 1 ORTHOPEDIC & SENSORY
NURSING – COMPLETE QUESTIONS AND 100%
CORRECT ANSWERS AND DETAILED RATIONALES
1. A client with acquired immune deficiency syndrome (AIDS) has
Pneumocystis carinii pneumonia (PCP). What is the nurse's priority
assessment for this client?
Choices:
A. Lung sounds
B. Skin turgor
C. Radial pulses
D. Capillary refill
Correct Answer: A
Rationale: PCP is a respiratory infection; assessing lung sounds is
priority to detect oxygenation problems.
2. How many ml is one teaspoon? (Record answer as a whole number.
Type answer as numeric only.)
Correct Answer: 5
Rationale: One teaspoon equals 5 mL.
3. The client with rheumatoid arthritis is having her rheumatoid factor
(RF) drawn while she is having a flare-up of the disease. Which result
is seen in clients with rheumatoid arthritis?
,Choices:
A. A positive rheumatoid factor
B. Factor does not change
C. A negative rheumatoid factor
D. Decreased level of rheumatoid factor
Correct Answer: A
*Rationale: Rheumatoid factor is positive in approximately 80% of
clients with RA, especially during flare-ups.*
4. A nurse is providing education for a client who has glaucoma.
Which of the following statements should the nurse include in the
teaching?
Choices:
A. "Use of eye drops will improve vision over time."
B. "Without treatment, glaucoma can cause blindness."
C. "Double vision is a common symptom of glaucoma."
D. "Glaucoma is caused by inadequate production of fluid within the
eye."
Correct Answer: B
Rationale: Untreated glaucoma leads to optic nerve damage and
permanent blindness.
5. A nurse is caring for an immobile client. What is the priority
assessment in this client?
Choices:
A. Assessment of skin turgor
B. Auscultation of bowel sounds
,Correct Answer: B (Note: Question incomplete; based on standard, lung
sounds or skin are priority)
Rationale: For immobile clients, priority assessment includes lung
sounds (atelectasis/pneumonia) and skin integrity.
6. A client with a diagnosis of human immunodeficiency virus (HIV)
develops pneumonia. What type of infection is this?
Choices:
A. A nosocomial infection
B. A pathogenic infection
C. An opportunistic infection
D. A root cause infection
Correct Answer: C
Rationale: Pneumonia in HIV is often opportunistic, occurring due to
immunosuppression.
7. What level of Maslow hierarchy does shelter belong to?
Choices:
A. Esteem
B. Love and belonging
C. Safety and security
D. Physiological
Correct Answer: C
Rationale: Shelter is a safety and security need in Maslow's hierarchy.
, 8. A client states that he has been experiencing oozing from his
wound. What is the nurse priority?
Choices:
A. Inspect the wound and assess the drainage
B. Call the provider to initiate antibiotics
C. Apply topical ointment to the wound
D. Culture the wound
Correct Answer: A
Rationale: The nurse should first inspect and assess the wound drainage
before notifying the provider.
9. What is not a potential complication of rheumatoid arthritis?
Choices:
A. Joint deformity
B. Fibromyalgia
C. Paresthesia
D. Dry eye
Correct Answer: B
Rationale: Fibromyalgia is a separate condition, not a complication of
RA.
10. The nurse is planning care for a post-operative client after a total
hip arthroplasty. What is the priority nursing intervention?
(Note: Question incomplete in original; standard answer would be
"prevent dislocation" or "neurovascular assessment")
Correct Answer: Prevent hip dislocation
NURSING – COMPLETE QUESTIONS AND 100%
CORRECT ANSWERS AND DETAILED RATIONALES
1. A client with acquired immune deficiency syndrome (AIDS) has
Pneumocystis carinii pneumonia (PCP). What is the nurse's priority
assessment for this client?
Choices:
A. Lung sounds
B. Skin turgor
C. Radial pulses
D. Capillary refill
Correct Answer: A
Rationale: PCP is a respiratory infection; assessing lung sounds is
priority to detect oxygenation problems.
2. How many ml is one teaspoon? (Record answer as a whole number.
Type answer as numeric only.)
Correct Answer: 5
Rationale: One teaspoon equals 5 mL.
3. The client with rheumatoid arthritis is having her rheumatoid factor
(RF) drawn while she is having a flare-up of the disease. Which result
is seen in clients with rheumatoid arthritis?
,Choices:
A. A positive rheumatoid factor
B. Factor does not change
C. A negative rheumatoid factor
D. Decreased level of rheumatoid factor
Correct Answer: A
*Rationale: Rheumatoid factor is positive in approximately 80% of
clients with RA, especially during flare-ups.*
4. A nurse is providing education for a client who has glaucoma.
Which of the following statements should the nurse include in the
teaching?
Choices:
A. "Use of eye drops will improve vision over time."
B. "Without treatment, glaucoma can cause blindness."
C. "Double vision is a common symptom of glaucoma."
D. "Glaucoma is caused by inadequate production of fluid within the
eye."
Correct Answer: B
Rationale: Untreated glaucoma leads to optic nerve damage and
permanent blindness.
5. A nurse is caring for an immobile client. What is the priority
assessment in this client?
Choices:
A. Assessment of skin turgor
B. Auscultation of bowel sounds
,Correct Answer: B (Note: Question incomplete; based on standard, lung
sounds or skin are priority)
Rationale: For immobile clients, priority assessment includes lung
sounds (atelectasis/pneumonia) and skin integrity.
6. A client with a diagnosis of human immunodeficiency virus (HIV)
develops pneumonia. What type of infection is this?
Choices:
A. A nosocomial infection
B. A pathogenic infection
C. An opportunistic infection
D. A root cause infection
Correct Answer: C
Rationale: Pneumonia in HIV is often opportunistic, occurring due to
immunosuppression.
7. What level of Maslow hierarchy does shelter belong to?
Choices:
A. Esteem
B. Love and belonging
C. Safety and security
D. Physiological
Correct Answer: C
Rationale: Shelter is a safety and security need in Maslow's hierarchy.
, 8. A client states that he has been experiencing oozing from his
wound. What is the nurse priority?
Choices:
A. Inspect the wound and assess the drainage
B. Call the provider to initiate antibiotics
C. Apply topical ointment to the wound
D. Culture the wound
Correct Answer: A
Rationale: The nurse should first inspect and assess the wound drainage
before notifying the provider.
9. What is not a potential complication of rheumatoid arthritis?
Choices:
A. Joint deformity
B. Fibromyalgia
C. Paresthesia
D. Dry eye
Correct Answer: B
Rationale: Fibromyalgia is a separate condition, not a complication of
RA.
10. The nurse is planning care for a post-operative client after a total
hip arthroplasty. What is the priority nursing intervention?
(Note: Question incomplete in original; standard answer would be
"prevent dislocation" or "neurovascular assessment")
Correct Answer: Prevent hip dislocation
