NR511 QUESTIONS WITH ACCURATE ANSWERS
"Bag of worms" scrotum correct answer varicocele
A 35-year-old female patient is seen in the clinic complaining of abdominal pain.
Which of the following should be included in the history and physical
examination? correct answer All of the above
A 70-year-old female has fallen 2 weeks ago and developed immediate pain in her
left wrist. She thought she just bruised it but is worried because it has not
improved. She has used Tylenol® and ice at home, and that has helped slightly.
You examine her and find she has moderate swelling and ecchymosis but no
overtly obvious deformity. Her ROM is uncomfortable and severely diminished
due to the pain. No crepitus is heard or felt. Her fingers are warm; her pulse is
strong; and capillary refill is less than 2 seconds. What should you do? correct
answer Obtain a wrist x-ray and place her wrist in a splint or prescribe a splint
A frantic family member is distressed about the flaccid paralysis of her son
following a spinal cord injury several hours ago. What does the nurse know about
this condition? correct answer It is possibly a temporary condition and will clear
A patient 48 hours after surgery for a fractured femoral shaft is experiencing
mental confusion, tachycardia, tachypnea, and dyspnea. The patients blood
pressure is elevated and petechiae are present on the chest. After reporting the
findings to the RN what should the nurse do while awaiting the physicians specific
orders? (Select all that apply.) correct answer a. Administer oxygen. b. Prepare
patient for arterial blood gas tests. c. Prepare patient for chest x-ray or lung scan.
d. Maintain bedrest and keep movement to a minimum
f. Place patient in high Fowlers position or raise the head of the bed.
,A patient asks the difference between osteoarthritis and rheumatoid arthritis.
What manifestations should the nurse explain are characteristic of rheumatoid
arthritis? (Select all that apply.) correct answer Low-grade fever
Autoimmune disease
e. Early morning stiffness
f. Involvement of other major organs
A patient has an open reduction of a radial fracture and is casted. Several hours
after the operation, the patient reports a throbbing pain in the arm. What nursing
action is essential for the nurse to take? correct answer Perform neurovascular
checks.
A patient in the ambulatory clinic is diagnosed with a muscle strain. What actions
should the nurse instruct the patient to do to treat this injury? (Select all that
apply.) correct answer a. Rest the limb.
b. Elevate the limb
apple ice to area
wrap w/ elastic bandage
A patient is completing instructions about complications that can occur from
osteoporosis. Which complication should the patient state as evidence that
teaching has been effective? correct answer Hip fracture
A patient is diagnosed with osteomyelitis of the right lower leg. What should the
nurse expect to be prescribed for this patients care? correct answer
A patient who has a displaced mid-shaft fracture of the left femur and is in
balanced suspension skeletal traction with 35 pounds of weights is experiencing
, calf pain with right foot dorsiflexion. Which action should the nurse take? correct
answer Notify the RN- Homans sign
A patient with a 36-hour-old fractured femur is in traction and is prescribed
morphine 10 mg every 3 hours as needed. The patient received a dose 3 hours
ago and is now reporting a pain level of 8. The patient is stable. Which action
should the nurse take? correct answer Give pain medication as ordered
A patient with a casted, fractured left leg asks why the leg has to be elevated.
What should the nurse respond to this patient? correct answer Decreases
swelling
A patient with a fractured pelvis and a left acetabular fracture is prescribed
bedrest. When the patient asks to toilet, which measure would be appropriate?
correct answer Ask patient to lift straight up using a trapeze mounted above the
bed and slide a bedpan underneath from the right side.
A patient with a spinal cord injury at T1 complains of stuffiness of the nose and a
headache. The nurse notes a flushing of the neck and goose flesh. What should be
the primary nursing intervention based on these assessments? correct answer Sit
upright and check blood pressure
A patient with gout has been instructed on the prescribed medication allopurinol
(Zyloprim). Which patient statement indicates understanding of the action of this
medication? correct answer Blocks formation of uric acid.
acute prost. correct answer no prostate massage
"Bag of worms" scrotum correct answer varicocele
A 35-year-old female patient is seen in the clinic complaining of abdominal pain.
Which of the following should be included in the history and physical
examination? correct answer All of the above
A 70-year-old female has fallen 2 weeks ago and developed immediate pain in her
left wrist. She thought she just bruised it but is worried because it has not
improved. She has used Tylenol® and ice at home, and that has helped slightly.
You examine her and find she has moderate swelling and ecchymosis but no
overtly obvious deformity. Her ROM is uncomfortable and severely diminished
due to the pain. No crepitus is heard or felt. Her fingers are warm; her pulse is
strong; and capillary refill is less than 2 seconds. What should you do? correct
answer Obtain a wrist x-ray and place her wrist in a splint or prescribe a splint
A frantic family member is distressed about the flaccid paralysis of her son
following a spinal cord injury several hours ago. What does the nurse know about
this condition? correct answer It is possibly a temporary condition and will clear
A patient 48 hours after surgery for a fractured femoral shaft is experiencing
mental confusion, tachycardia, tachypnea, and dyspnea. The patients blood
pressure is elevated and petechiae are present on the chest. After reporting the
findings to the RN what should the nurse do while awaiting the physicians specific
orders? (Select all that apply.) correct answer a. Administer oxygen. b. Prepare
patient for arterial blood gas tests. c. Prepare patient for chest x-ray or lung scan.
d. Maintain bedrest and keep movement to a minimum
f. Place patient in high Fowlers position or raise the head of the bed.
,A patient asks the difference between osteoarthritis and rheumatoid arthritis.
What manifestations should the nurse explain are characteristic of rheumatoid
arthritis? (Select all that apply.) correct answer Low-grade fever
Autoimmune disease
e. Early morning stiffness
f. Involvement of other major organs
A patient has an open reduction of a radial fracture and is casted. Several hours
after the operation, the patient reports a throbbing pain in the arm. What nursing
action is essential for the nurse to take? correct answer Perform neurovascular
checks.
A patient in the ambulatory clinic is diagnosed with a muscle strain. What actions
should the nurse instruct the patient to do to treat this injury? (Select all that
apply.) correct answer a. Rest the limb.
b. Elevate the limb
apple ice to area
wrap w/ elastic bandage
A patient is completing instructions about complications that can occur from
osteoporosis. Which complication should the patient state as evidence that
teaching has been effective? correct answer Hip fracture
A patient is diagnosed with osteomyelitis of the right lower leg. What should the
nurse expect to be prescribed for this patients care? correct answer
A patient who has a displaced mid-shaft fracture of the left femur and is in
balanced suspension skeletal traction with 35 pounds of weights is experiencing
, calf pain with right foot dorsiflexion. Which action should the nurse take? correct
answer Notify the RN- Homans sign
A patient with a 36-hour-old fractured femur is in traction and is prescribed
morphine 10 mg every 3 hours as needed. The patient received a dose 3 hours
ago and is now reporting a pain level of 8. The patient is stable. Which action
should the nurse take? correct answer Give pain medication as ordered
A patient with a casted, fractured left leg asks why the leg has to be elevated.
What should the nurse respond to this patient? correct answer Decreases
swelling
A patient with a fractured pelvis and a left acetabular fracture is prescribed
bedrest. When the patient asks to toilet, which measure would be appropriate?
correct answer Ask patient to lift straight up using a trapeze mounted above the
bed and slide a bedpan underneath from the right side.
A patient with a spinal cord injury at T1 complains of stuffiness of the nose and a
headache. The nurse notes a flushing of the neck and goose flesh. What should be
the primary nursing intervention based on these assessments? correct answer Sit
upright and check blood pressure
A patient with gout has been instructed on the prescribed medication allopurinol
(Zyloprim). Which patient statement indicates understanding of the action of this
medication? correct answer Blocks formation of uric acid.
acute prost. correct answer no prostate massage
