NUR 2349 Exam 1 PN 1 NUR 2349 Exam 1 PN 1 - Professional Nursing 1

NUR 2349 Exam 1 PN 1 NUR 2349 Exam 1 PN 1 - Professional Nursing 1 NUR 2349 Exam 1 PN 1 1. Your client has had an arthroplasty two days ago and has required pain medication every four hours. What consideration is given to the use of opioids and immobility in a post-surgical client? a. Decrease peristalsis and can cause severe constipation b. Constipation can cause impaction 2. What is the term for a surgical removal and replacement of a joint? a. arthroplasty 3. Although this arthritis can occur in children, it often strikes at the age of 30-40 years of age. When the immune system attacks it's own tissues, causing red and painful joints it is called which of the following? 4. In order to achieve balance, body mass must be distributed around which point? a. At the waist or midline 5. After caring for a client on contact precautions, the nurse removes PPE within the room and washes hands because of which of the following? a. If her close are contaminated, she keeps the bacteria in the room and prevents the spread of it. 6. Healing time of a simple fracture is 8-12 weeks. During this time what cell reshapes or remodels the mending bone? a. Osteoblasts blast away the old bone, osteoclasts cleans the new bone 7. Which of the following is true regarding standard infection control precautions? a. Standard infection precaution is used for every person that you are treating 8. A client in the emergency room is angry, yelling, cursing, and waving his arms, when the nurse comes into the room. Which action by the nurse is advisable? a. Stand between the patient and the door, try to talk in a calming manner 9. Which PPE is worn when taking a blood glucose sample from an AIDS client? a. gloves 10. The nurse prepares to dispose of stomach contents collected in a suction canister. Which PPE should be worn? a. Face mask/ eye protection, gloves 11. The client in the above question, admits the APAP is not working for her arthritis pain. She tells you that she takes "just two more at midnight". Is this appropriate considering this client also has liver disease? 12. Which is the most commonly reported incident in the hospital? a. UTI 13. An 82 yr old client is unsteady on her feet when walking about the room. She reports feeling a little sore but has no complaints of weakness. What is the appropriate piece of equipment to use when helping her ambulate? a. Gait belt 14. The body's inability to secrete uric acid can often cause an agonizingly painful attack affecting one joint (often seen at the great toe) is called? a. Gout 15. Clients with impaired mobility are at risk for which condition? a. Pressure ulcers/ muscular atrophy 16. Clients have the right to refuse medically necessary treatments if they posess which of the following? 17. Which of the following describes Paget's disease of the bone? 18. You are the triage nurse in the ER and you patient presents with excruciating leg pain. You happen to notice the bone extending out of the leg. This kind of fracture is called which of the following? a. Compound fracture 19. Your client has an obvious dislocation of the shoulder joint. Which intervention would be the first priority? a. Pain medication, prevent it from moving Using the 5 rights of medication administration