Health & Illness Actual Exam Latest
Version 2024/25
An elderly patient is being discharged home after a minor joint surgery to her foot.
Which PRIORITY education should the nurse provide to prevent injury?
a. removes all small rugs and trip hazards from the home
b. participates in weight-bearing exercises
c. ensures understanding of medication side effects
d. increase calcium and vitamin D in the diet
- CORRECT ANSWER A.
Which of the following are PRIORITY nursing concerns for the immobilized patient?
select all that apply:
a. constipation
b. loneliness
c. DVT/VTE
d. pressure ulcer
- CORRECT ANSWER C, D
Harmful effects of unrelieved pain include all of the following except:
a. hyperglycemia
b. hypertension
c. increased cortisol secretion
d. bradycardia
- CORRECT ANSWER D
A 19-yr-old male has sustained a transection of C-7 in an MVA rendering him
quadriplegic. He describes his pain as burning, sharp, and shooting. This is
characteristics of:
a. mixed pain syndrome
b. nociceptive pain
c. ghost pain
d. neuropathic pain
- CORRECT ANSWER D
An 80-yr-old male patient is on your unit with a fractured tibia/fibula post traumatic fall.
You are making rounds and notice he is somnolent, with no response to verbal or
physical stimulation. He has been on round the clock opioids doses q 4 hours. The best
immediate course of nursing action is to:
, a. calls the anesthesia provider on call
b. calls a code blue
c. calls the primary hospitalist in charge of the patient
d. stops opioid; consider administering naloxone, call Rapid Response team
- CORRECT ANSWER D
If non-pharmacologic strategies are used in combination with NSAID medications, pain
can be well controlled with significantly reduced use of narcotics.
A. True
B. False
- CORRECT ANSWER A
A patient with his left arm in a cast continues to complain of unrelieved throbbing pain
even after receiving a dose of opioid medication. Which is the priority action by the
nurse?
A. Review the chart for history of opioid abuse
B. Reposition the patient for comfort
C. Assess the arm for complications
D. teach the patient relaxation techniques
- CORRECT ANSWER C
A patient is seen in the ER with severe pain related to sickle cell crisis. What does the
nurse understand is occurring with this patient?
a. the patient has decreased pain tolerance due to the chronic nature of the illness.
b. bone marrow decreases erythrocyte production causes decrease in hypoxia
c. over hydration enlarging the red blood cells
d. vascular occlusion of small vessels decreasing oxygen and blood flow to the tissues
- CORRECT ANSWER D
The nurse is preparing to discharge an adolescent with sickle cell anemia. Which
patient need should the nurse emphasize in the discharge planning?
a. The need for adequate support structure
b. the need to have pain medication available
c. the need to maintain adequate hydration
d. the need to follow up with physician visits
- CORRECT ANSWER A
A 75-year-old patient had surgery for hip fracture yesterday. After using clinical
judgement skills of noticing and interpreting, the nurse should response by assessing
the patient for which potential complications?
a. skin breakdown
Version 2024/25
An elderly patient is being discharged home after a minor joint surgery to her foot.
Which PRIORITY education should the nurse provide to prevent injury?
a. removes all small rugs and trip hazards from the home
b. participates in weight-bearing exercises
c. ensures understanding of medication side effects
d. increase calcium and vitamin D in the diet
- CORRECT ANSWER A.
Which of the following are PRIORITY nursing concerns for the immobilized patient?
select all that apply:
a. constipation
b. loneliness
c. DVT/VTE
d. pressure ulcer
- CORRECT ANSWER C, D
Harmful effects of unrelieved pain include all of the following except:
a. hyperglycemia
b. hypertension
c. increased cortisol secretion
d. bradycardia
- CORRECT ANSWER D
A 19-yr-old male has sustained a transection of C-7 in an MVA rendering him
quadriplegic. He describes his pain as burning, sharp, and shooting. This is
characteristics of:
a. mixed pain syndrome
b. nociceptive pain
c. ghost pain
d. neuropathic pain
- CORRECT ANSWER D
An 80-yr-old male patient is on your unit with a fractured tibia/fibula post traumatic fall.
You are making rounds and notice he is somnolent, with no response to verbal or
physical stimulation. He has been on round the clock opioids doses q 4 hours. The best
immediate course of nursing action is to:
, a. calls the anesthesia provider on call
b. calls a code blue
c. calls the primary hospitalist in charge of the patient
d. stops opioid; consider administering naloxone, call Rapid Response team
- CORRECT ANSWER D
If non-pharmacologic strategies are used in combination with NSAID medications, pain
can be well controlled with significantly reduced use of narcotics.
A. True
B. False
- CORRECT ANSWER A
A patient with his left arm in a cast continues to complain of unrelieved throbbing pain
even after receiving a dose of opioid medication. Which is the priority action by the
nurse?
A. Review the chart for history of opioid abuse
B. Reposition the patient for comfort
C. Assess the arm for complications
D. teach the patient relaxation techniques
- CORRECT ANSWER C
A patient is seen in the ER with severe pain related to sickle cell crisis. What does the
nurse understand is occurring with this patient?
a. the patient has decreased pain tolerance due to the chronic nature of the illness.
b. bone marrow decreases erythrocyte production causes decrease in hypoxia
c. over hydration enlarging the red blood cells
d. vascular occlusion of small vessels decreasing oxygen and blood flow to the tissues
- CORRECT ANSWER D
The nurse is preparing to discharge an adolescent with sickle cell anemia. Which
patient need should the nurse emphasize in the discharge planning?
a. The need for adequate support structure
b. the need to have pain medication available
c. the need to maintain adequate hydration
d. the need to follow up with physician visits
- CORRECT ANSWER A
A 75-year-old patient had surgery for hip fracture yesterday. After using clinical
judgement skills of noticing and interpreting, the nurse should response by assessing
the patient for which potential complications?
a. skin breakdown
