RN MS EXAM 4 Questions With Complete Solutions
A client presents to the emergency department
with the complaint of a four (4) day history of a
distended abdomen, vomiting and abdominal
cramping. On assessment the client has no bowel
sounds. The nurse suspects what diagnosis?
Bowel obstruction
A client with a new diagnosis of rheumatoid
arthritis is prescribed aspirin. Which comment by
the client warrants immediate intervention
by the nurse?
I am having some ringing in my ears.
A client arrives at the hospital emergency
department complaining of acute right lower
quadrant abdominal pain. Appendicitis is
suspected, and appropriate laboratory tests are
performed. The emergency department nurse
reviews the test results and notes that the client's
white blood cell (WBC) count is elevated. The nurse
also reviews the prescriptions from the primary
health care provider (PHCP). The nurse would
contact the PHCP to question which order if
noted in the client's record?
Apply a heating pad to the lower abdomen for
comfort.
,A client has an as needed prescription for
loperamide hydrochloride. For which condition
should the nurse administer this medication?
An episode of diarrhea
A 34-year-old patient presents to the clinic with a
recent history of a tick bite followed by a rash that
looks like a bull's-eye on his leg, fatigue, and joint
pain. The healthcare provider diagnoses Lyme
disease. Which nursing intervention is most
appropriate to manage the patient's
condition?
Administer the prescribed course of doxycycline
and educate the patient on completing the full
course of antibiotics.
A 45-year-old patient comes to the clinic with
complaints of skin tightening, joint pain, and
difficulty swallowing. The nurse suspects
scleroderma. Which additional symptom
reported by the patient would support the
nurse's suspicion of scleroderma?
Episodes of cold and discolored fingers or toes
A 75-year-old patient is admitted to the medical-
surgical unit following hip replacement surgery.
The nurse recognizes that promoting mobility and
preventing falls are critical components of the
, patient's care plan. Which nursing interventions
should the nurse prioritize to ensure the
patient’s safety and promote mobility during
hospitalization? (Select all that apply.)
B. Implement the use of a walker or other assistive
devices as recommended by physical therapy C.
Educate the patient and family on the importance
of requesting assistance before ambulating D.
Place the patient in a room close to the nurses'
station for easier monitoring E. Assess the patient's
pain level regularly and administer analgesics as
needed F. Ensure the patient's room is free of
clutter and pathways are clear.
A nurse is receiving a report on a 65-year-old
patient with osteoarthritis of the knees. The report
includes the following information: 1. The patient
experiences chronic knee pain, which is worse with
activity and relieved by rest. 2. The patient has a
history of hypertension and is currently on
antihypertensive medications. 3. The patient uses
acetaminophen as needed for pain management.
4. The patient reports stiffness in the knees,
especially in the morning, lasting about 30
minutes. 5. The patient is overweight and has been
advised to lose weight to help manage symptoms.
6. The patient has a stable gait and uses a cane
occasionally for support. Which crucial piece of
information is missing from the report?
A client presents to the emergency department
with the complaint of a four (4) day history of a
distended abdomen, vomiting and abdominal
cramping. On assessment the client has no bowel
sounds. The nurse suspects what diagnosis?
Bowel obstruction
A client with a new diagnosis of rheumatoid
arthritis is prescribed aspirin. Which comment by
the client warrants immediate intervention
by the nurse?
I am having some ringing in my ears.
A client arrives at the hospital emergency
department complaining of acute right lower
quadrant abdominal pain. Appendicitis is
suspected, and appropriate laboratory tests are
performed. The emergency department nurse
reviews the test results and notes that the client's
white blood cell (WBC) count is elevated. The nurse
also reviews the prescriptions from the primary
health care provider (PHCP). The nurse would
contact the PHCP to question which order if
noted in the client's record?
Apply a heating pad to the lower abdomen for
comfort.
,A client has an as needed prescription for
loperamide hydrochloride. For which condition
should the nurse administer this medication?
An episode of diarrhea
A 34-year-old patient presents to the clinic with a
recent history of a tick bite followed by a rash that
looks like a bull's-eye on his leg, fatigue, and joint
pain. The healthcare provider diagnoses Lyme
disease. Which nursing intervention is most
appropriate to manage the patient's
condition?
Administer the prescribed course of doxycycline
and educate the patient on completing the full
course of antibiotics.
A 45-year-old patient comes to the clinic with
complaints of skin tightening, joint pain, and
difficulty swallowing. The nurse suspects
scleroderma. Which additional symptom
reported by the patient would support the
nurse's suspicion of scleroderma?
Episodes of cold and discolored fingers or toes
A 75-year-old patient is admitted to the medical-
surgical unit following hip replacement surgery.
The nurse recognizes that promoting mobility and
preventing falls are critical components of the
, patient's care plan. Which nursing interventions
should the nurse prioritize to ensure the
patient’s safety and promote mobility during
hospitalization? (Select all that apply.)
B. Implement the use of a walker or other assistive
devices as recommended by physical therapy C.
Educate the patient and family on the importance
of requesting assistance before ambulating D.
Place the patient in a room close to the nurses'
station for easier monitoring E. Assess the patient's
pain level regularly and administer analgesics as
needed F. Ensure the patient's room is free of
clutter and pathways are clear.
A nurse is receiving a report on a 65-year-old
patient with osteoarthritis of the knees. The report
includes the following information: 1. The patient
experiences chronic knee pain, which is worse with
activity and relieved by rest. 2. The patient has a
history of hypertension and is currently on
antihypertensive medications. 3. The patient uses
acetaminophen as needed for pain management.
4. The patient reports stiffness in the knees,
especially in the morning, lasting about 30
minutes. 5. The patient is overweight and has been
advised to lose weight to help manage symptoms.
6. The patient has a stable gait and uses a cane
occasionally for support. Which crucial piece of
information is missing from the report?
