NUR 2356 / NUR2356:
Multidimensional Care I / MDC 1
Exam 2 (Latest 2021/ 2022)
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MDC1
(Rasmussen
University)
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, MDC1EXAM 2 SampleTest s.t s.t s.t s.t
1. A client's left leg isin skeletal traction with a Thomas leg splintand Pearson attachment. Which intervention should
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s.t the nurse include in this client's care plan? A. Apply the traction straps snugly.
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B. Assessthe client'slevel of consciousness.
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C. Remove the traction at least every 8 hours.
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D.Teachthe clienthow to preventproblems causedby immobility.
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2. A nurse is caring for a client placed in traction to treat a fractured femur. Which nursing intervention has the highest
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priority?
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A. Assessingtheextremityforneurovascularintegrity s.t s.t s.t s.t s.t
B. Keeping the clientfrom slidingto the foot of the bed s.t s.t s.t s.t s.t s.t s.t s.t s.t s.t
C. Keepingthe ropes over thecenter of the pulley s.t s.t s.t s.t s.t s.t s.t s.t
D. Ensuringthatthe weights hang free atall times s.t s.t s .t s.t s.t s.t s.t s.t
3. Which orthopedic surgery is done to correct and align a fracture after surgical dissection and exposure of the
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fracture?
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A. Arthrodesis
B. Jointarthroplasty s.t
C. Totaljointarthroplasty s.t s.t
D. Openreduction s.t
4. The clientdisplays manifestations of compartmentsyndrome. Whattreatmentwill the nurse expectthe clientto be
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scheduled for?
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A. Anopen reduction s.t s.t
B. A fasciotomy s.t
C. A total hip replacement
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D. A total knee replacement
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5. A clientwho is undergoing skeletal traction reports pressure on bony areas. Which action would be mostappropriate to
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provide comfort for the client?
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A. Assistingwithrange-of-motionandisometricexercises. s.t s.t s.t s.t s.t
B. Changingtheclient'spositionwithinprescribedlimits. s.t s.t s.t s.t s.t s.t
C. Administeringprescribedanalgesics. s.t s.t
, D. Applyingwarm compresses. s.t s.t
6. A client's fracture was reduced by surgically exposing the bone and realigning it. Whattype of treatmentdoes the
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s.t nurse identity this as? A. Buck's traction s.t s.t s.t s.t s.t s.t
B. Skeletal traction
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C. Internal fixation
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D.Openreduction
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7. The nurse is checking the traction apparatus for a clientin skin traction. Which finding would require the nurse to
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intervene?
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A. Bodyaligned oppositeto lineoftraction pull s.t s.t s.t s.t s.t s.t s.t
B. Weightshangingandtouchingthefloor s.t s.t s.t s.t s.t
C. Pulleyswithoutevidenceofthe obstruction s.t s.t s.t s.t s.t
D. Ropesfreely movingover pulleys s.t s.t s.t s.t
8. A group of students isstudyingfor a test on traction. The students demonstrate understanding of the types of traction when
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they identify which of the following as an example of skin traction?
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A. Crutchfieldtongs s.t
B. Thomassplint s.t
C. Buck's
D. Balancedsuspension s.t
9. The nurse is providing instructions to the clientwho is being prepared for skeletal traction. Which statementby the client
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indicates teaching was effective?
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A. "Metal pins will go through myskinto the bone." s.t s.t s.t s.t s.t s.t s.t s.t s.t
B. "I will wear a bootwith weights attached."
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C. "A beltwill go around mypelvisandweights willbeattached." D
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s.t The traction can be removed once a day so I can shower."
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10. Aclientis reporting painfollowingorthopedicsurgery. Which interventionwill helprelieve pain?
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A. Elevatethe affectedextremityanduse coldapplications. s.t s.t s.t s.t s.t s.t s.t
B. Breathedeeply and cough every 2hours until ambulationispossible. s.t s.t s.t s.t s.t s.t s.t s.t s.t s.t
C. DoROMexercises asindicated. s.t s.t s.t s.t
D. Applyantiembolismstockingsasindicated. s.t s.t s.t s.t