RN TARGETED MEDICAL SURGICAL NEUROSENSORY AND
MUSCULOSKELETAL NEWEST 2024 ACTUAL EXAM 90
QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A
A nurse is caring for a postoperative client following arteriovenous (AV) distula
creation in the left arm. Which of the following actions should the nurse take? -
ANSWER-Auscultate for bruits in the client's fistula every 4 hr.
A nurse is providing teaching to a client who is scheduled for a papanicolaou (pap)
test. The nurse should inform the client that the Pap test is used to screen for
which of the following?
A. uterine cancer
B. cervical cancer
C. ovarian cysts
D.fibroids - answer-B. Cervical cancer
the nurse should inform the client that a pap test is used to screen for cervical
cancer
A nurse is planning on education program for a group of high school teachers who
will be taking students on a hike. Which of the following information should the
nurse include regarding Lyme Disease?
A. If bitten by a tick, you should be tested immediately.
B. Ifyou have a tick embedded in your skin, apply a lit match to remove it
C. You should wear dark colored clothing to deter ticks from biting
D. If you develop pain and stiffness in your joints, you should see your doctor -
answer-D. If you develop pain and stiffness in your joints, you should see your
doctor
The nurse should inform the group that manifestations of stage 1 Lyme disease
include influenza-like manifestations, a "bull's-eye" rash, muscle and joint pain,
,and stiffness. The nurse should instruct the group to report these findings to a
provider.
A nurse is reviewing the daily laboratory results for a female client who has acute
leukemia. Which of the following values is an expected findings?
A. WBC count 21000
B. Hgb 14
C. Hct 40%
D. Platelets 170,000 - answer-A. WBC count 21000
The nurse should expect a client who has acute leukemia to have an elevated WBC
count
A nurse is providing teaching to a client who has systemic lupus erythematosus.
Which of the following statements by the client indicates an understanding of the
teaching?
A.. I should use a sunscreen with a SPF of at least 15
B. Long-term immunosuppressive therapy could cure this disease
C. I should wear gloves when it is cold outside
D. SLE should not affect my lungs or breathing - answer-C. I should wear gloves
when it is cold outside
Raynaud's phenomenon commonly accompanies SLE and can cause painful
vasoconstriction in the client's fingers when exposed to cold temperatures
A nurse is reviewing the laboratory report for a client who has hodgkin's
lymphoma. Which of the following findings should the nurse expect?
A. overgrowth of B-lymphocyte plasma cells
B. Reed-Sternberg cells
, C. Epstein-Barr virus
D. Overproduction of blast phase cells - answer-B. Reed sternberg cells
The nurse should expect to find Reed-Sternberg cells, which are cancer cells
specific to a client who has Hodgkin's lymphoma, in the client's lymph nodes.
A nurse is providing teaching to a client who takes an oral contraceptive and has a
new prescription for amoxicillin. Which of the following statements by the client
indicates an understanding of the teaching?
A. I will use a backup method of birth control while I am taking this medication
B. I should take this medication on an empty stomach
C. I should expect to have constipation while taking this medication
D. I will keep taking this medication until I feel better - answer-A. I will use a
backup method of birth control while I am taking this medication
The nurse should inform the client that antibiotics accelerate the elimination of
oral contraceptives, making them less effective.
A nurse is caring for a client who has viral pneumonia. Which of the following
findings should the nurse report to the provider immediately?
A. Negative blood culture
B. Left shift in WBC differential
C. Oxygen saturation 93%
D. Crackles heard on auscultation - answer-B. Left shift in WBC differential
When using the urgent vs. nonurgent approach to client care, the nurse should
determine that the priority finding is a left shift in the client's WBC differential,
which indicates that the pneumonia is of bacterial origin, rather than viral. The left
shift can be a manifestation of sepsis, and the nurse should report this finding to
the provider.
MUSCULOSKELETAL NEWEST 2024 ACTUAL EXAM 90
QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A
A nurse is caring for a postoperative client following arteriovenous (AV) distula
creation in the left arm. Which of the following actions should the nurse take? -
ANSWER-Auscultate for bruits in the client's fistula every 4 hr.
A nurse is providing teaching to a client who is scheduled for a papanicolaou (pap)
test. The nurse should inform the client that the Pap test is used to screen for
which of the following?
A. uterine cancer
B. cervical cancer
C. ovarian cysts
D.fibroids - answer-B. Cervical cancer
the nurse should inform the client that a pap test is used to screen for cervical
cancer
A nurse is planning on education program for a group of high school teachers who
will be taking students on a hike. Which of the following information should the
nurse include regarding Lyme Disease?
A. If bitten by a tick, you should be tested immediately.
B. Ifyou have a tick embedded in your skin, apply a lit match to remove it
C. You should wear dark colored clothing to deter ticks from biting
D. If you develop pain and stiffness in your joints, you should see your doctor -
answer-D. If you develop pain and stiffness in your joints, you should see your
doctor
The nurse should inform the group that manifestations of stage 1 Lyme disease
include influenza-like manifestations, a "bull's-eye" rash, muscle and joint pain,
,and stiffness. The nurse should instruct the group to report these findings to a
provider.
A nurse is reviewing the daily laboratory results for a female client who has acute
leukemia. Which of the following values is an expected findings?
A. WBC count 21000
B. Hgb 14
C. Hct 40%
D. Platelets 170,000 - answer-A. WBC count 21000
The nurse should expect a client who has acute leukemia to have an elevated WBC
count
A nurse is providing teaching to a client who has systemic lupus erythematosus.
Which of the following statements by the client indicates an understanding of the
teaching?
A.. I should use a sunscreen with a SPF of at least 15
B. Long-term immunosuppressive therapy could cure this disease
C. I should wear gloves when it is cold outside
D. SLE should not affect my lungs or breathing - answer-C. I should wear gloves
when it is cold outside
Raynaud's phenomenon commonly accompanies SLE and can cause painful
vasoconstriction in the client's fingers when exposed to cold temperatures
A nurse is reviewing the laboratory report for a client who has hodgkin's
lymphoma. Which of the following findings should the nurse expect?
A. overgrowth of B-lymphocyte plasma cells
B. Reed-Sternberg cells
, C. Epstein-Barr virus
D. Overproduction of blast phase cells - answer-B. Reed sternberg cells
The nurse should expect to find Reed-Sternberg cells, which are cancer cells
specific to a client who has Hodgkin's lymphoma, in the client's lymph nodes.
A nurse is providing teaching to a client who takes an oral contraceptive and has a
new prescription for amoxicillin. Which of the following statements by the client
indicates an understanding of the teaching?
A. I will use a backup method of birth control while I am taking this medication
B. I should take this medication on an empty stomach
C. I should expect to have constipation while taking this medication
D. I will keep taking this medication until I feel better - answer-A. I will use a
backup method of birth control while I am taking this medication
The nurse should inform the client that antibiotics accelerate the elimination of
oral contraceptives, making them less effective.
A nurse is caring for a client who has viral pneumonia. Which of the following
findings should the nurse report to the provider immediately?
A. Negative blood culture
B. Left shift in WBC differential
C. Oxygen saturation 93%
D. Crackles heard on auscultation - answer-B. Left shift in WBC differential
When using the urgent vs. nonurgent approach to client care, the nurse should
determine that the priority finding is a left shift in the client's WBC differential,
which indicates that the pneumonia is of bacterial origin, rather than viral. The left
shift can be a manifestation of sepsis, and the nurse should report this finding to
the provider.
