RN TARGETED MEDICAL SURGICAL NEUROSENSORY AND MUSCULOSKELETAL NEWEST 2024 ACTUAL
EXAM 60 QUESTIONS AND CORRECT DETAILED ANSWERS
A nurse is teaching a client and her family about the diagnosis and the treatment of Alzheimer's disease.
Which of the following statements should the nurse identify as an indication that the family understands
the teaching - (answer) "The medications that treat Alzheimer's disease can help delay cognitive
changes
Medications that treat Alzheimer's disease enhance the availability of acetylcholine, which can slow
cognitive decline in some clients.
A nurse is performing a pain assessments for a client who is postoperative. Which of the following
findings should the nurse use to determine the severity of the clients pain - (answer) Clients report of
pain on a pain scale
The nurse should use a client's report of pain on a standardized pain scale to determine the severity of
the client's pain.
A nurse is assessing a client who is quadriplegic following a cervical fracture at the vertebral level C5.
The client reports throbbing headache and nausea. The nurse notes facial flushing and a blood pressure
of 220/110 mm Hg. Which of the following actions should the nurse take first - (answer) Elevate the
head of the clients bed
These assessment findings indicate that the client is experiencing autonomic dysreflexia and is at
greatest risk for possible rupture of a cerebral vessel or increased intracranial pressure. The first action
the nurse should take is to move the client from a supine to an upright position, which will result in rapid
postural hypotension.
A nurse is teaching a client who has multiple sclerosis and has a new prescription for glatiramer acetate.
Which of the following statements indicates that the client understand the teaching - (answer) "I will
avoid going to the store when it is crowded"
Clients who are prescribed this medication are instructed to avoid crowds and individuals who have
infection.
, RN TARGETED MEDICAL SURGICAL NEUROSENSORY AND MUSCULOSKELETAL NEWEST 2024 ACTUAL
EXAM 60 QUESTIONS AND CORRECT DETAILED ANSWERS
A nurse is teaching an assistive personnel about providing care to a client following a total hip
arthroplasty. Which of the following instructions should the nurse include? - (answer) Place the
abductor pillow between the client's legs when turning the client.
The nurse should inform the AP that a client who had a total hip arthroplasty should maintain the hip in
abduction following surgery to reduce the risk of dislocating the affected hip. The AP should place an
abductor pillow between the client's legs when turning the client to keep the hips in abduction.
A nurse I teaching a client who has Parkingson's disease and is prescribed carbidopa-levodopa. Which of
the following client statements indicates a n understanding if the teaching? - (answer) "I should erect
this medication to cause me to be drowsy"
Drowsiness is a known adverse effect of carbidopa-levodopa; therefore, clients are taught to avoid heavy
machinery and driving if they experience drowsiness.
A nurse us caring for a client who is in balanced suspension skeletal traction and reports intermittent
muscle spasms. Which of the following actions should the nurse take first? - (answer) Check the
position of the weights and ropes
The first action the nurse should take when using the nursing process is to assess the client. The nurse
should first check the position of the weights and ropes to investigate the cause of the muscle spasms.
The weights might be too heavy, or the nurse might need to realign the client.
A nurse is caring for a client who is 72 hr postoperative following an above the knee amputation and
reports phantom limb pain. Which of the following actions should the nurse take? - (answer) Request a
prescription for gabapentin for the client
The nurse should request a prescription for a nonopioid medication to help minimize phantom limb pain.
Gabapentin is an oral antiepileptic medication that is effective for treating sharp, burning, phantom limb
pain.
EXAM 60 QUESTIONS AND CORRECT DETAILED ANSWERS
A nurse is teaching a client and her family about the diagnosis and the treatment of Alzheimer's disease.
Which of the following statements should the nurse identify as an indication that the family understands
the teaching - (answer) "The medications that treat Alzheimer's disease can help delay cognitive
changes
Medications that treat Alzheimer's disease enhance the availability of acetylcholine, which can slow
cognitive decline in some clients.
A nurse is performing a pain assessments for a client who is postoperative. Which of the following
findings should the nurse use to determine the severity of the clients pain - (answer) Clients report of
pain on a pain scale
The nurse should use a client's report of pain on a standardized pain scale to determine the severity of
the client's pain.
A nurse is assessing a client who is quadriplegic following a cervical fracture at the vertebral level C5.
The client reports throbbing headache and nausea. The nurse notes facial flushing and a blood pressure
of 220/110 mm Hg. Which of the following actions should the nurse take first - (answer) Elevate the
head of the clients bed
These assessment findings indicate that the client is experiencing autonomic dysreflexia and is at
greatest risk for possible rupture of a cerebral vessel or increased intracranial pressure. The first action
the nurse should take is to move the client from a supine to an upright position, which will result in rapid
postural hypotension.
A nurse is teaching a client who has multiple sclerosis and has a new prescription for glatiramer acetate.
Which of the following statements indicates that the client understand the teaching - (answer) "I will
avoid going to the store when it is crowded"
Clients who are prescribed this medication are instructed to avoid crowds and individuals who have
infection.
, RN TARGETED MEDICAL SURGICAL NEUROSENSORY AND MUSCULOSKELETAL NEWEST 2024 ACTUAL
EXAM 60 QUESTIONS AND CORRECT DETAILED ANSWERS
A nurse is teaching an assistive personnel about providing care to a client following a total hip
arthroplasty. Which of the following instructions should the nurse include? - (answer) Place the
abductor pillow between the client's legs when turning the client.
The nurse should inform the AP that a client who had a total hip arthroplasty should maintain the hip in
abduction following surgery to reduce the risk of dislocating the affected hip. The AP should place an
abductor pillow between the client's legs when turning the client to keep the hips in abduction.
A nurse I teaching a client who has Parkingson's disease and is prescribed carbidopa-levodopa. Which of
the following client statements indicates a n understanding if the teaching? - (answer) "I should erect
this medication to cause me to be drowsy"
Drowsiness is a known adverse effect of carbidopa-levodopa; therefore, clients are taught to avoid heavy
machinery and driving if they experience drowsiness.
A nurse us caring for a client who is in balanced suspension skeletal traction and reports intermittent
muscle spasms. Which of the following actions should the nurse take first? - (answer) Check the
position of the weights and ropes
The first action the nurse should take when using the nursing process is to assess the client. The nurse
should first check the position of the weights and ropes to investigate the cause of the muscle spasms.
The weights might be too heavy, or the nurse might need to realign the client.
A nurse is caring for a client who is 72 hr postoperative following an above the knee amputation and
reports phantom limb pain. Which of the following actions should the nurse take? - (answer) Request a
prescription for gabapentin for the client
The nurse should request a prescription for a nonopioid medication to help minimize phantom limb pain.
Gabapentin is an oral antiepileptic medication that is effective for treating sharp, burning, phantom limb
pain.
