7/6/2019 Medical - Surgical II Quiz # 1 Chapters 52-54 - 2019 Medical-Surgical Nursing II Tuesday 6 pm-9 pm - Agape Academy of
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2019 Medical-Surgical Nursing II Tuesday 6 pm-9 pm
Medical - Surgical II Quiz # 1 Chapters 52-54
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7/6/2019 Medical - Surgical II Quiz # 1 Chapters 52-54 - 2019 Medical-Surgical Nursing II Tuesday 6 pm-9 pm - Agape Academy of Sciences
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Question 1
A client has scoliosis with a 65-degree curve to the spine. What action by the nurse takes priority?
Response: Assess the client’s cardiac and respiratory systems.
Question 2
The nurse sees several clients with osteoporosis. For which client would bisphosphonates not be a good option?
Response: Client with a spinal cord injury who cannot tolerate sitting up
Question 3
A nurse obtains the health history of a client with a fractured femur. Which factor identified in the client’s history
should the nurse recognize as an aspect that may impede healing of the fracture?
Response: Paget’s disease
Question 4
A nurse is caring for four clients. After the hand-off report, which client does the nurse see first?
Response: Post-microvascular bone transfer client whose distal leg is cool and pale
Question 5
A nurse assesses a client with a rotator cuff injury. Which finding should the nurse expect to assess?
Response: Inability to initiate or maintain abduction of the affected arm at the shoulder
Question 6
A nurse sees clients in an osteoporosis clinic. Which client should the nurse see first?
Response: Client taking raloxifene (Evista) who reports unilateral calf swelling
Question 7
A client has a metastatic bone tumor. What action by the nurse takes priority?
Response: Handle the affected extremity with caution.
Question 8
A client has been prescribed denosumab (Prolia). What instruction about this drug is most appropriate?
Response: “Make appointments to come get your shot.”
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7/6/2019 Medical - Surgical II Quiz # 1 Chapters 52-54 - 2019 Medical-Surgical Nursing II Tuesday 6 pm-9 pm - Agape Academy of Sciences
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Question 9
A nurse plans care for a client who is recovering from a below-the-knee amputation of the left leg. Which
intervention should the nurse include in this client’s plan of care?
Response: Encourage range-of-motion exercises.
Question 10
A client is having a myelography. What action by the nurse is most important?
Response: Ensure that informed consent is on the chart.
Question 11
A nurse cares for a client who had a wrist cast applied 3 days ago. The client states, “The cast is loose enough to
slide off.” How should the nurse respond?
Response: “You need a new cast now that the swelling is decreased.”
Question 12
A nurse notes crepitation when performing range-of-motion exercises on a client with a fractured left humerus.
Which action should the nurse take next?
Response: Immobilize the left arm.
Question 13
A home health nurse assesses a client with diabetes who has a new cast on the arm. The nurse notes the client’s
fingers are pale, cool, and slightly swollen. Which action should the nurse take first?
Response: Raise the arm above the level of the heart.
Question 14
A hospitalized client is being treated for Ewing’s sarcoma. What action by the nurse is most important?
Response: Handling and disposing of chemotherapeutic agents per policy
Question 15
A client is in the internal medicine clinic reporting bone pain. The client’s alkaline phosphatase level is 180
units/L. What action by the nurse is most appropriate?
Response: Facilitate an oncology workup.
Question 16
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7/6/2019 Medical - Surgical II Quiz # 1 Chapters 52-54 - 2019 Medical-Surgical Nursing II Tuesday 6 pm-9 pm - Agape Academy of Sciences
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A phone triage nurse speaks with a client who has an arm cast. The client states, “My arm feels really tight and
puffy.” How should the nurse respond?
Response: “Please come to the clinic today to have your arm checked by the provider.”
Question 17
A client is admitted with a large draining wound on the leg. What action does the nurse take first?
Response: Obtain cultures of the leg wound.
Question 18
A client had an arthroscopy 1 hour ago on the left knee. The nurse finds the left lower leg to be pale and cool, with
1+/4+ pedal pulses. What action by the nurse is best?
Response: Assess the neurovascular status of the right leg.
Question 19
A nurse cares for an older adult client with multiple fractures. Which action should the nurse take to manage this
client’s pain?
Response: Patient-controlled analgesia (PCA) pump with morphine
Question 20
A nurse cares for a client recovering from an above-the-knee amputation of the right leg. The client reports pain in
the right foot. Which prescribed medication should the nurse administer first?
Response: Intravenous calcitonin
Question 21
An emergency department nurse cares for a client who sustained a crush injury to the right lower leg. The client
reports numbness and tingling in the affected leg. Which action should the nurse take first?
Response: Assess the pedal pulses.
Question 22
A nurse plans care for a client who is prescribed skeletal traction. Which intervention should the nurse include in
this plan of care to decrease the client’s risk for infection?
Response: Schedule for pin care to be provided every shift.
Question 23
A nurse cares for a client in skeletal traction. The nurse notes that the skin around the client’s pin sites is swollen,
red, and crusty with dried drainage. Which action should the nurse take next? This study source was downloaded by 100000820529148 from CourseHero.com on 10-03-2022 18:57:59 GMT -05:00
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7/6/2019 Medical - Surgical II Quiz # 1 Chapters 52-54 - 2019 Medical-Surgical Nursing II Tuesday 6 pm-9 pm - Agape Academy of Sciences
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Response: Obtain a prescription to culture the drainage.
Question 24
A nurse is caring for a client who is recovering from an above-the-knee amputation. The client reports pain in the
limb that was removed. How should the nurse respond?
Response: “How would you describe the pain that you are feeling?”
Question 25
A trauma nurse cares for several clients with fractures. Which client should the nurse identify as at highest risk for
developing deep vein thrombosis?
Response: A 74-year-old man who smokes and has a fractured pelvis
Question 26
After teaching a client with a fractured humerus, the nurse assesses the client’s understanding. Which dietary
choice demonstrates that the client correctly understands the nutrition needed to assist in healing the fracture?
Response: Roast beef with low-fat milk and a vitamin C supplement
Question 27
A nurse reviews prescriptions for an 82-year-old client with a fractured left hip. Which prescription should alert the
nurse to contact the provider and express concerns for client safety?
Response: Meperidine (Demerol) 50 mg IV every 4 hours
Question 28
An emergency department nurse triages a client with diabetes mellitus who has fractured her arm. Which action
should the nurse take first?
Response: Remove the medical alert bracelet from the fractured arm.
Question 29
The client’s chart indicates genu varum. What does the nurse understand this to mean?
Response: Bow-legged
Question 30
A school nurse is conducting scoliosis screening. In screening the client, what technique is most appropriate?
Response: Bending forward from the hips
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7/6/2019 Medical - Surgical II Quiz # 1 Chapters 52-54 - 2019 Medical-Surgical Nursing II Tuesday 6 pm-9 pm - Agape Academy of Sciences
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Question 31
A nurse cares for a client placed in skeletal traction. The client asks, “What is the primary purpose of this type of
traction?” How should the nurse respond?
Response: “Skeletal traction will assist in realigning your fractured bone.”
Question 32
A nurse assesses a client with a fracture who is being treated with skeletal traction. Which assessment should alert
the nurse to urgently contact the health provider?
Response: Traction weights are resting on the floor
Question 33
A client is undergoing computed tomography (CT) of a joint. What action by the nurse is most important before the
test?
Response: Assess for seafood or iodine allergy.
Question 34
The nurse is assessing four clients with musculoskeletal disorders. The nurse should assess the client with which
laboratory result first?
Response: Serum phosphorus: 2 mg/dL
Question 35
A nurse assesses an older adult client who was admitted 2 days ago with a fractured hip. The nurse notes that the
client is confused and restless. The client’s vital signs are heart rate 98 beats/min, respiratory rate 32 breaths/min,
blood pressure 132/78 mm Hg, and SpO2 88%. Which action should the nurse take first?
Response: Administer oxygen via nasal cannula.
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