MS Questions from nclex book

D

1. A nurse is providing discharge instructions to a client following surgical treatment for carpal tunnel syndrome. Which statement by the client would indicate a need for further instruction? A. "I should elevate my arm to reduce the swelling." B. "I should use a sling to limit movement and keep my arm elevated." C. "I should return to the health care provider in about ten days to have the sutures removed." D. "I should perform pronation and supination exercises of my wrist starting twenty-four hours after surgery."

D

10. A nurse has reinforced instructions with the client with a nonplaster (fiberglass) leg cast about cast care at home. The nurse determines that the client needs further instruction if the client makes which statement? A. "I should avoid walking on wet, slippery floors." B. "I'm not supposed to scratch the skin underneath the cast." C. "It's all right to wipe dirt off the top of the cast with a damp cloth." D. "If the cast gets wet, I can dry it with a hair dryer turned to the warmest setting."

D

12. A nurse plans dietary measures for a client with osteomalacia, knowing that the client is deficient in which of the following? A. Vitamin A B. Vitamin B C. Vitamin C D. Vitamin D

B

15. The nurse is assigned to care for a client who is in traction. How can the nurse ensure a safe environment for the client? A. Making sure that the knots are at the pulleys B. Checking the weights to be sure that they are off the floor C. Making sure that the head of the bed is kept at a 90-degree angle D. Monitoring the weights to be sure that they are resting on a firm surface

D

16. A client has had a bone scan procedure. The nurse determines that the client understands the elements of follow-up care if the client states that he or she will: A. Report any feelings of nausea or flushing. B. Eat only small meals for the remainder of the day. C. Ambulate at least three times before the end of the day. D. Drink plenty of water for a day or two following the procedure.

D

17. A client with a hip fracture asks the nurse why Buck's extension traction is being applied before surgery. The nurse's response is based on the understanding that Buck's extension traction primarily: A. Allows bony healing to begin before surgery B. Provides rigid immobilization of the fracture site C. Lengthens the fractured leg to prevent severing of blood vessels D. Provides comfort by reducing muscle spasms and provides fracture immobilization

C

18. A postoperative client received a spinal anesthetic during the repair of a right hip fracture. The client has not experienced pain because the anesthetic has not yet worn off. The nurse will monitor the client closely for pain and provide the client with which instruction? A. "I will be bringing your pain medication at ten o'clock PM." B. "You will not feel pain because of the spinal anesthesia." C. "You will need to let me know when you start to get feeling back in your legs." D. "You will not be able to take pain medication until you have been up to the bathroom."

C

19. A client is treated in the health care provider's office after a fall, which sprained an ankle. Radiography has ruled out fracture. Before sending the client home, the nurse would plan to teach the client about which item that is to be avoided in the next 24 hours? A. Resting the foot B. Application of an Ace wrap C. Application of a heating pad D. Elevating the ankle on a pillow while sitting or lying down

D

2. The nurse is caring for a client who has been placed in Buck's extension traction while awaiting surgical repair of a fractured femur. What should the nurse check to perform a complete neurovascular assessment of the affected extremity? A. Vital signs and bilateral lung sounds B. Warmth of the skin and the temperature in the affected extremity C. Pain level and for the presence of edema in the affected extremity D. Color, sensation, movement, capillary refill, and pulse of the affected extremity

B

20. An adult client newly admitted to the hospital with a fractured femur is placed in skin traction while awaiting surgery. The nurse recognizes that the traction is applied for which purpose? A. Preventing hip contracture B. Decreasing muscle spasms C. Inhibiting bone ossification D. Resisting peroneal nerve damage

B

3. The nurse performs a neurovascular assessment on a client with a newly applied cast. The nurse should determine that there is a need for close observation and a need for follow-up if which is noted? A. Palpable pulses distal to the cast B. Capillary refill greater than 6 seconds C. Blanching of the nail bed when it is depressed D. Sensation when the area distal to the cast is pinched

C

4. A client returns from the recovery room after insertion of skeletal pins and application of leg traction to treat a fracture. Initially, how often should the nurse assess the neurovascular status of the client's affected leg? A. Every 2 hours B. Every shift C. Every hour D. Every 4 hours

C

5. A client with a fractured femur is placed in skeletal traction. What should the nurse do to monitor for nerve injury? A. Check the blood pressure. B. Check the pin sites for drainage. C. Assess the neurovascular status of the affected extremity. D. Monitor the client's ability to perform active range of motion to the affected extremity.

B

6. A nurse is providing postprocedure instructions to a client returning home after arthroscopy of the shoulder. The nurse would encourage the client to: A. Not eat or drink anything until the following morning. B. Report to the health care provider the development of fever or redness and heat at the site. C. Keep the shoulder completely immobilized for the rest of the day. D. Resume regular full activity the following day.

D

8. A nurse has provided instructions to the client returning home after arthroscopy of the knee. The nurse determines that the client understands the instructions if the client states that he or she will: A. Resume regular exercise the following day. B. Stay off of the leg entirely for the rest of the day. C. Refrain from eating food for the remainder of the day. D. Report fever or site inflammation to the health care provid

Abc

9. A nurse is preparing a list of cast care instructions for a client who just had a plaster cast applied to his right forearm. Which instructions should the nurse include on the list? Select all that apply. A. Keep the cast and extremity elevated. B. The cast needs to be kept clean and dry. C. Allow the wet cast 24 to 72 hours to dry. D. Expect tingling and numbness in the extremity. E. Use a hair dryer set on a warm to hot setting to dry the cast. F. Use a soft padded object that will fit under the cast to scratch the skin under the cast.

C

11. A nursing instructor asks a nursing student about the risk factors associated with osteoporosis. The instructor tells the student that she needs to read and learn about this disorder if the student states that which of the following is an associated risk factor? A. Postmenopausal age B. Family history of osteoporosis C. High-calcium diet consumption D. Long-term use of corticosteroids

D

13. A client suffered an amputation of the first and second digits in a chainsaw accident. Which task should be delegated to an LPN/LVN? A. Cleansing the amputated digits and placing them directly into an ice slurry. B. Cleansing the digits with sterile normal saline and placing in a sterile cup with sterile normal saline. C. Gently cleansing the amputated digits and the hand with povidone-iodine. D. Wrapping the cleansed digits in saline-moistened gauze, sealing in a plastic container, and placing it in an ice.

C

14. The nurse receives a telephone call from the emergency department and is told that a client in leg traction will be admitted to the nursing unit. The nurse prepares for the arrival of the client and asks the unlicensed assistive personnel to obtain which item that will be essential for helping the client move in bed while in leg traction? A. A foot board B. Extra pillows C. A bed trapeze D. An electric bed

C

7. Which statement by the client who has received home care instruction following an arthroscopy of the knee indicates a need for further education? A. "I should elevate my knee while sitting." B. "I should avoid excessive use of the joint for several days." C. "I can apply heat to my knee if it becomes uncomfortable." D. "I should return to the health care provider in about 7 days for followup."