Hinkle Exam 3
Which of the following disorders results form excessive secretion of somatotropin (GH)? A) Acromegaly B) Cretinism C) Adrenogenital syndrome D) Dwarfism
A) Acromegaly
Following a thyroidectomy, a pt. develops a carpopedal spasm while the nurse is taking BP. Which action is appropriate? A) Administer IV calcium gluconate ordered B) Administer O2 at 2L/min C) Administer sedative ordered D) Administer oral calcium supplement ordered
A) Administer IV calcium gluconate ordered
The nurse is caring for a pt. involved in a motorcycle accident 7 days ago. Since admission the pt. has been unresponsive to painful stimuli. The pt. had a ventriculostomy placed upon admission to ICU. Current vitals are ICP of 14, pulse 92, respirations per ventilator, temp 102.7, urine output 320 in 4 hours, pupils pinpoint & briskly reactive, and hot,dry skin. Which is a priority? A) Administer acetaminophen (Tylenol) per orders B) Inspect ICP monitor to ensure it's working properly C) Assess for S/S of infection D) Provide ventriculostomy care
A) Administer acetaminophen (Tylenol) per orders
A pt. is suspected to have bacterial meningitis. What is the priority nursing intervention? A) Administer prescribed antibiotics B) Assess the CSF fluid lab results C) Prepare pt. for a CT scan D) Encourage fluid intake PO
A) Administer prescribed antibiotics
Which of the following activities would the pt. w/ a T4 spinal cord injury be able to perform independently? Select all that apply. A) Breathing B) Transferring to a WC C) Writing D) Ambulating E) Eating
A) Breathing B) Transferring to a WC C) Writing E) Eating
Which of the following diagnostic tests are done to determine a suspected pituitary tumor? A) CT scan B) Measuring blood hormone levels C) Radiographs of the abdomen D) Radioimmunoassay
A) CT scan
Which medication directly inhibits osteoclasts thorny reducing bone loss & increasing bone mass density? A) Calcitonin B) Vitamin D C) Raloxifene D) Teriparatide
A) Calcitonin
A hypophysectomy is the treatment choice for which endocrine disorder? A) Cushing syndrome B) Pheochromocytoma C) Acromegaly D) Hyperthyroidism
A) Cushing syndrome
Which would be consistent as a component of self-care activities for a pt. w/ a cast? A) Cushioning rough edges of cast w/ tape B) Cover cast w/ plastic C) Use hanger to scratch under cast d) Place casted extremity in dependent position frequently
A) Cushioning rough edges of cast w/ tape
If a pt. has a lower motor neuron lesion, the nurse would expect which of the following upon assessment? A) Decreased muscle tone B) Hyperactive reflexes C) No muscle atrophy D) Muscle spasticity
A) Decreased muscle tone
A pt. w/ Alzheimer's disease becomes agitated while the nurse is attempting to take vitals. Which is the most appropriate action? A) Distract the pt. w/ a familiar object or music B) Document the inability to assess vitals due to pt.'s agitation C) Place the pt. in a secluded room until calm D) Continue taking vitals
A) Distract the pt. w/ a familiar object or music
While recording the health history of a pt. who is scheduled for a thyroid test, the nurse in informed the pt. is allergic to shellfish. What should the nurse do? A) Document the allergy & inform the physician B) Palpate the thyroid gland C) Consult the institution's procedure manual D) Inquire about frequent urination
A) Document the allergy & inform the physician
A pt. w/ a tibia fracture was placed in an external fixator 24 hours ago. The nurse is completing pin care & notices redness at the pin site & small amount of serous drainage. Which action is appropriate? A) Document the findings D) Prepare for surgical removal of the fixator C) Notify the physician D) Assess pt.'s H/H
A) Document the findings
What is the best action by the nurse to achieve optimal outcomes when caring for a pt. w/ a musculoskeletal disorder that's using a cast? A) Educating pt. on cast care & complications B) Providing effective pain control C) Assessing for neuromuscular compromise D) Preparing the pt. for cast application
A) Educating pt. on cast care & complications
Which of the following should be avoided in pt's w/ increased ICP? A) Enemas B) Suctioning C) Minimal stimuli D) Position changes
A) Enemas
A pt. has been diagnoses as having global aphasia. The nurse recognizes that the pt. will be unable to do which of the following? A) Form understandable words & comprehend the spoken word B) Comprehend the spoken word C) Speak at all D) Form understandable words
A) Form understandable words & comprehend the spoken word
Which of the following cerebral lobes is the largest and controls abstract though? A) Frontal B) Parietal C) Temporal D) Occipital
A) Frontal
Which of the following may occur in the postop period of an adrenalectomy b/c of sudden withdrawal of catecholamines? A) Hypoglycemia B) Hypertension C) Hypoflexia D) Hyperglycemia
A) Hypoglycemia
The nurse is caring for a pt. in the neurologic ICU who sustained a severe brain injury. Which of the following measures will the nurse implement to aid in controlling ICP? A) Maintaining cerebral perfusion pressure from 50-70 B) Positioning the pt. in supine position C) Administering enemas, as needed D) Restraining the pt, as indication
A) Maintaining cerebral perfusion pressure from 50-70
What is a chronic, degenerative, progressive disease of the CNS characterized by the occurrence of demyelination in the brain & spinal cord? A) Multiple sclerosis B) Parkinson's C) Creutzfeldt-Jakob D) Huntington
A) Multiple sclerosis
A pt. is ordered for a CT scan of the brain w/ IV contrast. Prior to the test, the nurse should complete which of the following first? A) Obtain a blood sample for BUN & creatinine levels B) Maintain the pt. NPO for 6 hours prior to test C) Assess the pt. for medication allergies D) Obtain 2 large-bore IV needles
A) Obtain a blood sample for BUN & creatinine levels
Which of the following cranial nerve is responsible for muscles that move the eye & lid? A) Oculomotor B) Vestibulocochlear C) Facial D) Trigeminal
A) Oculomotor
A nurse is caring for a pt. immediately following supratentorial intracranial surgery. What actions by the nurse is appropriate? A) Place pt. in supine position w/ head slightly elevated B) Place pt. in dorsal recumbent position C) Place pt. in prone position w/ head turned to unaffected side D) Place pt. in Trendelenburg
A) Place pt. in supine position w/ head slightly elevated
Which well-recognized sign of meningitis is exhibited when the pt.'s neck is flexed & flexion of the knees/hips is produced? A) Positive Brudzinksi sign B) Nuchal rigidity C) Positive Kernig's sign D) Photophobia
A) Positive Brudzinksi sign
Which of the following principles apples to a pt. in traction? A) Skeletal traction is never interrupted B) Weights should rest on the bed C) Knots in the ropes should touch the pulley D) Weights are removed routinely
A) Skeletal traction is never interrupted
Which of the following statements reflect the nursing management of a pt. w/ receptive aphasia? A) Speak slowly & clearly to assist the pt. in forming the sounds B) Encourage the pt. to repeat sounds of the alphabet C) Frequently reorient the pt. to time, place, & situation D) Speak clearly to the pt. in simple sentences, use gestures of pictures
A) Speak slowly & clearly to assist the pt. in forming the sounds
When teaching a pt. diagnosed w/ hypothyroidism regarding medical interventions, which is important to communicate? A) TH may increase the effect of digitalis preparation B) The normal dosages of sedative agents are prescribed C) Increased resorption occurs w/ tH D) TH may decrease blood glucose levels
A) TH may increase the effect of digitalis preparation
The nurse is caring for a pt. w/ a TBI. The nurse notes the following clinical findings during the assessment of the pt. Which of the following cause the nurse the most concern? A) Temp increase from 98.0 to 99.6 B) Pulse ox decrease from 99% room air to 97% room air C) Urinary output increase from 40 mL/hr to 55 mL/hr D) HR decrease from 100 to 90
A) Temp increase from 98.0 to 99.6
Which of the following is accurate regarding care of plaster cast? A) The cast can be dented when damp B) The cast will dry in 12 hours C) A dry plaster cast is dull & grey D) The cast must be covered w/ a blanket to keep it from being moist
A) The cast can be dented when damp
A pt. diagnosed w/ a right ulnar fracture asks why the cast needs to go all the way up the arm. Which is the best response? A) The joint above & below the fracture must be immoblized B) When a spica cast is ordered, the arm must be immobilized C) This will allow for the strength in the arm to remain consistent D) The method will low for the fastest healing time & greatest mobility
A) The joint above & below the fracture must be immoblized
Which of the following are used to help reduce ICP? A) Using cervical collar B) Keeping HOB flat C) Rotating the neck to the far right w/ neck support D) Extreme hip flexion supported by pillows
A) Using cervical collar
Which of the following findings in a pt. who has sustained a head injury indicates Increased ICP? A) Widened pulse pressure B) Decreased body temperature C) Decreased respirations D) Increased pulse
A) Widened pulse pressure
A nurse is educating a pt. w/ osteomalacia. Which of the following statements is appropriate? A) "You will need to avoid foods high in phosphorus & Vitamin D" B) "You may need to be evaluated for an underlying cause, such as renal failure" C) "You will need to engage in vigorous exercise 3X a week for 30 min" D) "You will need to decrease the amount of dairy products consumed"
B) "You may need to be evaluated for an underlying cause, such as renal failure"
Which of the following refers to the inability to recognize objects through a particular sensory system? A) Aphasia B) Agnosia C) Ataxia D) Dementia
B) Agnosia
Which of the following is a late sign of increased ICP? A) Irritability B) Altered respiratory patterns C) HA D) Slowing of speech
B) Altered respiratory patterns
Which of the following nursing actions would help precent DVT in a pt. who had orthopedic surgery? A) Instructing about pt,-controlled analgesia B) Applying anti embolism stockings C) Applying cold packs D) Instructing about exercise
B) Applying anti embolism stockings
A pt. w/ a long arm cast continues to complain of unrelieved throbbing pain even after receiving opioid pain medication. Which is a priority? A) Teach relaxation techniques B) Assess for complications C) Reposition the pt. for comfort D) Assess for previous opioid drug use
B) Assess for complications
Which of the following terms refers to the inability to coordinate muscle movements, resulting in difficulty walking? A) Agnosia B) Ataxia C) Spasticity D) Rigidity
B) Ataxia
A nurse is caring for a pt. suspected to have a pituitary tumor causing panhypopituitarism. During the assessment, which of the following would the nurse expect to find? A) Hypertension B) Atrophy of the gonads C) Tachycardia D) Carpopedal spasm
B) Atrophy of the gonads
Which of the following terms is used to describe rapid, jerky, involuntary, & purposeless movements of the extremities? A) Dyskinsesia B) Chorea C) Bradykinesia D) Spondylosis
B) Chorea
A 45-yr old male pt. presents to the ED complaining of trouble speaking & numbness of right arm & leg. The nurse suspects an ischemic stroke. Which of the following abnormalities can cause an ischemic stroke? A) Anteriovenous malformation B) Cocaine use C) Intracerebral aneurysm rupture D) Trauma
B) Cocaine use
The nurse has documented a pt. diagnosed w/ a head injury has having a Glasgow Coma Scale of 7. The score is generally interpreted as which of the following? A) Minimally responsive B) Coma C) Least responsive D) Most responsive
B) Coma
A x-ray demonstrates a fracture in which a bone has splintered into several places. What type of fracture is this? A) Compound B) Comminuted C) Impacted D) Depresse
B) Comminuted
In a pt. w/ dislocation, the nurse should initially perform neuromuscular assessments a minimum of every 15 minutes until stable. Which of the following complications do the assessment help the nurse to monitor in the pt.? A) DIC B) Compartment syndrome C) Fat embolism syndrome D) Carpal tunnel
B) Compartment syndrome
An osmotic diuretic, such as mannitol, is given to the pt. w/ ICP for which of the following therapeutic effects? A) Reduce cellular metabolic demands B) Dehydrate the brain & reduce cerebral edema C) Lower uncontrolled fevers D) Increase urine output
B) Dehydrate the brain & reduce cerebral edema
The nurse teaching the pt. w/ a cast about home care includes which? A) Keep cast below level of heart B) Dry wet fiberglass cast w/ hair dryer on cool setting C) Cover cast w/ plastic or rubber D) Fix broken cast by applying tape
B) Dry wet fiberglass cast w/ hair dryer on cool setting
Which nursing intervention is appropriate for a pt. w/ a closed reduction extremity fracture? A) Using frequent dependent positioning to prevent edema B) Encouraging participation in ADLs C) Administering prescribed enema to prevent constipation D) Promoting intake of omega-3 fatty acids
B) Encouraging participation in ADLs
The nurse assesses subtle personality changes, restlessness, irritability & confusion is a pt. who's sustained a fracture. The nurse suspects which complication? A) Hypovolemic shock B) Fat embolism syndrome C) Compartment syndrome D) Reflex sympathetic dystrophy syndrome
B) Fat embolism syndrome
Which of the following is indicative of a carpopedal spasm in a pt. w/ hypoparathyroidism? A) Cardiac dysrhythmia B) Hand flexing inward C) Bulging forehead D) Moon face and buffalo hump
B) Hand flexing inward
The typical triad of manifestations seen in a pt. w/ pheochromocytoma include of the following except? A) Diaphoresis B) Hypotension C) Palpitations D) HA
B) Hypotension
A pt. has been brought to the ED w/ altered LOC, high fever & a purport rash on the lower extremities. The family states the pt. was complaining of neck stiffness earlier in the day. What action should the nurse do first? A) Administer prescribed antibiotics B) Initiate isolation precautions C) Apply a cooling blanket D) Ensure the family receives prophylaxis antibiotic treatment
B) Initiate isolation precautions
A pt. has been diagnosed w/ a frontal lobe brain abscess. Which of the following nursing interventions is appropriate? A) Assess visual acuity B) Initiate seizure precautions C) Assess for facial weakness D) Ensure that pt. takes NPO
B) Initiate seizure precautions
Which of the following medications if the most effective agent in the treatment of Parkinson's? A) Bromocriptine (Parlodel) B) Levodopa (Larodopa) C) Benztropine (Cogentin) D) Amantadine (Symmetrel)
B) Levodopa (Larodopa)
The nurse is completing discharge teaching w/ a patient w/ hyperthyroidism who has been treated w/ radioactive iodine. The nurse instructs the patient to do which of the following? A) Watch for symptoms to disappear within 1 week B) Monitor for symptoms of hypothyroidism C) Continue radioactive precautions w/ all body secretions D) Discontinue all antithyroid medications
B) Monitor for symptoms of hypothyroidism
An unresponsive pt. had a plaster cast applied 8 hours ago to right lower leg. When moving pt., nurse notices indentation on posterior lower portion of cast. Which is the best action by the nurse? A) Assess for pedal pulse & mobility of toes B) Notify the physician C) Document the findings D) Remove the cast immediately
B) Notify the physician
Which lobe is responsible for spatial relationships? A) Occipital B) Parietal C) Temporal D) Frontal
B) Parietal
Which medication is the treatment of choice for pt's w/ hyperthyroidism who become pregnant? A) Potassium iodide B) Propythiouracil (PTU) C) Supersaturated potassium iodide D) Methiamoazole (MMI)
B) Propythiouracil (PTU)
A pt. w/ hyperthyroidism is concerned about changes in appearance., How can the nurse convert an understanding of the pt's concern & promote effective coping strategies? A) Encourage the pt. to participate in outside activities B) Reassure the pt. that emotional reactions are a result of the disorder and symptoms can be controlled w/ effective treatment C) Suggest the pt. wear cosmetics to cover any changes in appearance D) Refer the patient to professional counseling
B) Reassure the pt. that emotional reactions are a result of the disorder and symptoms can be controlled w/ effective treatment
A pt. w/ neuro infection develops cerebral edema from SIADH. Which of the following is an important nursing action for this pt.? A) Administering prescribed antipyretics B) Restricting fluid intake & hydration C) Maintaining adequate hydration D) Hyper oxygenation before & after suctioning
B) Restricting fluid intake & hydration
The nurse just received report on a pt. in the ED being transferred to the acute stroke unit w/ a diagnosis of a right hemispheric stroke. Which of the following findings does the nurse understand is indicative of a right hemispheric stroke? A) Slow, cautious behavior B) Spatial-perceptual deficits C) Altered intellectual ability D) Aphasia
B) Spatial-perceptual deficits
A pt. complains of pain in right knee, stating, "My knee got twisted when I was going down the stairs." The pt. is diagnosed w/ an injury to the ligaments & tendons of the right knee. Which documentation best reflects the injury? A) Subluxation B) Strain C) Sprain D) Dislocation
B) Strain
A nurse is educating a group of women on prevention of osteoporosis. The nurse recognizes the teaching as being effective when group members make which of the following statements? A) We need low-calcium, high-phosporus diet B) We need an adequate amount of exposure to sunshine C) We need to increase aerobic exercise D) Estrogen deficiency increases bone density
B) We need an adequate amount of exposure to sunshine
Long-term use of antithyroid medication is not generally recommended for elderly patient because of which of the following events? A) Renal disease and mental confusion B) Cardiac arrhythmias and fatigue C) Agranunlocytosis and hepatic injury D) GI complications and weight loss
C) Agranunlocytosis and hepatic injury
Which of the following symptoms of thyroid disease is seen in older adults? A) Weight gain B) Hyperactivity C) Atrial fibrillation D) Restlessness
C) Atrial fibrillation
Which of the following is an anticholinergic agent used to control tremor & rigidity in Parkinson's disease? A) Bromocriptine (Parlodel) B) Levodopa (Larodopa) C) Benztropine (Cogentin) D) Amantadine (Symmetrel)
C) Benztropine (Cogentin)
A pt. w/ a traumatic brain injury is producing an abnormally large volume of dilute urine. Which alteration to a hormone secreted by the posterior pituitary would the nurse expect? A) Increase oxytocin B) Deficient somatostatin C) Deficient vasopressin D) Increased antidiuretic hormone
C) Deficient vasopressin
Which of the following are sympathetic effects of the nervous system? A) Decreased BP B) Decreased respiratory rate C) Dilated pupils D) Increased peristalsis
C) Dilated pupils
During an assessment of a pt., which question by the nurse directly addresses the pt's thyroid function? A) Can you describe the amount of stress in your life? B) Do you have to get up at night to empty your bladder? C) Do you experience fatigue even if you've slept a long time? D) Have you experienced any HA or sinus problems?
C) Do you experience fatigue even if you've slept a long time?
Which of the following is a clinical manifestation of diabetes insipidus? A) Excessive activities B) Weight gain C) Excessive thirst D) Low urine output
C) Excessive thirst
A physician prescribes raloxifene (Evista) to a hospitalized pt. The pt.'s history includes a right hip fracture, hysterectomy, DVT & HTN. Which of the following demonstrate safe nursing care. A) Administer w/ food or milk B) Administer in the evening C) Holding & notifying the physician D) Having the pt. sit upright for 30-60 min following administration
C) Holding & notifying the physician
A pt. w/ Cushing's is admitted to the hospital. During the assessment, the pt. tells the nurse "The worst thing about the disease is how awful I look." Which of the following statements is the best response by the nurse? A) I don't think you look bad and I'm sure your family loves you very much. B) I can show you how to change your style of dress so that changes are not as noticeable. C) If treated successfully, the major physical changes will disappear in time. D) I can refer you to a support group. It will make you feel better to talk to someone.
C) If treated successfully, the major physical changes will disappear in time.
A pt. arrives at the ED via ambulance following a motor cycle accident. The paramedics state the pt. was found unconscious at the scene of the accident, but briefly regained consciousness during transport to the hospital. Upon initial assessment, the pt.'s GCS score is 7. The nurse anticipates which of the following? A) Administration of propofol (Diprivan) IV B) An order for a head CT scan C) Immediate crainotomy D) Intubation & mechanical ventilation
C) Immediate crainotomy
Which is the priority nursing diagnosis when caring for a pt. w/ increased ICP who has an intraventricular catheter? A) Risk for infection B) Fluid volume deficit C) Ineffective cerebral tissue perfusion D) Risk for injury
C) Ineffective cerebral tissue perfusion
Pulselessness, a very late sign of compartment syndrome, may signify which? A) Diminished arterial perfusion B) Nerve involvement C) Lack of distal tissue perfusion D) Venous congestion
C) Lack of distal tissue perfusion
A pt. w/ increased ICP has a CPP of 40. How should the nurse interpret the CPP? A) Within normal limits B) High C) Low D) Inaccurate
C) Low
The nurse recognizes health promotion efforts to decrease the risk for ischemic stroke involve encouraging a healthy lifestyle, including which of the following? A) Eating fish no more than once a month B) Low-cholesterol, low-protein diet and decreased aerobic exercise C) Low-fat, low-cholesterol diet, and increasing exercise D) High-protein diet, and increasing weight-bearing exercises
C) Low-fat, low-cholesterol diet, and increasing exercise
Eight days following a subarachnoid hemorrhage, a transcranial Dopper ultrasound detects cerebral vasospams in a pt. experiencing lethargy. The nurse anticipates which of the following interventions? A) Phenytoin (Dilantin) IV B) Fluid restriction C) Nimodipine (Nimotop) PO D) Nitroprusside (Nipride) IV
C) Nimodipine (Nimotop) PO
Which device is designed specifically to support and immobilize a body part in a desired position? A) Traction B) Sling C) Splint D) Brace
C) Splint
The nurse teaches the pt. w/ high risk for osteoporosis about risk-lowering strategies including which of the following? A) Reduce stress B) Increase fiber in diet C) Walk or perform weight-bearing exercises D) Decrease intake of vitamin D & A
C) Walk or perform weight-bearing exercises
A pt. is scheduled for standard EEG testing to evaluate for a possible seizure disorder. Nursing interventions prior to the procedure include? A) Instruct the pt. that EEG's take 2 hours B) Maintain NPO for 6 hours prior C) Withhold anti seizure medications for 24-48 hours prior D) Sedate the pt. prior to the procedure
C) Withhold anti seizure medications for 24-48 hours prior
The nurse has completed evaluating the cranial nerves of a pt. The nurse documents impairment of the right cervical nerves (IX & X). Based on these findings, the nurse will instruct the pt. which? A) "While you're at the hospital, wear your hearing aids" B) "Have your husband bring in your glasses" C) "When you walk, use your walker" D) "Refrain from eating or drinking for now"
D) "Refrain from eating or drinking for now"
The physician has ordered a dexamethasone suppression test to diagnose the cause of Cushing's in a pt. who works from 11pm-7 am and sleeps from 8 am to 4 pm. The pt. has been given dexamethasone: to ensure the most reliable results, when should the plasma cortisol level be drawn? A) 8 pm B) 8 am C) 12 pm D) 5 pm
D) 5 pm
A nurse is caring for a pt. w/ a hip fracture. The physician orders the pt. to start on a bisphosphonate. Which medication would the nurse document as given? A) Raloxifene B) Teriparatide C) Denosumab D) Alendronate (Fosamax)
D) Alendronate (fosamax)
The nurse is caring for a pt. w/ a spinal cord lesion above T6. Which of the following stimuli is known to trigger an episode of autonomic dysreflexia? A) Placing the pt. in a sitting position B) Voiding C) Diarrhea D) Applying a blanket over the pt.
D) Applying a blanket over the pt.
A pt. diagnosed w/ a stroke is ordered to receive warfarin (Coumadin). Later, the nurse learns that warfarin is contraindicated & the order is canceled. The nurse knows that the best alternative medication to give is which? A) Dipyridoamole B) Ticlodipine C) Clopidogrel D) Aspirin
D) Aspirin
A male pt. is scheduled for an EEG. The pt. asks about any diet-related prereqs that he must take. Which of the following diet-related advice should the nurse provide to the pt.? A) Include increased amount of minerals in diet B) Avoid eating foot at least 8 hours prior to the test C) Decrease the amount of minerals in the diet D) Avoid taking sedative drugs or drinks that contain caffeine for at least 8 hours prior to test
D) Avoid taking sedative drugs or drinks that contain caffeine for at least 8 hours prior to test
Which of the following is the earliest sign of increasing ICP? A) Vomiting B) HA C) Posturing D) Change in level of consciousness
D) Change in level of consciousness
Which of the following disorders is characterized by a group of symptoms prodded by excess of cortisol from the adrenal cortex A) Addison's B) Grave's C) Hashimoto's D) Cushing's
D) Cushing's
A pt. w/ right below-the-knee amputation is being transferred form post anesthesia for medical-surgical unit. Which is the highest priority nursing intervention? A) Delegate the gathering of enough pillows for proper positioning & comfort B) Review the physician orders for type & frequency of pain medication C) Document the receiving report from the transferring nurse D) Ensure a large tourniquet is in the room
D) Ensure a large tourniquet is in the room
The trochlear nerve serves which of the following functions? A) Visual acuity B) Hearing & equilibrium C) Movement of the tongue D) Eye muscle movement
D) Eye muscle movement
Which of the following terms refers to a fracture in which one side of a bone is broken & the other side is bent? A) Spiral B) Avulsion C) Oblique D) Greenstick
D) Greenstick
The pt. has been prescribed aldendronate (Fosamax) for prevention of osteoporosis. Which is the highest priority nursing intervention associated w/ the administration of the medication? A) Assess for the use of corticosteroids B) Encourage the pt. to get yearly dental exams C) Ensure adequate intake of Vitamin D in diet D) Have pt. sit upright for 60 min following administration
D) Have pt. sit upright for 60 min following administration
A nurse is completing an assessment of a pt. w/ suspected acromegaly. To assist in making the diagnosis, which of the following should the nurse ask? A) Have you had a recent head injury? B) Is there any family history of acromegaly? C) Do you experience skin breakouts? D) Have you increased you shoe size recently?
D) Have you increased you shoe size recently?
Which factor may contribute to compartment syndrome? A) Disuse syndrome B) Venous thromboemboli C) Macular lesion D) Hemorrhage
D) Hemorrhage
The nurse is participating in a health air for stroke prevention. Which of the following will the nurse say is a modifiable risk factor for ischemic stroke? A) Social drinking B) Advanced age C) Thyroid disease D) History of smoking
D) History of smoking
A pt. who was in a motor vehicle crash is diagnosed w/ a stable T7 spinal fracture w/ no neurological deficits. Which of the following nursing interventions should the nurse implement? A) Withhold opioid pain medication B) Sit pt. upright in a padded chair for meals C) Maintain NPO status D) Maintain bed rest w/ HOB at 20 degrees
D) Maintain bed rest w/ HOB at 20 degrees
Which of the following clinical manifestations would be exhibited by a pt. following a hemorrhagic stroke of the right hemisphere? A) Inability to move the right arm B) Expressive aphasia C) Neglect of the side opposite of the hemisphere affected D) Neglect of the left side
D) Neglect of the left side
The nurse teaches the pt. which of the following interventions in order to avoid hip dislocation after replacement surgery? A) Bend forward only when seated in chair B) Avoid placing a pillow between legs when sleeping C) Keep legs together at all times D) Never cross the affected leg when sitting
D) Never cross the affected leg when sitting
Which of the following is a metabolic bone disease characterized by inadequate mineralization of bone? A) Osteomyelitis B) Osteoporosis C) Osteoarthritis D) Osteomalacia
D) Osteomalacia
Localized rapid bone turnover, most commonly affecting the skull, femur, tibia, pelvic bones, and vertebrae, is characterized by which of the following bone disorders? A) Osteomalacia B) Ganglion C) Osteomylitis D) Paget's disease
D) Paget's disease
Cardiac effects of hyperthyroidism include? A) Bradycardia B) Decreased pulse pressure C) Decrease BP D) Palpitations
D) Palpitations
A pt. who is being tested for SIADH asks the nurse to explain the diagnosis. The nurse explains there is an excessive secretion of ADH from which of the following glands? A) Anterior pituitary B) Adrenal C) Thyroid D) Posterior pituitary
D) Posterior pituitary
Which of the following is a benefit of continuous passive motion device when applied after knee surgery? A) Provides active ROM B) Prevents infections & controls edema/bleeding C) Promotes healing by immobilizing knee joint D) Promotes healing by increasing circulation & movement of knee joint
D) Promotes healing by increasing circulation & movement of knee joint
A pt. diagnosed w/ osteoporosis is being discharged home. Which is priority education the nurse should provide? A) Participating in weight-bearing exercises B) Classifying medications C) Increasing calcium & vitamin D in diet D) Remove all small rugs from home
D) Remove all small rugs from home
A pt. is receiving hypothermic treatment for uncontrolled fevers r/t ICP. Which requires immediate intervention? A) Cool, dry skin B) Urine output 100 mL/hr C) Capillary refill 2 sec D) Shivering
D) Shivering
Most cases of osteomyelitis are caused by which of the following microorganisms? A) E. coli B) Pseudomonas C) Proteus species D) Staph
D) Staph
The nurse is preparing the pt. for a diagnostic test to evaluate blood flow within intracranial blood vessels. For which of the following tests is the nurse preparing for the pt.? A) CT B) MRI C) Cerebral angiography D) Transcranial doppler
D) Transcranial doppler
Which of the following cranial nerves is responsible for facial sensation & corneal reflex? A) Oculomotor B) Vestibulocochlear C) Facial D) Trigeminal
D) Trigeminal
