RN Targeted Medical Surgical Neuro & Musculoskeletal online practice 2019
A nurse is teaching a client who is postoperative following a right hip arthroplasty. Which of the following images indicates the position the nurse should teach the client to take when sitting in a chair?
B the client should be at a 90° angle with knees slightly lower than the hips
A nurse is caring for a client who has viral meningitis. Which of the following actions should the nurse take?
Check capillary refill at least every 4 hours
A nurse is 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?
Check the position of the weights and ropes
A nurse is caring for a client who has a basilar skull fracture following a fall from a ladder. Which of the following assessment findings should the nurse report to the provider?
Clear drainage from the nose
A nurse is performing a pain assessment for a client who is postoperative. Which of the following findings should the nurse use to determine the severity of the client's pain?
Clients report of pain on a pain scale
A nurse is assessing a client who has a new diagnosis of osteoarthritis. Which of the following findings should the nurse expect?
Crepitus with joint movement decreased ROM of the affected joint joint pain that resolves with rest
A nurse is assessing a client who is quadriplegic following a cervical fracture at vertebral level C5. The client reports a throbbing headache and nausea. The nurse notes facial flushing and BP 220/110 mmHg. Which of the following actions should the nurse take first?
Elevate the head of the clients bed
A nurse is teaching a client who has Parkinson's disease and is prescribed carbidopa-levodopa. Which of the following statements indicates an understanding of the teaching?
I should expect that this medication can cause me to be drowsy
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 understands the teaching?
I will avoid going to the store when it is crowded
A nurse is assessing a client who had a right hemispheric stroke. Which of the following neurologic deficits should the nurse expect?
Impulsive behavior
A nurse is caring for a client who has multiple sclerosis. Which of the following findings should the nurse expect?
Intention tremors
A nurse is planning care for a client who has a closed traumatic brain injury from a fall and is receiving mechanical ventilation. Which of the following interventions is the nurses priority?
Maintain PaCO2 of approximately 35mmHg
A nurse caring for a client who has advancing amyotrophic lateral sclerosis. Which of the following interventions is the nurses priority?
Monitor pulse oximetry findings
A nurse is developing a teaching plan for a client who has Ménière's disease. Which of the following instructions should the nurse include?
Move your head slowly to decrease vertigo
A nurse in an emergency department is assessing a client who reports sudden, severe eye pain with blurry vision. The provider determines the client has primary angle-closure glaucoma. Which of the following medications should the nurse expect to administer?
Osmotic diuretics via IV bolus
A nurse is teaching a client who has osteoporosis and has a new prescription for alendronate. Which of the following information should the nurse include in the teaching?
Remain upright for 30 minutes after taking the medication
A nurse caring for a client who is 72hr postoperative following an above the knee amputation and reports phantom limb pain. Which of the following actions should the nurse take?
Request a prescription for gabapentin for the client
A nurse is assessing a client who has a head injury following a motor crash. The nurse should identify that which of the following findings indicates increasing intracranial pressure?
Restlessness
A nurse is planning to teach a client who has epilepsy and a new prescription for phenytoin. Which of the following instructions should the nurse plan to include?
Take medications at a consistent time each day to maintain therapeutic blood levels.
A nurse teaching a client and her family about the diagnosis and treatment of Alzheimer's disease. Which of the following statements should the nurse identify as an indication that the family understands the teaching?
The medications that treat Alzheimer's disease can help delay cognitive changes.
A nurse in an emergency department is caring for a client who suddenly lost consciousness and fell while at home. The provider determines that the client had an embolic stroke. Which of the following medications should the nurse expect to administer?
Tissue plasminogen activator
A nurse is assessing a client who has rheumatoid arthritis. Which of the following findings should the nurse expect?
Ulnar deviation
A nurse in an emergency department is caring for a client who has sustained a fracture of the femur following a motor vehicle crash. Which of the following images should the nurse recognize as a comminuted fracture?
• A this image shows a comminuted fracture. An injury causes the bone to fragment into several pieces.
A nurse is planning care for a client following a lumbar puncture. Which of the following actions should the nurse plan to take?
•Ensure the client lies flat for up to 12 hr. the client should lie flat for up to 12 hr to prevent cerebrospinal fluid leakage from the puncture site, which can cause a headache.
A nurse is caring for a client who has a retinal detachment. Which of the following findings should the nurse expect?
•Flashes of bright light
A nurse is reviewing postoperative instructions with a client following cataract surgery. Which of the following client information indicates an understanding of the instructions?
•I should call my doctor if my vision gets worse
A nurse is teaching a client who has osteoporosis and has a new prescription for alendronate. Which of the following information should the nurse include in the teaching?
•Remain upright for 30 minutes after taking this medication. To prevent esophageal ulcers, which can result from alendronate therapy, the client should sit upright for 30min after taking this medication.
Nurse is caring for a client who has a spastic bladder following a spinal cord injury. Which of the following actions should the nurse take to help stimulate micturition?
•Stroke the client's inner thigh the nurse should stimulate micturition by stroking the clients inner thigh. Other techniques include pinching the skin above the groin and providing digital anal stimulation.
A nurse is taking care for a client who has a history of status epilepticus and requires seizure precautions. Which of the following actions should the nurse take?
•establish IV access the nurse should plan to establish IV access with a large-bore catheter and admin 0.9% sodium chloride if seizures are imminent. If the client is stable, nurse should saline lock.
A nurse is teaching an AP about providing care to a client following a total hip arthroplasty. Which of the following instructions should the nurse include?
•place abductor pillow between the clients legs when turning the client.
