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RNSG 1443 Exam 1 Level 2 Review Questions With Complete Solutions
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RNSG 1443 Exam 1 Level 2 Review Questions With Complete Solutions
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RNSG 1443 Exam 1 Level 2 Review QuestionsWith Complete Solutions
A 22-year-old tennis player has an arthroscopic repair of a
rotator cuff injury performed in same-day surgery. When the
nurse plans postoperative teaching for the patient, which
information will be included?
a. You will not be able to serve a tennis ball again.
b. You will work with a physical therapist tomorrow.
c. The doctor will use the drop-arm test to determine the success
of surgery.
d. Leave the shoulder immobilizer on for the first 4 days to
minimize pain. Correct Answers B
Physical therapy after a rotator cuff repair begins on the first
postoperative day to prevent frozen shoulder.
A shoulder immobilizer is used immediately after the surgery,
but leaving the arm immobilized for several days would lead to
loss of range of motion (ROM). The drop-arm test is used to test
for rotator cuff injury, but not after surgery. The patient may be
able to return to pitching after rehabilitation.
A 32-year-old patient who has had an open reduction and
internal fixation (ORIF) of left lower leg fractures continues to
complain of severe pain in the leg 15 minutes after receiving the
prescribed IV morphine. Pulses are faintly palpable and the foot
is cool. Which action should the nurse take next?
,a. Notify the health care provider.
b. Assess the incision for redness.
c. Reposition the left leg on pillows.
d. Check the patients blood pressure. Correct Answers A
The patients clinical manifestations suggest compartment
syndrome and delay in diagnosis and treatment may lead to
severe functional impairment.
The data do not suggest problems with blood pressure or
infection. Elevation of the leg will decrease arterial flow and
further reduce perfusion.
.
A 33-year-old patient has recently been diagnosed with stage II
cervical cancer. The nurse would understand that the patient's
cancer
A) Is in situ.
B) Has metastasized.
C) Has spread locally.
D) Has spread extensively. Correct Answers C) Has spread
locally.
A 42-year-old patient is admitted to the emergency department
with a left femur fracture. Which information obtained by the
nurse is most important to report to the health care provider?
a. Ecchymosis of the left thigh
b. Complaints of severe thigh pain
,c. Slow capillary refill of the left foot
d. Outward pointing toes on the left foot Correct Answers C
Prolonged capillary refill may indicate complications such as
arterial damage or compartment syndrome.
The other findings are typical with a left femur fracture.
.
A 48-year-old patient with a comminuted fracture of the left
femur has Bucks traction in place while waiting for surgery. To
assess for pressure areas on the patients back and sacral area and
to provide skin care, the nurse should
a. loosen the traction and help the patient turn onto the
unaffected side.
b. place a pillow between the patients legs and turn gently to
each side.
c. turn the patient partially to each side with the assistance of
another nurse.
d. have the patient lift the buttocks by bending and pushing with
the right leg. Correct Answers D
The patient can lift the buttocks off the bed by using the left leg
without changing the right-leg alignment.
Turning the patient will tend to move the leg out of alignment.
Disconnecting the traction will interrupt the weight needed to
immobilize and align the fracture.
, .
A 59-year old woman is 1 day post-op removal of a malignant
abdominal mass. The pathology report is pending. She tearfully
tells the nurse that she is afraid to die. What is the most effective
nursing intervention?
A. Motivate change for an unhealthy lifestyle
B. Teach the patient about the 7 warning signs of cancer
C. Instruct the patient about healthy stress relief and coping
practices
D. Encourage the patient to share the meaning of this experience
Correct Answers D.
Encourage the patient to share the meaning of this experience
A 70-year-old male patient has multiple myeloma. His wife calls
to report that he sleeps most of the day, is confused when awake,
and complains of nausea and constipation. Which complication
of cancer is this most likely caused by?
a. Hypercalcemia
b. tumor lysis syndrome
c. spinal cord compression
d. superior vena cava syndrome Correct Answers a.
Hypercalcemia
A characteristic of the stage of progression in the development
of cancer is
a. oncogenic viral transformation of target cells
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