MDC1 Exam 2 No Highlight PDF

lOMoARcPSD|43964769 Mdc1 exam 2 no highlight MDC1 (Rasmussen University) Scan to open on Studocu Studocu is not sponsored or endorsed by any college or university Downloaded by Bruce Lee ([email protected]) ...

lOMoARcPSD|43964769 Mdc1 exam 2 no highlight MDC1 (Rasmussen University) Scan to open on Studocu Studocu is not sponsored or endorsed by any college or university Downloaded by Bruce Lee ([email protected])  lOMoARcPSD|43964769 1. The nurse is assessing a client who had a cast placed 4 hours ago. What assessment finding is cause for concern? a. The nurse cannot insert one finger between the cast and the skin b. The nurse finds 2+ pulses distal from the cast c. The nurse assesses capillary refill of 2 seconds d. The nurse does not observe any drainage. 2. What non-pharmacological intervention does not help reduce edema? a. Cold therapy b. passive range of motion (PROM) c. Heat therapy d. Elevation 3. What intervention by the nurse would be best to prevent deep vein thrombosis after a fracture of the hip? a. Encouraging bedrest b. applying anti-embolism stockings c. Teaching about smoking cessation d. Tell the client to take anticoagulants 4. What is correct health promotion education for vision? (Select all that apply) a. Wear sunglasses to filter ultraviolet (UV) light b. Avoid nonsteroidal anti-inflammatory drug (NSAID) use c. Older adults should have an eye exam every 3-5 years d. wear eye protection when working with fluids e. Wash your hands before touching your eyelids 5. What is the most common method of reducing and immobilizing a fracture? a. Open reduction with external fixation b. open reduction with internal fixation c. External reduction and internal fixation d. External fixation with closed reduction 6. The client reports a ringing in the ears. What is this called? a. Rinne b. Tinnitus c. Pinna d. Weber 7. The provider orders the client to be placed in a high fowler's position. At what angle will the nurse position the client? a. 0 degrees b. 15 degrees c. 30 degrees d. 90 degrees 8. What is the priority nursing diagnosis for a client with immobility? a. Constipation related to immobility b. risk for disuse syndrome as evidenced by immobility c. Risk of impaired skin integrity as evidenced by pressure over bony prominences Downloaded by Bruce Lee ([email protected])  lOMoARcPSD|43964769 d. Ineffective breathing pattern related to the inability to breathe deeply in a supine position 9. A well-rounded fitness program focuses on flexibility, resistance training, and aerobic conditioning. What statements are true about a well-rounded fitness program? (Select all that apply) a. Movement with resistance increases muscular strength and endurance b. Movement against resistance increases muscular strength and endurance c. Intensity is the amount of time a person is exercising d. Stretching after exercise cools the muscles and limits post-exercise stiffness e. stretching before exercise helps warm up the muscles and prevent injury during exercise 10. Which of the following clients are at an increased risk for deep vein thrombosis following open reduction and internal fixation of the hip (Select all that apply). o A 75-year-old who smoke three packs of cigarettes per day o A client with dementia who has been wandering o A client on birth control pills o A client on an anticoagulant o A client who is immobile 11. What health teaching would help an older adult avoid musculoskeletal injury? o osteoporosis screening o wear a helmet when riding a bicycle o fall prevention o avoid home modification 12. What is not a nursing intervention for a client with osteoporosis? o Nurse will encourage the client to avoid repetitive movements o Nurse will encourage the client to avoid repetitive movements o Nurse will encourage the intake of adequate amounts of calcium and vitamin D o nurse will encourage the client to avoid muscle strengthening exercises 13. How many ml is one tablespoon? (Type answer as numeric only) 15 14. A nurse is caring for an immobile client. What is the priority assessment of this client? o Auscultate for bowel sounds o inspect the skin for injury o Auscultation of lung sounds o palpate for edema 15. What device would be best to use for a client who is immobile? o A mechanical lift o Gait belt o Standing assist devices o Transfer board 16. A client who had an elective below-the-knee amputation reports pain in the foot that was amputated. What is the best response by the nurse? o "That is phantom limb pain." o "The pain will go away after the swelling decreases." o "On a scale of 0-10, how would you rate your pain." Downloaded by Bruce Lee ([email protected])  lOMoARcPSD|43964769 o "Your foot has been amputated, so you are not having pain in that foot." 17. What evaluation indicated successful progress on the client goal of "client will increase daily physical activity? o The client reports more nonsteroidal anti-inflammatory drug (NSAIS) use o The client reports decreased social interaction o The client reports a fall o The client reports less fatigue walking upstairs 18. The client's pupils are different sizes and have been this way since childhood. What is the condition called? o Strabismus o Scleral edema o Anisocoria o Exophthalmos 19. What should be done immediately after an ankle injury? o Rest, ice, compress and lower the ankle o Immobilize, heat, compress and elevate the ankle o Rest, ice, compress and elevate the ankle o Rest, incubate, confine and lower the ankle 20. The nurse is caring for four clients. Which of these clients will the nurse see first? o A client with rheumatoid arthritis and a scheduled pain medication o A client being discharged in two hours and needs to be taught how to use his crutches o A client with sudden and increasing pain in his fractured arm o A client with fractured ankle who would like a glass of water 21. What is correct about nursing diagnosis? a. It is a human response to disease, injury, or other stressors b. It is a way to identify pathology c. It stays the same for as long as the disease is present d. It is a disease, illness, or injury 22. What nursing intervention is best to improve communication with a hearing-impaired client? a. Speak slowly and clearly while facing the client b. shout in the impaired ear c. Talk in a regular voice in the good ear d. Write down the message 23. What should the client immediately report to the healthcare provider after being sent home with a cast for a fractured arm? a. ability to wiggle fingers distal to the injury b. Purulent and foul-smelling drainage that just started c. 3/10 pain the day after the injury d. slight itching sensation under the cast 24. The nurse uses proper body mechanics to move a client up in bed. What action by the nurse will increase their risk of workplace injury? Downloaded by Bruce Lee ([email protected])  lOMoARcPSD|43964769 a. Keep feet apart to provide a wide base of support b. Face the direction of the movement c. Place the bed in the lowest possible position d. Use the legs when lifting 25. A client has sustained an open fracture. What nursing intervention will best prevent osteomyelitis in this client? a. Place the client in contact precautions b. Administer pain medication c. Delegate all client personal care to specific unlicensed assistive personnel d. Proper hand hygiene 26. A nurse is assessing a client with hallux valgus. What is another term for this assessment finding? a. a bunion b. metacarpal involvement c. a corn d. thoracic deformity 27. Convert 30 ml to ounces. (Type answer as numeric only) 1 28. What are nonsurgical treatment options for carpal tunnel syndrome? (Select all that apply). a. Nonsteroidal anti-inflammatory drugs (NSAIDs) b. Corticosteroid injections c. using a splint d. ultrasound therapy e. Endoscopic carpal tunnel release 29. The medical record for a client state that the client has hemiplegia. What does this mean? a. The client has decreased vision in one eye b. the client can use his right arm, left leg, and left arm c. the client has paralysis of all four extremities d. the client has paralysis on one side of the body 30. On inspection, which client does the nurse suspect of having a visual impairment a. The client, who is tilting their head b. The client who has intact blink reflex c. The client, whose sclera is white 31. The client states,"The doctor says I'm nearsighted. I do not get it." What would be the best response by the nurse.? a. "Nearsighted, or myopia means that you have difficulty seeing things at a distance." b. "I am sorry you didn't understand. Would you like a different doctor?" "You will need to have glasses." c. "This means you won't ever need glasses." 32. What is one of the earliest signs of fat embolism syndrome? a. Severe pain in the affected limb unrelieved by medication. b. Edema Downloaded by Bruce Lee ([email protected])  lOMoARcPSD|43964769 c. Paresthesia d. Hypoxemia 33. What medication class can decrease tissue inflammation but delays bone healing? a. Opioids b. Anticoagulants c. Nonsteroidal anti-inflammatory drugs (NSAIDs) d. Narcotics 34. What is the best nursing intervention to implement for a client with limited mobility who cannot move independently? a. Continuous passive motion b. Pillow for positioning c. Active range of motion d. Passive range of motion 35. A client with bone cancer states that he is in too much pain to walk today. What should the nurse do first? a. Get the client pain medication b. Ensure the client knows he will have negative effects from immobility c. Review the client's medication administration record d. Inquire about the frequency, quality, and location of the pain 36. Unlicensed assistive personnel (UAP) is assisting a client in a traction. Which of these actions requires immediate intervention? a. The UAP shows the client how to use the call light b. The UAP carefully lowers the traction weight to rest on the groud c. The UAP provides small pillows to cushion the unaffected extremities 37. A client does not understand why vision loss due to glaucoma is irreversible. What is the best explanation? a. Once retinal detachment occurs, it does not return to its normal state. b. Once bacterial infection has caused damage, the tissue does not regenerate c. glaucoma always leads to permanent blindness d. too many nerve fibers have become ischemic and died, so vision loss is permanent 38. To promote independence, which of these is the best nursing intervention to implement? Speak directly in front of the client so that they can ready your lips well Allow the client to perform the activities of daily living they are able to do give the client their washcloth and toothbrush and leave the room 39. What are signs of hearing loss? (Select all that apply) a. Frequent asking of others to repeat statements b. Tinnitis c. Presence of cerumen d. Answering questions correctly e. Shouting in conversation 40. What happens during stage three of bone healing? Downloaded by Bruce Lee ([email protected])  lOMoARcPSD|43964769 a. Consolidation b. Hematoma formation c. Granulation formation d. Callus formation 41. What soft tissue musculoskeletal injury is excessive stretching of a ligaments? a. Ligament tear b. Sprain c. Tendon rupture d. Strain 42. What is a negative effect of immobility on the musculoskeletal system? a. Glucose intolerance b. Contractures c. Incontinence d. Pressure injury 43. What test is used in the diagnosis of osteoporosis? a. Dual-energy X-ray absorptiometry (DXA) scan b. Phalen's maneuver c. Blood culture d. Proprioception 44. While completing a health history, the client reports experiencing blurring of vision in both eyes without associated pain. What condition does the nurse suspect? a. Cataracts b. Glaucoma 45. What is a negative effect of immobility on the cardiovascular system? a. Increased high-density lipoprotein b. Venous stasis c. Increased circulation d. Increased pumping action of the heart 46. What may be a cause of conductive hearing loss? a. Presbycusis b. Prolonged exposure to loud noises c. Medications d. Otitis media 47. A client being cared for is blind. What is the best intervention to reduce the risk of failing in the hospital room? a. Shout to the client b. Tell the client's family that they will be expected to stay overnight c. Orient the client to the location of objects in the room d. Apply restraints to the client 48. The following clients come to the ophthalmology clinic. Which client needs to be seen first? a. Client with an absent red reflex on ophthalmologic examination Downloaded by Bruce Lee ([email protected])  lOMoARcPSD|43964769 b. A client who had a recent cataract surgery and has a worsening vision c. Client with tearing, reddened eye with exudate d. Client with an intraocular pressure of 24 mm Hg 49. What statement by the client with plantar fasciitis indicates a need for further teaching? a. "I will rest and stretch my feet." b. "I will wear supportive shoes." c. "I will use warm packs on my feet." d. "I will use nonsteroidal anti-inflammatory drugs (NSAIDs) for comfort." 50. The nurse educates a client about how to reduce their risk for osteoporosis. Which of these statements by the nurse is correct" (Select all that apply) a. "You can decrease your risk of osteoporosis by decreasing alcohol intake." b. "You can decrease your risk of osteoporosis by reducing caffeine intake." c. "You can decrease your risk of osteoporosis through smoking cessation." d. "You can decrease your risk of osteoporosis by avoiding Vitamin D." 51. What finding is often present in a client with osteoporosis? a. Kyphosis b. Hallux valgus c. Dupuytren's contractures d. inflammations 52. A client sustained a crushing injury to his right arm during a car accident. He arrivedat the emergency room complaining of numbness in his right hand. He has no other injuries. What should the nurse do first? a. assess the right pedal pulse b. Administer pain medication c. Call the provider d. Assess the right radial pulse 53. What is accurate health promotion teaching to prevent ear infections or trauma? (Select all that apply). a. Blow your nose gently b. Sneeze with your mouth closed c. Wear sound protection when around loud noises d. Do not use cotton-tipped applicators to clean your external ear e. Block one nostril when blowing your nose???? 54. The goal for a client with impaired mobility is to prevent atelectasis. What nursing intervention would best help the client meet the goal? a. Offer a protein-rich diet b. Turn the client every 4 hours c. Assist the client to orthopneic position 55. The client has been asked to perform weight-bearing exercises three times per week. The client admits to not doing the recommended exercise. What is the most appropriate response by the nurse? a. "My dad never exercised. He fell and broke his hip. Is that your goal?" b. "I exercise by walking three miles every day. Would you like to join me?" c. "You should be doing these exercises." Downloaded by Bruce Lee ([email protected])  lOMoARcPSD|43964769 d. "Tell me more about your experience with these exercises." 56. Which of the following statements is found in neurovascular compromise? a. warm skin b. full range of motion c. strong pulses d. Tingling 57. What is a priority intervention when caring for a client in Buck's traction? a. Assess skin integrity b. Discontinue the traction as soon as the client has pain relief. c. Change the size of the traction weights PRN (as needed) d. Allow the traction weights to rest on the floor 58. What complication of fractures is caused by increased pressure which results in decreased circulation to the area? a. Venous thromboembolism b. Acute compartment syndrome c. Fat embolism syndrome d. Hemorrhage 59. The nurse is teaching the client how to administer eye drops. Which of these actions indicates the need for further client education? a. The client drops the prescribed number of drops into the conjunctival sac b. The client ensures that they touch the administration dropper to the eye. c. The client washes their hands before instilling the drops d. The client sets the cap down in a manner that does not contaminate it 60. What is the intended outcome for the treatment of glaucoma? a. Lower the intraocular pressurea b. Improve the vision of the eye] c. Strengthen the muscles of the eye d. Help dry up excess secretion 61. What observation by the nurse indicates the need for further teaching to unlicensed assistive personnel (UAP) on assisting with ambulation? a. The UAP walks to the side and slightly in front of the client b. The UAP puts shoes on the client c. The UAP uses a transfer (gait) belt d. The UAP removes floor rugs and loose objects from the path 62. What activities will the nurse tell the client to avoid after cataract surgery? (Select all that apply) a. Bearing down when defecates b. Blowing one's nose c. urinating d. sleeping for greater than 1 hour e. Lifting items greater than 10 pounds 63. Why is a client with osteoporosis prone to fractures? a. The client has porous bones Downloaded by Bruce Lee ([email protected])  lOMoARcPSD|43964769 b. The client has increased bone density c. The client has bone spurs that lead to fracture d. The client is not prone to fracture 64. The nurse has the client move both crutches forward, with weight on the unaffected leg, and move the unaffected leg forward, shifting weight onto the unaffected leg. The nurse knows that which of the following gaits is being utilized? a. Two-point gait b. Three-point gait c. unaffected gait d. Four-point gait 65. What is the priority nursing diagnosis for a client with metastatic bone disease? a. Chronic pain b. Risk of falls c. Risk of infection 66. What is the priority nursing diagnosis after surgery to repair a fracture? a. Risk for impaired skin integrity b. Risk for infection c. Acute pain d. Disturbed body image 67. A client is diagnosed with glaucoma. The provider needs to determine if it is open-angle glaucoma or closed-angle glaucoma. What test does the nurse anticipate? a. corneal staining b. Ultrasonic imaging c. Gonioscopy 68. What repetitive stress injury is a factory worker at risk for? a. Osteomalacia b. Carpal tunnel syndrome c. Osteoporosis d. Plantar fasciitis 69. A client has a new arm cast. What is incorrect teaching by the nurse? a. Report "hot spots" felt under the cast b. Use a sling to alleviate fatigue c. elevate the arm above the heart to reduce swelling d. Sudden increase in drainage is expected 70. Why is traction used? a. It allows the bones to realign b. It allows the client to rest longer c. It promotes wound healing d. It decreases the risk of realignment 71. What is example of proper body mechanics when lifting? a. Lifting excessive weight to strengthen the muscles b. Lifting the object with your back c. Standing with a narrow stance d. Holding the object close to the body Downloaded by Bruce Lee ([email protected])  lOMoARcPSD|43964769 72. A client has a fractured right arm. Which of these should the nurse complete first? a. Send the client o radiology for an x-ray b. Apply ice to the fracture site c. Administer pain medications d. Remove the client's bracelet and rings from the right arm 73. How many mg is 5000 mcg? (Type answer as numeric only) 74. Death of bone tissue can occur when the blood supply to the bone is disrupted. What is this complication called? a. Delayed union b. Complex regional pain syndrome c. Reflex sympathetic dystrophy d. Avascular necrosis 75. A client with osteomyelitis is being discharged from the hospital. What is the nurse's priority discharge intervention? a. Teaching adherence to the antibiotic regimen b. Scheduling daily dressing changes c. Teaching adherence to an exercise program d. Teaching about a healthy dietary intake Downloaded by Bruce Lee ([email protected])