N3600

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Author:
natalie.french
ID:
218661
Filename:
N3600
Updated:
2013-05-08 22:55:33
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musculoskeltal eyes ears dx tests
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practice questions
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  1. In teaching a pt scheduled for a total ankle replacement it is important that the nurse tell the pt that after surgery he should avoid:

    A. Lifting heavy objects
    B. Abduction exercises of the affected ankle
    C. Bearing weight on the affected leg for 6 wks
    D. Sleeping on the back
    C. Bearing weight on the affected leg for 6 wks
    (this multiple choice question has been scrambled)
  2. When assessing the musculoskeletal system, the nurse's initial action will usually be to:

    A. check active and passive ROM for the extermities
    B. feel for prescence of crepitus during joint movement
    C. have the patient move the extremities against resistance
    D. observe the patient's body build and muscle configuration
    D. observe the patient's body build and muscle configuration
    (this multiple choice question has been scrambled)
  3. Ms. J was the passenger in the side car of a motorcycle when the driver had an MI and crashed into the side wall of an aquarium store. She received a third degree strain of her left quadriceps muscle, requiring surgical repair. What is the nurse's highest priority?

    A. teaching her how to use crutches safely
    B. palpating for dorsal and pedal pulses bilat
    C. asking if the last dose of pain med helped her pain
    D. assessing her right patellar reflex
    B. palpating for dorsal and pedal pulses bilat
    (this multiple choice question has been scrambled)
  4. A 19-year old fast-pitch softball pitcher has an arthoscopic repair of a rotator cuff injury performed in same-day surgery. When the nurse plans post-op teaching for the pt, which info will be included?

    A. "Leave the shoulder immbolizer on for the first few days to minimize the pain"
    B. "The doctor will use the drop-arm test to determine the success of surgery"
    C. "You can still play softball but you will not be able to return to pitching"
    D. "You have an appt with a PT for tomorrow"
    D. "You have an appt with a PT for tomorrow"
    (this multiple choice question has been scrambled)
  5. You are preparing your pt for carpal tunnel release surgery and know he needs additional teaching when he says:

    A. "My surgery will fix my foot drop so I can drive"
    B. "My index finger should stop hurting and tingling"
    C. "My scar should be smaller becasue my surgery is arthroscopic"
    D. "My thumb will get strong enough to use my iPhone again"
    A. "My surgery will fix my foot drop so I can drive"
    (this multiple choice question has been scrambled)
  6. The nurse finds the pt laying on the floow between the bed and bathroom, moaning. The nurse knows that the pt very likely dislocated a shoulder because (Select all that apply)

    a. Shoulders are one of the most commonly dislocated joints
    b. The left shoulder looks misshapen and ecchymotic
    c. The pt cannot move the left arm
    d. Trauma is a common cause of dislocated shoulders
    • a. Shoulders are one of the most commonly dislocated joints
    • b. The left shoulder looks misshapen and ecchymotic
    • c. The pt cannot move the left arm
    • d. Trauma is a common cause of dislocated shoulders
  7. The nurse knows that stabilizing a reduction can be achieved using:

    a. traction
    b. a plaster cast
    c. a bed trapeze
    d. pain medication
    • a. traction
    • b. a plaster cast
  8. The nurse knows that the priority post-op need for the pt who has had an amputation is:

    A. use of assistive equipment
    B. phantom limb pain
    C. body image
    D. neurovascular checks
    D. neurovascular checks
    (this multiple choice question has been scrambled)
  9. The nurse knows that after joint surgery, the highest priority activity in the list below is:

    A. asking an LPN to check for adequate circulation in the limb where joint surgery was done
    B. drawing blood to measure effectiveness of anticoagulation therapy
    C. teaching the pt to cough and deep breathe
    D. reviewing the vital signs given to you by the PCA
    D. reviewing the vital signs given to you by the PCA
    (this multiple choice question has been scrambled)
  10. Which of the following bone cancers is typically diagnosed after a pt is seen for a fractured limb?

    A. Bony metastases
    B. Osteoblastoma
    C. Multiple myeloma
    D. Osteosarcoma
    D. Osteosarcoma
    (this multiple choice question has been scrambled)
  11. A pt with osteomyelitis is treated with surgical debridement with implantation of antibiotic beads. In responding to the pt who asks why the beads are used, the nurse answers (Select all that apply)

    a. "The beads are used to directly deliver antibiotics to the site of the infection."
    b. "There are no effective oral or IV antibiotics to treat most cases of bone infection."
    c. "The beads are an adjunct to debridement and oral and IV antibiotics for deep infections."
    d. "The ischemia and bone breath that occurs with osteomyelitis are impenetrable to IV antibiotics."
    • a. "The beads are used to directly deliver antibiotics to the site of the infection."
    • c. "The beads are an adjunct to debridement and oral and IV antibiotics for deep infections."
  12. 18 y.o. Johnny fractured his leg and gets a hard cast. While in the hospital, Johnny asks his nurse which stage of healing will he first expect to get his cast removed?

    A. Ossification
    B. Calcification
    C. Consolidation
    D. Remodeling
    A. Ossification
    (this multiple choice question has been scrambled)
  13. When teaching a client about caring for themselves after repair of a fx which would indicate need for further education?

    A. No weight bearing on affected leg for 6-12 wks
    B. Prolonged inflammtion/edema may be a sign of infection
    C. Pt verbalizes need for immbolization to maintain realignment
    D. If in a traction cast, adjust by-self if found uncomfortable
    D. If in a traction cast, adjust by-self if found uncomfortable
    (this multiple choice question has been scrambled)
  14. 17 y.o. Bobby was texting while driving and flipped his car resulting in a fx of his humerus. After a few days the nurse believes he has compartment syndrome. What should the nurse do to help Bobby? (Select all that apply)

    a.Elevate Bobby's arm below his heart
    b.Elevate Bobby's arm about his heart
    c. Apply cold compresses
    d. Monitor Bobby's urine
    e. Notify physician
    • a.Elevate Bobby's arm below his heart
    • d. Monitor Bobby's urine
    • e. Notify physician
  15. What is the fx that disrupts blood supply?

    A.Intertrochanteric
    B. Subtrochnteric
    C. Extrascapsular
    D. Intrascapular
    D. Intrascapular
    (this multiple choice question has been scrambled)
  16. A pt with metastatic bone cancer has a nursing dx of risk for injury r/t bone tissue changes. The nursing managment of this pt is primarily directed toward:

    A. relieving edema
    B. preventing pain
    C. increasing physical activity
    D. supporting and positioning the leg
    D. supporting and positioning the leg
    (this multiple choice question has been scrambled)
  17. When teaching a client following an amputation, the nurse should teach all of the following except:

    A. d/c use of prothesis if irritation develops
    B. elevate residual leg
    C. follow prescribed pain management control
    D. wash limb with soap and water and air out for 20 min
    B. elevate residual leg
    (this multiple choice question has been scrambled)
  18. The nurse is educating a High School athlete on care of his strain. The nurse realizes he requires further education when he states:

    A. I should stop activity if I am in pain and rest
    B. I should use elastic bandages for strengthening and swelling reduction for 30 minutes on 15 minutes off
    C. I should immediately alternate heat after using ice on the strained area
    D. I should do dynamic warm up before practice
    C. I should immediately alternate heat after using ice on the strained area
    (this multiple choice question has been scrambled)
  19. A pt with a head injury after a motor vehicle accident arrives in the ED complaining of SOB and severe eye pain. Which action will the nurse take first?

    A. Elevate the head to 45 degrees
    B. Administer the ordered analgesic
    C. Examine the eye for evidence of trauma
    D. Check the pts oxygen saturation
    D. Check the pts oxygen saturation
    (this multiple choice question has been scrambled)
  20. A pt with a left retinal detachment has a pneumatic retinopexy procedure. Which info will be included in the discharge teaching plan?

    A. The procedure for sterile dressing changes when the eye dressing is saturated
    B. The use of bilat eye patches to reduce movement of the operative eye
    C. The purpose of maintaing the head in a prescribed position for several wks
    D. The need to wear dark or tinted glasses to protect the eyes from bright light
    C. The purpose of maintaing the head in a prescribed position for several wks
    (this multiple choice question has been scrambled)
  21. A pt with age-related macular degeneration has just had photodynamic therapy. Which statement by the pt indicates that the discharge teaching has been effective?

    A. "I will need to use bright lights to read for at least the next week."
    B. "I will use drops to keep my pupils until my appointment."
    C. "I will not use facial lotions near my eyes during the recovery period."
    D. "I will keep covered with long sleeved shirts and pants for the next 5 days."
    D. "I will keep covered with long sleeved shirts and pants for the next 5 days."
    (this multiple choice question has been scrambled)
  22. The nurse is caring for a 50y.o. pt who has had diabetes mellitus for 25 years. The nurse knows that the pt needs additional education when the pt asks (Select all that apply)

    a. "I saw my opthamologist about a year ago, so I should make an appointment for this time next year."
    b. "I had cataract surgery on my left eye, and I am scheduled to have cataract surgery on my right eye next month."
    c. "My vision is not changing, so I dont have anything to worry about right now"
    d. "After my laser welds, I will be able to see as well as I used to."
    • a. "I saw my opthamologist about a year ago, so I should make an appointment for this time next year."
    • c. "My vision is not changing, so I dont have anything to worry about right now."
    • d. "After my laser welds, I will be able to see as well as I used to."
  23. A patient with chronic otitis media is scheduled for a tympanoplasty. Before surgery, the nurse teaches the pt that post-op expectations include:

    A. keeping the head elevated
    B.avoidance of coughing or blowing the nose
    C. continuous ATB irrigation of the ear canal
    D. the need for prolonged bed rest
    B.avoidance of coughing or blowing the nose
    (this multiple choice question has been scrambled)
  24. A patient with external otitis has a new Rx for ATB otic drops. After the nurse provides pt teaching, which pt statement indicates that more instruction is needed?

    A. "I should clean my ear canal daily with cotton tipped applicator."
    B. "I may use warm compresses to the outside of my ear for comfort."
    C. "I may use aspirin or acetaminophen for pain relief."
    D. "I should apply the eardrops to my ear canal."
    A. "I should clean my ear canal daily with cotton tipped applicator."
    (this multiple choice question has been scrambled)
  25. Which info about a pt who had a stapedectomy yesterday is most important for the nurse to communicate to the health care provider?

    A. The pt complains of "congestion" in the ear
    B. The pt's oral temp is 100.6F
    C. The pt says "my hearing is worse now than it was right after surgery"
    D. There is a small amt of dried blood drainage on the pts dressing
    B. The pt's oral temp is 100.6F
    (this multiple choice question has been scrambled)
  26. The priority nursing dx for a pt with Meniere's disease who is experiencing an acute attack is:

    A. impaired verbal communication r/t tinnitus
    B. risk for falls r/t dizziness
    C. self-care deficit r/t vertigo
    D. imbalance nutrition r/t nausea
    B. risk for falls r/t dizziness
    (this multiple choice question has been scrambled)
  27. Which diagnostic test(s) would be used to test thyroid functioning? (Select all that apply)

    a. TSH
    b. T3
    c. T4
    d. Blood glucose
    • a. TSH
    • c. T4
  28. What important nursing care during the pre-test phase of a thyroid imaging scan will ensure the pts safety?

    A. make sure pt has consumed at least 64oz of water prior to test
    B. ensure pt has had no visitors in the past 24 hrs
    C. d/c all meds prior to test
    D. checking for iodine allergy
    D. checking for iodine allergy
    (this multiple choice question has been scrambled)
  29. Which of the following troponin I levels would indicate to the nurse that the pt most likely had a MI?

    A. 1.8 ng/mL
    B. 2.9 ng/mL
    C. 0.4 ng/mL
    D. 2.1 ng/mL
    B. 2.9 ng/mL
    (this multiple choice question has been scrambled)
  30. After a heart catherterization is performed, the nurses main priority is to assess which of the following?

    A. circulation of extremity catherter is inserted
    B. neuro functioning
    C. hair growth at insertion site of catheter
    D. pain
    A. circulation of extremity catherter is inserted
    (this multiple choice question has been scrambled)
  31. An echocardiogram involves all of these aspects except?

    A. assess the valves for potential abnormalities
    B. evaluates the ejection fraction of the heart
    C. requires the use of radiation to produce detailed image of heart
    D. assess the pumping function of the heart
    C. requires the use of radiation to produce detailed image of heart
    (this multiple choice question has been scrambled)
  32. What kind of restrictions should the pt be aware of before coming in for her mammogram test?

    A. pt should remain NPO for previous 12 hrs
    B. there are no restrictions for pt before coming in for the test
    C. pt should refrain from wearing a bra for the previous 24 hrs
    D. pt should rub numbing cream on breasts
    B. there are no restrictions for pt before coming in for the test
    (this multiple choice question has been scrambled)
  33. True or False:
    A breast ultrasound can replace a mammogram
    False
  34. Which diagnostic test evaluating for breast cancer requires contrast dye?

    A. Breast biopsy
    B. CT scan
    C. MRI breast exam
    D. Mammorgram
    C. MRI breast exam
    (this multiple choice question has been scrambled)
  35. Which of the following pts whould a breast biopsy be indicated?

    A. pt who comes into ER presenting with sore breasts
    B. pt whose mother was recently diagnosed with breast cancer
    C. pt who came to hospital complaining of dense and lumpy breasts, has family hx of breast cancer, and has had abnormal findings in her mammogram and breast MRI
    D. pt who recently discovered her grandmother had breast cancer as a young adult and was cured
    C. pt who came to hospital complaining of dense and lumpy breasts, has family hx of breast cancer, and has had abnormal findings in her mammogram and breast MRI
    (this multiple choice question has been scrambled)
  36. Mr.Jones is having a renal ultrasound to diagnose kidney problems. Which will Mr.Jones NOT do before his procedure?

    A. receive preprocedure teaching
    B. sign a consent form
    C. maintain NPO diet
    D. withhold voiding
    C. maintain NPO diet
    (this multiple choice question has been scrambled)
  37. How much urine should be collected for a urine cell study?

    A. 5mL
    B. 15mL
    C. 50mL
    D. 10mL
    D. 10mL
    (this multiple choice question has been scrambled)
  38. What are some indications for obtaining an EGD (esophagogastroduodenscopy)? (Select all that apply)

    a. headache
    b. vomiting
    c. gastric pain
    d. blurred vision
    e. nausea
    • b. vomiting
    • c. gastric pain
    • e. nausea
  39. What blood tests are used to test blood clotting? (Select all that apply)

    a. PT (Prothrombin Time)
    b. WBC count
    c. INR (International Normalized Ratio)
    d. PTT (Partial Thromboplastin Time)
    e. MCV (Mean Corpuscular Volume)
    • a. PT (Prothrombin Time)
    • c. INR (International Normalized Ratio)
    • d. PTT (Partial Thromboplastin Time)
  40. Prior to a cerebrovascular test, the pt should refrain from:

    A. activity
    B. caffeine and smoking
    C. eating and drinking
    D. voiding and having a BM
    B. caffeine and smoking
    (this multiple choice question has been scrambled)
  41. What is the most important post test care needed with a Transesophageal Echocardiogram (TEE)?

    A. teach pt that their sore throat is only temporary and will resolve
    B. to not eat or drink for up to 4 hrs after procedure
    C. make sure the pt has designated driver d/t sedation during procedure
    D. make sure pt has a positive gag reflex before eating or drinking
    D. make sure pt has a positive gag reflex before eating or drinking
    (this multiple choice question has been scrambled)
  42. Mr.Garcias wife is concerned about her husbands condition of epilepsy and is confused as to why he is receiving an EEG. What would the nurses most appropriate response be?

    A. to record dysfunctions in conduction of the myocardium
    B. to measure and record electrical pulses of the brain
    C. to determine percent of functional brain tissue
    D. to determine sites of brain injury d/t his seizures
    B. to measure and record electrical pulses of the brain
    (this multiple choice question has been scrambled)
  43. Mr.Garcia is suspected of noncompliance in his drug management of epilepsy. An appropriate test to determine this would be:

    A. drug monitoring
    B. TSH screening
    C. lipoprotein profile
    D. blood, saliva, and breath alcohol content
    A. drug monitoring
    (this multiple choice question has been scrambled)
  44. Lumbar punctures are indicated for all of the following except:

    A. Bleeding in the area around the brain or spinal cord
    B. Infections, such as meningitis
    C. Cushing's syndrome
    D. Multiple sclerosis
    C. Cushing's syndrome
    (this multiple choice question has been scrambled)
  45. Mr.Barrett has just been diagnosed with prostate cancer and has been scheduled to have a positron emission tomography (PET) scan. What would be the indication for this test?

    A. to obtain a tissue sample of the prostate for further analysis
    B. to help with grading, staging, and appropriate course of treatment
    C. evaluate treatment of the prostate cancer
    D. to test for prostate specific antigen
    B. to help with grading, staging, and appropriate course of treatment
    (this multiple choice question has been scrambled)
  46. An elevated PSA level may be caused by: (Select all that apply)

    a. prostate cancer
    b. decresed sexual activity
    c. BPH
    d. long bike rides
    e. decreased fluid intake
    • a. prostate cancer
    • c. BPH
    • d. long bike rides
  47. A patient is scheduled for a bone scan. The nurse explains that this diagnostic test involves:

    A. administration of a radioisotope before procedure
    B. xray beam passes from front to back
    C. contrast media is put into nucleus media
    D. involves injecting radiographic contrast medium into sac around nerve roots
    A. administration of a radioisotope before procedure
    (this multiple choice question has been scrambled)
  48. The nurse recognizes that the pt understands how to properly prepare for the CT scan when the pt expressed that:

    A. "I should not wear metal objects prior to the test."
    B. "It will be important that I get plenty of sleep prior to the test."
    C. "I should eat shortly before the test to prevent nausea from the contrast dye."
    D. "CT tests are considered invasive procedures; I will need someone to pick me up after my visit."
    A. "I should not wear metal objects prior to the test."
    (this multiple choice question has been scrambled)
  49. During thoracentesis, a large bore needle will be inserted through the chest wall while the pt is positioned:

    A. Laying on left side with knees to chest
    B. Sitting upright with feet supported
    C. Standing upright with feet supported
    D. Lying down on stomach with elbows to chest
    B. Sitting upright with feet supported
    (this multiple choice question has been scrambled)
  50. A nurse is educating a pt on how to perform a forced expiratory spirometry test. The nurse instructs the pt to:

    A. Take a normal breath and exhale as hard, fast, and long as possible
    B. Take as deep a breath as possible, then exhale as hard, fast and long as possible
    C. Inhale and exhale three times in a row as fast and hard as possible
    D. Inhale and then exhale at a slow, steady rate
    B. Take as deep a breath as possible, then exhale as hard, fast and long as possible
    (this multiple choice question has been scrambled)
  51. The carcinoembyonic antigen (CEA) test, a test that measures protein in blood of people with some cancers, is used for all of the following except:

    A. find out how wide spread the cancer is
    B. to see if the cancer has returned
    C. to screen for certain types of cancers
    D. to check the success of the treatment
    C. to screen for certain types of cancers
    (this multiple choice question has been scrambled)
  52. Which of the following should be included in the patients post-test education? (Select all that apply)

    a. Description of test
    b. Bed rest for 4 hrs
    c. Take ATBs as directed
    d. There is a risk for injury
    • b. Bed rest for 4 hrs
    • c. Take ATBs as directed
    • d. There is a risk for injury

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