A nurse has just admitted a patient with a medical diagnosis of congestive heart failure. When completing the admission paperwork, the nurse needs to record

A nurse has just admitted a patient with a medical diagnosis of congestive heart failure. When completing the admission paperwork, the nurse needs to record 

A. An interpretation of patient behavior.
B. Objective data that are observed.
C. Lengthy entry using lay terminology.
D. Abbreviations familiar to the nurse.

Answer: B

A patient has a long leg cast applied. Where does the nurse understand a common pressure problem may occur?

A patient has a long leg cast applied. Where does the nurse understand a common pressure problem may occur?

a) Dorsalis pedis
b) Peroneal nerve
c) Popliteal artery
d) Posterior tibialis

Answer: B

Meniscectomy refers to the

Meniscectomy refers to the

a) replacement of one of the articular surfaces of a joint.
b) excision of damaged joint fibrocartilage.
c) incision and diversion of the muscle fascia.
d) removal of a body part.

Answer: B

Of the definitions for surgical procedures to correct joint deformities listed as follows, which describes arthrodesis?

Of the definitions for surgical procedures to correct joint deformities listed as follows, which describes arthrodesis?

a) Fusion of a joint (most often the wrist or knee) for stabilization and pain relief
b) Total reconstruction or replacement of a joint (most often the knee or hip) with an artificial joint to restore function and relieve pain
c) The replacement of one of the articular surfaces in a joint, such as the femoral head but not the acetabulum
d) Cutting and removal of a wedge of bone (most often the tibia or femur) to change the bone's alignment, thereby improving function and relieving pain

Answer: A

A client is having traction applied to a fractured left lower extremity prior to surgery. What outcomes does the nurse expect from the application of the traction for the client? Select all that apply.

A client is having traction applied to a fractured left lower extremity prior to surgery. What outcomes does the nurse expect from the application of the traction for the client? Select all that apply.

a) Surgery will not be required.
b) The bones of the left leg will be aligned.
c) Muscle spasms will be relieved.
d) Less pain medication will be required.
e) Immobilization of the left leg will be maintained.

Answer: C, B & E.

The nurse is assigned to care for a client who has had a total knee arthroplasty yesterday. What type of pharmacologic therapy does the nurse anticipate administering to this client to prevent complications related to the surgery?

The nurse is assigned to care for a client who has had a total knee arthroplasty yesterday. What type of pharmacologic therapy does the nurse anticipate administering to this client to prevent complications related to the surgery?

a) Anticoagulation therapy
b) Antianginal therapy
c) Antineoplastic therapy
d) Antidysrhythmia therapy

Answer: A

A nurse would most likely expect the need for open reduction for a client with which of the following?

A nurse would most likely expect the need for open reduction for a client with which of the following?

a) Little bone separation
b) Soft tissue free of bone ends
c) Joint fracture
d) Closed fracture

Answer: C

A client has a cast applied to the leg for treatment of a tibia fracture and also has a wound on the leg that requires dressing changes due to drainage. For what should the nurse prepare the client?

A client has a cast applied to the leg for treatment of a tibia fracture and also has a wound on the leg that requires dressing changes due to drainage. For what should the nurse prepare the client?

a) Insertion of an external fixator
b) Removal of the cast
c) Cutting of a bivalve cast
d) Cutting a cast window

Answer: D

A patient with a tibia fracture was placed in an external fixator 24 hours ago. The nurse is completing pin care and notices redness at the pin site and a small amount of serous drainage. What action by the nurse is appropriate?

A patient with a tibia fracture was placed in an external fixator 24 hours ago. The nurse is completing pin care and notices redness at the pin site and a small amount of serous drainage. What action by the nurse is appropriate?

a) Notify the physician.
b) Assess patient's hemoglobin and hematocrit.
c) Prepare for surgical removal of the fixator.
d) Document the findings.

Answer: D

A patient with a fractured ankle is having a fiberglass cast applied. The patient starts yelling, "My leg is burning, take it off." What action by the nurse is most appropriate?

A patient with a fractured ankle is having a fiberglass cast applied. The patient starts yelling, "My leg is burning, take it off." What action by the nurse is most appropriate?

a) Remove the cast immediately, notifying the physician.
b) Explain that the sensation being felt is normal and will not cause burns to the patient.
c) Call for assistance to hold the patient is the required position until the cast has dried.
d) Administer antianxiety and pain medication.

Answer: B

A 34-year-old client fractured his distal left radius while weight lifting. He returns to the emergency department, reporting discomfort at the cast site, with pain specifically in his upper forearm. What would you expect the physician to do?

A 34-year-old client fractured his distal left radius while weight lifting. He returns to the emergency department, reporting discomfort at the cast site, with pain specifically in his upper forearm. What would you expect the physician to do?

a) Cut a cast window.
b) Initiate physical therapy.
c) Remove the cast.
d) Apply a fiberglass cast.

Answer: A

A patient with an arm cast complains of pain. What nursing interventions should the nurse provide in order to reduce the incidence of complications? (Select all that apply.)

A patient with an arm cast complains of pain. What nursing interventions should the nurse provide in order to reduce the incidence of complications? (Select all that apply.)

a) Cut the cast with a cast saw
b) Assess for a pressure sore
c) Administer a prescribed analgesic to promote comfort and allay anxiety.
d) Determine the exact site of the pain.
e) Assess the fingers for color and temperature.

Answer: E, B & D.

Which of the following nursing actions would help prevent deep vein thrombosis in a patient who has had an orthopedic surgery?

Which of the following nursing actions would help prevent deep vein thrombosis in a patient who has had an orthopedic surgery?

a) Apply cold packs
b) Instruct about exercise, as prescribed
c) Apply antiembolism stockings
d) Instruct about using patient-controlled analgesia, if prescribed

Answer: C

Which instruction should the nurse include when teaching the client following hip replacement surgery? (Select all that apply.)

Which instruction should the nurse include when teaching the client following hip replacement surgery? (Select all that apply.)

a) "Avoid bending forward when sitting in a chair."
b) "Use a raised toilet seat and high-seated chair."
c) "You may cross your legs at the ankles only."
d) "Place pillows between your legs when you lay on your side."
e) "It is okay to briefly flex the hip to put on your clothes."

Answer: D, A & B.

Which term describes a surgical procedure to release constricting muscle fascia so as to relieve muscle tissue pressure?

Which term describes a surgical procedure to release constricting muscle fascia so as to relieve muscle tissue pressure?

a) Osteotomy
b) Arthroplasty
c) Arthrodesis
d) Fasciotomy

Answer: D

Which would be consistent as a component of self-care activities for the patient with a cast?

Which would be consistent as a component of self-care activities for the patient with a cast?

a) Cushioning rough edges of the cast with tape
b) Use plastic hanger wrapped in gauze to scratch under the cast.
c) Place the casted extremity in a dependent position frequently
d) Cover the cast with plastic to insulate it

Answer: A

The nurse is caring for a client with a spica cast. A priority nursing intervention is to:

The nurse is caring for a client with a spica cast. A priority nursing intervention is to:

a) Keep the legs in abduction.
b) Keep the cast clean and dry.
c) Promote elimination with a regular bedpan.
d) Position the client on the affected side.

Answer: B

A client is having a cast applied for a fractured leg that extends from below the knee to the base of the toes. The foot is flexed at a right angle in a neutral position. What type of cast is the client having applied?

A client is having a cast applied for a fractured leg that extends from below the knee to the base of the toes. The foot is flexed at a right angle in a neutral position. What type of cast is the client having applied?

a) Long leg cast
b) Hip spica cast
c) Short leg cast
d) Walking cast

Answer: C

After a traumatic back injury, a client requires skeletal traction. Which intervention takes priority?

After a traumatic back injury, a client requires skeletal traction. Which intervention takes priority?

a) Monitoring the client for skin breakdown
b) Supporting the traction weights with a chair or table to prevent accidental slippage
c) Restricting the client's fluid and fiber intake to reduce the movement required for bedpan use
d) Maintaining traction continuously to ensure its effectiveness

Answer: D

A group of students are reviewing information about cast composition in preparation for a discussion on the advantages and disadvantages of each. The students demonstrate understanding of the topic when they cite which of the following as an advantage of a plaster cast?

A group of students are reviewing information about cast composition in preparation for a discussion on the advantages and disadvantages of each. The students demonstrate understanding of the topic when they cite which of the following as an advantage of a plaster cast?

a) Longer-lasting
b) More breathable
c) Quicker drying
d) Better molding to the client

Answer: D

The nurse is caring for a client who sustained rib fractures in an automobile accident. What symptoms does the nurse recognize as a complication of rib fractures and should immediately be reported to the physician?

The nurse is caring for a client who sustained rib fractures in an automobile accident. What symptoms does the nurse recognize as a complication of rib fractures and should immediately be reported to the physician?

a) Heart rate of 94 beats/minute
b) Crackles in the lung bases
c) Blood pressure of 140/90 mm Hg
d) Client complains of pain in the affected rib area when taking a deep breath

Answer: B

When discussing physical activities with the client who has just undergone a right total hip replacement, which instruction should the nurse provide?

When discussing physical activities with the client who has just undergone a right total hip replacement, which instruction should the nurse provide?

a) "Intermittently cross and uncross your legs several times each day."
b) "Avoid weight bearing until the hip is completely healed."
c) "Limit hip flexion to 90 degrees."
d) "Perform rotation exercises each day."

Answer: C

The nurse is caring for a patient with a total hip replacement. How should the nurse allow the patient to turn?

The nurse is caring for a patient with a total hip replacement. How should the nurse allow the patient to turn?

a) From the prone to the supine position only, and the patient must keep the affected hip extended and abducted
b) 45 degrees onto the unoperated side if the affected hip is kept abducted
c) To any comfortable position as long as the affected leg is extended
d) To the operative side if the affected hip remains extended

Answer: B

Which type of cast encloses the trunk and a lower extremity?

Which type of cast encloses the trunk and a lower extremity?

a) Short-leg
b) Body cast
c) Hip spica
d) Long-leg

Answer: C

A patient in the emergency department is being treated for a wrist fracture. The patient asks why a splint is being applied instead of a cast. What is the best response by the nurse?

A patient in the emergency department is being treated for a wrist fracture. The patient asks why a splint is being applied instead of a cast. What is the best response by the nurse?

a) "It is best if an orthopedic doctor applies the cast."
b) "Not all fractures require a cast."
c) "You would have to stay here much longer because it takes a cast longer to dry."
d) "A splint is applied when more swelling is expected at the site of injury."

Answer: D

To reduce the incidence of complications in a client in traction, which intervention should be included in the care plan?

To reduce the incidence of complications in a client in traction, which intervention should be included in the care plan?

a) Increase fiber intake.
b) Increase calorie intake.
c) Reduce fluid intake.
d) Remove the weights during linen changes.

Answer: A

Which statement by a staff nurse on the orthopedic floor indicates the need for further staff education?

Which statement by a staff nurse on the orthopedic floor indicates the need for further staff education?

a) "Monitoring skin integrity is important while the continuous passive motion device is in place."
b) "The continuous passive motion device can decrease the development of adhesions."
c) "The client is receiving physical therapy twice per day, so he doesn't need a continuous passive motion device."
d) "Bleeding is a complication associated with the continuous passive motion device."

Answer: C

A patient is placed in traction for a femur fracture. The nurse would document what as the expected outcomes of traction? Select all that apply.

A patient is placed in traction for a femur fracture. The nurse would document what as the expected outcomes of traction? Select all that apply.

a) Full range of motion to extremity
b) Reduction of deformity
c) Minimization of muscle spasms
d) Realignment of a fracture
e) Increased ability to bear weight
f) Decreased pedal pulse

Answer: B, C & D.

Which of the following definitions describes the hip spica cast?

Which of the following definitions describes the hip spica cast?

a) Encloses the trunk and a lower extremity
b) A short or long leg cast reinforced for strength
c) Encircles the trunk
d) Extends from the junction of the upper and middle third of the thigh to the base of the toes. The knee may be slightly flexed.

Answer: A

The nurse is caring for a client who has had a fracture reduction using a cast. Which of the following would be most important for the nurse to assess?

The nurse is caring for a client who has had a fracture reduction using a cast. Which of the following would be most important for the nurse to assess?

a) Neurovascular status
b) Sleep status
c) Cardiac status
d) Renal function

Answer: A

Which of the following would be an inconsistent initial pain relief measure for the patient with a cast?

Which of the following would be an inconsistent initial pain relief measure for the patient with a cast?

a) Application of cold packs
b) Application of a new cast
c) Administration of analgesics
d) Elevation of the involved part

Answer: B

A patient had a total left hip arthroplasty. What clinical manifestation would indicate to the nurse that the prosthesis is dislocated?

A patient had a total left hip arthroplasty. What clinical manifestation would indicate to the nurse that the prosthesis is dislocated?

a) Diminished peripheral pulses on the affected extremity
b) The leg length is the same as the right leg.
c) The left leg is internally rotated.
d) The patient has discomfort when moving in the bed.

Answer: C

The nurse suspects "compartment syndrome" for a casted extremity. What characteristic symptoms would the nurse assess that would confirm these suspicions? (Select all that apply.)

The nurse suspects "compartment syndrome" for a casted extremity. What characteristic symptoms would the nurse assess that would confirm these suspicions? (Select all that apply.)

a) Excruciating pain
b) Capillary refill less than 3 seconds
c) Decreased sensory function
d) Loss of motion
e) 2+ peripheral pulses in the affected distal pulse

Answer: A, C & D.

Which action would be most important postoperatively for a client who has had a knee or hip replacement?

Which action would be most important postoperatively for a client who has had a knee or hip replacement?

a) Encouraging expressions of anxiety.
b) Assisting in early ambulation.
c) Using a continuous passive motion (CPM) machine.
d) Providing crutches to the client.

Answer: B

The nurse is caring for a patient who had a total hip replacement. What lethal postoperative complication should the nurse closely monitor for?

The nurse is caring for a patient who had a total hip replacement. What lethal postoperative complication should the nurse closely monitor for?

a) Hypovolemia
b) Atelectasis
c) Pulmonary embolism
d) Urinary tract infection

Answer: C

Which of the following devices is designed specifically to support and immobilize a body part in a desired position?

Which of the following devices is designed specifically to support and immobilize a body part in a desired position?

a) Trapeze
b) Splint
c) Continuous passive motion (CPM) device
d) Brace

Answer: B

A patient is being discharged home with a long arm cast. What education should the nurse include to prevent disuse syndrome in the arm?

A patient is being discharged home with a long arm cast. What education should the nurse include to prevent disuse syndrome in the arm?

a) Proper use of a sling
b) Abduction and adduction of the shoulder
c) Use of isometric exercises
d) Repositioning the arm in the cast

Answer: C

A client's left leg is in skeletal traction with a Thomas leg splint and Pearson attachment. Which intervention should the nurse include in this client's care plan?

A client's left leg is in skeletal traction with a Thomas leg splint and Pearson attachment. Which intervention should the nurse include in this client's care plan?

a) Apply the traction straps snugly.
b) Teach the client how to prevent problems caused by immobility.
c) Assess the client's level of consciousness.

Answer: B

Which intervention should the nurse implement with the client who has undergone a hip replacement?

Which intervention should the nurse implement with the client who has undergone a hip replacement?

a) Place the client in high Fowler's position for meals.
b) Instruct the client to avoid internal rotation of the leg.
c) Have the client bend forward to rise from the chair.
d) Adduct the legs by placing a pillow between the legs.

Answer: B

Which of the following statements describes external fixation?

Which of the following statements describes external fixation?

a) The bone is surgically exposed and realigned.
b) The surgeon secures the bone with metal screws, plates, rods, nails, or pins. A cast or other mode of immobilization is applied.
c) The surgeon inserts metal pins into the bone or bones from outside the skin surface and then attaches a compression device to the pins.
d) The bone is restored to its normal position by external manipulation.

Answer: C

The client who had a total hip replacement was discharged home and developed acute groin pain in the affected leg, shortening of the leg, and limited movement of the fractured leg. The nurse interprets these findings as indicating which of the following complications?

The client who had a total hip replacement was discharged home and developed acute groin pain in the affected leg, shortening of the leg, and limited movement of the fractured leg. The nurse interprets these findings as indicating which of the following complications? 

a) Dislocation of the hip
b) Avascular necrosis of the hip
c) Re-fracture of the hip
d) Contracture of the hip

Answer: A

Which action by the nurse would be inappropriate for the client following casting?

Which action by the nurse would be inappropriate for the client following casting?

a) Circulate room air with a portable fan.
b) Petal and smooth the edges of the cast.
c) Protect the cast by covering with a sheet.
d) Handle the cast with the palms of hands.

Answer: C

A nurse is caring for a client placed in traction to treat a fractured femur. Which nursing intervention has the highest priority?

A nurse is caring for a client placed in traction to treat a fractured femur. Which nursing intervention has the highest priority?

a) Ensuring that the weights hang free at all times
b) Keeping the client from sliding to the foot of the bed
c) Keeping the ropes over the center of the pulley
d) Assessing the extremity for neurovascular integrity

Answer: D

A client has severe osteoarthritis in the left hip and is having surgery to replace both articular surfaces of the hip. What type of surgical procedure will the nurse prepare the client for?

A client has severe osteoarthritis in the left hip and is having surgery to replace both articular surfaces of the hip. What type of surgical procedure will the nurse prepare the client for?

a) Arthrodesis
b) Hemiarthroplasty
c) Total arthroplasty
d) Osteotomy

Answer: C

A client has a cast that extends from below the elbow to the palmar crease and is secured around the base of the thumb. The thumb is also casted. The nurse identifies this as which type of cast?

A client has a cast that extends from below the elbow to the palmar crease and is secured around the base of the thumb. The thumb is also casted. The nurse identifies this as which type of cast?

a) Body cast
b) Gauntlet cast
c) Short arm cast
d) Spica cast

Answer: B

A patient in pelvic traction needs circulatory status assessed. How should the nurse assess for a positive Homans' sign?

A patient in pelvic traction needs circulatory status assessed. How should the nurse assess for a positive Homans' sign?

a) Have the patient squeeze the nurse's hands with his or her hands to evaluate any difference in strength.
b) Have the patient extend each leg and dorsiflex each foot to determine if pain or tenderness is present in the lower leg.
c) Have the patient extend both hands while the nurse compares the volume of both radial pulses.
d) Have the patient plantar flex both feet while the nurse performs the blanch test on all of the patient's toes.

Answer: B

A client's fracture was reduced by surgically exposing the bone and realigning it. The nurse identifies this as which of the following?

A client's fracture was reduced by surgically exposing the bone and realigning it. The nurse identifies this as which of the following?

a) Internal fixation
b) Open reduction
c) Buck's traction
d) Skeletal traction

Answer: B

All of the following are guidelines for avoiding hip dislocation after replacement surgery. Select the answer that is not.

All of the following are guidelines for avoiding hip dislocation after replacement surgery. Select the answer that is not.

a) Put a pillow between the legs when sleeping.
b) Keep the knees apart at all times.
c) You may flex at the hip to put on clothing such as pants, stockings, socks, or shoes.
d) Never cross the legs when seated.

Answer: C

The client returns to the nursing unit following an open reduction with internal fixation of the right hip. Nursing assessment findings include temperature 100.8 degrees Fahrenheit, heart rate 112 beats per minute, respiratory rate 28 breaths per minute, and blood pressure 86/58. There is no urine in the Foley catheter collection bag. The nurse interprets these findings as indicating which of the following complications?

The client returns to the nursing unit following an open reduction with internal fixation of the right hip. Nursing assessment findings include temperature 100.8 degrees Fahrenheit, heart rate 112 beats per minute, respiratory rate 28 breaths per minute, and blood pressure 86/58. There is no urine in the Foley catheter collection bag. The nurse interprets these findings as indicating which of the following complications? 

a) Osteomyelitis
b) Atelectasis
c) Urinary retention
d) Hypovolemic shock

Answer: D

The nurse is very concerned about the potential debilitating complication of peroneal nerve injury. What symptom does the nurse recognize as a result of that complication?

The nurse is very concerned about the potential debilitating complication of peroneal nerve injury. What symptom does the nurse recognize as a result of that complication?

a) Permanent paresthesias
b) Footdrop
c) Deep vein thrombosis (DVT)
d) Infection

Answer: B

A patient diagnosed with a right ulnar fracture asks why the cast needs to go all the way up the arm. What is the best response by the nurse?

A patient diagnosed with a right ulnar fracture asks why the cast needs to go all the way up the arm. What is the best response by the nurse?

a) "When a spica cast is ordered, the arm must be immobilized."
b) "This will allow for the strength in the arm to remain consistent."
c) "The method will allow for the fastest healing time and the greatest mobility."
d) "The joint above the fracture and below the fracture must be immobilized."

Answer: D

A client who is undergoing skeletal traction complains of pressure on bony areas. Which action would be most appropriate to provide comfort for the client?

A client who is undergoing skeletal traction complains of pressure on bony areas. Which action would be most appropriate to provide comfort for the client?

a) Changing the client's position within prescribed limits.
b) Assisting with range-of-motion and isometric exercises.
c) Applying warm compresses.
d) Administering prescribed analgesics.

Answer: A

Which of the following would the nurse expect a physician to use on a short-term basis for a client with an injured body part that does not require rigid immobilization?

Which of the following would the nurse expect a physician to use on a short-term basis for a client with an injured body part that does not require rigid immobilization?

a) Cast
b) Brace
c) Splint
d) Skin traction

Answer: C

A client is about to have a cast applied to his left arm. The nurse would alert the client to which of the following as the cast is applied?

A client is about to have a cast applied to his left arm. The nurse would alert the client to which of the following as the cast is applied?

a) Sensation of warmth or heat with application
b) Sensation of weakness
c) Arm being moved to various positions
d) Increased in pain in left arm

Answer: A

A variety of complications can occur after a leg amputation. All of the following are possibilities in the immediate postoperative period, except?

A variety of complications can occur after a leg amputation. All of the following are possibilities in the immediate postoperative period, except?

a) Osteomyelitis
b) Hematoma
c) Hemorrhage
d) Infection

Answer: A

The client displays manifestations of compartment syndrome. The nurse expects the client to be scheduled for:

The client displays manifestations of compartment syndrome. The nurse expects the client to be scheduled for:

a) A total hip replacement
b) A total knee replacement
c) An open reduction
d) A fasciotomy

Answer: D

A patient arrives in the emergency department with a suspected bone fracture of the right arm. How does the nurse expect the patient to describe the pain?

A patient arrives in the emergency department with a suspected bone fracture of the right arm. How does the nurse expect the patient to describe the pain?

a) Similar to "muscle cramps"
b) A dull, deep, boring ache
c) Sore and aching
d) Sharp and piercing

Answer: D

A client has just undergone a leg amputation. The nurse would closely monitor the client for which of the following during the immediate postoperative period?

A client has just undergone a leg amputation. The nurse would closely monitor the client for which of the following during the immediate postoperative period?

a) Chronic osteomyelitis
b) Neuroma
c) Unexplainable burning pain (causalgia)
d) Hematoma

Answer: D

A patient had a total hip replacement. What recommended leg position should the nurse ensure is maintained to prevent prosthesis dislocation?

A patient had a total hip replacement. What recommended leg position should the nurse ensure is maintained to prevent prosthesis dislocation?

a) Abduction
b) Adduction
c) Internal rotation
d) Flexion

Answer: A

The nurse is preparing a client for a hip replacement with the use of porous-coated cementless joint components. What does the nurse know is the benefit of this type of component?

The nurse is preparing a client for a hip replacement with the use of porous-coated cementless joint components. What does the nurse know is the benefit of this type of component?

a) The component is less expensive because there is no cement used.
b) It prevents the client from developing infection related to the application of cement in the joint spaces.
c) The client will not reject the prosthesis because there is no cement on the prosthetics.
d) It allows the bone to grow into the prosthesis and securely fix the joint replacement in place.

Answer: D

A client has a Fiberglas cast on the right arm. Which action should the nurse include in the care plan?

A client has a Fiberglas cast on the right arm. Which action should the nurse include in the care plan?

a) Evaluating pedal and posterior tibial pulses every 2 hours
b) Avoiding handling the cast for 24 hours or until it is dry
c) Assessing movement and sensation in the fingers of the right hand
d) Keeping the casted arm warm by covering it with a light blanket

Answer: C

The nurse assesses a patient after total right hip arthroplasty and observes a shortening of the extremity, and the patient complains of severe pain in the right side of the groin. What is the priority action of the nurse?

The nurse assesses a patient after total right hip arthroplasty and observes a shortening of the extremity, and the patient complains of severe pain in the right side of the groin. What is the priority action of the nurse?

a) Apply Buck's traction.
b) Notify the physician.
c) Externally rotate the extremity.
d) Bend the knee and rotate the knee internally.

Answer: B

The nurse is assigned to care for a client who has had an open reduction and internal fixation of a fractured right femur 2 days ago. The nurse is listening to the client's lungs and, when moving the gown, observes petechial hemorrhages on the skin of the chest. What is the first action by the nurse?

The nurse is assigned to care for a client who has had an open reduction and internal fixation of a fractured right femur 2 days ago. The nurse is listening to the client's lungs and, when moving the gown, observes petechial hemorrhages on the skin of the chest. What is the first action by the nurse?

a) Call the physician to inform them of the findings.
b) Increase the intravenous fluids for hemorrhage.
c) Request an antihistamine for the allergic reaction.
d) Administer pain medication.

Answer: A

The nurse teaches the patient which of the following interventions in order to avoid hip dislocation after replacement surgery?

The nurse teaches the patient which of the following interventions in order to avoid hip dislocation after replacement surgery?

a) Bend forward only when seated in a chair.
b) Never cross the affected leg when seated.
c) Keep the knees together at all times.
d) Avoid placing a pillow between the legs when sleeping.

Answer: B

A client has a plaster cast applied to the left leg. Which of the following comments by the client following the procedure should the nurse address first?

A client has a plaster cast applied to the left leg. Which of the following comments by the client following the procedure should the nurse address first?

a) "My toes are stiff."
b) "My pain is a 3."
c) "My toes are pink."
d) "My cast is still wet."

Answer: A

A nurse is caring for a client with a cast on his left arm after sustaining a fracture. Which assessment finding is most significant for this client?

A nurse is caring for a client with a cast on his left arm after sustaining a fracture. Which assessment finding is most significant for this client?

a) Minimal pain in the left arm
b) Cast edges are rough, with skin irritation present
c) Fingers on the left hand are swollen and cool
d) Presence of a normal popliteal pulse

Answer: C

Which of the following nursing actions would help prevent deep vein thrombosis in a patient who has had an orthopedic surgery?

Which of the following nursing actions would help prevent deep vein thrombosis in a patient who has had an orthopedic surgery?

a) Applying antiembolism stockings
b) Applying cold packs
c) Instructing about exercise, as prescribed
d) Instructing about using patient-controlled analgesia, if prescribed

Answer: A

A client has undergone an external fixation. Which actions would be the priority for this client?

A client has undergone an external fixation. Which actions would be the priority for this client?

a) Monitoring the client's blood pressure.
b) Monitoring the client's urine output.
c) Planning the client's diet.
d) Maintaining pin care.

Answer: D

The nurse is checking the traction apparatus for a client in skin traction. Which finding would require the nurse to intervene?

The nurse is checking the traction apparatus for a client in skin traction. Which finding would require the nurse to intervene?

a) Pulleys without evidence of the obstruction
b) Body aligned opposite to line of traction pull
c) Ropes freely moving over pulleys
d) Weights hanging and touching the floor

Answer: D

A client is brought to the emergency department by a softball team member who states the client and another player ran into each other, and the client is having severe pain in the right shoulder. What symptoms of a fractured clavicle does the nurse recognize?

A client is brought to the emergency department by a softball team member who states the client and another player ran into each other, and the client is having severe pain in the right shoulder. What symptoms of a fractured clavicle does the nurse recognize?

a) Right shoulder slopes downward and droops inward.
b) Client complains of pain in the unaffected shoulder.
c) Right shoulder is elevated above the left.
d) Client complains of tingling and numbness in the right shoulder.

Answer: A

The client returns to the nursing unit following an open reduction with internal fixation of the right hip. Which intervention would be inappropriate for the prophylactic treatment of deep vein thrombosis?

The client returns to the nursing unit following an open reduction with internal fixation of the right hip. Which intervention would be inappropriate for the prophylactic treatment of deep vein thrombosis?

a) antiembolic stockings
b) increased fiber intake
c) enoxaparin (Lovenox)
d) increased fluid intake

Answer: B

A client is in Buck's traction after fracturing his right hip. The nurse should include which action in the care plan?

A client is in Buck's traction after fracturing his right hip. The nurse should include which action in the care plan?

a) Keeping the client in semi-Fowler's position
b) Maintaining correct body alignment
c) Maintaining the bed in the knee-Gatch position
d) Removing the weights once every shift

Answer: B

The nurse is providing instructions to the client who is being prepared for skeletal traction. Which statement by the client indicates teaching was effective?

The nurse is providing instructions to the client who is being prepared for skeletal traction. Which statement by the client indicates teaching was effective?

a) "A belt will go around my pelvis and weights will be attached."
b) "I will wear a boot with weights attached."
c) "Metal pins will go through my skin to the bone."
d) "The traction can be removed once a day so I can shower."

Answer: C

A 68-year-old female client who had a total hip replacement is to be discharged because her healing is almost complete. Which of the following would be most important for this client?

A 68-year-old female client who had a total hip replacement is to be discharged because her healing is almost complete. Which of the following would be most important for this client?

a) Exploring factors related to the client's home environment
b) Educating the client about the effects of menopause
c) Urging her to keep the affected limb in an elevated position
d) Advising the client to avoid red meat

Answer: A

A nurse is caring for a client who recently underwent a total hip replacement. The nurse should:

A nurse is caring for a client who recently underwent a total hip replacement. The nurse should:

a) ease the client onto a low toilet seat.
b) limit hip flexion of the client's hip when he sits.
c) use soft chairs when the client is sitting out of bed.
d) allow the client's legs to be crossed at the knees when out of bed.

Answer: B

Which nursing assessment finding indicates the client with traction has not met expected outcomes?

Which nursing assessment finding indicates the client with traction has not met expected outcomes?

a) Capillary refill < 3 seconds
b) Peripheral pulses +2 bilaterally
c) Repositions self with trapeze
d) Right calf warm and swollen

Answer: D

The nurse is taking care of a client who underwent a leg amputation. What teachings should the nurse offer such a client to prevent abduction deformity? Choose all correct options.

The nurse is taking care of a client who underwent a leg amputation. What teachings should the nurse offer such a client to prevent abduction deformity? Choose all correct options.

a) Advise the client to place pillows between the legs.
b) Advise the client to use a trochanter roll.
c) Advise the client who is lying on the stomach to adduct the stump so it presses against the other leg.
d) Advise the client to use antiembolism stockings on both legs.
b) Advise the client to use a trochanter roll.

Answer: C

Which of the following is a benefit of a continuous passive motion (CPM) device when applied after knee surgery?

Which of the following is a benefit of a continuous passive motion (CPM) device when applied after knee surgery?

a) It prevents infection and controls edema and bleeding.
b) It promotes healing by immobilizing the knee joint.
c) It promotes healing by increasing circulation and movement of the knee joint.
d) It provides active range of motion.

Answer: C

Which nursing assessment finding would be indicative of compartment syndrome in the client with a cast applied to the left forearm 3 hours earlier?

Which nursing assessment finding would be indicative of compartment syndrome in the client with a cast applied to the left forearm 3 hours earlier? 

a) Absence of numbness and tingling
b) Capillary refill of left fingers greater than 3 seconds
c) Radial pulses palpable and +2 bilaterally
d) Fingers pink and warm and move freely

Answer: B

A nurse is giving instructions to a client who's going home with a cast on his leg. Which teaching point is most critical?

A nurse is giving instructions to a client who's going home with a cast on his leg. Which teaching point is most critical?

a) Reporting signs of impaired circulation
b) Exercising joints above and below the cast, as ordered
c) Using crutches properly
d) Avoiding walking on a leg cast without the physician's permission

Answer: A

A client is seen in the orthopedic clinic for complaints of severe pain in the left hip. After a series of diagnostic tests, the client is diagnosed with severe degenerative joint disease of the left hip and suggested to have the hip reconstructed. What procedure will the nurse schedule the client for?

A client is seen in the orthopedic clinic for complaints of severe pain in the left hip. After a series of diagnostic tests, the client is diagnosed with severe degenerative joint disease of the left hip and suggested to have the hip reconstructed. What procedure will the nurse schedule the client for?

a) Left hip arthroplasty
b) Open reduction and internal fixation of the left hip.
c) Closed reduction of the left hip.
d) Left hip arthroscopy

Answer: A

The client with a newly applied cast complains of severe unrelenting pain. Which of the following nursing actions should the nurse do next?

The client with a newly applied cast complains of severe unrelenting pain. Which of the following nursing actions should the nurse do next?

a) Make the client NPO and notify the physician.
b) Loosen the edges of the cast and elevate the leg.
c) Reposition the extremity for comfort and apply ice.
d) Administer a dose of morphine sulfate.

Answer: A

Following a total knee replacement, the surgeon orders a continuous passive motion (CPM) device. The client asks about the purpose of this treatment. The best response by the nurse is:

Following a total knee replacement, the surgeon orders a continuous passive motion (CPM) device. The client asks about the purpose of this treatment. The best response by the nurse is:

a) "CPM delivers analgesic agents directly into the joint."
b) "CPM strengthens the muscles of the leg."
c) "CPM increases range of motion of the joint."
d) "CPM prevents injury by limiting flexion of the knee."

Answer: C

A patient with a long arm cast continues to complain of unrelieved throbbing pain even after receiving opioid pain medication. Which of the following is the priority action by the nurse?

A patient with a long arm cast continues to complain of unrelieved throbbing pain even after receiving opioid pain medication. Which of the following is the priority action by the nurse?

a) Assess for complications.
b) Teach relaxation techniques.
c) Reposition the patient for comfort.
d) Assess for previous opioid drug use.

Answer: A

The nurse is preparing a client to have his cast cut off after having it for 6 weeks to treat a fracture tibia. What should the nurse inform the client prior to the cast being removed?

The nurse is preparing a client to have his cast cut off after having it for 6 weeks to treat a fracture tibia. What should the nurse inform the client prior to the cast being removed?

a) The leg will look as it did prior to the cast being applied.
b) The leg strength is enforced by the wearing of the cast.
c) The leg will look moist and will have small bumps that will go away in a few days.
d) The skin may be covered with a yellowish crust that will shed in a few days.

Answer: D

Which of the following principles apply to the patient in traction?

Which of the following principles apply to the patient in traction?

a) Skeletal traction is never interrupted
b) Weights are removed routinely
c) Weights should rest on the bed
d) Knots in the ropes should touch the pulley

Answer: A

Which of the following would be inconsistent as a component of self-care activities for the patient with a cast?

Which of the following would be inconsistent as a component of self-care activities for the patient with a cast?

a) Cushioning rough edges of the cast with tape
b) Elevate the casted extremity to heart level frequently
c) Do not attempt to scratch the skin under a cast
d) Cover the cast with plastic to insulate it

Answer: D

Mr. Williams returned to the nursing unit following orthopedic surgery and is complaining of pain. Which of the following interventions will help relieve pain?

Mr. Williams returned to the nursing unit following orthopedic surgery and is complaining of pain. Which of the following interventions will help relieve pain?

a) Encourage client to do ROM exercises as indicated.
b) Elevate the affected extremity and use cold applications.
c) Apply antiembolism stockings as indicated.
d) Instruct client to deep breathe and cough every 2 hours until he can ambulate.

Answer: B

A client is seen in the emergency department for an injury acquired from falling off of a bicycle and fracturing the arm. The client also has a long laceration that has been sutured in the same area. The client asks the nurse why a splint is applied and not a cast. What is the best explanation by the nurse?

A client is seen in the emergency department for an injury acquired from falling off of a bicycle and fracturing the arm. The client also has a long laceration that has been sutured in the same area. The client asks the nurse why a splint is applied and not a cast. What is the best explanation by the nurse?

a) "We will need to monitor the status of the laceration to be sure it does not get infected."
b) "You will be able to wear the splint longer than you would a cast."
c) "The splint is less expensive than the cast."
d) "The arm does not require the same immobilization that a leg fracture would."

Answer: A

A 12-year-old client fractured her right leg while skiing and is undergoing an open reduction of the femur fracture. She returns to the orthopedic unit where you practice nursing with a cast in place. What is the rationale for frequently assessing her pedal pulses?

A 12-year-old client fractured her right leg while skiing and is undergoing an open reduction of the femur fracture. She returns to the orthopedic unit where you practice nursing with a cast in place. What is the rationale for frequently assessing her pedal pulses?

a) Maintaining adequate circulation
b) Ensuring there wasn't nerve damage during surgery
c) Making sure surgery was successful
d) Typical postoperative nursing management

Answer: A

A group of students is studying for a test on traction. The students demonstrate understanding of the types of traction when they identify which of the following as an example of skin traction?

A group of students is studying for a test on traction. The students demonstrate understanding of the types of traction when they identify which of the following as an example of skin traction?

a) Thomas splint
b) Balanced suspension
c) Crutchfield tongs
d) Buck's

Answer: D

A client's cast is removed. The client is worried because the skin appears mottled and is covered with a yellowish crust. What advice should the nurse give the client to address the skin problem?

A client's cast is removed. The client is worried because the skin appears mottled and is covered with a yellowish crust. What advice should the nurse give the client to address the skin problem?

a) Apply lotions and take warm baths or soaks.
b) Scrub the area vigorously to remove the crust.
c) Consult a skin specialist.
d) Avoid exposure to direct sunlight.

Answer: A

Which of the following is an inaccurate principle of traction?

Which of the following is an inaccurate principle of traction?

a) The weights are not removed unless intermittent treatment is prescribed.
b) The patient must be in good alignment in the center of the bed.
c) Skeletal traction is interrupted to turn and reposition the patient.
d) The weights must hang freely.

Answer: C

The nurse is caring for a client who lives alone and had a total knee replacement. An appropriate nursing diagnosis for the client is:

The nurse is caring for a client who lives alone and had a total knee replacement. An appropriate nursing diagnosis for the client is:

a) Risk for ineffective therapeutic regimen management
b) Risk for avascular necrosis of the joint
c) Disturbed body image
d) Situational low self-esteem

Answer: A

Upon reporting to work and receiving report, a nurse has been assigned to provide care for three clients. Each of the clients has called out to the nurses' station requesting assistance. Which client should the nurse see first?

Upon reporting to work and receiving report, a nurse has been assigned to provide care for three clients. Each of the clients has called out to the nurses' station requesting assistance. Which client should the nurse see first?

a) A 60-year-old female, who is in traction to manage chronic muscle spasms, who is requesting assistance to order her evening meal
b) A 32-year-old male, who had a plaster cast applied to his leg 2 hours ago, who complains that the cast feels as if it's getting tighter
c) The order doesn't matter; all clients are of equal priority
d) A 56-year-old male, who had an arthroscopy of his left knee 3 hours ago, who is asking to be discharged

Answer: B

Which of the following statements is accurate regarding care of a plaster cast?

Which of the following statements is accurate regarding care of a plaster cast?

a) The cast must be covered with a blanket to keep it moist during the first 24 hours.
b) The cast will dry in about 12 hours.
c) A dry plaster cast is dull and gray.
d) The cast can be dented while it is damp.

Answer: D

A site that was a traditional location for intramuscular (IM) injections in the past is no longer recommended because its use carries the risk of striking the underlying sciatic nerve or major blood vessel. What is the name of this site?

A site that was a traditional location for intramuscular (IM) injections in the past is no longer recommended because its use carries the risk of striking the underlying sciatic nerve or major blood vessel. What is the name of this site?

A. Plexor
B. Dorsogluteal
C. Ventrogluteal
D. Vastus lateralis

Answer: B

The client is a 40-year-old man who weighs 160 lb and is 5 feet 9 inches tall. The order is for 5 ml of a medication to be given as a deep intramuscular (IM) injection. What size of syringe and gauge and length of needle should the nurse use for best practice?

The client is a 40-year-old man who weighs 160 lb and is 5 feet 9 inches tall. The order is for 5 ml of a medication to be given as a deep intramuscular (IM) injection. What size of syringe and gauge and length of needle should the nurse use for best practice?

A. One 5-ml syringe, 20- to 23-gauge 1-inch needle
B. Two 2-ml syringes, 25-gauge 1-inch needle
C. Two 3-ml syringes, 23-gauge, ½-inch needle
D. Two 3-ml syringes, 20- to 23-gauge, 1½-inch needle

Answer: D

While the nurse is administering medication, the client says, "This pill looks different from what I usually take." What is the nurse's best action?

While the nurse is administering medication, the client says, "This pill looks different from what I usually take." What is the nurse's best action?

A. Go recheck the medication order, taking along the medication.
B. Ignore the statement because the client has a history of confusion.
C. Leave the medication at the bedside and go recheck the order.
D. Tell the client that pill manufacturers often change the color of pills.

Answer: A

What is the best nursing practice for administering a controlled substance if part of the medication must be discarded?

What is the best nursing practice for administering a controlled substance if part of the medication must be discarded?

A. The nurse documents on the medication administration record.
B. The nurse discards the unused portion and documents on the control inventory form.
C. The nurse does not discard any controlled substance to prevent environmental contamination.

D. The nurse documents on the medication administration record and the control inventory form, and has a second nurse witness the medication being discarded.

The nurse is administering an intramuscular (IM) injection. The Z-track method is recommended for IM injections because:

The nurse is administering an intramuscular (IM) injection. The Z-track method is recommended for IM injections because:

A. It is easier for the nurse to use.
B. It allows for repeated injections into the same site.
C. It does not require the nurse to aspirate before injecting the medication.
D. It minimizes local skin irritation by sealing the medication in muscle tissue.

Answer: D

To better control the client's blood glucose level, the physician orders a high regular insulin dosage of 20 units of U-500 insulin. The nurse has only a U-100 syringe. How many units will be given?

To better control the client's blood glucose level, the physician orders a high regular insulin dosage of 20 units of U-500 insulin. The nurse has only a U-100 syringe. How many units will be given?

A. 4
B. 5
C. 10
D. 20

Answer: A

The following orders were written by a prescriber (physician, advanced practice nurse, physician's assistant). Which order is written correctly?

The following orders were written by a prescriber (physician, advanced practice nurse, physician's assistant). Which order is written correctly?

A. Aspirin 2 tablets prn
B. Haloperidol (Haldol) ½ tablet at bedtime
C. Zolpidem (Ambien) 5 mg PO at bedtime prn
D. Levothyroxine (Synthroid) 0.05 mg 1 tablet

Answer: C

A nurse administering medications has many responsibilities. Among these responsibilities is a knowledge of pharmacokinetics. Which statement is the best description of pharmacokinetics?

A nurse administering medications has many responsibilities. Among these responsibilities is a knowledge of pharmacokinetics. Which statement is the best description of pharmacokinetics?

A. The passage of medication molecules into the blood from the site of administration
B. The degree to which medications bind to serum proteins, which affects distribution
C. The study of how medications enter the body, reach their site of action, metabolize, and exit the body
D. The method by which a medication, after absorption, is moved within the body to tissues, organs, and specific sites of action

Answer: C

A client is receiving an intravenous (IV) push medication. If this type of drug infiltrates into the outer tissues the nurse will:

A client is receiving an intravenous (IV) push medication. If this type of drug infiltrates into the outer tissues the nurse will:

A. Continue to let the IV run.
B. Apply a warm compress to the infiltrated site.
C. Follow facility policy or the drug manufacturer's directions.
D. Not worry about this because vesicant filtration is not a problem.

Answer: C

The nurse selects the route for administering medication according to:

The nurse selects the route for administering medication according to:

A. Hospital policy
B. The prescriber's orders
C. The type of medication ordered
D. The client's size and muscle mass

Answer: B

When identifying a new client before administering medications, the nurse asks the client to state his name. The client does not give the correct name. The nurse asks again and the client states still another name. What is the nurse's next action?

When identifying a new client before administering medications, the nurse asks the client to state his name. The client does not give the correct name. The nurse asks again and the client states still another name. What is the nurse's next action?

A. Laugh at the client and tell him to "quit kidding."
B. Give the medications without any further questioning.
C. Investigate the client's mental status before administering any further medications.
D. Look at the client's arm band to identify the client and disregard what the client said.

Answer: C

Most medication errors occur when the nurse:

Most medication errors occur when the nurse:

A.Is caring for too many clients
B.Fails to follow routine procedures
C.Is administering unfamiliar medications
D.Is responsible for administering numerous medications

Answer: B

A patient is taking albuterol through a pressurized metered dose inhaler (pMDI) that contains a total of 200 puffs. The patient takes 2 puffs every 4 hours. How many days will the pMDI last ?

A patient is taking albuterol through a pressurized metered dose inhaler (pMDI) that contains a total of 200 puffs. The patient takes 2 puffs every 4 hours. How many days will the pMDI last ?

__________ days.


Answer: 16 

A nurse accidentally gives a patient a medication at the wrong time. The nurse's first priority is to:

A nurse accidentally gives a patient a medication at the wrong time. The nurse's first priority is to:

A) Complete an occurrence report.
B) Notify the health care provider.
C) Inform the charge nurse of the error.
D) Assess the patient for adverse effects.

Answer: D

After seeing a patient, the physician gives a nursing student a verbal order for a new medication. The nursing student first needs to:

After seeing a patient, the physician gives a nursing student a verbal order for a new medication. The nursing student first needs to:

A) Follow ISMP guidelines for safe medication abbreviations.
B) Explain to the physician that the order needs to be given to a registered nurse.
C) Write down the order on the patient's order sheet and read it back to the physician.
D) Ensure that the six rights of medication administration are followed when giving the medication.

Answer: B

If a patient who is receiving intravenous (IV) fluids develops tenderness, warmth, erythema, and pain at the site, the nurse suspects:

If a patient who is receiving intravenous (IV) fluids develops tenderness, warmth, erythema, and pain at the site, the nurse suspects:

A) Sepsis.
B) Phlebitis.
C) Infiltration.
D) Fluid overload.

Answer: B

A patient is receiving an intravenous (IV) push medication. If the drug infiltrates into the outer tissues, the nurse:

A patient is receiving an intravenous (IV) push medication. If the drug infiltrates into the outer tissues, the nurse:

A) Continues to let the IV run.
B) Applies a warm compress to the infiltrated site.
C) Stops the administration of the medication and follows agency policy.
D) Should not worry about this because vesicant filtration is not a problem

Answer: C

The nurse receives an order to start giving a loop diuretic to a patient to help lower his or her blood pressure. The nurse determines the appropriate route for administering the diuretic according to:

The nurse receives an order to start giving a loop diuretic to a patient to help lower his or her blood pressure. The nurse determines the appropriate route for administering the diuretic according to:

A) Hospital policy.
B) The prescriber's orders.
C) The type of medication ordered.
D) The patient's size and muscle mass.

Answer: B

The nurse takes a medication to a patient, and the patient tells him or her to take it away because she is not going to take it. What is the nurse's next action?

The nurse takes a medication to a patient, and the patient tells him or her to take it away because she is not going to take it. What is the nurse's next action?

A) Ask the patient's reason for refusal
B) Explain that she must take the medication
C) Take the medication away and chart the patient's refusal
D) Tell the patient that her physician knows what is best for her

Answer: A

The nurse is administering a sustained-release capsule to a new patient. The patient insists that he cannot swallow pills. What is the nurse's next best course of action?

The nurse is administering a sustained-release capsule to a new patient. The patient insists that he cannot swallow pills. What is the nurse's next best course of action?

A) Ask the prescriber to change the order
B) Crush the pill with a mortar and pestle
C) Hide the capsule in a piece of solid food
D) Open the capsule and sprinkle it over pudding

Answer: A

A nursing student takes a patient's antibiotic to his room. The patient asks the nursing student what it is and why he should take it. Which information does the nursing student include when replying to the patient?

A nursing student takes a patient's antibiotic to his room. The patient asks the nursing student what it is and why he should take it. Which information does the nursing student include when replying to the patient?

A) Only the patient's physician can give this information.
B) The student provides the name of the medication and a description of its desired effect.
C) Information about medications is confidential and cannot be shared.
D) He has to speak with his assigned nurse about this.

Answer: B

A patient is transitioning from the hospital to the home environment. A home care referral is obtained. What is a priority in relation to safe medication administration for the discharge nurse?

A patient is transitioning from the hospital to the home environment. A home care referral is obtained. What is a priority in relation to safe medication administration for the discharge nurse?

A) Set up the follow-up appointments with the physician for the patient.
B) Ensure that someone will provide housekeeping for the patient at home.
C) Ensure that the home care agency is aware of medication and health teaching needs.
D) Make sure that the patient's family knows how to safely bathe him or her and provide mouth care.

Answer: C

A nurse is administering medications to a 4-year-old patient. After he or she explains which medications are being given, the mother states, "I don't remember my child having that medication before." What is the nurse's next action?

A nurse is administering medications to a 4-year-old patient. After he or she explains which medications are being given, the mother states, "I don't remember my child having that medication before." What is the nurse's next action?

A) Give the medications
B) Identify the patient using two patient identifiers
C) Withhold the medications and verify the medication orders
D) Provide medication education to the mother to help her better understand her child's medications

Answer: C

A patient is to receive cephalexin (Kefl ex) 500 mg PO. The pharmacy has sent 250-mg tablets. How many tablets does the nurse administer?

A patient is to receive cephalexin (Kefl ex) 500 mg PO. The pharmacy has sent 250-mg tablets. How many tablets does the nurse administer?

A) ½ tablet
B) 1 tablet
C) 1 ½ tablets
D) 2 tablets

Answer: D

A nurse is administering eardrops to an 8-year-old patient with an ear infection. How does the nurse pull the patient's ear when administering the medication?

A nurse is administering eardrops to an 8-year-old patient with an ear infection. How does the nurse pull the patient's ear when administering the medication?

A) Outward
B) Back
C) Upward and back
D) Upward and outward

Answer: D

The patient has an order for 2 tablespoons of Milk of Magnesia. How much medication does the nurse give him or her?

The patient has an order for 2 tablespoons of Milk of Magnesia. How much medication does the nurse give him or her?

A) 2 mL
B) 5 mL
C) 16 mL
D) 30 mL

Answer: D

The nurse is having difficulty reading a physician's order for a medication. He or she knows that the physician is very busy and does not like to be called. What is the most appropriate next step for the nurse to take?

The nurse is having difficulty reading a physician's order for a medication. He or she knows that the physician is very busy and does not like to be called. What is the most appropriate next step for the nurse to take?

A) Call a pharmacist to interpret the order
B) Call the physician to have the order clarified
C) Consult the unit manager to help interpret the order
D) Ask the unit secretary to interpret the physician's handwriting

Answer: B