N4010 Exam 1 | Questions and Answers (Complete Solutions)
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Course
N4010
Institution
N4010
N4010 Exam 1 | Questions and Answers (Complete Solutions) A nurse in a long-term care facility is caring for an older adult client who had a stroke 4 weeks ago and who is unable to move independently. The nurse should monitor for which of the following complications of immobility? A. A reddened ...
A nurse in a long-term care facility is caring for an older adult client who had a stroke 4
weeks ago and who is unable to move independently. The nurse should monitor for
which of the following complications of immobility?
A. A reddened area over the sacrum
B. Stiffness in the lower extremities
C. Difficulty moving the upper extremities
D. Difficulty hearing some types of sounds
A nurse is assessing a client who has carpal tunnel syndrome. The nurse should expect
which of the following findings?
A. Decreased radial pulse
B. Positive Chvostek's sign
C. Cool extremities
D. Positive Phalen's sign
A nurse is caring for a client who is postoperative following knee arthroplasty and has a
continuous passive motion (CPM) machine. Which of the following actions should the
nurse take?
A. Store the CPM machine on the floor when not in use.
B. Use a special pillow to rotate the affected knee internally.
C. Set the CPM to fully flex the knee joint.
D. Apply ice to the operative knee.
A nurse is conducting a primary survey of a client who has sustained life-threatening
injuries due to a motor-vehicle crash. Identify the sequence of actions the nurse should
take.
A. Perform a Glasgow Coma Scale assessment.
B. Establish IV access.
C. Open the airway using a jaw-thrust maneuver.
D. Determine effectiveness of ventilator efforts.
E. Remove clothing for a thorough assessment.
C, D, B, A, E
A nurse in the emergency department is monitoring a client who has a cervical spinal
cord injury from a fall. The nurse should monitor the client for which of the following
complications? (Select all that apply.)
, A. Hypotension
B. Polyuria
C. Hyperthermia
D. Absence of bowel sounds
E. Weakened gag reflex
A nurse is teaching a client about risk factors for osteoarthritis. Which of the following
factors should the nurse include in the teaching? (Select all that apply.)
A. Bacteria
B. Diuretics
C. Aging
D. Obesity
E. Smoking
A nurse caring for a client who had a right-sided stroke and is exhibiting homonymous
hemianopsia when eating. Which of the following actions should the nurse take?
A. Provide a nonskid mat to alleviate plate movement.
B. Encourage the client to use his right hand when feeding himself.
C. Remind the client to look for food on the left side of the tray.
D. Encourage the use of the wide grip utensils.
A rehabilitation nurse is caring for a client who has had a spinal cord injury that resulted
in paraplegia. After a week on the unit, the nurse notes that the client is withdrawn and
increasingly resistant to rehabilitative efforts by the staff. Which of the following actions
should the nurse take?
A. Inform the client that privileges are related to participation in therapy.
B. Limit visiting hours until the client begins to participate in therapy.
C. Allow the client to control the timing and frequency of the therapy.
D. Establish a plan of care with the client that sets attainable goals.
A nurse is providing nutritional teaching to a client who has osteoporosis. Which of the
following foods should the nurse recommend as being the highest in calcium?
A. 1 cup carrot strips
B. 3 oz canned salmon
C. 1 cup chopped chicken breast
D. 1 plain baked potato
A nurse is caring for a client who has had a stroke involving the right hemisphere.
Which of the following alterations in function should the nurse expect?
A. Difficulty reading
B. Inability to recognize his family members
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