101 Qs of the First Comprehensive test

The movement of an extremity away from the midline of the body is called

• abduction

• adduction

• flexion

• extension

A patient, age 24, has a compartment syndrome after a fracture of his radius and ulna. Nursing assessment will include careful observation for signs and symptoms of

• buccal petechiae.

• thromboembolism.

• Volkmann’s contracture.

• fat embolism.

A patient, age 45, has worked as a basket weaver for the past 10 years. She is being seen at the clinic for symptoms of carpal tunnel syndrome. Collection of subjective data might include

• complaints of burning pain or tingling in the hands.

• edema of the fingers.

• radicular pain.

• complaints of weight loss and fatigue.

A patient has sustained a fractured femur in a car accident. The physician has stated concern about the possibility of a fat embolism. The patient’s wife asks the nurse about the cause of a fat embolism. The nurse’s most appropriate response would be

• Arterial blood flow is interrupted at the site of injury.

• Floating fat sometimes causes problems.

• The break in the bone forces molecules of fat into the bloodstream.

• We don’t know the cause. We just know that it sometimes happens.

A patient, age 18, has multiple soft tissue injuries from a bicycle accident. Primary medical management for soft tissue injuries includes

• rest and heat to control edema.

• elevation and ice to control edema.

• immediate immobilization to halt pain.

• aspiration of excessive fluid.

A 71-year-old patient is manifesting signs and symptoms of gout. When assessing him for signs and symptoms of gout, the nurse should pay particular attention to:

• dietary intake of foods high in cholesterol.

• mobility in the hip and knee joints.

• edema or discoloration of the great toe.

• a history of trauma or occupational injury.

A 28-year-old male patient has a fractured left humerus. He has a cast on his arm. The nurse observes pallor, coolness, and a decrease in capillary refill time to his left hand and fingers. These observations are likely to indicate:

• compartment syndrome.

• early infection.

• hemorrhage.

• shock.

Rheumatoid arthritis is distinguished from osteoarthritis in that:

• Rheumatoid arthritis is an autoimmune, systemic disease; osteoarthritis is a degenerative disease of the joints.

• Rheumatoid arthritis is an autoimmune, degenerative disease; osteoarthritis is a systemic inflammatory disease.

• People with osteoarthritis are considered to be genetically predisposed; there is no known genetic component to rheumatoid arthritis.

• Osteoarthritis is often caused by a virus; viruses play no part in the pathogenesis of rheumatoid arthritis.

Which ethnic group is at a highest risk of developing osteoporosis?

• African American women

• Caucasian and Asian women

• African American men

• Latino women

Certain foods may increase the pain associated with gout. Which foods have the highest concentration of purines?

• Brain, liver, kidney

• Lettuce, corn, potatoes

• Apples, bananas, oranges

• Milk, cheese, yogurt