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NUR104 Review

Total questions: 16

Worksheet time: 16mins

Name
Class
Date
1.

Who will win Thursday Night Football?

a)

Bengals

b)

Dolphins

c)

I don't care, stop asking us about football

2.

The client complains of pain in their calf. Utilizing the correct order of assessment, how will the nurse best complete a focused assessment of the client?

a)

The nurse should begin by palpating the calf for tenderness.

b)

The nurse should auscultate the calf for bruits.

c)

The nurse should inspect the calf, including comparing it to the patient's other calf.

d)

The nurse should ask the patient if there is a family history of blood clots.

3.

The nurse assesses this pressure injury. What stage of pressure injury will the nurse identify this wound as?

a)

Stage 1

b)

Stage 2

c)

Stage 3

d)

Stage 4

4.

What in the world body part is this?

4 lines
5.

The client is admitted to the orthopedic unit after a right-side total hip replacement. The nurse notes neurovascular checks of the RLE every 2 hours have been ordered for the client. How will the nurse complete this assessment?

a)

Assess the Babinsky reflex using a reflex hammer on the RLE.

b)

Assess the circumference of the widest part of the RLE.

c)

Assess the pedal pulse and popliteal pulse of the RLE.

d)

Assess the RLE for color, motion, and sensation.

6.

The client visits the clinic complaining of back pain and states they "sprained their back lifting up a bowling ball." The HCP diagnoses the client with a muscle strain. The client asks the nurse what the difference between a strain and a sprain is. The nurse correctly identifies the difference when they state:

a)

"Sprains are not typically painful. Because you are reporting pain, it is likely a strain."

b)

"Strains occur when there is excessive stretching of a muscle. Sprains are a result of an overstretched ligament."

c)

"A strain is when the muscle tenses up really hard and a sprain is what happens when a tear a muscle."

d)

"Strains are the result of a severe deep tissue injury and a sprain occurs when the nerves are damaged."

7.

The client presents to the clinic with a fever, congestion, and body aches. The provider orders a nasopharyngeal swab. The nurse understands this test screens for:

a)

bacteria

b)

viruses

c)

covid

d)

fungus

8.

The client presents to the emergency department after a motor vehicle accident. The client has an obvious femur fracture and the bone has broken through the skin. What type of fracture is?

a)

pathological

b)

compression

c)

transverse

d)

open

9.

A client is admitted to the observation unit with abdominal pain. The client undergoes multiple tests and scans and the providers are unable to identify what is causing the pain. This type of pain is referred to as:

a)

transient pain

b)

episodic pain

c)

idiopathic pain

d)

referred pain

10.

Which of the following are contraindicated for the postoperative hip replacement client?

Select all that apply.

a)

crossing your legs

b)

sitting in low chairs

c)

bending greater than 90 degrees

d)

getting out of bed for the first 48 hours

11.

The nurse is obtaining a stool specimen to send to the lab and observes some blood and pus in the stool. What should the nurse do?

a)

Include the blood and pus in the specimen sent to the lab.

b)

Ensure the specimen contains only the stool and do not include the blood and pus.

c)

Throw this stool away and wait until the client defecates again.

d)

Tell the client they are gross and not to do it again.

12.

Which of the following clients is most at risk for developing osteoporosis?

a)

An elderly man who worked as a banker and has a history of obesity.

b)

A postmenopausal woman with a thin, small frame.

c)

A woman in her 40s who drinks a glass of milk every night before bed.

d)

A 60 year old man who drinks socially and has a history of a knee replacement.

13.

The client with a history of chronic pain visits their provider and states they are concerned because their pain medications do not seem to be as effective as they used to be. The provider recognizes the client may have developed:

a)

physical dependance.

b)

tolerance.

c)

addiction.

d)

psychosocial dependence.

14.

The nurse assesses the infant client using the FLACC pain scale. The client is lying quietly, appears relaxed though they occasionally grimace and moan. They are soothed when touched. What score will the nurse record?

(a)  

15.

The client who is taking opioids for road rash after a motorcycle accident is lethargic and slow to respond when questioned by the nurse. The nurse observes the clients has a respiratory rate of 6 breaths per minute. What opioid antagonist will the nurse anticipate they will administer to reverse the effects of the opioids?

a)

naloxone

b)

ergotamine

c)

buprenorphine

d)

fentanyl

16.

Which of the following teaching methods is most effective when providing discharge teaching for the client going home who needs daily dressing changes?

a)

teach-back

b)

video instruction

c)

written materials

d)

verbal explanation