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WorksheetsRLE Post Test Dec15-19
Total questions: 50
Worksheet time: 25mins
A nurse is preparing a patient for a plaster cast. Which information regarding drying time is correct?
It sets and allows weight-bearing in 30 minutes.
It takes 24 to 72 hours to dry completely.
It dries within 5 to 15 minutes.
It is water-resistant immediately after application.
What is the primary nursing responsibility regarding the skin during the casting process?
Applying the casting material directly to the skin for a better fit.
Shaving the area to prevent hair from sticking.
Providing skin care before, during, and after application.
Applying alcohol-based lotions to toughen the skin.
Which type of cast is specifically designed to immobilize the trunk and one or more extremities?
Cylinder cast
Long leg cast
Spica cast
Short arm cast
A patient with a new fiberglass cast asks about its advantages. The nurse correctly states:
It molds better to body contours than plaster.
It is heavier and provides more stability.
It is lighter, stronger, and more water-resistant.
It takes 48 hours to sustain weight-bearing pressure.
Before, during, and after cast application, what is the most critical assessment for the nurse to perform?
Range of motion of the unaffected limb
Neurovascular status
Vital signs
Mental status
A patient with a forearm cast reports a "tight" feeling and pain that is not relieved by analgesics. The nurse notes sluggish capillary refill. What is the priority intervention?
Elevate the arm above heart level.
Apply more ice to the area.
Notify the physician immediately for possible bivalving.
Administer a stronger dose of oral analgesics.
Why is the arm adjusted to "no higher than heart level" if compartment syndrome is suspected?
To increase venous return.
To enhance arterial perfusion and control edema.
To allow the cast to dry faster.
To prevent the patient from moving the fingers.
When teaching a patient about cast care, which instruction is essential to prevent infection?
Use a long knitting needle to scratch itches inside the cast.
Do not insert any objects into the cast.
Apply lotion inside the edges of the cast daily.
Keep the cast covered with plastic at all times.
An older adult patient with peripheral vascular disease (PVD) is getting a cast. How should the nurse adapt the assessment?
Perform only one neurovascular check per shift.
Use more than one assessment to evaluate circulation and compare symmetry.
Assume slow capillary refill is normal and does not need reporting.
Avoid checking pulses distal to the cast.
A child's synthetic cast is being prepared for a bath. What should the nurse instruct the parents to do?
Immerse the cast fully in the tub.
Cover the cast with a plastic bag.
Wash the cast with soap and water directly.
Avoid bathing the child until the cast is removed.
What is the defining characteristic of skeletal traction?
Using tape and bandages to pull on the skin.
Surgical insertion of pins, wires, or screws into the bone.
Using a cast to stabilize a fracture.
Applying external weights to a limb without invasive procedures.
Which of the following is a primary purpose of pin site care?
To lubricate the pins for easier removal.
To prevent infection at the pin insertion site.
To ensure the weights remain resting on the floor.
To increase the patient's range of motion.
During a shift assessment, the nurse finds the traction weights resting on the floor. What is the correct action?
Leave them as they are to prevent over-stretching.
Remove the weights temporarily to rest the patient.
Ensure weights are hanging freely and not resting on the floor.
Add more weight to compensate for the floor contact.
What is the recommended technique for cleaning a pin site?
Clean from the outside toward the pin.
Use a back-and-forth scrubbing motion.
Clean from the pin outward in a circular motion using one swab per stroke.
Use the same swab for all pin sites to save supplies.
A nurse notes several pins are sliding within the pin tract. What should be the first action?
Tighten the pins using a wrench.
Assess for signs of infection and neurovascular changes, then notify the physician.
Ignore it as it is a common finding in long-term traction.
Apply more weight to stabilize the pins.
Which complication is a nurse primarily trying to prevent when performing frequent pin site care?
Muscle atrophy
Osteomyelitis
Hypertension
Peritonitis
Under what circumstance should a nurse remove weights from skeletal traction?
When the patient needs to go to the bathroom.
During routine bed-making.
Only in a life-threatening situation.
When the patient complains of mild discomfort.
Which chronic condition increases a patient's risk for complications while in skeletal traction?
Osteoarthritis
Diabetes mellitus
Mild seasonal allergies
Myopia
How often should the nurse inspect pin sites for inflammation or infection?
Once every 24 hours.
Once per shift (at least every 8–12 hours).
Once per week.
Only when drainage is present.
A patient in traction is encouraged to perform deep breathing exercises. What is the rationale?
To increase the weight of the traction.
To prevent complications of immobility, such as respiratory issues.
To help the pins set deeper into the bone.
To improve the effectiveness of the pain medication.
Why is the fingertip preferred over alternative sites (like the forearm) for glucose testing during rapid changes?
The fingertip has fewer nerve endings.
Fingertips show changes in glucose levels more quickly.
Alternative sites are always more painful.
The fingertip produces more blood.
In which situation should a patient be cautioned NOT to use an alternative testing site?
When they are feeling perfectly healthy.
More than 4 hours after a meal.
When they are sick or under stress.
Before starting their morning exercise.
A nurse finds a patient's hands are pale and cool before a CBG test. What is the best initial intervention?
Use a different finger immediately.
Have the patient rub their hands together or use a warm compress.
Stick the finger multiple times to get blood flowing.
Document that the test cannot be performed.
Where is the recommended site for obtaining a blood specimen from an infant?
The middle of the fingertip.
The center of the heel.
The outer aspect of the heel.
The earlobe.
A patient's fasting blood glucose is 115 mg/dL. How would this reading be classified?
Normal
Prediabetes
Diabetes
Hypoglycemia
Which of the following is a classic symptom of hypoglycemia?
Increased thirst
Sweating and lack of coordination
Frequent urination
Dry mouth
A patient presents with blurred vision, headache, and fruity breath. These are signs of:
Hypoglycemia
Hyperglycemia/DKA
Compartment syndrome
Osteomyelitis
Following the "15-15 Rule" for hypoglycemia, what should the nurse do after giving 15 grams of fast-acting carbs?
Immediately give a large meal.
Wait 15 minutes and recheck the blood glucose.
Administer IV insulin.
Allow the patient to sleep for 15 minutes.
A patient with a blood glucose of 50 mg/dL is unconscious. What is the priority safety action?
Force 4 oz of orange juice into their mouth.
Never give food or liquid by mouth to protect the airway.
Wait 15 minutes to see if they wake up.
Administer oral glucose tablets.
If no IV access is available for an unconscious hypoglycemic patient, what medication is used?
Regular Insulin
Metformin
Glucagon
Dextrose 50%
What is the "15-15 Rule" follow-up step once the blood glucose is above 70 mg/dL?
Administer a fast-acting carbohydrate again.
Give a snack containing protein and complex carbohydrates.
Encourage the patient to exercise.
Stop monitoring the patient
A patient has a blood glucose of 300 mg/dL. What should the nurse check for in the urine or blood?
Protein
Ketones
White blood cells
Red blood cells
Which condition is characterized by severe dehydration and confusion in the presence of very high blood sugar?
DKA
HHS
Compartment syndrome
Hypoglycemia
What is the rationale for encouraging sugar-free fluids in a hyperglycemic patient?
To raise the blood sugar further.
To restore fluid balance and combat dehydration.
To provide the patient with caffeine.
To prevent the need for insulin.
In a hospital setting, how is severe DKA typically managed?
With oral glucose tablets.
With IV fluid resuscitation and continuous IV insulin.
By encouraging the patient to walk.
By skipping the next insulin dose.
A G-tube is primarily used for:
Short-term hydration after a minor surgery.
Long-term enteral feeding and medication administration.
Draining fluids from the lungs.
Measuring urinary output.
To prevent aspiration, how should the head of the bed be positioned during and after feeding?
Flat (0 degrees)
Slightly elevated (10-15 degrees)
Elevated at 30-45 degrees
High Fowler's (90 degrees)
How should the nurse clean the G-tube stoma site?
From the outer edges toward the stoma.
In a circular motion from the stoma outward.
Using a vigorous scrubbing motion.
With alcohol swabs only.
When should a G-tube be flushed with water?
Only once a week.
Before and after feedings and medications.
Only if the tube becomes visible blocked.
Before the patient goes to sleep only.
A nurse notes a patchy, red rash around the G-tube site. This most likely indicates:
Cellulitis
Candidiasis (yeast)
Normal healing
Pressure from the bolster
What is the purpose of rotating the external bolster/guard?
To loosen the tube for removal.
To prevent the skin from adhering to the device.
To tighten the tube against the stomach wall.
To measure the length of the tube.
A patient's G-tube is leaking a large amount of drainage. What should the nurse check first?
The patient's blood pressure.
The tension of the tube and the fit of the external bumper.
The patient's last meal.
The color of the patient's urine.
If gastric fluid leaks onto the skin, why does it cause irritation?
It has a high pH and is very alkaline.
It has a low pH and is very acidic.
It is too cold for the skin.
It contains high levels of glucose.
Which of the following is a sign of gastrointestinal intolerance to tube feeding?
Increased energy
Pink skin at the stoma site
Abdominal distention, nausea, or vomiting
Clear breath sounds
A patient who is NPO (nothing by mouth) but has a G-tube still requires:
Daily weighing of the tube.
Regular oral care.
Frequent sips of water.
A regular diet on the side.
When should a nurse NOT use a G-tube and instead notify the provider?
If the tube is clean.
If the length of the exposed tube has changed or markings are not visible.
If the patient is hungry.
If the dressing is dry.
What should a patient be taught to do if their G-tube is accidentally pulled out at home?
Try to push it back in immediately.
Clean the area, cover with a clean dressing, and call the provider.
Wait until the next scheduled appointment to mention it.
Pour antiseptic into the opening.
A patient complains of pain and the G-tube site appears erythematous (red). This may indicate:
Candidiasis
Cellulitis
Normal granulation tissue
A properly fitted bumper
What type of technique is generally used for G-tube site care?
Sterile technique only.
Clean or aseptic technique as indicated.
No hand hygiene is required.
Chemical sterilization.
In documenting G-tube care, what is essential to include regarding the guard?
The color of the guard.
The rotation of the guard.
The manufacturer of the guard.
The price of the guard
