Question 1

After application of a cast in the upper extremity, the patient complains of severe pain in the affected site. Which of the following would the nurse initiate?

Options :

A : Administer analgesics as ordered

B : Assess neurovascular status

C : Notify his physician

D : Pad the edges of the cast

Answer: B

Question 2

Immediately after a craniotomy for head trauma, the nurse must monitor the drainage on the dressing. Which of the following should be reported?

Options :

A : Blood tinged

B : Straw colored

C : Clotted

D : Foul-smelling

Answer: B

Question 3

A patient with duodenal peptic ulcer would describe his pain as:

Options :

A : Generalized burning sensation

B : Intermittent colicky pain

C : Gnawing sensation relieved by food

D : Colicky pain intensified by food

Answer: C

Question 4

In caring for a woman and baby day 3 postnatally, she tells you that her baby has not had a bowel action since delivery. Your appropriate response would be:

Options :

A : Reassure the mother that it is quite normal for a baby to not move their bowels until day 5 after a few days of milk feeding

B : Start a bowel chart, document all findings, and wait another 48 hours before reporting to the physician

C : Encourage more frequent warm baths for the neonate with gentle abdomen massages

D : Tell the mother that you will let the physician know, so the baby can be checked for any obstruction

Answer: D

Question 5

The priority nursing diagnosis for a hospitalized patient with a Stage IV pressure ulcer on the hip would be:

Options :

A : Altered body image

B : Acute pain

C : Risk for infection

D : Altered nutrition

Answer: C