RN TARGETED MEDICAL SURGICAL
NEUROSENSORY AND
MUSCULOSKELETAL NEWEST 2024 WITH
UPDATED QUESTIONS AND DETAILED
CORRECT ANSWERS WITH RATIONALES
(ALREADY GRADED A+)
A nurse is planning care for a client following a lumbar puncture.
Which of the following actions should the nurse plan to include? -
ANSWER-Ensure the client lies flat for 4 to 8 hours
A nurse is reviewing postoperative instructions with a client
following cataract surgery. Which of the following client
statements indicates an understanding of instructions? -
ANSWER-"I should call my doctor if my vision gets worse"
A nurse is providing teaching for a client who is postoperative
following a right hip arthroplasty. Which of the following images
indicates the position the nurse should teach the client to take
when sitting in a chair? - ANSWER-The nurse should teach the
client to sit with the hips at a 90 degree angle or less with the
knees slightly lower than the hips to avoid hip dislocation.
A Nurse is caring for a client who is 72 hours postoperative
following an above-the-knee amputation and reports phantom
limb pain. Which of the following actions should the nurse take? -
ANSWER-Administer an oral does of gabapentin to the client
2 | P a g e
A nurse is caring for a client who has multiple sclerosis. Which of
the following findings should the nurse expect? - ANSWERIntention tremors
A nurse is teaching a client who has parkinson;s disease about
taking carbidopa-levodopa. Which of the following client
statements indicates an understanding of the teaching? -
ANSWER-"I should expect my urine to be a darker color"
A nurse in the emergency department is assessing a client who
has myasthenia gravis. The client reports recent increasing
muscle weakness and the nurse suspects the client is
experiencing a myasthenic crisis. Which of the following actions is
the nurse's prority? - ANSWER-Assist with Tensilon test
A nurse is teaching a client who has osteoporosis and a new
script for alendronate. Which of the following information should
the nurse include in the teaching? - ANSWER-This medication
should be taken before breakfast and in an upright position
maintained for 30 minutes
A nurse is assessing a client who has rheumatoid arthritis. Which
of the following assessment findings should the nurse expect? -
ANSWER-Ulnar deviation
A nurse is assessing a client who had a right hemispheric stroke.
Which of the following neurologic deficits should the nurse
expect? - ANSWER-Impulsive behavior
A nurse is planning care for a client who has a closed head injury
from a fall and is receiving mechanical ventilation. Which of the
following interventions is the nurse's priority? - ANSWER-Maintain
a PaCO2 of approximately 35mm Hg
3 | P a g e
A nurse is developing a teaching plan for a client who has
Meniere's disease. Which of the following instructions should the
nurse include? - ANSWER-Move head slowly to decrease vertigo
A nurse is caring for a client in balanced suspension skeletal
traction who reports intermittent muscle spasms. Which of the
following actions should the nurse take first? - ANSWER-Check
the position of the weights and ropes
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