1 A nurse is assessing for early signs of compartment syndrome for a client who has a short-leg

fiberglass cast. Which of the following findings should the nurse expect?

ACapillary refill less than 2 seconds

B.Bounding distal pulses

C.Intense pain with movement

D. Erythema of the toes

2 A nurse is monitoring a client who is receiving 2 units packed RBCs. Which of the following

manifestations indicates a hemolytic transfusion reaction?

A.Chills? (think fever, you get cold when your body is hot)

B. Hypertension

C.Bradycardia

D.Back pain

3 A nurse is caring for a client who had a total hip arthroplasty. Which of the following actions

should the nurse take to prevent hip dislocation?

A.Remove the wedge device when turning

B. Place two bed pillows between the legs when in bed

C. Encourage the client to lean forward when attempting to stand

D.Elevate the knees higher than the hips when sitting

4 A nurse is assessing a client who is preoperative and reports an allergy to bananas. The nurse

should recognize that the client is at risk for an allergic cross-reactivity to which of the following

substances

A.Povidone-iodine

B.Adhesive tape

C.Latex

D. Anesthetics

5 A nurse is teaching a client about the use of an incentive spirometer. Which of the

following instructions should the nurse include in the teaching? APlace hands on the

upper abdomen during inhalation.

B.Position the mouthpiece 2.5 cm (1 in) from the mouth