Medical-Surgical Nursing: Mobility, Neurologic, and Skin Care practice questions

Question 1

Which finding is a modifiable risk factor for osteoarthritis?

Accepted Answer

Body mass index of 34 kg/m²

Answer

Age 72 years

Answer

Family history of osteoarthritis

Answer

Female sex

Question 2

Which environmental intervention best helps a hospitalized patient with visual impairment move independently and safely?

Accepted Answer

Keep furniture and personal items in consistent locations

Answer

Rearrange furniture daily to encourage adaptation

Answer

Keep all four side rails raised

Answer

Limit walking to times when family is present

Question 3

An older adult develops sudden chest pain and respiratory distress after a hip fracture. Which complication should the nurse suspect?

Accepted Answer

Fat embolism syndrome

Answer

Osteomyelitis

Answer

Rheumatoid arthritis

Answer

Chronic venous insufficiency

Question 4

Which intervention helps prevent urinary complications in a patient with multiple sclerosis?

Accepted Answer

Establish a regular bladder-emptying schedule

Answer

Restrict fluids throughout the day

Answer

Use an indwelling catheter routinely

Answer

Delay voiding until the bladder feels full

Question 5

A nurse presses on swollen feet and ankles and an indentation remains. How should this finding be documented?

Accepted Answer

Peripheral pitting edema

Answer

Dependent rubor

Answer

Cyanosis

Answer

Crepitus

Question 6

A bedbound patient has intact heel skin with persistent dark red-purple discoloration. Which pressure-injury category is most consistent with this finding?

Accepted Answer

Deep tissue pressure injury

Answer

Stage 2 pressure injury

Answer

Stage 3 pressure injury

Answer

Unstageable pressure injury

Question 7

A sacral wound is shallow with a red-pink wound bed and partial-thickness skin loss, without exposed adipose or deeper tissue. Which stage is it?

Accepted Answer

Stage 2

Answer

Stage 1

Answer

Stage 3

Answer

Unstageable

Question 8

A pressure-injury image shows full-thickness tissue loss, but slough or eschar obscures the extent of the wound base. How should it be classified?

Accepted Answer

Unstageable

Answer

Stage 1

Answer

Stage 2

Answer

Stage 3

Question 9

A patient with Parkinson disease develops slurred speech and drooling. What does this most likely indicate?

Accepted Answer

Late disease progression with bulbar involvement

Answer

An early reversible medication effect

Answer

Resolution of bradykinesia

Answer

An isolated visual disorder

Question 10

For a patient with degenerative joint disease and impaired mobility, what should the nurse assess first before planning activity?

Accepted Answer

Pain and the adequacy of pain management

Answer

Preferred television programs

Answer

Family employment history

Answer

Daily sodium intake only

Medical-Surgical Nursing: Mobility, Neurologic, and Skin Care practice questions

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Medical-Surgical Nursing: Mobility, Neurologic, and Skin Care practice questions

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