NCLEX-PN Exam Questions - Part 121

1. A nurse is working in an outpatient orthopedic clinic. During the patient - s history the patient reports, 'I tore 3 of my 4 Rotator cuff muscles in the past.' Which of the following muscles cannot be considered as possibly being torn?

A) Teres minor
B) Teres major
C) Supraspinatus
D) Infraspinatus



2. A nurse at outpatient clinic is returning phone calls that have been made to the clinic. Which of the following calls should have the highest priority for medical intervention?

A) A home health patient reports, 'I am starting to have breakdown of my heels.'
B) A patient that received an upper extremity cast yesterday reports, 'I can - t feel my fingers in my right hand today.'
C) A young female reports, 'I think I sprained my ankle about 2 weeks ago.'
D) A middle-aged patient reports, 'My knee is still hurting from the TKR.'



3. A nurse working a surgical unit, notices a patient is experiencing SOB, calf pain, and warmth over the posterior calf. All of these may indicate which of the following medical conditions?

A) Patient may have a DVT.
B) Patient may be exhibiting signs of dermatitis.
C) Patient may be in the late phases of CHF.
D) Patient may be experiencing anxiety after surgery.



4. A nurse is performing a screening on a patient that has been casted recently on the left lower extremity. Which of the following statements should the nurse be most concerned about?

A) The patient reports, 'I didn - t keep my extremity elevated like the doctor asked me to.'
B) The patient reports, 'I have been having pain in my left calf.'
C) The patient reports, 'My left leg has really been itching.'
D) The patient reports, 'The arthritis in my wrists is flaring up, when I put weight on my crutches.'



5. A 93 year-old female with a history of Alzheimers Disease gets admitted to an Alzheimers unit. The patient has exhibited signs of increased confusion and limited stability with gait. Moreover, the patient is refusing to use a w/c. Which of the following is the most appropriate course of action for the nurse?

A) Recommend the patient remain in her room at all times.
B) Recommend family members bring pictures to the patient - s room.
C) Recommend a speech therapy consult to the doctor.
D) Recommend the patient attempt to walk pushing the w/c for safety.