NSG 430 EXAM 3 QUESTIONS BANK NEWEST

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NSG 430 EXAM 3 QUESTIONS BANK NEWEST

2025 ACTUAL EXAM COMPLETE 200+

QUESTIONS AND CORRECT DETAILED

ANSWERS (VERIFIED ANSWERS) |ALREADY

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NSG 430 EXAM 3

A patient with ulnar drift caused by rheumatoid arthritis (RA) is scheduled for arthroplasty of several joints in the left hand. Which patient statement to the nurse indicates a realistic expectation for the surgery?

• ―This procedure will correct the deformities in my fingers.‖
• ―I will not have to do as many hand exercises after the

surgery.‖

• ―I will be able to use my fingers with more flexibility to

grasp things.‖

• ―My fingers will appear more normal in size and shape af -

CORRECT ANSWER -―I will be able to use my fingers with more flexibility to grasp things.‖

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Rationale; The goal of hand surgery in RA is to restore function, not to correct for cosmetic deformity or treat the underlying process. Hand exercises will be prescribed after the surgery.

Which information would the nurse include in discharge instructions for a patient with comminuted left forearm fractures and a long-arm cast?

• Keep the left shoulder elevated on a pillow or cushion.
• Avoid nonsteroidal antiinflammatory drugs (NSAIDs).
• Call the health care provider for numbness of the hand.
• Keep the hand immobile to prevent soft tissue swelling. -

CORRECT ANSWER -Call the health care provider for numbness of the hand.

Rationale; Increased swelling or numbness may indicate increased pressure at the injury, and the health care provider should be notified immediately to avoid damage to nerves and other tissues. The patient should be encouraged to move the joints above and below the cast to avoid stiffness.There is no need to elevate the shoulder, although the forearm should be elevated to reduce 2 / 4

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swelling. NSAIDs are appropriate to treat mild to moderate pain after a fracture.

A patient who slipped and fell in the shower at home has a proximal left humerus fracture immobilized with a sling. Which intervention would the nurse include in the plan of care?

• Use surgical net dressing to hang the arm from an IV pole.
• Immobilize the fingers of the left hand with gauze dressings.
• Assess the left axilla and change absorbent dressings as

needed.

• Assist the patient in passive range of motion (ROM) for the

right arm. - CORRECT ANSWER -Assess the left axilla and change absorbent dressings as needed.

Rationale; The axilla can become excoriated when a sling is used to support the arm, and the nurse should check the axilla and apply absorbent dressings to prevent this. A patient with a sling would not have traction applied by hanging. The patient will be encouraged to move the fingers on the injured arm to maintain function and to help decrease swelling. The patient can do active ROM on the uninjured side. 3 / 4

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A patient is being discharged 4 days after hip arthroplasty using the posterior approach.Which patient action requires intervention by the nurse?

• Using crutches with a swing-to gait
• Sitting upright on the edge of the bed
• Leaning over to pull on shoes and socks
• Bending over the sink while brushing teeth - CORRECT

ANSWER-Leaning over to pull on shoes and socks

Rationale; Leaning over to reach the feet would flex the hip at greater than 90 degrees and predispose the patient to hip dislocation. The other patient actions do not require any immediate action by the nurse to protect the patient.

After being hospitalized for 2 days with a right femur fracture, a patient suddenly develops shortness of breath and tachypnea. The patient tells the nurse, ―I feel like I am going to die!‖ Which action would the nurse take first?

• Administer prescribed PRN O2 at 4 L/min.
• Check the patient's legs for swelling or tenderness.
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