Clinical Scenario:

A nurse is assessing a patient who is 2 plays post-total hip arthroplasty (THA). The patient reports sudden severe hip pain while repositioning in bed. Upon examination, the nurse notes that the affected leg appears shortened and externally rotated.

Which additional finding would confirm that the patient has experienced a hip dislocation?

Increased hip range of motion and absence of pain

Reports of hearing a "pop" at the time of pain onset

Ability to bear weight on the affected leg without discomfort

Symmetric leg length with normal alignment

Answer and Explanation

The Correct Answer is B

A. Increased hip range of motion and absence of pain. A hip dislocation causes severe pain and reduced mobility, not increased range of motion. This option is incorrect.

B. Reports of hearing a "pop" at the time of pain onset. A "popping" sound often occurs when the prosthetic hip dislocates from the joint, making this a key symptom of hip dislocation.

C. Ability to bear weight on the affected leg without discomfort. A hip dislocation causes severe pain and functional impairment, making weight-bearing extremely difficult or impossible.

D. Symmetric leg length with normal alignment. A dislocated hip causes the affected leg to appear shortened and externally rotated, so symmetrical leg length would not be expected.

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Correct Answer is D

Explanation

A. Nausea and vomiting after eating fatty foods: This symptom is more commonly associated with gallbladder disease (e.g., cholecystitis) rather than TB.

B. Sudden high fever and chills with a rash: TB typically causes a low-grade fever, night sweats, and progressive weight loss rather than sudden high fevers with a rash, which are more indicative of systemic infections like meningococcemia or viral exanthems.

C. Wheezing and shortness of breath that improves with bronchodilators: While TB can cause respiratory symptoms, it does not typically present with reversible airway constriction like asthma or chronic obstructive pulmonary disease (COPD), which respond to bronchodilators.

D. Productive cough with blood (hemoptysis): Hemoptysis (coughing up blood) is a hallmark symptom of active TB, resulting from lung tissue damage caused by the Mycobacterium tuberculosis infection.

A. "Skeletal traction has less risk for infection than skin traction." B. "Skeletal traction is more appropriate than skin traction for reducing a fracture. C. "Clients with skin traction have more discomfort than those with skeletal traction D. "Skin traction is primarily used for long-term stabilization of fractures and is the preferred method for reducing bone fractures before surgery."

Correct Answer is B

Explanation

A. "Skeletal traction has less risk for infection than skin traction." Skeletal traction involves pins and has a higher infection risk than skin traction.

B. "Skeletal traction is more appropriate than skin traction for reducing a fracture." Skeletal traction provides stronger and more stable force, making it more appropriate for fracture reduction.

C. "Clients with skin traction have more discomfort than those with skeletal traction." Skeletal traction is usually more painful due to pins inserted into the bone.

D. "Skin traction is primarily used for long-term stabilization of fractures." Skin traction is typically used short-term before surgery.

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Naxlex Comprehensive Predictor Exams

A nurse is assessing a patient who reports persistent cough, night sweats, weight loss, and fatigue. The nurse suspects tuberculosis (TB). Which additional symptom would further support this diagnosis?

Correct Answer is D

Explanation

A nurse is discussing the differences between skeletal and skin traction with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates understanding?

Correct Answer is B

Explanation

Which of the following actions should the nurse take immediately to prevent complications?

A nurse is caring for a patient with 40% TBSA burns who is receiving fluid resuscitation. Which of the following nursing interventions is the priority?

A nurse is assessing a patient who sustained partial-thickness burns to the anterior chest and anterior left arm. Using the Rule of Nines, what percentage of total body surface area (TBSA) is affected?

A nurse is providing teaching for a client who is postoperative following below-the-knee amputation. The nurse should instruct the client that which of the following nutrients is necessary for wound healing?

A nurse is caring for a client who has a new short-leg cast on his lower leg to treat an ankle fracture. Which of the following findings requires immediate notification of the provider?

A school nurse is assessing a child who has honey-colored crusted lesions around their mouth and on their arms. The nurse should recognize this as a characteristic of which of the following skis infections?

A nurse is providing initial emergency care for a client with extensive burns. Which of the following interventions should the nurse perform first?

The nurse is educating a patient with osteoporosis about fall prevention strategies at home and in the hospital. Which statement by the patient indicates a correct understanding of the teaching?