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Question 1 of 5

The physician has ordered an IV bolus of Solu-Medrol (methylprednisolone sodium succinate) in normal saline for a client admitted with a spinal cord injury. Solu-Medrol has been shown to be effective in:

Correct Answer: C

Rationale: Solu-Medrol is used in acute spinal cord injuries to reduce inflammation and swelling, which can improve motor and sensory outcomes if given promptly.

Question 2 of 5

Which of the following nursing interventions has the highest priority for the client scheduled for an intravenous pyelogram?

Correct Answer: B

Rationale: Asking about shellfish allergies is critical, as iodine-based contrast used in IVP can cause severe allergic reactions in those with shellfish or iodine allergies.

Question 3 of 5

Which client should be assigned to the nursing assistant?

Correct Answer: C

Rationale: The elderly client with a thyroidectomy 4 days ago is stable and suitable for routine care by a nursing assistant.

Question 4 of 5

The director of nursing is working on an occupational health and safety manual for the staff. She wants to include a section describing how factors in the environment can increase safety and reduce risk and injury. The term for this study is

Correct Answer: C

Rationale: Ergonomics studies workplace design to enhance safety and reduce injury risk, aligning with the manual’s goals.

Question 5 of 5

The orthopedic nurse should be particularly alert for a fat embolus in which of the following clients having the greatest risk for this complication after a fracture?

Correct Answer: C

Rationale: Fat embolism is most common in long bone fractures, especially the femur, and in young adults. A 21-year-old with a femur fracture is at highest risk.

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