Title: ASN 210 Week 4 Pre-Quiz (Remotely Proctored)
Course: 16SP-ASN-210-GH1A1-ADV NUR THROUGH LIFESPAN I > Section: Week 4

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Q: A client comes to the family medicine clinic and reports joint pain and stiffness. The nurse is asked to assess the client for Heberden’s nodules. What assessment technique is correct?
- Inspect the client’s distal finger joints.
- Palpate the client’s abdomen for tenderness.
- Palpate the client’s upper body lymph nodes.
- Perform range of motion on the client’s wrists.
A: Inspect the client’s distal finger joints.
If right: Herberden’s nodules are seen in osteoarthritis and are bony nodules at the distal interphalangeal joints. To assess for this finding, the nurse inspects the client’s distal fingertips. These nodules are not found in the abdomen, lymph nodes, or wrists.
If wrong: Herberden’s nodules are seen in osteoarthritis and are bony nodules at the distal interphalangeal joints. To assess for this finding, the nurse inspects the client’s distal fingertips. These nodules are not found in the abdomen, lymph nodes, or wrists.

Q: A client has a continuous passive motion (CPM) device after a total knee replacement. What action does the nurse delegate to the unlicensed assistive personnel (UAP) after the affected leg is placed in the machine while the client is in bed?
- Assess the distal circulation in 30 minutes.
- Change the settings based on range of motion.
- Raise the lower siderail on the affected side.
- Remind the client to do quad-setting exercises.
A: Raise the lower siderail on the affected side.
If right: Because the client’s leg is strapped into the CPM, if it falls off the bed due to movement, the client’s leg (and new joint) can be injured. The nurse should instruct the UAP to raise the siderail to prevent this from occurring. Assessment is a nursing responsibility. Only the surgeon, physical therapist, or specially trained technician adjusts the CPM settings. Quad-setting exercises are not related to the CPM machine.
If wrong: Because the client’s leg is strapped into the CPM, if it falls off the bed due to movement, the client’s leg (and new joint) can be injured. The nurse should instruct the UAP to raise the siderail to prevent this from occurring. Assessment is a nursing responsibility. Only the surgeon, physical therapist, or specially trained technician adjusts the CPM settings. Quad-setting exercises are not related to the CPM machine.

Q: A client calls the clinic to report exposure to poison ivy and an itchy rash that is not helped with over-the-counter antihistamines. What response by the nurse is most appropriate?
- “Antihistamines do not help poison ivy.”
- “There are different antihistamines to try.”
- “You should be seen in the clinic right away.”
- “You will need to take some IV steroids.”
A: “Antihistamines do not help poison ivy.”
If right: Since histamine is not the mediator of a type IV reaction such as with poison ivy, antihistamines will not provide relief. The nurse should educate the client about this. The client does not need to be seen right away. The client may or may not need steroids; they may be given either IV or orally.
If wrong: Since histamine is not the mediator of a type IV reaction such as with poison ivy, antihistamines will not provide relief. The nurse should educate the client about this. The client does not need to be seen right away. The client may or may not need steroids; they may be given either IV or orally.

Q: A client having severe allergy symptoms has received several doses of IV antihistamines. What action by the nurse is most important?
- Assess the client’s bedside glucose reading.
- Instruct the client not to get up without help.
- Monitor the client frequently for tachycardia.
- Record the client’s intake, output, and weight.
A: Instruct the client not to get up without help.
If right: Antihistamines can cause drowsiness, so for the client’s safety, he or she should be instructed to call for assistance prior to trying to get up. Hyperglycemia and tachycardia are side effects of sympathomimetics. Fluid and sodium retention are side effects of corticosteroids.
If wrong: Antihistamines can cause drowsiness, so for the client’s safety, he or she should be instructed to call for assistance prior to trying to get up. Hyperglycemia and tachycardia are side effects of sympathomimetics. Fluid and sodium retention are side effects of corticosteroids.

Q: A client has a primary selective immunoglobulin A deficiency. The nurse should prepare the client for self-management by teaching what principle of medical management?
- “Infusions will be scheduled every 3 to 4 weeks.”
- “Treatment is aimed at treating specific infections.”
- “Unfortunately, there is no effective treatment.”
- “You will need many immunoglobulin A infusions.”
A: “Treatment is aimed at treating specific infections.”
If right: Treatment for this disorder is vigorous management of infection, not infusion of exogenous immunoglobulins. The other responses are inaccurate.
If wrong: Treatment for this disorder is vigorous management of infection, not infusion of exogenous immunoglobulins. The other responses are inaccurate.