CRNE Exam Prep - Question List

31. Mr. Bandes is a 34 year-old sales agent who has chronic low back pain. He has been taking ibuprofen intermittently for the past two years. Two days ago he experienced shooting pain from the lower back and into the buttocks and left leg. He was admitted to the facility for medical management. During the afternoon shift, he complains of mild but persistent headache. The client appears to be irritable. To ease Mr. Bandes’s headache and discomfort, nursing care should include:

32. Joe Engel, a 15-year-old high school student, had a skating accident. A cast is applied to his left arm due to an ulnar fracture. The nurse teaches the client exercises that maintain the muscle strength of the affected arm. The most recommended group of exercises to regain or maintain muscle strength is:

33. Mr. Flynn, a 38-year-old businessman, is admitted for severe chest pain unrelieved by sublingual nitroglycerin. Mr. Flynn is diagnosed with acute myocardial infarction and kept in complete bed rest to prevent myocardial stress. After six days, the nurse is preparing the client for ambulation, as ordered by the physician. The client is at risk of orthostatic hypotension. Which of the following activities prevents orthostatic hypotension related to hypovolemia?

34. Simon, a client with a history of congestive heart failure, complains of shortness of breath. He cannot tolerate lying flat on the bed. Physical examination reveals accumulation of fluid in the left lung. Thoracentesis is ordered. The client must be placed in which of the following positions during the procedure?

35. Melissa is a 46-year-old office clerk with multiple sclerosis. Her symptoms have been progressing over the years. Melissa is complaining of difficulty of swallowing with occasional episodes of choking every time food particles get caught up in her throat. Which of the following would not be an appropriate strategy to prevent discomfort in swallowing for Melissa?