Musculoskeletal Practice Test NURS327

A patient comes back to the clinic with a continued complaint of back pain. What time frame does the nurse understand constitutes "chronic pain"?

3 months

A client is hospitalized for open reduction of a fractured femur. During the postoperative assessment, the nurse notes that the client is restless and she observes petechiae on the client's chest. Which nursing action is indicated first?

Administer oxygen

The nurse recognizes that the client with osteomyelitis is at risk for:

Bone abscess formation

The client is admitted to the hospital with a diagnosis of left femoral neck fracture. Which treatment modality would the nurse expect the physician to order?

Bucks traction

A nurse is providing an educational class to a group of older adults at a community senior center. In an effort to prevent osteoporosis, the nurse should encourage participants to ensure that they consume the recommended intake of what nutrients? Select all that apply.

Calcium Vitamin D

The nurse is assessing a client for dietary factors that may influence her risk for osteoporosis. The nurse should question the client about her intake of what nutrients? Select all that apply.

Calcium Vitamin D

The orthopedic nurse is caring for a client diagnosed with a fracture of the radius. When the nurse is considering all of the various types of bone fractures, which bone type is most anticipated?

Cancellous

The nurse is caring for a patient with a pelvic fracture. What nursing assessment for a pelvic fracture should be included? (Select all that apply.)

Checking the urine for hematuria Palpating peripheral pulses in both lower extremeties Testing the stool for occult blood

A client was playing softball and dislocated four of his fingers when diving for a ball. The physician manipulated the fingers into alignment and applied a splint to maintain alignment. What type of procedure does the nurse document this as?

Closed reduction

A client reports to the emergency department after experiencing pain in the left arm. The client reports that he extended his arms in an attempt to prevent a fall. Which fracture type does the nurse anticipate?

Colles' fracture

The nurse is assessing the feet of a patient and observes an overgrowth of the horny layer of the epidermis. What does the nurse recognize this condition as?

Corn

The nurse is conducting a musculoskeletal assessment on a client documented to have rheumatoid arthritis. Which would the nurse anticipate finding when inspecting the client's fingers?

Soft, subcutaneous nodules along the tendons

A client with a fractured distal left radius reports discomfort at the cast site, with pain specifically in the upper forearm. What would the nurse expect the physician to do?

Cut a cast window

The nurse suspects "compartment syndrome" for a casted extremity. What characteristic symptoms would the nurse assess that would confirm these suspicions? (Select all that apply.)

Decreased sensory function Excruciating pain Loss of motion

A group of students are reviewing the structure and function of bones. The students demonstrate understanding of the information when they state that cortical bone is found primarily in which of the following?

Diaphyses

A group of students are reviewing information about bones in preparation for a quiz. Which of the following indicates that the students have understood the material?

osteoclasts are involved in the destruction and remodeling of bone

A client with a right leg fracture is returning to the orthopedist to have the cast removed. During cast removal, it is important for the nurse to assure:

that the client wont be cut

The physician is preparing to bivalve the client's cast. Which supplies should the nurse assemble?

Elastic compression bandages

Which intervention would the nurse implement with the client in skeletal traction? Select all that apply.

Ensure the pins or wires are covered with caps Position trapeze within client's reach Instruct the client on isometric exercises for immobilized extremity

The nurse is very concerned about the potential debilitating complication of peroneal nerve injury. What symptom does the nurse recognize as a result of that complication?

Footdrop

A patient has a cast removed after bone healing takes place. What should the nurse instruct the patient to do after removal? (Select all that apply.)

Gradulaly resume activities and exercise Control swelling with elastic bandages, as directed Apply emollient lotion to soften the skin

A client has just undergone a leg amputation. The nurse would closely monitor the client for which of the following during the immediate postoperative period?

Hematoma

While riding a bicycle on a narrow road, the patient was hit from behind and thrown into a ditch, sustaining a pelvic fracture. What complications does the nurse know to monitor for that are common to pelvic fractures?

Hemorrhage and shock

A nursing student asks the nurse why older adults are at risk for falls. The best response by the nurse is:

Muscles atrophy with aging

A client with a short arm cast is suspected to have compartment syndrome. What actions should the nurse include in the plan of care? Select all that apply.

Prepare to remove the cast Provide support to the injured extremity

A client is admitted to the hospital for a fracture of the right femur. Which clinical manifestation supports the diagnosis?

Right leg shorter than left

A client is having a cast applied for a fractured leg that extends from below the knee to the base of the toes. The foot is flexed at a right angle in a neutral position. What type of cast is the client having applied?

Short leg cast

A client arrives in the emergency room complaining of severe pain in her left hip after falling out of the bed. What indication upon assessment does the nurse recognize as a dislocated left hip? Select all that apply.

The left leg is shorter than the right Limited range of motion of the left hip The skin of the lower left leg is pale

What instructions should the nurse include in the discharge teaching for the client following an arthroscopy?

The pain should be well-controlled with tylenol

Which clinical manifestation would the nurse recognize as an indicator of peripheral neurovascular dysfunction? Select all that apply.

Toes mottled and cool Complaints of pins and needles in feet

A client is admitted to the orthopedic unit with a fractured femur after a motorcycle accident. The client has been placed in traction until his femur can be rodded in surgery. For what early complications should the nurse monitor this client? Select all that apply.

Deep vein thrombosis Compartment syndrome Fat embolism

A client with a tibia fracture was placed in an external fixator 24 hours ago. The nurse is completing pin care and notices redness at the pin site and a small amount of serous drainage. What action by the nurse is appropriate?

Document the findings

A client has delayed bone healing in a fractured right humerus. What should the nurse prepare the client for that promotes bone growth?

Electrical stimulation

The nurse is caring for a patient postoperatively following orthopedic surgery. The nurse assesses an oxygen saturation of 89%, confusion, and a rash on the upper torso. What does the nurse suspect is occurring with this patient?

Fat emboli syndrome

The nurse is educating a client on home care following removal of a ganglion cyst from the right wrist. Which statement by the client demonstrates that the nurse's teaching has been effective?

I will leave the dressing on until I follow up with my doctor as scheduled

An emergency department nurse is assessing a 17-year-old soccer player who presented with a knee injury. The client's description of the injury indicates that his knee was struck medially while his foot was on the ground. The nurse knows that the client likely has experienced what injury?

Lateral collateral ligament injury

When discussing physical activities with the client who has just undergone a right total hip replacement, which instruction should the nurse provide?

Limit hip flexion to 90 degrees

The client with a newly applied cast complains of severe unrelenting pain. Which of the following nursing actions should the nurse do next?

Make the client NPO and notify the physician

A nurse is assessing a client who reports a throbbing, burning sensation in the right foot. The client states that the pain is worst during the day but notes that the pain is relieved with rest. The nurse should recognize the signs and symptoms of what health problem?

Morton Neuroma

A patient has a long leg cast applied. Where does the nurse understand a common pressure problem may occur?

Peroneal nerve

Which actions by the nurse demonstrate an understanding of caring for a client in traction? Select all that apply.

Placing a trapeze on the bed Frequently assessing pain level Ensuring the weights hang freely Assessing the client's alignment in the bed

Which of the following would the nurse perform when assessing the ulnar nerve?

Prick the distal fat pad of the small finger

A 70-year-old client with a diagnosis of left-sided stroke is admitted to the facility. To prevent the development of disuse osteoporosis, which objective is most appropriate?

Promoting weight bearing exercises

A 75-year-old client had surgery for a left hip fracture yesterday. When completing the plan of care, the nurse should include assessment for which complications? Select all that apply.

Skin breakdown Pneumonia Sepsis Delirium

A nurse is assessing a child who has a diagnosis of muscular dystrophy. Assessment reveals that the child's muscles have greater-than-normal tone. The nurse should document the presence of which of

Spasticity

A client is having traction applied to a fractured left lower extremity prior to surgery. What outcomes does the nurse expect from the application of the traction for the client? Select all that apply.

The bones of the left leg will be aligned Immobilization of the left leg will be maintained Muscle spasms will be relieved

A nurse is assessing a client who is receiving traction. The nurse's assessment confirms that the client is able to perform plantar flexion. What conclusion can the nurse draw from this finding?

The client's tibial nerve is functional

The nurse is providing instructions to the client following application of a fiberglass cast. Which statement by the client indicates teaching was ineffective?

Under no circumstances should i get my cast wet

For which of the following immobility-related complications is the client in traction at risk? Select all that apply.

Urinary stasis Thromboemboli

The older client asks the nurse how best to maintain strong muscles. The best response by the nurse is:

Weight-resistance exercises can strengthen muscles