MS 60, 61, 62, 63

Easy 1. How would the nurse identify rheumatoid nodules in a client with rheumatoid arthritis? A) The nodules usually are tender and red. B) The nodules usually are nontender and movable. C) The nodules usually are red and movable. D) The nodules are miniscule and occur over nonbony areas.

B

Easy 4. A client who is undergoing skeletal traction complains of pressure on bony areas. Which of the following nursing actions would comfort the client? A) Assist with range-of-motion and isometric exercises. B) Change the client's position within prescribed limits. C) Administer prescribed analgesics. D) Apply warm compresses.

B

Easy 8. A client who is immobilized after an orthopedic surgery is at risk for the pooling of his or her secretions. Which of the following nursing actions will help minimize the risk? A) Encourage the client to sneeze hard. B) Turn the client at least every 2 hours. C) Administer analgesics as prescribed. D) Elevate the affected extremity and use cold applications.

B

Moderate 4. The nurse is required to design a teaching plan for a client with a ruptured Achilles tendon. Which of the following aspects should be emphasized in the plan? A) Dietary restrictions C) Use of nonprescription medications B) Activity restrictions D) Effective pin care

B

Moderate 4. When assessing a client's signs and symptoms of systemic lupus erythematosus (SLE) for staging, how does the nurse evaluate the stage of the disease? A) By observing the client's gait B) By reviewing the medical record and diagnostic findings C) By inspecting the client's mouth D) By inspecting the client's lung sounds

B

Moderate 7.Which of the following is the reason why older adults are more prone to skeletal fractures?A)Because there is a 10% decrease in cortical boneB)Because of calcium deficiencyC)Because there is no bone reformationD)Because bone resorption is more rapid than bone formation

D

Difficult 10. A male client who is to undergo orthopedic surgery is acutely ill. He is diagnosed with a gangrenous limb and related fever, disorientation, and electrolyte imbalances. Which crucial factor should the nurse carefully monitor for in the client? A) Signs of sepsis C) Occurrence of allergic reactions B) Signs of nausea and vomiting D) Reduced urine output

A

Easy 10.A client with asthma as well as a musculoskeletal disorder is prescribed calcium carbonate as treatment for the musculoskeletal disorder. What advice, related to the intake of calcium carbonate, should the nurse give to the client?A)Take other drugs 1 to 2 hours after taking calcium carbonate.B)Avoid performing strenuous activity for 1 to 2 hours after taking calcium carbonate.C)Take calcium carbonate before bedtime.D)Ingest calcium carbonate with plenty of milk.

A

Moderate 5. A client with a traumatic musculoskeletal injury is prescribed to take nonsteroidal anti-inflammatory drugs (NSAIDs). Which of the following pointers should the nurse emphasize during the client education? A) Take medications with food. C) Avoid the intake of dairy products. B) Be on complete bed rest. D) Avoid exposure to direct sunlight.

A

Moderate 6. Which of the following are the common symptoms of ankylosing spondylitis? A) Low back pain and stiffness B) Increased urine output C) A red, butterfly-shaped rash on the face D) Patchy loss of hair on the scalp

A

Moderate 2. A client has undergone an external fixation. Which of the following is the most important nursing action to be taken for such a client? A) Maintain pin care. C) Monitor the client's urine output. B) Plan the client's diet. D) Monitor the client's blood pressure.

A

1.Which of the following factors influences the focus of the initial history when assessing a new client with a musculoskeletal problem?A)Client's ageB)Client's lifestyleC)Any chronic disorder or recent injuryD)Duration and location of discomfort or pain

C

Moderate 6. During the assessment of a client scheduled for orthopedic surgery, the nurse discovers that the client's disorder was treated previously. In such a case, what additional data need to be collected? A) Occurrence of complications or problems during treatment B) Measures taken to minimize postoperative wound infection C) Perception of the client about the previous treatment D) Details of the medical team that handled the previous treatment

A

Moderate 7. When caring for a client with a fracture, which of the following is the most important condition the nurse assess for? A) Neurovascular and systemic complications B) Hormonal imbalances C) Cardiac problems D) Altered kidney function

A

Moderate 5. Which of the following characterizes a chronic infection in a client with osteomyelitis? A) High fever B) Persistent draining sinus C) Rapid pulse D) Tenderness or pain over the affected area

B

Moderate 5. Which of the following is the most important nursing action that may help clients who undergo a knee or hip replacement? A) Provide crutches to the client. B) Assist in early ambulation. C) Use a continuous passive motion (CPM) machine. D) Encourage expressions of anxiety or depression.

B

Moderate 8. A client has just undergone a leg amputation. What potential complications should the nurse closely monitor for in the client during the immediate postoperative period? A) Sleeplessness, nausea, and vomiting B) Hematoma, hemorrhage, and infection C) Chronic osteomyelitis D) Unexplainable burning pain (causalgia)

B

Moderate 8. Which of the following is a common early symptom of Lyme disease? A) Breathlessness C) A bony nodule B) A red macule or papule D) Swollen and painful knees

B

Moderate 3.The nurse has to conduct the physical assessment of a client with a traumatic injury. The physical assessment should begin with the collection of which of the following data?A)The age of the clientB)The vital signs of the clientC)The nature of the injuryD)The level of sensation of the injured part

B

Moderate 6.A client undergoes an invasive joint examination of the knee. Which of the following signs or symptoms should the nurse closely monitor for in the client?A)Lack of sleep and appetiteC)Signs of depressionB)Serous drainageD)Signs of shock

B

Difficult 1. The nurse is required to care for a client with a musculoskeletal injury who underwent a surgical incision. Which of the following nursing actions would help prevent the backflow of the drainage into the incision? A) Block the incision with sterilized gauze. B) Block the incision with a temporary cast. C) Keep the wound drainage system below the level of the incision. D) Keep the wound drainage system above the level of the incision.

C

Difficult 7. A client is scheduled for a joint replacement surgery. Which of the following actions should a nurse take at this stage? A) Ensure adequate fluid intake before the surgery. B) Withhold intake of solid food before the surgery. C) Withhold administration of aspirin before the surgery. D) Ensure adequate sleep before the surgery.

C

Difficult 9. The nurse monitors a client who has undergone an orthopedic surgery for an arterial obstruction. Which of the following symptoms would indicate the occurrence of an arterial obstruction in the client? A) Brisk capillary refill C) Cool or cold skin B) Warm skin D) An increased pulse

C

Easy 8.What advice should the nurse give to a client recovering from a fractured hip to facilitate calcium absorption from food and supplements?A)Increase intake of amino acids.C)Increase intake of vitamin D.B)Increase intake of vitamin B6.D)Increase intake of dairy products.

C

Moderate 2. A male client, an ace professional tennis player, sprains his right ankle during a tennis match. The client is immediately rushed to the nurse, who provides him with first-aid care. Which of the following immediate combination of treatments should the nurse provide to the client? A) Heat, compression, analgesics, and exercise B) Rest, heat, compression, and elevation C) Rest, ice, compression, and elevation D) Exercise, ice, compression, and elevation

C

Moderate 3. Which of the following advice should the nurse provide to a client with gout? A) Limit fluid intake. C) Limit purine-rich foods. B) Limit protein-rich foods. D) Limit carbohydrates and fats.

C

Moderate 7. Which of the following clients is at greatest risk for osteoporosis and needs to be educated about the condition by the nurse? A) An overweight African-American woman approaching menopause B) A teenaged male with asthma C) A small-framed, thin white woman approaching menopause D) A young male athlete who plays contact sports and is constantly injured

C

Moderate 9. Which of the following is the most important instruction a nurse should give a client with a mild case of bunions? A) Avoid strenuous exercise or running. C) Don proper footwear. B) Avoid foot creams. D) Regularly use analgesics.

C

Moderate 1. A client's cast is removed. The client is worried because the skin appears mottled and is covered with a yellowish crust. What advice should the nurse give the client to address the skin problem? A) Consult a skin specialist. B) Scrub the area vigorously to remove the crust. C) Apply lotions and take warm baths or soaks. D) Avoid harsh sunlight.

C

Moderate 4.Which of the following is an important teaching point for a client who has undergone arthrography?A)Avoid sunlight or harsh, dry climate.B)Avoid intake of dairy products.C)Report crackling or clicking noises in the joint if they occur beyond the second day.D)Treat crackling or clicking noises in the joint by gently massaging the joints.

C

Moderate 9.A client with a traumatic injury is administered a prescribed narcotic analgesic for pain relief. For which of the following signs and symptoms should the nurse closely monitor?A)Allergic reactionsC)Respiratory depressionB)HypotensionD)Joint inflammation

C

Difficult 5.A client is receiving treatment for a head injury. How should the nurse position such a client to reduce the risk of further injury?A)Maintain the client in a sitting position for as long as possible.B)Elevate the rest of the client's body slightly above the neck and head.C)Position the neck and head in line with the rest of the client's body.D)Elevate the client's head slightly while keeping the neck neutral.

D

Easy 9. A 68-year-old female client who received treatment for a fracture is to be discharged because her healing is almost complete. Which of the following nursing actions is most critical for the client? A) Advise the client to avoid red meat. B) Advise the client to keep the affected limb in an elevated position. C) Educate the client about the effects of menopause. D) Explore factors related to the client's home environment.

D

Easy 2.During a general musculoskeletal assessment, which one of the following would help the nurse determine the client's muscle strength?A)Palpating the muscles and jointsB)Asking the client to lift weightsC)Examining the client for symmetry, size, and contour of extremitiesD)Applying force to the client's extremity as the client pushes against that force

D

Moderate 10. A client undergoes hip surgery and is assigned to the nursing care. On a particular day, the client complains of constipation and is relieved of the distress. Which of the following dietary suggestions would help the client prevent constipation in the future? A) Intake of a high-protein diet C) Intake of a diet rich in potassium B) Intake of dairy products D) Intake of a high-fiber diet

D

Moderate 10. A client with gout has been advised to lose weight. She informs the nurse that she plans to go on a "guaranteed rapid weight loss" plan that involves fasting and heavy exercise. What should be the nurse's response? A) Encourage fasting but ask the client to avoid heavy exercise. B) Advise the client to avoid fasting but go for heavy exercise. C) Advise the client to combine fasting with moderate exercise. D) Caution the client about the plan.

D

Moderate 2. What advice can the nurse give a client with degenerative joint disease to avoid unusual stress on a joint? A) Keep shifting weight from one foot to the other. B) Perform aerobic exercises. C) Maintain complete bed rest. D) Maintain good posture.

D

Moderate 3. A client is recovering from a dislocation. However, during the course of the treatment, the nurse suspects an insufficient deposit of collagen during the healing process. What signs should the nurse closely monitor for in the client? A) Loss of appetite C) Lack of mobility B) Allergic reactions to medications D) Reduced tensile strength

D

Moderate 3. Which condition needs to be carefully assessed in a client with a fracture reduction? A) Cardiac problems B) Renal dysfunction C) Sleep disorders D) Neurovascular and systemic complications

D

Moderate 6. The nurse is taking care of a client with a ligament and a meniscal injury to the knee. Which of the following nursing actions would help the client to ambulate without causing further injury? A) Administer nonsteroidal anti-inflammatory drugs (NSAIDs) regularly. B) Apply heat to the affected area every night. C) Apply a cold pack to the affected area every night. D) Assist with a gradual introduction of activity.

D