ATI LPN Musculoskeletal

A nurse is talking with a group of clients at a senior center about risk factors for osteoporosis. Which of the following statements should the nurse include? A. "Extended periods of immobility increase your risk of osteoporosis." B. "Prolonged periods of sun exposure increase your risk of osteoporosis." C "Eating a diet high in protein can reduce your risk of osteoporosis." D. "Corticosteroid therapy will reduce your risk of osteoporosis."

A. "Extended periods of immobility increase your risk of osteoporosis."

A nurse is providing teaching for a client following a below-knee amputation. Which of the following should the nurse include in the teaching? A. Instruct the client to lie prone while in bed. B. Ensure the client sleeps on the soft mattress. C. Pull up the residual limbs while in bed. D. Keep the residual limb expose to air to heal

A. Instruct the client to lie prone while in bed.

A nurse is reinforcing discharge teaching with a client who has osteoarthritis. Which of the following instructions should the nurse provide? A. "Rest frequently after periods of activity." B. "Perform exercise only on days that you feel well." C. "Perform your exercises after applying cold packs to your joints." D. "Place a large pillow under your knees when lying down.

A. "Rest frequently after periods of activity."

A nurse is preparing a client for magnetic resonance imaging (MRI) of the spine. Which of the following pieces of information should the nurse give the client prior to the procedure? A. "You can have a mild sedative before the procedure." B. "You'll have to lie still on your back for 15 to 20 minutes." C. "You can't have this test if you've had cataract surgery." D. "Your exposure to radiation will be minimal."

A. "You can have a mild sedative before the procedure."

A nurse is caring for a client who had below the knee amputation for gangrene of the right foot. The client report sensations of burning and crushing pain in the absent toes of the right foot. Which of the following statements should the nurse make? A. An anticonvulsant medications can be helpful to relieve this pain. B. Try to look at the surgical wound to remind yourself that the limb is gone. C. Use a cold compress intermittenly to decrease these pain sensations. D. Grief over the lost limb can sometimes makes you deny the limb is really gone

A. An anticonvulsant medications can be helpful to relieve this pain.

A nurse is in an acute care clinic is talking with a client who reports that her osteoarthritis pain in her knees is Increasing each day. The client wants to discuss non-pharmacological approaches that will help her relieves the pain. Which of the following interventions should the nurse suggest? A. Apply warm compresses to her joints. B. Decrease the daily intake of dietary protein. C. Keeps joints in extension during rest periods. D. Limit sleep to 6-7 hr per night

A. Apply warm compresses to her joints.

A nurse is talking to an older adult client who is at risk for osteoporosis about strategies for preventing bone loss. Which of the following instructions should the nurse provide? A. Begin a program of brisk walking. B. Take 800 mg of calcium per day. C. Drink of plenty sparkling water. D. Drink 8 oz of red wine each day

A. Begin a program of brisk walking.

A nurse in an ambulatory clinic is caring for a client who sustained facial trauma to the nose. Which of the following should the nurse take first? A. Determine the client's ability to take a deep breath B. Place a cold compress on the nasal area. C. Palpate the nasal area for crepitation. D. Offer the client an analgesic medication

A. Determine the client's ability to take a deep breath

A nurse is caring for client who has osteoporosis and a new prescription for calcium supplements. Which of the following foods should the nurse recommend to promote calcium absorption? A. Fortified milk. B. Ripe bananas. C. Steamed broccoli. D. Green leafy vegetables

A. Fortified milk.

A nurse is reinforcing teaching with a client who has cast on his left arm to treat a forearm fracture. Which of the following statements indicates that the client understands the instructions? A. I'll call the doctor's office if my fingers get colder on the arm with the cast. B. If I have any itching under the cast. I'll try to reach it with a cotton swab. C. If my fingers swell, I should just put a heating pad on them and rest. D. If I have any tingling under my cast, I'll know I need to move my fingers more

A. I'll call the doctor's office if my fingers get colder on the arm with the cast.

A nurse is caring for a client who has chronic phantom limb pain following an above-knee amputation. Which of the following prescriptions should the nurse verify with the provider? A. Meperidine B. Amitriptyline C. Gabapentin D. Propranolol

A. Meperidine

A nurse is preparing to care for a client who is in balanced skeletal traction to stabilize a femur fracture. Which of the following actions should the nurse recommend for the client's plan of care? A. Offering the client a diet high in fluid and fiber B. Encouraging active range of motion of the affected leg C. Removing the weights prior to repositioning the client D. Assisting the client to a lateral position every 4 hours

A. Offering the client a diet high in fluid and fiber

A nurse is collecting data from a client who is 24 hr postoperative following an above the elbow amputation. Which of the following findings should the nurse identify as the priority? A. Report of the muscle spasms. B. Inability to get dressed without assistance. C. Reports of feeling of anger. D. Refusal to look at the affected limb

A. Report of the muscle spasms.

A nurse is determining a client's risk of developing osteoporosis. The nurse should identify that which of the following are risk factors for bone loss? (Select all that apply.) A. Small body frame B. Hypertension C. African-American ethnicity D. Low vitamin D intake E. Smoking

A. Small body frame D. Low vitamin D intake E. Smoking

A nurse is assisting with preparing a client for an electromyogram (EMG). Which of the following statements should the nurse identify as an indication that the client understands the pre-procedure instructions? A. This test will help the doctor know if my nerves are working correctly." B. "The doctor will be able to fix the problem with my arm during this procedure." C "I cannot eat or drink for at least 10 hours before I have this procedure." D "I will get enough sedation to put me to sleep for this procedure."

A. This test will help the doctor know if my nerves are working correctly."

A nurse is assessing a client who is 48 hr postoperative following open reduction and internal fixation of a fractured tibia. Which the following findings should the nurse report to the provider? A. Toes cold to the touch. B. Serous drainage from the pin sites. C. Blanching of the toe nails beds with pressure. D. Pink tissues around fixator insertion sites

A. Toes cold to the touch.

A nurse is caring for a client who is wearing a halo fixator. Which of the following interventions should the nurse implement? (Select all that apply.) A. Turn the client every 2 hours B. Monitor the client's pin sites for loosening C. Hold the client's halo device when turning the client D. Check the client's skin to ensure the jacket is not applying pressure E. Adjust the screws holding the client's halo device in place to ensure a proper fit

A. Turn the client every 2 hours B. Monitor the client's pin sites for loosening D. Check the client's skin to ensure the jacket is not applying pressure

A nurse is caring for a client who had a fiberglass cast on her left arm several hours ago and now reports itching under the cast. Which of the following action should the nurse plan to take? A. Use a hairdryer on a cool setting to blow air into the cast. B. Ask the provider to bivalve the cast. C. Provide a client with a sterile cotton swab to rub the affected skin. D. Wrap the extremity in a dry heating pad

A. Use a hairdryer on a cool setting to blow air into the cast.

A nurse is caring for a client with a hip fracture who has Buck's extension traction in place. Which of the following pieces of the information should the nurse give the client about this type of traction? (Select all that apply)? A. You'll have considerably less pain with the traction in place. B. You'll have the traction in place for a week or so. C. The traction will help decrease muscle spasms. D. The weight as a pulling force to keep your leg and hip still. E. We have to make sure the wight are just barely touching the floor.

A. You'll have considerably less pain with the traction in place. C. The traction will help decrease muscle spasms. D. The weight as a pulling force to keep your leg and hip still.

A nurse is reinforcing teaching with a client who is on bed rest about preventing complications. Which of the following client statements indicates an understanding of the teaching? A. I should perform range-of-motion exercises once per day." B. "I should cough and deep-breathe every hour." C. " I should change my position every 4 hours." D. "I should perform foot and ankle pumps every 3 hours."

B. "I should cough and deep-breathe every hour."

A nurse is reinforcing discharge teaching with a client who had a left total hip arthroplasty. Which of the following client statements indicates the teaching was effective? A. "I should expect swelling of the affected leg for several weeks." B. "I should not cross my legs at the ankles or knees." C. "I will inspect my hip incision every other day for redness." D. "I can bend over at the hip to pick up objects."

B. "I should not cross my legs at the ankles or knees."

A nurse is reinforcing post-procedural teaching with a client who had a diagnostic knee arthroscopy. Which of the following statements should the nurse identify as an indication that the client understands the instructions? A. "I'll take aspirin to relieve my pain." B. "I'll keep my leg elevated for the first day." C. "I'll put a heating pad on my knee for the first day." D. "I'll resume my usual activities as soon as I leave."

B. "I'll keep my leg elevated for the first day."

A nurse is assisting with preparing a client who is scheduled for an arthroscopy on the following day. Which of the following statements indicates that the client understands the pre-procedure instructions? A. "I have to be able to keep my leg straight for the whole procedure." B. "The doctor will be able to see if I have signs of rheumatoid arthritis." C. "I should expect to stay overnight until I can walk around." D. "I'll have a scar that will be about an inch long."

B. "The doctor will be able to see if I have signs of rheumatoid arthritis."

A nurse is assisting with preparing a client for a bone scan. Which of the following statements indicates that the client understand the pre procedure instructions? (Select all that apply) A. I will have to drink radioactive solutions before the test begin. B. A special camera will scan the bones in my entire body. C. There will be better absorption of the radiation in healthy bone. D. I'll have to drink a lot of water to help get the radiation out of my body. E. I understand the radiation is harmless, and i don't have to worry about it

B. A special camera will scan the bones in my entire body. D. I'll have to drink a lot of water to help get the radiation out of my body. E. I understand the radiation is harmless, and i don't have to worry about it

A nurse is contributing to the plan of care for a client who is 72 hr postoperatively following ABK amputation. Which of the following actions should the nurse recommend? A. Elevate the residual limb on a soft pillow. B. Assist the client into a prone position Q4h. C. Re-apply a bandage to the residual limb Q12h. D. Apply dressing to the site in proximal to distal direction

B. Assist the client into a prone position Q4h.

A nurse is assisting with the preparation of an in-service presentation about the basics of bone injuries. The nurse should suggest explaining that which of the following types of fractures results when the client's bone breaks into multiple pieces? A. Avulsion B. Comminuted C. Compression D. Spiral

B. Comminuted

A nurse is caring for a client who has a fractured hip and was placed in Buck's traction 4 hours ago. Which of the following actions should the nurse take? A. Inspect the client's skin underneath the boot every 12 hours B. Encourage the client to perform dorsiflexion of the affected extremity every 2 hours C. Remove the weights from the traction while repositioning the client in bed D. Loosen the ropes if the client reports muscle spasms in the affected extremity

B. Encourage the client to perform dorsiflexion of the affected extremity every 2 hours

A nurse is reinforcing teaching with a client who had amputation of the left lower leg 3 days ago. Which of the following statements indicates that the client understands how to care for the incision and his left upper leg? A. I should use powder inside my limb sock to keep it cool. B. I will lie on my stomach for 30 minutes a few times a day. C. I should expect some drainage with a strong odor because I had gangrene. D. I will keep elevating my leg on 2 pillows to keep the swelling down

B. I will lie on my stomach for 30 minutes a few times a day.

A nurse is caring for a client who has a pelvic fracture. The client reports sudden SOB, stabbing chest pain, and anxiety. What complication the client have? A. Pneumonia. B. PE. C. Tension pneumothorax. D. Tuberculosis

B. PE.

A nurse is caring for a client immediately following the application of a plaster cast. The nurse should monitor for and report which of the following findings as an indication of compartment syndrome? A. Sensation of heat on the surface of the cast B. Paresthesias of the extremity C. Pruritus of the extremity D. Musty odor noted from cast materials

B. Paresthesias of the extremity

A nurse is caring for a client who is 3 days postoperative following a below-the-knee amputation. Which of the following actions should the nurse take? A. Place the client on a soft mattress B. Rewrap the residual limb with a bandage 3 times per day C. Assist the client into a prone position for 20 minutes every 8 hours daily D. Turn the client every 4 hours while in bed

B. Rewrap the residual limb with a bandage 3 times per day

A nurse is caring for a client who is 3 days postoperative following a right total hip arthroplasty. While transferring to a chair, the client cries out in pain. The nurse should assess the client for which of the following manifestations of dislocation of the hip prosthesis? A. Bulging in the area over the surgical incision. B. Shortening of the right leg. C. Sensation of warmth over the surgical incision. D. Pallor following elevation of right leg

B. Shortening of the right leg

A home health nurse is collecting data from a client who is 1 week postoperative following a total knee replacement. Which of the following statements by the client indicates an understanding of the teaching? A. I will discontinue the blood thinner my doctor prescribed once I am at home." B. "I will keep a pillow under my knee when I am in bed." C. "Iplan to use a walker to help me get around." D. "I will discontinue using the CPM machine when I get home."

C. "I plan to use a walker to help me get around."

A nurse is assisting with preparing a client who is postoperative following a conventional lumbar disk excision for discharge. Which of the following statements should the nurse identify as an indication that the client understands the instructions? A. " I should have no problem climbing stairs when I get home." B. "I'll wait about 3 weeks before I return to my usual activities." C. "I'll use my heating pad if I feel any muscle spasms in my back." D. "I can start driving again in about 2 weeks or so."

C. "I'll use my heating pad if I feel any muscle spasms in my back."

A Nurse is caring for a client who is postoperative following a total knee arthroplasty and has been prescribed a CPM machine and PCA. The client tell the nurse " I am in so much pain". Which of the following should the nurse take first? A. Remind client to push the button for the PCA device. B. Discuss the activities the client can use to distract from pain. C. Ask the client to describe the characteristic of the pain. D. Pause the CPM machine briefly to apply a cold pack to client's knee

C. Ask the client to describe the characteristic of the pain.

A nurse is reviewing the medical record of a client who has a prescription for probenecid to treat gout. The nurse should identify that which of the following medications can interact with probenecid? A. Colchicine B. Naproxen C. Aspirin D. Prednisone

C. Aspirin

A nurse is performing medication reconciliation for a newly admitted client who has RA. Which of the following medications should the nurse identify as a treatment for this condition? A. Misoprostol. B. Dantolene. C. Celecoxib. D. Colchicine

C. Celecoxib.

A nurse is collecting data from a client who has a fractured left femur and is skeletal traction. Which of the following findings should the nurse report to the provider as an indication of fat emboli? A. Ecchymosis of the thigh. B. Serous drainage at the pin site. C. Chest petechiae. D. Muscle spasms in the left leg

C. Chest petechiae.

A nurse is collecting data from a female client who reports severe joint pain. The nurse should identify that which of the following factors places the client at risk for gout? A. Perimenopausal B. Migraine headaches C. Diuretic use D. Irritable bowel syndrome

C. Diuretic use

A nurse is caring for a client who is postoperative following shoulder surgery. The client has a prescription to keep the affected arm adducted. Which of the following instructions should the nurse give to the client? A. Keep your arm bent at the elbow. B. Use the pillow to prop up your shoulder close to your ear. C. Hold your arm against the side of your body. D. Position your arm with the shoulder at a 90 degree angle

C. Hold your arm against the side of your body

A nurse is reinforcing preoperative teaching with a client who is scheduled for total knee arthroplasty. Which of the following statements by the client indicates an understanding of the teaching? A. I will begin using a continuous movement machine on my knee a day after surgery. B. I should avoid taking NSAIDs medications for pain. C. I should wear elastic stockings on both of my legs. D. I will have the small weight attached to my leg to hold the joint inplace after the surgery

C. I should wear elastic stockings on both of my legs.

A nurse is reinforcing teaching about disease management with a client who has RA. Which of the following responses by the client indicates an understanding of this information? A. I will take a hot bath every morning to decrease my stiffness. B. When my arthritis acts up, I will rest all day and avoid exercising. C. I will have handrails installed in my bathroom and hall. D. I will avoid taking naps so I will sleep better at night

C. I will have handrails installed in my bathroom and hall.

A nurse is assisting with discharge preparations for a client who is postoperative following a total hip arthroplasty. Which of the following statements should the nurse identify as an indication that the client understand the instructions? A. I'll use alcohol pads to clean my incision each day. B. When i am doing my exercise, i'll include bent-leg raises. C. I'll use a reacher to help me pick up anything i drop on the floor. D. When i can without my walker, i can stop attending physical therapy

C. I'll use a reacher to help me pick up anything i drop on the floor.

A nurse is caring for a client who is postoperative following a lumbar disk excision. Which of the following interventions should the nurse suggest for the client's plan of care? A. Keep the client's legs flat with the knees extended. B. Encourage the client to sit in a chair for as long as possible. C. Logroll the client in bed for care procedures. D. Expect urinary retention for the first postoperative day

C. Logroll the client in bed for care procedures.

A nurse is caring for a client who has a depressed skull fracture of the bone that makes up the larger part of the upper and side wall of the cranium. The nurse should identify the fracture to be located by which of the following bones? A. Sphenoid. B. Occipital. C. Parietal. D. Frontal

C. Parietal.

A nurse is planning care for a client following a total hip arthroplasty. Which of the following interventions should the nurse include in the plan? A. Position the client with her legs adducted B. Internally rotate the client's affected hip C. Place a pillow between the client's legs D. Instruct the client to avoid flexing her hip more than 95º

C. Place a pillow between the client's legs

A nurse is collecting data about a client's skeletal system. The nurse should be in which of the following positions to screen the client for scoliosis? A. Standing beside the client, who is lying on the examination table B. Facing the client, who is sitting in a chair C. Standing behind the client, who is bent over at the waist D. Standing on either side of the client while the client leans back

C. Standing behind the client, who is bent over at the waist

A nurse is reinforcing nutrition to a client who has osteomalacia. The nurse should identify that osteomalacia is caused by? A. Fluoride. B. Vitamin A C. Vitamin D. D. Phosphorus

C. Vitamin D.

A nurse is assisting in the preparation of a community education program about reducing the risks of osteoporosis. Which of the following pieces information should the nurse include? A. Avoid sun exposure. B. Take calcium supplement each day if at risk for osteoporosis. C. Walking is the preferred exercise to maintain strong bones. D. Caffeine intake minimizes the risk of developing osteoporosis

C. Walking is the preferred exercise to maintain strong bones.

A nurse is assisting with the care of a client who is scheduled to undergo surgery to repair an open hip fracture. In Which of the following positions should the nurse plan to place the client postoperatively? A. With the leg on the affected side adducted. B. With the hip externally rotated on the affected side. C. With the leg on the affected side abducted. D. With the hip flexed at the 90-degree on the affected side

C. With the leg on the affected side abducted.

A nurse is reinforcing teaching with a client who has arthritis and is experiencing joint pain that impairs mobility. Which of the following instructions should the nurse include? A. Engage you joints in resistance exercise. B. Avoid using assistive devices when walking. C. Perform passive exercise. D. Apply heat to your joints prior to exercise

D. Apply heat to your joints prior to exercise

A nurse in an urgent care clinic is reinforcing teaching with a client following a Grade II (moderate) ankle sprain. Which of the following instructions should the nurse plan to include? A. Perform passive range-of-motion exercises of the ankle hourly B. Keep the affected extremity in a dependent position C. Wrap a loose dressing around the affected ankle D. Apply cold compresses to the extremity intermittently

D. Apply cold compresses to the extremity intermittently

A nurse is caring for a client who has a fractured right hip. Which of the following types of traction should the nurse expect the client to have prior to hip arthroplasty surgery? A. Balanced skeletal traction. B. Pelvic belt. C. Pelvic sling. D. Buck's traction

D. Buck's traction

A nurse is assisting with preparing an in-service presentation about the basics of bone injuries. The nurse should suggest explaining that which of the following types of fractures is especially common in children? A. Impacted. B. Depressed. C. Compound. D. Greenstick

D. Greenstick

A nurse is collecting data from a client who has RA. The client's medical record indicates presence of Heberden's nodes. Which of the following findings should the nurse expect? A. Inflamed, fluid filled sacs over the joints. B. Clubbing of the fingernails. C. Flexion contracture of the fingers. D. Hard lumps over the joints of the fingers

D. Hard lumps over the joints of the fingers

A nurse is reviewing the medical record of a female client. Which of the following findings should the nurse identify as a risk factor for osteoporosis? A. Decrease intake of sodium. B. Spending several hours in the sun daily. C. Increase estrogen levels. D. History of anorexia nervosa

D. History of anorexia nervosa

A nurse is collecting data from a client who has several risk factors for osteoporosis. Which of the following findings should the nurse identify as an indication that the client requires further evaluation for this disorder? A. Leg cramps with exercise B. Stress incontinence. C. Abd distention. D. Lower back pain

D. Lower back pain

A nurse is reinforcing teaching with a client who has osteoporosis. Which of the following instructions should the nurse include in the teaching? A. Reduce dietary protein intake B. Apply ice to painful areas C. Increase calcium intake to 900 mg per day D. Perform weight-bearing exercises

D. Perform weight-bearing exercises

A nurse is caring for a client following a hip arthroplasty. The nurse should place an abduction pillow on the client for? A. Raising the bed linens off the client's feet to prevent plantar flexion. B. Keeping the client's heels off the bed to prevent bed sore. C. Positioning the client off the operative site while in the bed. D. Preventing dislocation of the hip during position changes or movement.

D. Preventing dislocation of the hip during position changes or movement.

A nurse is discussing the plan of care with a client who has osteomyelitis of an open wound on his heel. Which of the following information should nurse include? A. You will need to apply a cold pack to the site 3 times a day. B. Your provider might ask you to walk frequently to increase circulation to the area. C. You will need to limit consumption of high-protein foods. D. Your provider might prescribe a central catheter line for long-term antibiotic therapy

D. Your provider might prescribe a central catheter line for long-term antibiotic therapy