Question 1

Which statement indicates that the patient needs further instruction about application of ice to a sprain?

Accepted Answer

A)   "I know this ice will reduce the swelling."
B)   "I will keep the ice on this knee for the rest of the day."
C)   "I will use the ice as you have directed for 24 hours."
D)   "I can elevate my leg and use ice to reduce swelling."E) B) and C)
F) A) and B)

Question 2

The nurse is caring for a patient who just returned from surgical decompression of the carpal tunnel.Which finding requires the nurse's immediate action?

Accepted Answer

A)   The patient's fingers swollen and warm.
B)   The patient complains of generalized pain 5/10.
C)   The capillary refill time is 8 seconds.
D)   The patient's fingers are pink and cool bilaterally.E) C) and D)
F) B) and C)

Question 3

An older adult has fallen and sprained his ankle in a local park.Which action should the responder perform first?

Accepted Answer

A)   Elevate the foot.
B)   Apply ice.
C)   Administer aspirin.
D)   Assist the patient with ambulation.E) B) and D)
F) A) and B)

Question 4

Carpal tunnel syndrome (CTS) is caused when the carpal tunnel compresses which location?

Accepted Answer

A)   Radial artery
B)   Brachial artery
C)   Median nerve
D)   Ulnar nerveE) None of the above
F) C) and D) C

Question 5

When caring for a patient who has an abductor wedge in place after a total hip replacement,for which finding should the nurse assess?

Accepted Answer

A)   Muscle spasms
B)   Alteration in peripheral circulation
C)   Compression fracture
D)   Appropriateness of the size of the wedgeE) A) and D)
F) A) and C)

Question 6

The nurse is performing an assessment on the patient who is in bilateral Buck traction.Which finding indicates the need to reposition the patient?

Accepted Answer

A)   The patient's heels are not touching the surface of the mattress.
B)   The elastic bandages need to be rewrapped.
C)   The patient's feet are against the footboard.
D)   The weights are hanging free.E) A) and B)
F) A) and C) C

Question 7

The nurse is performing morning care for a patient who sustained a fractured pelvis and bilateral femur fractures yesterday in a motorcycle collision.The patient complains of shortness of breath.Assessment reveals audible wheezes and oxygen saturation of 76%.What action should the nurse take first?

Accepted Answer

A)   Establish a peripheral intravenous (IV)  line.
B)   Inform the charge nurse.
C)   Explain the patient's change in status to his family.
D)   Raise patient to high Fowler position.E) A) and C)
F) A) and B)

Question 8

Place the steps of the process of fracture healing in proper order.

-Step 1

Accepted Answer

A)  Medullary canal is reconstructed.
B)  Mature bone cells form ossification.
C)  Callus is formed.
D)  Granulation tissue is formed.
E)  Hematoma is formed between broken ends of bone.F) B) and E)
G) A) and E)

Question 9

A patient in Russell traction with a Pearson attachment for a fracture of the tibia complains of intense pain at the fracture site.The nurse assesses a temperature of 102° F and increased swelling at the fracture site.Which complication do these findings suggest?

Accepted Answer

A)   Osteomyelitis
B)   Fat embolism
C)   Traction misalignment
D)   Nonunion of the fractureE) A) and D)
F) C) and D)

Question 10

Which major advantage is specific to external fixation devices?

Accepted Answer

A)   Faster healing time
B)   Allowance for immediate weight bearing
C)   Greater freedom of movement
D)   Pain reductionE) B) and C)
F) A) and C)

Question 11

The patient with osteoporosis calls the nurse in the doctor's office to report that she should have taken but has forgotten to take her weekly bisphosphonate (alendronate [Fosamax]) that was due 2 days ago.How should the nurse advise the patient?

Accepted Answer

A)   "Take the dose now with 8 ounces of water."
B)   "Take two doses 3 days apart."
C)   "Skip this week and pick up the schedule next week."
D)   "Take two tablets now with a snack."E) B) and D)
F) A) and D)

Question 12

Soft-tissue injuries require the nurse to assist with or instruct about the importance of which components of care?

Accepted Answer

A)   Bed rest
B)   Pain control
C)   Immobilization
D)   Activity restrictions
E)   Prevention of recurrenceF) B) and C)
G) B) and E)

Question 13

A patient has come to the ambulatory care clinic with a sprain.The nurse correctly differentiates a grade 2 sprain from a grade 3 sprain with the assessment of which finding?

Accepted Answer

A)   Pain
B)   Swelling
C)   Bleeding into the joint
D)   Minor loss of functionE) B) and C)
F) C) and D)

Question 14

The nurse suspects compartment syndrome in a patient with a side arm cast and traction when observing which finding(s) ?

Accepted Answer

A)   Warm, rosy fingers
B)   Intense pain in hand and fingers
C)   Edema of fingers
D)   Weak radial pulse
E)   Tingling and numbnessF) B) and C)
G) A) and B)

Question 15

When the clinic nurse starts to take the "air cast" off the grade 2 sprain,the patient asks why it is being removed since he still has pain.Which explanation is best?

Accepted Answer

A)   "Long-term immobilization can interfere with adequate circulation."
B)   "Long-term immobilization may increase long-term edema."
C)   "Long-term immobilization can cause permanent disability."
D)   "This cast will be replaced with a heavier cast."E) None of the above
F) A) and C)

Question 16

Match the fracture type to the description that characterizes it.

-Fracture that has not broken through skin

Accepted Answer

A)  Complete fracture
B)  Comminuted fracture
C)  Closed fracture
D)  Compound fracture
E)  Greenstick fractureF) A) and B)
G) B) and C)

Question 17

Match the type of fracture stabilization with the characteristics that best describe it.(The options can be used once, more than once, or not at all.)

-Metal appliances are used to stabilize pieces of fracture

Accepted Answer

A)  Closed reduction
B)  Open reduction
C)  Internal fixation
D)  External fixationE) B) and D)
F) A) and D)

Question 18

Place the steps of the process of fracture healing in proper order.

-Step 2

Accepted Answer

A)  Medullary canal is reconstructed.
B)  Mature bone cells form ossification.
C)  Callus is formed.
D)  Granulation tissue is formed.
E)  Hematoma is formed between broken ends of bone.F) A) and E)
G) C) and E)

Question 19

Which vitamin is essential in treating osteoporosis?

Accepted Answer

A)   Vitamin A
B)   Vitamin D
C)   Vitamin B12
D)   Vitamin CE) All of the above
F) None of the above

Question 20

The patient in a long arm cast (from below the shoulder to the wrist,with a 90-degree elbow flexion) complains of a burning sensation over the elbow.The nurse's initial intervention should be:

Accepted Answer

A)   Elevate the casted arm on pillows.
B)   Check to see if the cast is properly supported.
C)   Notify the charge nurse of developing pressure ulcer.
D)   Cut a "window" in the cast.E) None of the above
F) A) and D) B

Exam 32: Care of Patients with Musculoskeletal and Connective Tissue Disorders

Which statement indicates that the patient needs further instruction about application of ice to a sprain?

Correct AnswerverifiedShow Answer

The nurse is caring for a patient who just returned from surgical decompression of the carpal tunnel.Which finding requires the nurse's immediate action?

Correct AnswerverifiedShow Answer

An older adult has fallen and sprained his ankle in a local park.Which action should the responder perform first?

Correct AnswerverifiedShow Answer

Carpal tunnel syndrome (CTS) is caused when the carpal tunnel compresses which location?

Correct AnswerverifiedC

When caring for a patient who has an abductor wedge in place after a total hip replacement,for which finding should the nurse assess?

Correct AnswerverifiedShow Answer

The nurse is performing an assessment on the patient who is in bilateral Buck traction.Which finding indicates the need to reposition the patient?

Correct AnswerverifiedC

The nurse is performing morning care for a patient who sustained a fractured pelvis and bilateral femur fractures yesterday in a motorcycle collision.The patient complains of shortness of breath.Assessment reveals audible wheezes and oxygen saturation of 76%.What action should the nurse take first?

Correct AnswerverifiedShow Answer

Place the steps of the process of fracture healing in proper order. -Step 1

Correct AnswerverifiedShow Answer

A patient in Russell traction with a Pearson attachment for a fracture of the tibia complains of intense pain at the fracture site.The nurse assesses a temperature of 102° F and increased swelling at the fracture site.Which complication do these findings suggest?

Correct AnswerverifiedShow Answer

Which major advantage is specific to external fixation devices?

Correct AnswerverifiedShow Answer

The patient with osteoporosis calls the nurse in the doctor's office to report that she should have taken but has forgotten to take her weekly bisphosphonate (alendronate [Fosamax]) that was due 2 days ago.How should the nurse advise the patient?

Correct AnswerverifiedShow Answer

Soft-tissue injuries require the nurse to assist with or instruct about the importance of which components of care?

Correct AnswerverifiedShow Answer

A patient has come to the ambulatory care clinic with a sprain.The nurse correctly differentiates a grade 2 sprain from a grade 3 sprain with the assessment of which finding?

Correct AnswerverifiedShow Answer

The nurse suspects compartment syndrome in a patient with a side arm cast and traction when observing which finding(s) ?

Correct AnswerverifiedShow Answer

When the clinic nurse starts to take the "air cast" off the grade 2 sprain,the patient asks why it is being removed since he still has pain.Which explanation is best?

Correct AnswerverifiedShow Answer

Match the fracture type to the description that characterizes it. -Fracture that has not broken through skin

Correct AnswerverifiedShow Answer

Match the type of fracture stabilization with the characteristics that best describe it.(The options can be used once, more than once, or not at all.) -Metal appliances are used to stabilize pieces of fracture

Correct AnswerverifiedShow Answer

Place the steps of the process of fracture healing in proper order. -Step 2

Correct AnswerverifiedShow Answer

Which vitamin is essential in treating osteoporosis?

Correct AnswerverifiedShow Answer

The patient in a long arm cast (from below the shoulder to the wrist,with a 90-degree elbow flexion) complains of a burning sensation over the elbow.The nurse's initial intervention should be:

Correct AnswerverifiedB

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C

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C

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B