Question 1

Which manifestations is the nurse most likely to assess in a patient with a simple closed fracture of the radial bone?&#10;A) Broken skin at the site of the fracture&#10;B) Visible bone at the site of the fracture&#10;C) Pain and intact skin at the site of the fracture&#10;D) Crepitus and bone protrusion through skin

Accepted Answer

A simple closed fracture is characterized by pain and intact skin without any bone protrusion or broken skin.

Question 2

How should the nurse respond when a patient with a fracture asks if the bone will return to its original strength?&#10;A) &#34;Yes, the bone should have its original strength within 6 to 8 weeks.&#34;&#10;B) &#34;No, the bone will never be as strong as before the fracture.&#34;&#10;C) &#34;Yes, the bone will become just as strong but it may take a few years.&#34;&#10;D) &#34;Yes, once your cast is removed, the bone will be back to its original strength.&#34;

Accepted Answer

Bones typically regain their original strength after a fracture, but it can take several months to years for complete remodeling and strengthening to occur.

Question 3

Which statement by a patient scheduled for surgery for malunion of a fractured femur indicates to the nurse that he understands the reason for surgery?&#10;A) &#34;My fracture is healing normally.&#34;&#10;B) &#34;The bone fragments did not heal in a good alignment.&#34;&#10;C) &#34;My bones have not healed in 3 months.&#34;&#10;D) &#34;My bone healing is taking longer than expected.&#34;

Accepted Answer

Malunion refers to a fracture that has healed but in an incorrect position or alignment, which is why surgery is needed to correct it.

Question 4

A patient with a fractured femur has pins inserted through the skin with a rod holding the pins in place. The nurse documents that the patient has had which type of procedure?&#10;A) External fixation&#10;B) Internal fixation&#10;C) Closed reduction&#10;D) Open reduction

Accepted Answer

External fixation involves the use of pins or screws inserted into the bone through the skin, which are then connected to an external frame or rod to stabilize the fracture.

Question 5

A patient in a cast for a right tibial fracture complains of increasing pain, unrelieved by analgesics. Assessment by the nurse reveals paresthesias and paleness of the right foot. What action should the nurse take first?

A) Administer analgesia for breakthrough pain, and reassess the patient in 30 minutes.
B) Elevate the leg above the heart, and reassess the patient in 30 minutes.
C) Notify the orthopedic physician immediately.
D) Ask the patient to do dorsiflexion and plantar flexion exercises of the foot.

Accepted Answer

The symptoms suggest compartment syndrome, a medical emergency. Immediate notification of the physician is crucial to prevent permanent damage.

Question 6

Which assessment finding in a patient with a fractured femur would lead the nurse to suspect a fat embolism?&#10;A) Dyspnea and tachypnea&#10;B) Unrelieved pain in the fractured leg&#10;C) Volkmann contracture&#10;D) Edema of the affected leg

Accepted Answer

Fat embolism syndrome often presents with respiratory symptoms such as dyspnea and tachypnea due to fat globules obstructing pulmonary capillaries.

Question 7

What finding would the nurse expect when assessing a patient with a right shoulder subluxation?&#10;A) Right shoulder deformity, reduced joint mobility&#10;B) Decreased length of the right arm&#10;C) Deformity of the wrist, hand, and fingers&#10;D) Pain unrelieved by appropriate analgesics

Accepted Answer

A right shoulder subluxation typically presents with a deformity and reduced joint mobility due to the partial dislocation of the shoulder joint.

Question 8

Which finding should alert the nurse that a patient is experiencing carpal tunnel syndrome?&#10;A) Pain worsens by shaking the affected hand and wrist.&#10;B) Pain is alleviated by elevating the hand.&#10;C) Pain is alleviated by shaking the affected hand and wrist&#10;D) Pain is alleviated by rubbing the palm of the affected hand.

Accepted Answer

Shaking the affected hand and wrist often alleviates the pain associated with carpal tunnel syndrome, as it can relieve pressure on the median nerve.

Question 9

Which assessment data indicates a positive Phalen test?&#10;A) Tingling in the fingers when the median nerve is tapped&#10;B) Tingling in the fingers when the ulna nerve is tapped&#10;C) Tingling or numbness of the fingers when the wrist is flexed&#10;D) Tingling or numbness of the fingers when the wrist is extended

Accepted Answer

A positive Phalen test is indicated by tingling or numbness in the fingers when the wrist is flexed, which suggests carpal tunnel syndrome.

Question 10

Which instruction should the nurse give to the patient for the initial management of acute bursitis of the knee?&#10;A) Apply heat to the affected joint.&#10;B) Gently exercise the affected joint.&#10;C) Take acetaminophen, as prescribed.&#10;D) Rest the joint.

Accepted Answer

Resting the joint is crucial in the initial management of acute bursitis to reduce inflammation and prevent further irritation.

Question 11

Which of the following statements indicates that more discharge teaching is needed for the patient receiving traditional treatment in the emergency department for a sprained ankle?&#10;A) &#34;I should stay off my foot and rest my ankle.&#34;&#10;B) &#34;Wrapping my ankle with a compression bandage will reduce swelling.&#34;&#10;C) &#34;I will keep my ankle elevated.&#34;&#10;D) &#34;I will apply heat to my ankle.&#34;

Accepted Answer

The answer of Which of the following statements indicates that...

Question 12

Which statement is typical of data collected from a patient with an anterior cruciate ligament (ACL) tear?&#10;A) &#34;I heard my knee pop, and then it gave out.&#34;&#10;B) &#34;My knee has locked up.&#34;&#10;C) &#34;My knee is weak and buckles.&#34;&#10;D) &#34;My knee doesn't move smoothly.&#34;

Accepted Answer

The answer of Which statement is typical of data collected...

Question 13

Which statement by a patient indicates an understanding of postoperative instructions following rotator cuff repair?&#10;A) &#34;My arm will be immobilized for 2 weeks after surgery.&#34;&#10;B) &#34;Passive range of motion exercises may be performed for the first 6 weeks.&#34;&#10;C) &#34;I can start active range of motion exercises after 2 weeks.&#34;&#10;D) &#34;Active range of motion exercises will restore arm function in 2 weeks.&#34;

Accepted Answer

The answer of Which statement by a patient indicates an...

Question 14

Which local indications is the nurse likely to assess in a patient with osteomyelitis of the hip?&#10;A) Bone pain, redness, and warmth&#10;B) Nausea, vomiting, anorexia&#10;C) Fever and chills&#10;D) Lymph node swelling, malaise

Accepted Answer

The answer of Which local indications is the nurse likely...

Question 15

Which of the following patients does the nurse recognize as being at highest risk for a benign bone tumor?&#10;A) A 42-year-old postmenopausal woman&#10;B) An 85-year-old man&#10;C) A 13-year-old child&#10;D) A 35-year-old pregnant woman

Accepted Answer

The answer of Which of the following patients does the...

Question 16

When assessing a 17-year-old with Ewing sarcoma, the nurse understands that the most likely affected bones are:&#10;A) femur, tibia, humerus.&#10;B) pelvis, scapula.&#10;C) bone marrow.&#10;D) shaft of long bones, flat bones.

Accepted Answer

The answer of When assessing a 17-year-old with Ewing sarcoma,...

Question 17

Which population does the nurse understand is most at risk for osteosarcoma?&#10;A) Older adults&#10;B) Young adult males&#10;C) Middle-aged females&#10;D) Female adolescents

Accepted Answer

The answer of Which population does the nurse understand is...

Question 18

What is the best response by the nurse when a patient with a fractured femur asks the nurse to explain Buck traction?&#10;A) &#34;Buck traction is a form of skin traction that will help align your bone ends.&#34;&#10;B) &#34;Buck traction uses pins in your bone attached to weights to align the bones.&#34;&#10;C) &#34;Buck traction is a form of skeletal traction.&#34;&#10;D) &#34;Buck traction applies force directly to the bone.

Accepted Answer

The answer of What is the best response by the...

Question 19

Following a bone fracture, which of the following patients does the nurse identify as being at greatest risk for infection?&#10;A) A patient undergoing closed reduction of a fracture&#10;B) A patient in skin traction for a simple closed fracture&#10;C) A patient with a cast for a closed fracture&#10;D) A patient managed with surgical correction of a closed fracture

Accepted Answer

The answer of Following a bone fracture, which of the...

Question 20

Which response should the nurse give when a parent of a child with a greenstick fracture asks the nurse to explain this type of fracture?&#10;A) &#34;The bone fragments are partially joined.&#34;&#10;B) &#34;The bone is broken in several places.&#34;&#10;C) &#34;A fragment of the bone is separated from the rest of the bone.&#34;&#10;D) &#34;The bone ends are out of alignment.&#34;

Accepted Answer

The answer of Which response should the nurse give when...

Deck 35: Acute Musculoskeletal Disorders