Nclex-Rn Practice Questions-Care Of The Adult - Musculoskeletal Disorders Part 3
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Question 1 |
A client with a right hip fracture is complaining of left-sided leg pain and edema and has a positive Homans’ sign. Based on the clinical findings, which of the following potential complications is a priority for the nurse to address?
A | Deep vein thrombosis (DVT) |
B | Pulmonary embolism |
C | Fat emboli |
D | Infection |
Question 2 |
Which nursing intervention would be appropriate for a client in traction?
A | Add and remove weights as the client wants. |
B | Assess the pin sites every shift and as needed. |
C | Make sure the knots in the rope catch on the pulley. |
D | Give range of motion (ROM) to all joints, including those immediately proximal and distal to the fracture, every shift. |
Question 3 |
The nurse is assisting the health care provider with the application of a cast. Which of the following nursing interventions would be included in the immediate cast care?
A | Rest the cast on the bedside table. |
B | Dispose of the plaster water in the sink. |
C | Support the cast with the palms of the hands. |
D | Wait until the cast dries before cleaning the surrounding skin. |
Question 4 |
Which statement by the client who recently had a cast applied indicates that the nurse’s teaching has been effective?
A | “Heat is a normal sensation as a cast dries.” |
B | “I’ll call my health care provider if I feel any heat.” |
C | “The cast will need to be removed if I feel any heat.” |
D | “The heat I feel is most likely caused by an infection.” |
Question 5 |
The nurse is caring for a client with a hip-spica cast. The nurse is teaching the client caregivers about the need to avoid gas-forming foods. Which of the following statements indicates that the nurse’s teaching has been effective?
A | “Gas-forming foods should be avoided to prevent flatus.” |
B | “Gas-forming foods should be avoided to prevent diarrhea.” |
C | “Gas-forming foods should be avoided to prevent constipation.” |
D | “Gas-forming foods should be avoided to prevent abdominal distension.” |
Question 6 |
A client has attended the sports medicine clinic to learn ways to prevent the risk of experiencing a sports-related injury. Which activity indicates that the client understands how to prevent sports-related injury?
A | Warming up |
B | Building strength |
C | Pacing the activity |
D | Working with moderate intensity |
Question 7 |
The nurse is evaluating a client on crutches using a three-point gait. Which assessment made by the nurse would indicate that the client is using the crutches appropriately?
A | The client is placing weight on the feet. |
B | The client is placing weight on the axillary areas. |
C | The client is placing weight on the palms of the hands. |
D | The client is placing weight on the palms and axillary areas. |
Question 8 |
The nurse is caring for a client who has been placed in traction prior to surgery. The client asks the nurse what is the purpose of the traction. What is the best response by the nurse?
A | “Traction allows for more activity.” |
B | “Traction will help prevent skin breakdown.” |
C | “Traction helps with repositioning while in bed.” |
D | “Traction helps to prevent trauma and overcome muscle spasms.” |
Question 9 |
After surgical repair of the client’s hip, which of the following positions would be best for this client?
A | Prone |
B | Adduction |
C | Abduction |
D | Subluxated |
Question 10 |
A client is receiving nutritional counseling following an application of a plaster cast for a fracture. The client asks the nurse why vitamin D intake is important. What is the best response by the nurse?
A | Absorption and use of potassium and phosphorus |
B | Absorption and use of calcium and phosphorus |
C | Excretion of calcium and phosphorus |
D | Excretion of potassium and calcium |
Question 11 |
The trauma nurse is caring for a client who was involved in an automobile accident. The trauma nurse would assess the client for which of the following classic fractures?
A | Brachial and clavicle |
B | Brachial and humerus |
C | Humerus and clavicle |
D | Occipital and humerus |
Question 12 |
The nurse is instructing a nursing assistant on the proper care of a client in Buck’s extension traction following a fracture of the left fibula. Which of the following observations would indicates that teaching has been effective?
A | The leg in traction is kept externally rotated. |
B | The weights are allowed to hang freely over the end of the bed. |
C | The nursing assistant instructs the client to perform ankle rotation exercises. |
D | The nursing assistant lifts the weights when assisting the client to move up in bed. |
Question 13 |
The nurse is caring for a client diagnosed with a fracture. The health care provider ordered a high-protein diet. The nurse explains to the client that the high-protein diet is ordered for which of the following reasons?
A | Protein promotes gluconeogenesis. |
B | Protein has anti-inflammatory properties. |
C | Protein promotes cell growth and bone union. |
D | Protein decreases pain medication requirements. |
Question 14 |
The nurse is caring for a client who has been admitted to the hospital with a diagnosis of Paget’s disease and hypertension. Which of the following nursing diagnoses would be a priority plan of care for the client?
A | Social isolation |
B | Ineffective coping |
C | Impaired physical mobility |
D | Ineffective health maintenance |
Question 15 |
Which of the following interventions would help prevent deep vein thrombosis (DVT) after hip surgery?
A | Bed rest |
B | Egg crate mattress |
C | Vigorous pulmonary care |
D | Subcutaneous heparin and pneumatic compression boots |
Question 16 |
A client is diagnosed with fat emboli. Which signs and symptoms would the nurse expect to find during assessment?
A | Tachypnea, tachycardia, shortness of breath, and paresthesia |
B | Paresthesia, bradypnea, bradycardia, and petechial rash on chest and neck |
C | Bradypnea, bradycardia, shortness of breath, and petechial rash on chest and neck |
D | Tachypnea, tachycardia, shortness of breath, and petechial rash on chest and neck |
Question 17 |
The nurse is assessing a client who is admitting for a long bone fracture. Which assessment finding would be noted as a life-threatening complication?
A | Fat emboli |
B | Bone emboli |
C | Serous emboli |
D | Platelet emboli |
Question 18 |
A nurse is caring for a client with a femoral shaft fracture. Which of the following assessment findings is serious and warrants immediate intervention by nurse?
A | Decreased urine output |
B | Constipation |
C | Hemorrhage |
D | Pain |
Question 19 |
A client has developed a fat embolus. The nurse is aware that the treatment of choice would be which of the following?
A | Antibiotics, I.V. fluids, steroids, and oxygen |
B | Theophylline (Theo-24), morphine, oxygen, and I.V. fluids |
C | Morphine (Duramorph), oxygen, I.V. fluids, and antibiotics |
D | Albuterol (AccuNeb), oxygen, I.V. fluids, and steroids |
Question 20 |
While caring for a client after a left hip replacement, the nurse determines that discharge teaching has been effective when the client states:
A | “I must remain on bed rest.” |
B | “I have no activity restrictions.” |
C | “I am allowed limited weight bearing.” |
D | “I cannot bear any weight for 2 months.” |
Question 21 |
The health care provider has just removed the cast from a 20-year-old client’s lower leg. During the removal, a small superficial abrasion occurred over the ankle. Which statement by the client indicates the need for additional client teaching?
A | “The dry, peeling skin will go away by itself.” |
B | “I must use a moisturizing lotion on the dry areas.” |
C | “I can wash the abrasion on my ankle with soap and water.” |
D | “I will wait until the abrasion is healed before I go swimming.” |
Question 22 |
The emergency room nurse is caring for a 20-year-old female client who is complaining of severe pain to the right upper arm. The nurse suspects domestic abuse. Which of the following X-ray findings would indicate the need for additional investigation?
A | Longitudinal fracture |
B | Transverse fracture |
C | Oblique fracture |
D | Spiral fracture |
Question 23 |
A 25-year-old male client has just had a plaster cast applied to the right forearm following the reduction of a closed radius fracture due to an in-line skating accident. What is the priority assessment for the nurse to perform?
A | Sensation and movement of the fingers |
B | Whether the client is having any pain |
C | Whether the cast is completely dry |
D | Whether the cast needs petaling |
Question 24 |
A client is demonstrating to the nurse the understanding of touchdown weight bearing prior to discharge. Which of the following outcomes demonstrates that the nurse’s teaching is successful?
A | Full weight bearing on the affected extremity |
B | 30% to 50% weight bearing on the affected extremity |
C | No weight on the extremity but may touch the floor with it |
D | No weight on the extremity and keep it elevated at all times |
Question 25 |
The nurse is preparing the client for discharge. Which of the following discharge instructions should the nurse provide to the client after hip surgery?
A | “Do not flex the hip more than 30 degrees, do not cross your legs, and get help putting on your shoes.” |
B | “Do not flex the hip more than 60 degrees, do not cross your legs, and get help putting on your shoes.” |
C | “Do not flex the hip more than 90 degrees, do not cross your legs, and get help putting on your shoes.” |
D | “Do not flex the hip more than 120 degrees, do not cross your legs, and get help putting on your shoes.” |
Question 26 |
A nurse is providing care for a client with a leg cast. To help prevent foot drop, which action by the nurse would be the most appropriate?
A | Encouraging bed rest |
B | Supporting the foot with 45 degrees of flexion |
C | Supporting the foot with 90 degrees of flexion |
D | Placing a stocking on the foot to provide warmth |
Question 27 |
A 70-year-old male client is admitted to the medical-surgical unit with a fractured femur. The client is placed in Russell’s traction. The client asks the nurse to help him with back care. The most appropriate intervention by the nurse is:
A | telling the client that he can’t have back care while he’s in traction. |
B | telling the client to use the trapeze to lift his back off the bed. |
C | supporting the weight to give the client more slack to move. |
D | removing the weight to give the client more slack to move. |
Question 28 |
The nurse is caring for a 70-year-old client who has undergone a right total hip replacement. The nurse is aware that the client should be repositioned:
A | every 1 to 2 hours, from the unaffected side to the back. |
B | every 4 to 6 hours, from the unaffected side to the back. |
C | every 1 to 2 hours, from the affected side to the back. |
D | every 4 to 6 hours, from the affected side to the back. |
Question 29 |
A 75-year-old client with Paget’s disease is undergoing diagnostic exams for a suspected fracture. The nurse should expect to observe which of the following types of fracture?
A | Linear |
B | Oblique |
C | Transverse |
D | Longitudinal |
Question 30 |
A client has just returned from the postanesthesia care unit after undergoing internal fixation of a left femoral neck fracture. The nurse should place the client in which position?
A | The client should be positioned on his back with two pillows between his legs. |
B | The client should be positioned on the left side with his right knee bent. |
C | The client should be positioned on the right side with his left knee bent. |
D | The client should be sitting at a 90-degree angle. |
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