Nclex-Rn Practice Questions-Care Of The Adult - Musculoskeletal Disorders Part 4
Start
Congratulations - you have completed Nclex-Rn Practice Questions-Care Of The Adult - Musculoskeletal Disorders Part 4.
You scored %%SCORE%% out of %%TOTAL%%.
Your performance has been rated as %%RATING%%
Your answers are highlighted below.
Question 1 |
Which of the following clinical manifestations would lead the nurse to suspect a fat embolus in a client who has a left femur fracture?
A | Dyspnea |
B | Sudden headache |
C | Numbness in the left leg |
D | Muscle spasm in the left thigh |
Question 2 |
A client is diagnosed with Ewing’s sarcoma. The nurse anticipates that which test would be most appropriate in determining the extent of metastasis?
A | Bone scan |
B | Computed tomography (CT) scan |
C | Magnetic resonance imaging (MRI) |
D | Positron emission tomography (PET) |
Question 3 |
An elderly client with rheumatoid arthritis is being treated with prednisone (Deltasone). The nurse is aware that complications occurring with long-term therapy include which of the following?
A | Breast and uterine cancer |
B | Osteoporosis and diabetes mellitus |
C | Weight loss and lactose intolerance |
D | Deep vein thrombosis (DVT), pulmonary embolus, and stroke |
Question 4 |
A client with a femoral fracture is in skeletal traction. During the initial shift assessment, the nurse finds that the weight used in traction is heavier than specified by the nursing care plan. Which action should the nurse take first?
A | Ask the health care provider during rounds if the order for the weight was changed. |
B | Check the health care provider’s orders to see if the orders included a weight change. |
C | Assume that if the weight was changed, the health care provider ordered it. |
D | Remove the weight and replace it with the weight specified in the plan. |
Question 5 |
The nurse is assessing a client’s response to skeletal traction applied to the lower extremity. Which finding would be considered to be normal?
A | Coolness and pallor below the fracture level |
B | Moderate to severe muscle spasms around the fracture area |
C | Serous drainage and crust formation at the pin insertion site |
D | Erythema and swelling immediately around the pin insertion site |
Question 6 |
Which nursing diagnosis is appropriate for a client with diabetes who is placed in skeletal traction after a motor vehicle collision?
A | Imbalanced nutrition: Less than body requirements related to malabsorption of nutrients |
B | Risk for injury related to subluxation of the joint above the pin insertion site |
C | Risk for autonomic dysreflexia related to bed rest |
D | Risk for infection related to the skeletal pin |
Question 7 |
A perimenopausal client is at high risk for osteoporosis because of family history, lactose intolerance, and small body frame. The client asks the nurse how to prevent osteoporosis. What is the most important information for the nurse to provide for this client?
A | Increase the amount of calcium and vitamin D in your diet. |
B | Hormone replacement therapy (HRT) is recommended. |
C | Have a bone density test yearly. |
D | It is not necessary to stop smoking. |
Question 8 |
The nurse is assessing a client and determines that which of the following is a risk factor for traction-related complications?
A | Coronary artery disease |
B | Diabetes mellitus |
C | Hypertension |
D | Hip fracture |
Question 9 |
A client with lactose intolerance requires dietary teaching. Which foods should the nurse advise the client to eat to ensure adequate calcium intake?
A | Cheese and yogurt |
B | Beef liver and broccoli |
C | Bananas and avocados |
D | Collard greens and spinach |
Question 10 |
Which statement best explains an open reduction of a fractured femur?
A | Traction will be used. |
B | A cast will be applied. |
C | Crutches will be used after surgery. |
D | Some form of screw, plate, nail, or wire is usually used to maintain alignment. |
Question 11 |
Which of the following clinical manifestations would lead the nurse to suspect that the client has a dislocation of the left hip?
A | Pain relieved with pressure |
B | Pain in the inguinal area, abnormal gait |
C | Internal rotation of the knee, abduction of the leg |
D | Pain in the hip, the thigh appears longer than the unaffected leg |
Question 12 |
The nurse is teaching a client diagnosed with degenerative joint disease about the condition. The nurse recognizes teaching has been effective when the client makes which statement?
A | “It is a noninflammatory joint disease.” |
B | “It is an immune-mediated joint disease.” |
C | “It is a joint inflammation after a viral infection.” |
D | “It is a joint inflammation related to systemic infections.” |
Question 13 |
Client education about gout includes which information?
A | Good foot care will reduce complications. |
B | Increased dietary intake of purine is needed. |
C | Production of uric acid in the kidney affects joints. |
D | Uric acid crystals cause inflammatory destruction of the joint. |
Question 14 |
A client who is receiving acetaminophen (Tylenol) for osteoarthritis complains of continuing pain. The health care provider prescribes celecoxib (Celebrex). Which medication instruction should the nurse provide to this client?
A | Report black and tarry stools to the health care provider. |
B | Use a stool softener or fiber laxative daily to prevent constipation. |
C | If you miss a dose, take a double dose the next day. |
D | Don’t take the medication with dairy products. |
Question 15 |
A client has been treated with I.V. antibiotics for osteomyelitis. The treatment has not been effective. Which intervention would be the most appropriate for this client?
A | Bone grafts |
B | Hyperbaric oxygen therapy |
C | Amputation of the extremity |
D | Debridement of necrotic tissue |
Question 16 |
A high-protein diet is ordered for a client recovering from a fracture. The nurse explains to the client that which of the following is the reason for this diet?
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 17 |
The nurse is caring a client who has been admitted to the hospital with a musculoskeletal injury. Cold therapy is ordered for which of the following reasons?
A | It promotes analgesia and circulation. |
B | It numbs the nerves and dilates the vessels. |
C | It promotes circulation and reduces muscle spasms. |
D | It causes local vasoconstriction and prevents edema or muscle spasm. |
Question 18 |
An elderly client in a nursing home is particularly susceptible to bone loss. The nurse is aware that bone loss may be caused by which of the following?
A | Chronic use of stool softeners |
B | Calcium channel blockers |
C | Lack of sunlight exposure |
D | Decreased mobility |
Question 19 |
What discharge information should be given to a client with a cast?
A | Use powder under the cast as needed. |
B | Itching under the cast indicates infection. |
C | Keep the extremity in a dependent position. |
D | Report fever and foul odors around the cast. |
Question 20 |
A client in skeletal traction complains of pain and received a dose of an analgesic 1 hour ago. The nurse educates and offers the client an alternative pain-management measure. Which of the following actions should be implemented based on the nurse’s scope of practice?
A | Acupressure and shiatsu |
B | Relaxation and imagery |
C | Hypnosis and therapeutic touch |
D | Swedish massage and the Feldenkrais method |
Question 21 |
A client with a torn meniscus caused by a football injury arrives at the outpatient surgery clinic for an arthroscopic meniscectomy. What is the most important information for the nurse to give the client?
A | Exactly how the procedure will be performed |
B | Avoidance of weight bearing for 2 weeks after the surgery |
C | Postoperative exercises, such as straight-leg raising and quadriceps setting |
D | The possibility of severe postoperative pain for 24 to 48 hours after surgery |
Question 22 |
A client is being discharged from the emergency department after cast application for a tibial fracture. The nurse is aware that the client is at risk for ineffective breathing pattern related to long bone fracture secondary to fat embolus. Based on this diagnosis, which instruction should the nurse provide for this client?
A | Cough and deep breathe at least every 2 hours. |
B | Restrict your fluid intake to 1 L per day. |
C | Keep the leg elevated and apply ice for the first 24 to 48 hours. |
D | Call the physician at once if you experience apprehensiveness, shortness of breath, fever, or palpitations. |
Question 23 |
A client has an above-the-knee amputation 4 days after a traumatic injury. Which nursing diagnosis is most appropriate?
A | Risk for impaired skin integrity related to decreased peripheral circulation |
B | Decreased cardiac output related to shock caused by decreased fluid volume |
C | Impaired gas exchange related to fat embolism caused by surgical removal of bone and tissue |
D | Acute pain related to phantom limb pain caused by surgical removal of leg after traumatic injury |
Question 24 |
A client has a knee-high cast removed 6 weeks after suffering an ankle fracture. Palpation reveals a hard, nontender lump at the fracture site. How should the nurse interpret this finding?
A | Abnormal; the bone may have healed in misalignment, possibly from the short leg cast |
B | Abnormal; remodeling should have occurred by now, so the findings suggest malunion |
C | Normal; callus formation normally occurs at this stage and may feel like a lump on the bone |
D | Normal; swelling and bruising may persist after a traumatic fracture |
Question 25 |
A client is ready to be discharged after arthroscopic knee surgery. Which instruction should the nurse expect the health care provider to provide?
A | Ice and elevate the extremity for 12 hours after discharge. |
B | Infection isn’t a potential problem because of the small incision size. |
C | Swelling and coolness of the joint and limb are normal right after surgery. |
D | Take acetaminophen with codeine every 4 hours as necessary for pain relief. |
Question 26 |
A 20-year-old client developed osteomyelitis 2 weeks after a fishhook was removed from the client’s foot. Which rationale best explains the expected long-term antibiotic therapy needed?
A | Bone has poor circulation. |
B | Tissue trauma requires antibiotics. |
C | Feet are normally more difficult to treat. |
D | Fishhook injuries are highly contaminated. |
Question 27 |
A client tells the nurse that she experiences pain and numbness in the fingers when typing on a computer keyboard. Which action will help the nurse assess for Phalen’s sign?
A | Having the client hold both wrists in acute flexion with the dorsal surfaces touching for 60 seconds |
B | Having the client hold both hands above her head with her arms straight for 30 seconds |
C | Having the client extend her wrists while the nurse provides resistance |
D | Tapping gently over the median nerve in the wrist |
Question 28 |
A 64-year-old client with complications related to metastatic cancer and complaints of back pain is admitted to the hospital. Which assessment finding should the nurse expect during the physical examination?
A | A gibbous |
B | A rounded thoracic convexity |
C | An accentuation of the normal lumbar curve |
D | Gentle concavities in the cervical and lumbar regions and a convexity in the thorax |
Question 29 |
A nurse is assigned to care for a 70-year-old client with acute rheumatoid arthritis. Which assessment finding should the nurse expect to find during the physical examination?
A | Radial deviation of the distal phalanges |
B | Tender, painful, and stiff joints |
C | Heberden’s nodes |
D | Bouchard’s nodes |
Question 30 |
An 80-year-old client with pneumonia is admitted to the hospital. The client has a past medical history that includes chronic rheumatoid arthritis. Which assessment finding should the nurse expect during the physical examination?
A | Thickened plaque overlying the flexor tendon of the ring finger |
B | Cystic swelling on the dorsum of the wrist |
C | Flattened thenar eminence |
D | Swan-neck deformity |
Once you are finished, click the button below. Any items you have not completed will be marked incorrect.
Get Results
There are 30 questions to complete.
You have completed
questions
question
Your score is
Correct
Wrong
Partial-Credit
You have not finished your quiz. If you leave this page, your progress will be lost.
Correct Answer
You Selected
Not Attempted
Final Score on Quiz
Attempted Questions Correct
Attempted Questions Wrong
Questions Not Attempted
Total Questions on Quiz
Question Details
Results
Date
Score
Hint
Time allowed
minutes
seconds
Time used
Answer Choice(s) Selected
Question Text
All done
Need more practice!
Keep trying!
Not bad!
Good work!
Perfect!
related categories
Related posts
- Nclex-Rn Practice Questions-Care Of The Child – Musculoskeletal Disorders Part 4
- Nclex-Rn Practice Questions-Care Of The Child – Musculoskeletal Disorders Part 3
- Nclex-Rn Practice Questions-Care Of The Child – Musculoskeletal Disorders Part 2
- Nclex-Rn Practice Questions-Care Of The Child – Musculoskeletal Disorders Part 1
- Nclex-Rn Practice Questions-Care Of The Adult – Musculoskeletal Disorders Part 3
- Nclex-Rn Practice Questions-Care Of The Adult – Musculoskeletal Disorders Part 2
- Nclex-Rn Practice Questions-Care Of The Adult – Musculoskeletal Disorders Part 1
- Nclex-Rn Practice Questions-Care Of Adult – Genitourinary Disorders Part 2
- Nclex-Rn Practice Questions-Care Of The Adult – Respiratory Disorders Part 1
- Nclex-Rn Practice Questions-Care of Adults-Adult and Older Adult Development