2024 CARE OF PATIENTS WITH
MUSCULOSKELETAL TRAUMA-
NCLEX CHAPTER 51 REVIEW
EXAM QUESTIONS WITH
CORRECT ANSWERS
A client has sustained a rotator cuff tear while playing baseball. The nurse
anticipates that the client will receive which immediate conservative
treatment?
A Surgical repair of the rotator cuff
B Prescribed exercises of the affected arm
C Immobilizer for the affected arm
D Patient-controlled analgesia with morphine - CORRECT ANSWERS-C
Immobilizer for the affected arm
The conservative treatment for this client is to place the injured arm in an
immobilizer. Surgical intervention is not considered conservative treatment.
Exercises are prohibited immediately after a rotator cuff injury. The client
with a rotator cuff injury is treated primarily with nonsteroidal anti-
inflammatory drugs to manage pain.
The nurse admits an older adult client who sustained a left hip fracture and is
in considerable pain. The nurse anticipates that the client will be placed in
which type of traction?
A Balanced skin traction
B Buck's traction
C Overhead traction
D Plaster traction - CORRECT ANSWERS-B Buck's traction
Buck's traction may be applied before surgery to help decrease pain
associated with muscle spasm. Balanced skin traction is indicated for
fracture of the femur or pelvis. Overhead traction is indicated for fracture of
the humerus with or without involvement of the shoulder and clavicle.
Plaster traction is indicated for wrist fracture.
, 1.ID: 4615491966
Which nursing action does the nurse on the orthopedic unit plan to delegate
to unlicensed assistive personnel (UAP)?
A. Remove the wound drain for a client who had an open reduction of a hip
fracture 3 days ago.
B. Assess for bruising on a client who is receiving warfarin (Coumadin) to
prevent deep vein thrombosis.
C. Teach a client with a right ankle fracture how to use crutches when
transferring and ambulating.
D. Check the vital signs for a client who was admitted after a total knee
replacement 3 hours ago. - CORRECT ANSWERS-D. Check the vital signs for a
client who was admitted after a total knee replacement 3 hours ago. Correct
Vital sign assessment is a skill that is within the role of the UAP. Removing a
wound drain, assessment, and client teaching are nursing actions that
require broader education and are within the scope of practice of licensed
nursing staff.
2.ID: 4615491959
The nurse refers a client with an amputation and the client's family to which
community resource?
A. American Amputee Society (AAS)
B. Amputee Coalition of America (ACA)
C. Community Workers for Amputees (CWA)
D. National Amputee of America Society (NAAS) - CORRECT ANSWERS-B.
Amputee Coalition of America (ACA)
The ACA is an available resource for clients with amputations and supports
them and their families. The AAS, CWA, and NAAS do not exist.
A client is brought to the emergency department via ambulance after a
motor vehicle crash. What condition does the nurse assess for first?
A. Bleeding
B. Head injury
C. Pain
D. Respiratory distress - CORRECT ANSWERS-D. Respiratory distress
The client should first be assessed for respiratory distress, and any oxygen
interventions instituted accordingly. Bleeding is the second assessment
priority, head injury is the third assessment priority, and pain is the fourth
assessment priority in this case.
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