RNSG 1443 – Musculoskeletal Questions With Complete
Solutions
A client with a right arm cast states, "I haven't been able to
extend my fingers on my right hand since this morning." what
action should the nurse take?
1. Assess neurovascular status.
2. Ask the client to massage the fingers.
3. Encourage the client to take the prescribed analgesics.
4. Elevate the right arm on a pillow to reduce the edema.
Correct Answers 1) Assess neurovascular status
A nurse receives a client from the ED in Buck's traction. The
nurse documents which of the following as a priority in the
client's medical record?
1. Type of pin, wire, or tongs used.
2. Status of skin underneath the traction and over bony
prominences.
3. The effectiveness of pain medication given.
4. Medications given in the ED. Correct Answers 2) Status of
skin underneath the traction and over bony prominences
After arriving on the scene of a possible traumatic bone injury
what should be the first nursing intervention? (After that you
have assessed that your patient is breathing) Correct Answers
neurovascular assessment
After assessing a patient with a total knee replacement for
vascular integrity, what are the next two important interventions
specifically related to a total knee replacement? What machine
, can assist in this? Correct Answers 1) isometric quadriceps
setting begins first day post-op
2) Straight leg raises and gentle ROM to obtain 90 degree
flexion
**CPM (continuous passive motion) may promote joint mobility
and facilitates active/ passive ROM throughout the day
an incomplete fracture with one side splintered and the other
side bent Correct Answers greenstick
arthrofibrosis of the shoulder (stiffness, pain, and limited range
of movement) after a rotator cuff injury due to prolonged
immobility Correct Answers frozen shoulder
At the time of the musculoskeletal injury and post-operatively
what type of assessment is done on the affected area or limb?
Correct Answers Neurovascular assessment:
peripheral vascular assessment = color, temp, capillary refill,
peripheral pulses and edema
peripheral neurologic assessment = sensation, motor function,
pain
**** comparison of both extremities ensures an accurate
assessment****
both crutches are advanced together, followed by lifting of both
lower limbs to the same place, this gait is used with walkers
Correct Answers swing-to gait
condition in which elevated intra-compartmental pressure within
a confined myofascial compartment compromises the
Solutions
A client with a right arm cast states, "I haven't been able to
extend my fingers on my right hand since this morning." what
action should the nurse take?
1. Assess neurovascular status.
2. Ask the client to massage the fingers.
3. Encourage the client to take the prescribed analgesics.
4. Elevate the right arm on a pillow to reduce the edema.
Correct Answers 1) Assess neurovascular status
A nurse receives a client from the ED in Buck's traction. The
nurse documents which of the following as a priority in the
client's medical record?
1. Type of pin, wire, or tongs used.
2. Status of skin underneath the traction and over bony
prominences.
3. The effectiveness of pain medication given.
4. Medications given in the ED. Correct Answers 2) Status of
skin underneath the traction and over bony prominences
After arriving on the scene of a possible traumatic bone injury
what should be the first nursing intervention? (After that you
have assessed that your patient is breathing) Correct Answers
neurovascular assessment
After assessing a patient with a total knee replacement for
vascular integrity, what are the next two important interventions
specifically related to a total knee replacement? What machine
, can assist in this? Correct Answers 1) isometric quadriceps
setting begins first day post-op
2) Straight leg raises and gentle ROM to obtain 90 degree
flexion
**CPM (continuous passive motion) may promote joint mobility
and facilitates active/ passive ROM throughout the day
an incomplete fracture with one side splintered and the other
side bent Correct Answers greenstick
arthrofibrosis of the shoulder (stiffness, pain, and limited range
of movement) after a rotator cuff injury due to prolonged
immobility Correct Answers frozen shoulder
At the time of the musculoskeletal injury and post-operatively
what type of assessment is done on the affected area or limb?
Correct Answers Neurovascular assessment:
peripheral vascular assessment = color, temp, capillary refill,
peripheral pulses and edema
peripheral neurologic assessment = sensation, motor function,
pain
**** comparison of both extremities ensures an accurate
assessment****
both crutches are advanced together, followed by lifting of both
lower limbs to the same place, this gait is used with walkers
Correct Answers swing-to gait
condition in which elevated intra-compartmental pressure within
a confined myofascial compartment compromises the
