NUR 309 - Musculoskeletal Exam Set Questions and Correct Answers
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Course
NUR 309
Institution
NUR 309
Which nursing action will 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...
NUR 309 - Musculoskeletal Exam Set
Questions and Correct Answers
Which nursing action will 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. ✅Check the vital signs for a client who was admitted after a total knee
replacement 3 hours ago.
The nurse anticipates providing collaborative care for a client with a traumatic
amputation of the right hand with which health care team members? Select all that
apply.
A. Occupational therapist
B. Physical therapist
C. Psychologist
D. Respiratory therapist
E. Speech therapist ✅Occupational therapist
Physical therapist
Psychologist
The nurse plans to refer 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) ✅Amputee Coalition of America
(ACA)
The client is brought to the emergency department (ED) via ambulance after a motor
vehicle accident. What condition will the nurse assess for first?
A. Bleeding
B. Head injury
C. Pain
D. Respiratory distress ✅Respiratory distress
The client has a grade III compound fracture of the right tibia. To prevent infection,
which intervention will the nurse implement?
,A. Applying Neosporin (bacitracin, neomycin, and polymyxin B) ointment to the site daily
with a sterile cotton-tipped swab
B. Using strict aseptic technique when cleaning the site
C. Leaving the site open to the air to keep it dry
D. Assisting the client to shower daily and pat the wound site dry ✅Using strict aseptic
technique when cleaning the site
The nurse is instructing a local community group about ways to reduce the risk for
musculoskeletal injury. What information will the nurse include in the teaching plan?
A. Avoid contact sports.
B. Avoid rigorous exercise.
C. Wear helmets when riding a motorcycle.
D. Avoid driving in inclement weather. ✅Wear helmets when riding a motorcycle.
The older adult client has had a right open reduction internal fixation (ORIF) of a
fractured hip. Which intervention will the nurse implement for this client?
A. Keep the client's heels off the bed at all times.
B. Reposition the client every 3 to 4 hours.
C. Administer preventive pain medication during deep-breathing exercises.
D. Prohibit the use of antiembolic stockings. ✅Keep the client's heels off the bed at all
times.
The client is recovering from an above-knee amputation resulting from peripheral
vascular disease. Which statement indicates that the client is coping well after the
procedure?
A. "My spouse will be the only person to change my dressing."
B. "I can't believe that this has happened to me. I can't stand to look at it."
C. "I do not want any visitors while I'm in the hospital!"
D. "It will take me some time to get used to this." ✅"It will take me some time to get
used to this."
Which intervention will the nurse suggest to a client with a leg amputation to help cope
with loss of the limb?
A. Talking with an amputee close to the client's age who has had the same type of
amputation
B. Drawing a picture of how the client sees himself or herself
C. Talking with a psychiatrist about the amputation
D. Engaging in diversional activities to avoid focusing on the amputation ✅Talking with
an amputee close to the client's age who has had the same type of amputation
The client with a fracture asks the nurse about the difference between a compound
fracture and a simple fracture. Which statement by the nurse is correct?
A. "Simple fracture involves a break in the bone, with skin contusions."
B. "Compound fracture does not extend through the skin."
C. "Simple fracture is accompanied by damage to the blood vessels."
, D. "Compound fracture, grade I, involves minimal skin damage." ✅"Compound
fracture, grade I, involves minimal skin damage."
Which statement indicates to the nursing instructor that the nursing student understands
the normal healing process of bone after a fracture?
A. "A callus is quickly deposited and transformed into bone."
B. "A hematoma forms at the site of the fracture."
C. "Calcium and vascular proliferation surround the fracture site."
D. "Granulation tissue reabsorbs the hematoma and deposits new bone." ✅"A
hematoma forms at the site of the fracture."
Which typical clinical manifestation does the nurse expect to observe for a client with a
right tibial fracture?
A. Flaccid extremity
B. Crepitation of extremity
C. Mild pain
D. No evidence of edema ✅Crepitation of extremity
The client's left arm is placed in a plaster cast. Which assessment will the nurse perform
before the client is discharged?
A. Assess that the cast is dry.
B. Ensure that the client has 4 × 4 gauze to take home for placement between the cast
and the skin.
C. Check the fit of the cast by inserting a tongue blade between the cast and the skin.
D. Ensure that the capillary refill of the left fingernail beds is longer than 3 seconds.
✅Assess that the cast is dry.
The client is in skeletal traction. Which nursing intervention ensures proper care of this
client?
A. Ensure that weights are attached to the bed frame or placed on the floor.
B. Ensure that pins are not loose, and tighten as needed.
C. Inspect the skin at least every 8 hours.
D. Remove the traction weights only for bathing. ✅Inspect the skin at least every 8
hours.
An older adult client has multiple tibia and fibula fractures of the left lower extremity after
a motor vehicle accident. Which pain medication does the nurse anticipate will be
requested for this client?
A. Cyclobenzaprine (Flexeril)
B. Ibuprofen (Advil, Motrin, Dolgesic, others)
C. Meperidine (Demerol)
D. Patient-controlled analgesia (PCA) with morphine ✅Patient-controlled analgesia
(PCA) with morphine
A rock climber has sustained an open fracture of the right tibia after a 20-foot fall. The
nurse plans to assess the client for which potential complications? Select all that apply.
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