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RN Nursing School · Med-Surg · 220 questions

Musculoskeletal Disorders practice questions

Every question below is free to read with its full rationale. For timed sets, the rest of the bank and progress tracking on Musculoskeletal Disorders, practise in the app.

Practise Musculoskeletal Disorders in the appAbout the RN Nursing School program →
  1. 1Which type of fracture is seen in an x-ray when the shaft of a long bone is splintered into several pieces?Answer →
  2. 2What is a complication of immobility?Answer →
  3. 3A nurse cares for a client with an ankle sprain. The ankle is swollen and painful with weight bearing. Which interventions should the nurse reinforce for the first 24–48 hours? (Select all that apply.)Answer →
  4. 4A nurse in a medical clinic is providing teaching to an older adult client who has osteoarthritis that is affecting her knees. Which of the following client statements indicates an understanding of the teaching?Answer →
  5. 5A nurse is teaching a client about risk factors for osteoarthritis. Which of the following risk factors should the nurse include in the teaching? (Select all that apply.)Answer →
  6. 6The nurse is caring for a client with a long bone fracture who developed fat embolism syndrome (FES). The client begins to experience respiratory distress and confusion and develops facial and axillary petechiae. Which of the following interventions would the nurse prioritize?Answer →
  7. 7Which of the following instruction should a nurse provide to promote the safe use of a cane as an assistive device for a client who is recovering from a musculoskeletal injury of the left lower extremity?Answer →
  8. 8A client has been placed in skeletal traction following a lower-extremity fracture. The nurse recognizes that prolonged immobility places the client at risk for which complications? (Select all that apply.)Answer →
  9. 9A client has undergone a below-the-knee amputation. Which of the following is the most appropriate instruction to prevent contractures during recovery?Answer →
  10. 10A client sustained an open fracture of the femur 24 hours ago. While assessing the client, the nurse observes the client is having difficulty breathing petechial rash, crackles on auscultation and oxygen saturation decreases to 88% from a previous 99%. What does the nurse understand is likely occurring with this client?Answer →
  11. 11A nurse is caring for a client recently discharged after total knee replacement surgery who is taking corticosteroids for arthritis and has a history of diabetes. Which action should the nurse prioritize to reduce this client's risk of developing systemic inflammatory response syndrome (SIRS)?Answer →
  12. 12A nurse is evaluating a client who reports numbness and pain in the right hand after prolonged daily computer use. The client works in data entry and frequently performs repetitive typing tasks. Which of the following interventions should the nurse recommend to reduce the client's symptoms?Answer →
  13. 13A nurse is caring for a client in a provider's office. Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.Answer →
  14. 14A nurse is caring for an adolescent client who has a newly applied fiberglass cast for a fractured tibia. Which of the following is the priority action for the nurse to take?Answer →
  15. 15When performing a neurovascular assessment on a patient with a leg cast, what finding would indicate a need for immediate intervention?Answer →
  16. 16The nurse has given instructions to a client returning home after knee arthroscopy for rheumatoid arthritis. Which statement by the client indicates that the instructions are understood?Answer →
  17. 17What nursing intervention would be most effective in preventing flaccidity in a hospitalized client?Answer →
  18. 18A nurse teaches a client scheduled for cataract surgery about postoperative expectations. Which statement by the client demonstrates understanding?Answer →
  19. 19The erythrocyte sedimentation rate (ESR) of a client being treated with corticosteroids for rheumatoid arthritis has decreased. Which explanation should the nurse provide the client to explain this change in laboratory results?Answer →
  20. 20A client who is training for a first marathon arrives at the clinic reporting an increase in the frequency of leg cramps. Which recommendation should the nurse provide to help decrease the frequency of leg cramps?Answer →
  21. 21A nurse is providing medication education to a client who has been prescribed alendronate for the prevention of osteoporosis. Which of the following instructions should the nurse prioritize to promote safe and effective administration of this medication?Answer →
  22. 22A patient with a total hip replacement is progressing well and expects to be discharged tomorrow. After ambulating, the patient reports a new onset of pain at the surgical site. What is the nurse's best action?Answer →
  23. 23A patient with knee osteoarthritis demonstrates understanding of non-pharmacological management. Which statement is correct?Answer →
  24. 24A nurse is educating a group of clients about osteoarthritis. Which of the following should the nurse include in the teaching?Answer →
  25. 25A nurse is assessing a client who has just been placed in skeletal traction. Which of the following findings should the nurse identify as an indication of infection post-procedure?Answer →
  26. 26A 50-year-old patient is being discharged after a week of Intravenous (IV) antibiotic therapy for a diagnosis of chronic osteomyelitis in the right leg. The nurse is correct in anticipating what order on the discharge sheet?Answer →
  27. 27A nurse in the emergency department (ED) is caring for a client who sustained a hip fracture following a fall. The client was taken to the operating room to repair the right hip. In the immediate postoperative period, what health education should the nurse emphasize?Answer →
  28. 28A client is being discharged following surgical repair of multiple fractures sustained in a motor vehicle collision. The client is medically stable but requires daily intensive physical therapy and ongoing skilled nursing care to regain mobility and functional independence. Which discharge placement is most appropriate for this client?Answer →
  29. 29A nurse is teaching an older adult client who has an intracapsular fracture of the right hip following a fall about the purpose of Buck's extension traction. The nurse should include which of the following information in the teaching?Answer →
  30. 30Which assessment action should the nurse perform first?Answer →
  31. 31While collecting data from a client who has a cast on his right leg. a nurse locates an area on the cast that feels warm to the touch. Which of the following findings should the nurse identify as a complication to the client's condition?Answer →
  32. 32The nurse plans care for a client after a left hip replacement surgery. What action should the nurse plan to include in the client's care to prevent complications related to immobility?Answer →
  33. 33A nurse is preparing a plan of care for a client who is postoperative for retinal detachment. Which of the following instructions should the nurse include in the plan of care?Answer →
  34. 34A nurse is collecting data on an older adult client who is experiencing age related changes. Which of the following findings should the nurse expect?Answer →
  35. 35What is the best description of the pathophysiology of osteoarthritis?Answer →
  36. 36A nurse is evaluating a patient's understanding of fracture care following discharge after tibia and fibula fracture surgery, which patient statement indicates the need for further teaching?Answer →
  37. 37An older adult patient with a history of multiple falls is admitted to the unit. Which environmental modification should the nurse prioritize to reduce the risk of falls?Answer →
  38. 38The nurse is caring for a client with a tibial fracture who recently had a long leg cast applied. Which statement by the nurse would help prevent complications?Answer →
  39. 39An older, client with osteoporosis has been hospitalized. Prior to discharge, when teaching the client, the nurse should include information about which major complication of osteoporosis?Answer →
  40. 40Which expected outcome statement should the nurse include in a teaching plan designed to assist a client with management of an acute attack of gout?Answer →
  41. 41A nurse is admitting a client who has suspected retinal detachment. Which of the following questions should the nurse include when gathering a client history? Select all that apply.Answer →
  42. 42What pathophysiologic process occurs when a person is immobile for a prolonged period of time?Answer →
  43. 43The nurse plans care for a client with a right tibial fracture. What prescription should the nurse anticipate receiving to prevent complications related to immobility?Answer →
  44. 44A nurse is caring for a client who has undergone a below-the-knee amputation (BKA). Which nursing intervention is most important to prevent residual limb complications in the immediate postoperative period?Answer →
  45. 45A nurse is conducting a health screening at a community center. Which patient has the highest risk for developing osteoporosis?Answer →
  46. 46A nurse assessing a client who has multiple fractures in his left leg notes increasing edema with severe pain. The nurse should recognize this finding as an early manifestation of which of the following complications?Answer →
  47. 47A nurse is teaching a client about the benefits of passive range of motion (ROM) exercises. Which of the following descriptions by the client indicates a correct understanding?Answer →
  48. 48A patient is postoperative day 1 after a left above-the-knee amputation. The patient reports increasing tightness in the left hip. The nurse notes that the patient has spent most of the day in a semi-Fowler's position and has avoided changing positions due to discomfort. Complete the bowtie by selecting the potential condition, priority actions, and expected outcomes.Answer →
  49. 49A nurse is preparing to educate a patient about Buck's traction. Which key information should be included in the teaching plan?Answer →
  50. 50A 72-year-old client reports gradual height loss and increasing thoracic kyphosis. The nurse discusses screening for osteoporosis. Which diagnostic test is the best method to confirm decreased bone density and diagnose osteoporosis?Answer →
  51. 51A nurse is caring for a client who is postoperative following knee arthroplasty and has a new prescription for enoxaparin 1 mg/kg/dose subcutaneous every 12 hr. The client weighs 185 lb. How many mg should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)Answer →
  52. 52An older adult client on an orthopedic unit has an intracapsular fracture of the right hip following a fall. The client is in Buck's traction and will have hip prosthesis surgery in the morning. The nurse should reinforce with the client that this type of traction promotes which of the following outcomes?Answer →
  53. 53A client with a fractured femur presenting to the ED exhibits cool, moist skin, increased heart rate, and falling BP. The care team should consider the possibility of what complication of the client's injuries?Answer →
  54. 54The nurse instructs a patient to lift your chin, touch your chin to your chest, move each ear to your shoulder, then turn your head to the left, now to the right. What is the nurse assessing?Answer →
  55. 55Which nutrient is a component of bone tissue?Answer →
  56. 56A nurse is teaching a client about interventions to manage a sprain. Which of the following actions should the nurse advise the client to take first?Answer →
  57. 57A nurse reassesses a client with a lower-leg cast 30 minutes after analgesia and repositioning of the extremity. The client reports worsening deep, pressure-like pain that increases with passive movement of the toes. The toes are pale and cool with delayed capillary refill. Which interpretation should guide the nurse's priority action?Answer →
  58. 58The nurse is assessing a client in skeletal traction who complains of increased pain, swelling, and a decrease in sensation in the affected limb. Which of the following is the nurse's priority intervention for this client?Answer →
  59. 59Which of the following is a recommended self-management strategy for rheumatoid arthritis?Answer →
  60. 60A nurse is assessing a client with a history of osteoporosis who reports progressive shortness of breath and early satiety. Physical examination reveals a forward curvature of the thoracic spine. Which of the following complications should the nurse suspect as the most likely cause of these findings?Answer →
  61. 61A nurse is assessing a client for early manifestations of rheumatoid arthritis (RA). Which of the following changes is an early manifestation of RA?Answer →
  62. 62After the surgeon discusses the possibility of debridement, Mr. Rivera asks the nurse what to expect regarding his treatment after surgery. Which patient statement would indicate a need for further teaching?Answer →
  63. 63A nurse is caring for a client after total hip replacement surgery. Which of the following actions should the nurse take?Answer →
  64. 64A client has undergone a below-the-knee amputation. Which of the following is the most appropriate instruction to prevent contractures during recovery?Answer →
  65. 65A nurse is caring for a child admitted with a greenstick fracture. Which assessment finding should prompt the nurse to suspect nonaccidental trauma (child abuse)?Answer →
  66. 66A nurse is instructing a client on the maintenance of their cast. Which of the following instructions should be given to the client?Answer →
  67. 67The nurse plans care for a client with osteoarthritis who reports chronic joint pain. What intervention should the nurse include in the client's care plan?Answer →
  68. 68Which intervention would be most effective for a client newly diagnosed with fibromyalgia to manage widespread pain and fatigue?Answer →
  69. 69A nurse is assessing a client who is in a body cast. Which of the following manifestations should the nurse identify as possible cast syndrome?Answer →
  70. 70A nurse is talking with a young adult client who has a family history of osteoporosis. Which health promotion activity should the nurse recommend as a possible preventive measure?Answer →
  71. 71A nurse is providing teaching for a client who has a new application of a long leg cast. Which of the following instructions should the nurse include?Answer →
  72. 72A nurse is caring for a client who has undergone a fasciotomy for acute compartment syndrome in the lower leg. Which nursing action would promote healing and prevent complications?Answer →
  73. 73A nurse is caring for a child who sustained a greenstick fracture after falling from playground equipment. Which nursing intervention should the nurse prioritize to promote healing and prevent complications?Answer →
  74. 74A nurse is evaluating a client who has impaired mobility after receiving casting on their legs bilaterally. Which of the following findings requires intervention by the nurse?Answer →
  75. 75A nurse is caring for a client after a total knee replacement of the left knee. Which of the following actions are important for the nurse to include in the postoperative care? Select all that apply.Answer →
  76. 76The nurse cares for a client one day after a left below-the-knee amputation who is reporting severe pain in the left foot. What action by the nurse is most appropriate at this time?Answer →
  77. 77A nurse is caring for a client whose right leg is in Buck's traction. Which of the following should the nurse implement to promote mobility?Answer →
  78. 78A nurse cares for a client with an open tibial fracture. Which finding most increases the risk for osteomyelitis?Answer →
  79. 79A nurse in a clinic is talking with a client who has a new diagnosis of osteoarthritis. The nurse should anticipate that the client will require teaching about which of the following medications?Answer →
  80. 80A nurse is assessing a client who is in skeletal traction. Which of the following findings should the nurse identify as an indication of infection at the pin sites?Answer →
  81. 81What complication may occur as a result of immobility?Answer →
  82. 82A patient undergoes a left above-the-knee amputation. What action is the priority for the nurse to perform when the patient arrives on the orthopedic unit?Answer →
  83. 83A patient with a total hip replacement is progressing well and expects to be discharged tomorrow. When returning to bed after ambulating, the patient reports a new onset of pain at the surgical site. What is the nurse's best action?Answer →
  84. 84An 85-year-old client tells the nurse that he seems to be getting shorter as he ages. The nurse explains that decreased height occurs with aging becauseAnswer →
  85. 85The nurse is caring for a client one day after a total hip replacement. What action(s) should the nurse prioritize before ambulating the client to ensure safe and successful ambulation? Select all that apply.Answer →
  86. 86A nurse is providing medication education to a client who has been prescribed alendronate for the prevention of osteoporosis. Which of the following instructions should the nurse prioritize to promote safe and effective administration of this medication?Answer →
  87. 87A nurse is providing discharge teaching to an older adult client following a left total hip arthroplasty. Which of the following instructions should the nurse include in the teaching?Answer →
  88. 88A nurse is caring for a client who reports progressive joint pain, prolonged morning stiffness lasting more than 1 hour, symmetrical swelling of the small joints of the hands, and increasing difficulty performing activities of daily living. Diagnostic findings include joint space narrowing and erosions on X-ray, as well as synovial thickening with fluid accumulation on ultrasound. Which of the following interventions should the nurse prioritize in the plan of care for this client?Answer →
  89. 89When teaching a client with osteoporosis to increase weight-bearing exercise, how should the nurse explain the purpose of this activity?Answer →
  90. 90A client has a comminuted, open fracture. When the client asks about this type of fracture, what does the nurse include in the explanation?Answer →
  91. 91A nurse is completing a physical assessment of a client who has early osteoarthritis. Which of the following manifestations should the nurse expect?Answer →
  92. 92Which of the following is a primary reason a compression dressing is applied after amputation?Answer →
  93. 93A nurse is discussing the plan of care with a client who has osteomyelitis of an open wound on his heel. Which information should the nurse include?Answer →
  94. 94A patient with an injury to the arm tells the nurse that she is having a hard time bringing her hand to her mouth. In order for her to move her hand to her mouth, she must perform which of the following movements?Answer →
  95. 95What is the process by which bone is broken down and then rebuilt called?Answer →
  96. 96Match the following prompts with their correct definition.Answer →
  97. 97The nurse is teaching a client about naproxen for treating osteoarthritis. Which statement by the client indicates a need for further teaching?Answer →
  98. 98A nurse is caring for an older adult recovering from a hip fracture who will require several weeks of limited mobility. During teaching, the client states, "I don't want to move much because I'm afraid of hurting my hip again." Vital signs are stable, and pain is controlled with medication. Which action should the nurse prioritize teaching to reduce the client's risk for serious complications of immobility?Answer →
  99. 99A post-menopausal woman has been prescribed alendronate (Fosamax) 70 mg once weekly for osteoporosis. To prevent esophageal irritation, the nurse should instruct the patient to take it:Answer →
  100. 100A nurse is caring for a client who has a casted limb. Which of the following findings should prompt the nurse to suspect compartment syndrome? (Select all that apply.)Answer →
  101. 101Which interventions should a nurse prioritize for a client with osteoporosis to prevent fractures at home? (Select all that apply.)Answer →
  102. 102A nurse is planning care for an older adult client who has a history of dementia and is admitted following surgical repair of a hip fracture. Which of the following actions should the nurse plan to take?Answer →
  103. 103A nurse is caring for a client who has a below-the-knee amputation. Which of the following statements should indicate to the nurse that the client has adapted to role changes after their injury?Answer →
  104. 104A nurse is assessing a client who sustained a third-degree strain of the quadriceps muscle while lifting a heavy object at work. The nurse notes severe swelling and ecchymosis around the thigh. Which of the following additional findings should concern the nurse the most?Answer →
  105. 105A patient undergoes a left above-the-knee amputation. When the patient arrives on the orthopedic unit after surgery, which action should the nurse take first?Answer →
  106. 106Which intervention should the nurse implement to manage pain for the client with rheumatoid arthritis? (Select All that Apply.)Answer →
  107. 107A nurse is caring for a client who has skeletal traction for a fracture of the lower extremity. Which of the following actions should the nurse take?Answer →
  108. 108A nurse is assisting with the care of a client who has a femur fracture and is in skeletal traction. Which of the following actions should the nurse take?Answer →
  109. 109Which explanation best describes why surgery may be required?Answer →
  110. 110A nurse in an urgent care center is caring for a client who fell and injured her ankle. The ankle appears swollen and ecchymotic. While the client waits for the technician to take x-rays, which of the following actions should the nurse take? (Select all that apply.)Answer →
  111. 111A nurse is assessing a client with a history of osteoporosis who reports progressive shortness of breath and early satiety. Physical examination reveals a forward curvature of the thoracic spine. Which of the following complications should the nurse suspect as the most likely cause of these findings?Answer →
  112. 112The nurse teaches dietary instructions for a client with gout. Which instruction should the nurse include?Answer →
  113. 113A nurse is caring for an older adult recovering from a hip fracture who will require several weeks of limited mobility. During teaching, the client states, "I don't want to move much because I'm afraid of hurting my hip again." Vital signs are stable, and pain is controlled with medication. Which action should the nurse prioritize teaching to reduce the client's risk for serious complications of immobility?Answer →
  114. 114Which discharge instruction would the emergency department nurse include for a patient with a sprained ankle?Answer →
  115. 115A nurse is caring for a client who has a casted limb. Which of the following findings should prompt the nurse to suspect compartment syndrome? (Select all that apply.)Answer →
  116. 116The nurse observes an unlicensed assistive personnel (UAP) providing care for a client with compartment syndrome in the right leg. What action by the UAP requires the nurse to intervene?Answer →
  117. 117A 72-year-old client reports gradual height loss and increasing thoracic kyphosis. The nurse discusses screening for osteoporosis. Which diagnostic test is the best method to confirm decreased bone density and diagnose osteoporosis?Answer →
  118. 118A client reports intermittent numbness and tingling in the thumb, index, and middle fingers that worsen at night and sometimes interrupt sleep. During the assessment, the nurse asks the client to hold both wrists in acute flexion with the dorsal surfaces touching for about 60 seconds to see whether the position reproduces the symptoms. Which physical examination test is the nurse performing?Answer →
  119. 119A client has been placed in skeletal traction following a lower-extremity fracture. The nurse recognizes that prolonged immobility places the client at risk for which complications? (Select all that apply.)Answer →
  120. 120A nurse is teaching a group of clients about osteoarthritis. Which of the following recommendations should the nurse include in the teaching?Answer →
  121. 121A patient has sustained a closed (simple) fracture of the tibia with moderate swelling and pain but intact skin. After initial assessment, what is the priority nursing intervention to prevent complications?Answer →
  122. 122While conducting the musculoskeletal examination, the nurse asks the patient to bend forward at the waist. The nurse is evaluating:Answer →
  123. 123A nurse is caring for a client who has skeletal traction for a fracture of the lower extremity. Which of the following actions should the nurse take?Answer →
  124. 124For each body system below, click to specify the nursing interventions that may help prevent postoperative complications for the client. Each body system may support more than one nursing intervention. (Each category must have at least 1 response option selected)Answer →
  125. 125A nurse is caring for a female client who has rheumatoid arthritis and a new prescription for methotrexate. The client tells the nurse she is planning a pregnancy. Which of the following instructions should the nurse give the client?Answer →
  126. 126A post-menopausal woman has been prescribed alendronate (Fosamax) 70 mg once weekly for osteoporosis. To prevent esophageal irritation, the nurse should instruct the patient to ___1___ after taking the medication and to take it ___2___.Answer →
  127. 127A client arrives at the emergency department in extreme pain to the left leg, temperature 102.0°F (38.9°C), chills, and fatigue. A diagnosis of osteomyelitis is made, and the client is admitted to the medical unit. Which provider order should the nurse question at this time?Answer →
  128. 128A client with osteoarthritis reports increased joint pain and stiffness, limiting mobility and daily activities. Which nursing intervention should the nurse prioritize to manage the client's condition effectively?Answer →
  129. 129What action(s) should a person with an acutely sprained ankle take? Select all that apply.Answer →
  130. 130Data is evaluated to determine possible condition and appropriate interventions. Drag from the choices area to specify which condition the client is most likely experiencing [blank1], two actions the nurse should take to address that condition [blank2] and [blank3], and two parameters the nurse should monitor to assess the client's progress [blank4] and [blank5].Answer →
  131. 131A nurse is assessing a client with osteoarthritis of the knee. Which of the following findings should the nurse identify as an expected manifestation of this condition?Answer →
  132. 132A nurse is assessing a client with osteoarthritis of the knee. Which of the following findings should the nurse identify as an expected manifestation of this condition?Answer →
  133. 133The nurse provides education to a client newly diagnosed with osteoporosis about the disease process and management. What client statement indicates an understanding of the teaching?Answer →
  134. 134Why does edema occur when a person experiences a bone fracture?Answer →
  135. 135The nurse is assessing the patient's knowledge on healthy eating to control obesity. Which of the following statements made by the patient shows correct understanding?Answer →
  136. 136A nurse is obtaining a medication history from a client who is to start therapy with naproxen for rheumatoid arthritis. Which of the following medications places the client at risk for bleeding?Answer →
  137. 137A nurse is providing education to a 68-year-old patient newly diagnosed with osteoporosis and prescribed alendronate. Which instruction is the priority for the nurse to include to ensure both safety and medication efficacy?Answer →
  138. 138An older adult client returned to the nursing home after a lower limb amputation. The client is scheduled for a prosthesis fitting and states, "I am too old to learn how to manage this." Which of the following responses from the nurse is appropriate?Answer →
  139. 139A client with a history of gout is admitted with an acute flare characterized by severe joint inflammation and difficulty moving the affected limb. The nurse plans care focusing on basic comfort and mobility. Which nursing action best integrates non-pharmacological comfort measures and supports the client's mobility needs?Answer →
  140. 140A grocery store checkout clerk reports gradually increasing pain, weakness, and swelling in the left hand and elbow. The symptoms worsen during long shifts and improve with rest days. The nurse recognizes these findings as most consistent with:Answer →
  141. 141A nurse is collecting data from a client who has skeletal traction. Which of the following findings should the nurse identify as an indication of infection at the pin sites?Answer →
  142. 142The nurse is caring for a postoperative patient with a hip replacement. Which of the following tasks can be safely delegated to experienced assistive personnel?Answer →
  143. 143A client was fitted with an arm cast after fracturing her humerus. Twelve hours after the application of the cast, the client tells the nurse that her arm hurts. Analgesics and elevation do not relieve the pain. What would be the most appropriate nursing action?Answer →
  144. 144The nurse is caring for a postoperative patient with a hip replacement. Which of the following tasks can be safely delegated to experienced assistive personnel?Answer →
  145. 145A nurse is reinforcing teaching with a client about the musculoskeletal system. The nurse should include that which of the following is a fluid filled capsule that enables movement and flexibility?Answer →
  146. 146A client reports intermittent numbness and tingling in the thumb, index, and middle fingers that worsen at night. The nurse taps over the median nerve at the wrist to reproduce symptoms. Which test is being performed?Answer →
  147. 147A patient diagnosed with synovitis of the wrist reports increased joint pain and swelling that worsens at night and limited ability to fully extend the wrist without pain. Considering the pathophysiology and clinical presentation, which nursing intervention should be prioritized to manage the patient's symptoms effectively?Answer →
  148. 148A nurse is caring for a client who is postoperative following a total hip arthroplasty. The nurse assists the client into a supine position. Which of the following actions is appropriate to prevent dislocation of the hip?Answer →
  149. 149An older adult patient is experiencing decreased mobility after hip surgery. Which nursing intervention is most appropriate to prevent complications related to immobility?Answer →
  150. 150A client with a history of gout is admitted with an acute flare characterized by severe joint inflammation and difficulty moving the affected limb. The nurse plans care focusing on basic comfort and mobility. Which nursing action best integrates non-pharmacological comfort measures and supports the client's mobility needs?Answer →
  151. 151A nurse is instructing a client on the maintenance of their cast. Which of the following instructions should be given to the client?Answer →
  152. 152Which interventions should a nurse prioritize for a client with osteoporosis to prevent fractures at home? (Select all that apply.)Answer →
  153. 153A nurse is caring for a patient who has been ordered a diagnostic test to evaluate bone strength and risk of fractures due to suspected osteoporosis. The patient asks which test will measure bone mineral density accurately. Which test should the nurse identify as the most appropriate for this purpose?Answer →
  154. 154When performing a mobility assessment on a patient, which finding requires immediate attention?Answer →
  155. 155A nurse is caring for a patient with a history of osteomyelitis who continues to have persistent bone pain, draining sinus tract, and devitalized bone on imaging. Which provider order should the nurse anticipate?Answer →
  156. 156A nurse is caring for a client who has a below-the-knee amputation. Which of the following statements should indicate to the nurse that the client has adapted to role changes after their injury?Answer →
  157. 157A nurse cares for a client with an ankle sprain. The ankle is swollen and painful with weight bearing. Which interventions should the nurse reinforce for the first 24-48 hours? (Select all that apply.)Answer →
  158. 158A nurse is teaching a client about the causes of osteoporosis. The nurse should include which of the following types of medication therapy as a risk factor for osteoporosis?Answer →
  159. 159A client with multiple injuries from a motor vehicle accident has been hospitalized and immobile for the past thirty days. What is the client likely to experience?Answer →
  160. 160A nurse provides discharge teaching for a client who had a below-knee amputation. Which instructions should the nurse include? Select all that applyAnswer →
  161. 161A nurse is caring for a client in a full leg cast following a fracture. The client reports increasing, unrelieved pain in the affected foot despite prescribed analgesics and now reports a "tight" sensation. Which action should the nurse take first?Answer →
  162. 162A nurse is evaluating a client who has impaired mobility after receiving casting on their legs bilaterally. Which of the following findings requires intervention by the nurse?Answer →
  163. 163Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.Answer →
  164. 164A nurse is providing postoperative care for a patient who underwent surgical bead implantation for the treatment of osteomyelitis. Which nursing interventions are appropriate for this patient? Select all that apply.Answer →
  165. 165Which action will the nurse include in the plan of care for a client with a new diagnosis of rheumatoid arthritis?Answer →
  166. 166A nurse is assessing two patients in a rheumatology clinic. Which finding is uniquely characteristic of Rheumatoid Arthritis (RA) rather than Osteoarthritis (OA)?Answer →
  167. 167The nurse is caring for a hospitalized older adult female client with a diagnosis of osteoporosis. Prior to discharge, the nurse should provide client teaching about which major complication of osteoporosis?Answer →
  168. 168An older adult client is diagnosed with osteomyelitis of the right great toe. When managing this client's care, the nurse will prioritize which of the following interventions?Answer →
  169. 169A nurse is coordinating care for a patient with advancing Rheumatoid Arthritis who has difficulty with ADLs. Which referral is priority?Answer →
  170. 170Which risk factor should the nurse assess for the patient diagnosed with osteomalacia?Answer →
  171. 171Colchicine: Long term management of acute gout arthritisAnswer →
  172. 172A nurse is assessing a client who has just been placed in skeletal traction. Which of the following findings should the nurse identify as an indication of infection post-procedure?Answer →
  173. 173A nurse is caring for a client after total hip replacement surgery. Which of the following actions should the nurse take?Answer →
  174. 174Which risk factor should the nurse assess for the patient diagnosed with osteomalacia?Answer →
  175. 175A nurse is teaching a client with osteoporosis about dietary selections. What client statement indicates the teaching was effective?Answer →
  176. 176An older adult male is concerned about developing osteoporosis. Which response by the nurse is most appropriate?Answer →
  177. 177A nurse is caring for a client who has fibromyalgia and chronic pain. Which of the following should the nurse recommend as an alternative method of treatment?Answer →
  178. 178A nurse is evaluating the effectiveness of a care plan for a client with osteoporosis. Which finding best indicates that the client's risk for fractures has been reduced?Answer →
  179. 179A nurse is caring for several clients with rheumatoid arthritis or osteoarthritis. For each characteristic, click to specify if it is consistent with rheumatoid arthritis or osteoarthritis.Answer →
  180. 180A nurse is planning care for an older adult client who has a history of dementia and is admitted following surgical repair of a hip fracture. Which of the following actions should the nurse plan to take?Answer →
  181. 181A nurse is caring for a client who has fibromyalgia and chronic pain. Which of the following should the nurse recommend as an alternative method of treatment?Answer →
  182. 182A nurse is preparing to administer naproxen 500 mg by mouth (PO) twice daily (BID) for a client who has osteoarthritis. The amount available is naproxen 125 mg/5 mL oral suspension. How many mL should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)Answer →
  183. 183A nurse is caring for a client who is postoperative following a total knee arthroplasty. The client tells the nurse, "l will not be able to play with my grandchildren anymore." Which of the following responses should the nurse make?Answer →
  184. 184A nurse is caring for a client who reports progressive joint pain, prolonged morning stiffness lasting more than 1 hour, symmetrical swelling of the small joints of the hands, and increasing difficulty performing activities of daily living. Diagnostic findings include joint space narrowing and erosions on X-ray, as well as synovial thickening with fluid accumulation on ultrasound. Which of the following interventions should the nurse prioritize in the plan of care for this client?Answer →
  185. 185A nurse is reinforcing teaching with a client who has left hemiparesis about how to use a cane. Which of the following instructions should the nurse include?Answer →
  186. 186A nurse is caring for a patient with a compound (open) fracture of the femur. Which nursing intervention should be prioritized to prevent a serious complication unique to this type of fracture?Answer →
  187. 187Which statement by a patient who has had an above-the-knee amputation indicates the nurse's discharge teaching has been effective?Answer →
  188. 188Which of the following is a primary reason a compression dressing is applied after amputation?Answer →
  189. 189A nurse cares for a client with an open tibial fracture. Which finding most increases the risk for osteomyelitis?Answer →
  190. 190What is a risk factor for developing osteoporosis?Answer →
  191. 191What is the primary purpose of encouraging range of motion exercises for a bed-bound patient?Answer →
  192. 192What refers to the two-step process in which bone tissue is recycled?Answer →
  193. 193A nurse is teaching an older adult client who has an intracapsular fracture of the right hip following a fall about the purpose of Buck's extension traction. The nurse should include which of the following information in the teaching?Answer →
  194. 194A nurse is collecting data on a client for manifestations of pain. Which of the following findings is a subjective indicator of pain?Answer →
  195. 195A nurse is teaching a client who has a new prescription for cyclobenzaprine. Which of the following information should the nurse include in the teaching?Answer →
  196. 196A nurse is assessing a client who has a long leg cast. Which of the following assessments is the nurse's priority?Answer →
  197. 197What finding is most concerning in a person with an open femur fracture?Answer →
  198. 198A nurse is caring for a toddler who had a cast applied 2 hr ago due to multiple fractures of the right hand. Which of the following findings should the nurse report immediately to the charge nurse?Answer →
  199. 199The nurse cares for a client in the emergency department with a left femur fracture. Which information is most important to report to the healthcare provider?Answer →
  200. 200A nurse is caring for a client who is 4 hr postoperative following a total hip arthroplasty. Which of the following actions should the nurse take?Answer →
  201. 201A patient arrives in the Emergency Department with ankle swelling and severe pain after twisting the ankle playing soccer. Which of the following is an appropriate priority intervention?Answer →
  202. 202Complete the following sentence by using the lists of options. The client is at highest risk for developing Select1 evidenced by the client's Select2Answer →
  203. 203A nurse is assessing a client who has a casted limb. Which of the following findings should prompt the nurse to suspect compartment syndrome? (Select all that apply.)Answer →
  204. 204A nurse is managing the care of a client diagnosed with osteoporosis who has a history of multiple fractures and decreased mobility. Which nursing intervention should the nurse prioritize to prevent further complications?Answer →
  205. 205A nurse is caring for a client who sustained a femur fracture in an automobile accident and is placed into skeletal traction. The nurse may remove the weights from the traction device if which of the following occurs?Answer →
  206. 206A 45-year-old female has a chief complaint of numbness and tingling of the wrist. As the nurse, on physical exam you would include which in your assessment? Select all that applyAnswer →
  207. 207A nurse is caring for a client who has an unrepaired femur fracture of the midshaft. Which of the following techniques should the nurse use when performing an assessment of the client's neurovascular status?Answer →
  208. 208Which statement by the client indicates correct understanding of a Boston brace (TLSO)?Answer →
  209. 209An older adult client with symptoms of osteoarthritis asks the nurse which form of exercise would be most beneficial. Which is the best response by the nurse?Answer →
  210. 210A 6-month-old infant is placed in a Pavlik harness. Which observation requires immediate intervention?Answer →
  211. 211A nurse reassesses a client with a lower-leg cast 30 minutes after analgesia and repositioning of the extremity. The client reports worsening deep, pressure-like pain that increases with passive movement of the toes. The toes are pale and cool with delayed capillary refill. Which interpretation should guide the nurse's priority action?Answer →
  212. 212A nurse is caring for a client who has osteoarthritis of the knees. The client states. "My left knee is really hurting right now." The client reports pain as 9 on a scale of 0 to 10. Which of the following actions should the nurse take?Answer →
  213. 213The nurse is caring for a 96-year-old female patient with a history of rheumatoid arthritis (RA) who was admitted following three falls at home. The nurse's assessment reveals urinary incontinence, painful knees, and swollen hands. The patient states, 'I am fine, and I want to go home.' Which response by the nurse is most appropriate?Answer →
  214. 214A nurse is caring for a client who is in Buck's traction. Which of the following actions should the nurse take? (Select all that apply.)Answer →
  215. 215A nurse is discussing skeletal and skin traction with a newly licensed nurse. Which of the following statements should the nurse identify as an indication that the newly licensed nurse understands these therapies?Answer →
  216. 216An older adult patient is at increased risk for fractures due to immobility. Which intervention should the nurse prioritize?Answer →
  217. 217A patient who experiences gout has a serum urate level of 5 mg/dL and inadequate urate excretion. Which medication indicated in the treatment of gout is the best choice to improve the excretion of urate for this patient?Answer →
  218. 218A nurse is caring for a client taking a non-steroidal anti-inflammatory drug for osteoarthritis pain. Which finding is the priority for the nurse to report to the healthcare provider?Answer →
  219. 219A nurse is assessing a client who is in a body cast. Which of the following manifestations should the nurse identify as possible cast syndrome?Answer →
  220. 220A patient presents with a comminuted fracture of the femur after a high-impact motor vehicle accident. Which nursing action should be prioritized to prevent complications associated with this type of fracture?Answer →