NCLEX-PN Review Module 8 Musculoskeletal System Quiz

NCLEX-PN Review Module 8 Musculoskeletal System Quiz 5.0 (1 review) Students also studied Terms in this set (40) Science MedicineNursing Save NCLEX-PN Review Module 10 Oncol...40 terms Christa_Jenkins7 Preview NCLEX-PN Review Module 11 Mental...40 terms Christa_Jenkins7 Preview LPN Musculoskeletal Questions Pra...49 terms RanRan2017Preview NCLEX 40 terms Chr

• What nursing observations would cause the nurse the

most concern for a client who is 3 days postoperative for a below-the knee

• Warmth at the end of the stump.
• Serosanguineous drainage on the dressing.
• Bright red blood on the dressing.
• Bilateral femoral pulses of 80 and 78 beats per minute.
• Bright red blood on the dressing.
• The nurse is checking a client for capillary refill. What is

the normal time for the nail bed to return to its pink color?

• 1 minute.
• 2 to 3 seconds
• 10 seconds.
• 15 seconds.
• 2 to 3 seconds
• The client tells the nurse that he is feeling pain in the

area where his leg has been removed. What is the best nursing response?

• Because there was severe pain in that area previously, this is a subconscious

pain.

• The pain is referred from another area that is injured.
• The injured nerve endings do not accurately reflect the area of the pain.
• There is pain that is actually occurring at the stump.
• The injured nerve endings do not accurately reflect the area of the pain.
• A client is being treated with a long leg cast for his leg

fracture. What are important nursing measures while the cast is still wet?

• The fingertips should be used when handling the cast.
• Support the cast on a pillow with a plastic cover.
• Apply a heat lamp and a fan to accelerate the drying

time.

• Do not reposition the client until the cast is dry.
• Support the cast on a pillow with a plastic cover.

• A client has an external fixator applied to the right

lower leg following a comminuted fracture of the right tibia and fibula. This client is at increased risk for what postoperative complication?

• Osteomyelitis
• Poor bone realignment
• Hip flexion contraction
• Compartment syndrome
• Osteomyelitis
• An older client has a fractured hip repaired. The client

returns to the unit with a wound drainage system that is connected to low suction. Over the next 4 hours, the client has 75 mL of bright red bloody drainage. What is the best nursing action?

• Notify the physician of the abnormal amount of

bleeding in the container.

• Empty the drainage container, record the amount, and

continue to observe.

• Apply pressure at the incisional area and evaluate for

increase in drainage.

• Check the operative record for the placement of the

drain.

• Notify the physician of the abnormal amount of bleeding in the container.
• Empty the drainage container, record the amount, and continue to observe.
• Apply pressure at the incisional area and evaluate for increase in drainage.
• Check the operative record for the placement of the drain.
• Empty the drainage container, record the amount, and continue to observe.
• The nurse is checking a child in a left hip spica cast and

suspects an infection. What findings would validate the nurse's conclusion?

• Increased complaints of pain and a hot spot found

over the incision area.

• Complaints of itching and discomfort inside the cast.
• Dusky colored toes with weak pedal pulses.
• Tingling of the leg with a 3-second capillary refill.
• Increased complaints of pain and a hot spot found over the incision area.
• A client has a compound fracture and has required an

increased amount of pain medication, but without therapeutic results. What complication should the nurse assess for this client?

• Infection
• Compartment syndrome
• Deep vein thrombosis
• Muscle cramping

B.Compartment syndrome

• A client complains that the plaster cast on his leg is

rubbing his skin raw. What is the best nursing action?

• Call the physician to have the cast cut back.
• Apply aloe vera lotion to the irritated area.
• Petal the edges of the cast.
• Increase the client's pain medication.C. Petal the edges of the cast.
• The nurse is caring for a client with an acute problem

resulting from an exacerbation of her rheumatoid arthritis. Her hand and fingers are painful, swollen, and inflamed. What is an important nursing measure for this client?

• Assist with active range-of-motion exercises in the affected extremity.
• Place client's hands in a position of comfort and apply cold packs.
• Apply warm packs to increase circulation to the area.
• Explain the importance of therapeutic joint exercises to increase mobility.
• Apply warm packs to increase circulation to the area.

• What is the nursing management for a client in

balanced suspension traction?

• Check under the boot for skin irritation and circulation.
• Remove the weights to help the client reposition

himself.

• Adjust the weights every 8 hours to increase

circulation.

• Check the weights to make sure they are hanging

freely in place.

• Check under the boot for skin irritation and circulation.
• Remove the weights to help the client reposition himself.
• Adjust the weights every 8 hours to increase circulation.
• Check the weights to make sure they are hanging freely in place.
• Check the weights to make sure they are hanging freely in place.
• A client is learning to use crutches. What is important

for the nurse to teach the client?

• When going up stairs, advance the affected leg first.
• The axillary bar on the crutches should be firmly in the axillary area for full

weight bearing.

• Always keep arms and elbows straight when walking.
• The axillary bar on the crutches should be two fingers width below the axillary

area.

• The axillary bar on the crutches should be two fingers width below the axillary

area.

• A client is complaining of pain caused by a bone

fracture. The nurse would expect the client to describe

the pain as:

• Sharp and piercing
• Dull and spreading
• Aching like a muscle cramp
• Burning and dull
• Sharp and piercing
• Which of the following statements by a client who has

recently had a right total hip replacement best indicates that the client does NOT understand his or her mobility limitations?

• "I should not bend down to put on my shoes and socks."
• "It is OK for me to cross my legs at the knee if I am sitting in a chair."
• "I should put a pillow between my legs when lying on my side."
• "I should not sit in low chairs or on toilet seats that are low."
• "It is OK for me to cross my legs at the knee if I am sitting in a chair."
• Fat embolism is a major complication of a client with a

fractured femur. In assessing the client, the nurse would

watch for:

• Ecchymosis on lower extremities
• Blood-tinged sputum
• Complaints of bone pain
• Complaints of muscle spasms

B.Blood-tinged sputum

• The nurse is caring for a client after a motor vehicle

accident. The client has a fractured tibia, and bone is noted protruding through the skin. Which action is of priority?

• Provide manual traction above and below the leg
• Cover the bone area with a sterile dressing
• Apply an Ace Bandage around the entire lower limb
• Change the client to the prone position
• Provide manual traction above and below the leg
• Cover the bone area with a sterile dressing
• Apply an Ace Bandage around the entire lower limb
• Change the client to the prone position
• Cover the bone area with a sterile dressing

• Which client would be at greatest risk for a fat emboli

following a fracture?

• A 50-year-old with a fractured fibula
• A 20-year-old female with a wrist fracture
• A 21-year-old male with a fractured femur
• An 8-year-old with a fractured arm
• A 21-year-old male with a fractured femur
• An elderly female is admitted with a fractured right

femoral neck. Which assessment finding is expected?

• Free movement of the right leg
• Abduction of the right leg
• Internal rotation of the right hip
• Shortening of the right leg
• Shortening of the right leg
• The nurse has a client with knee surgery who is

receiving patient-controlled analgesia (PCA) of meperidine (Demerol). Which assessment finding would be a priority due to the use of this device and medication?

• Pulse Rate 108
• 100 cc of green emesis
• Respiratory rate of 10
• Lack of pain relief
• Respiratory rate of 10
• A client with a below-the-knee amputation is

experiencing phantom limb pain. Which action by the nurse would be most effective in relieving the pain?

• Acknowledging the presence of the pain
• Elevating the stump on a pillow
• Applying a transcutaneous nerve stimulator unit (TENS)
• Rewrapping the stump
• Applying a transcutaneous nerve stimulator unit (TENS)
• The LPN is assisting with planning care for a client

diagnosed with deep vein thrombosis (DVT) of the left leg. What statement verbalized by the LPN indicates the NEED For FURTHER INSTRUCTION?

• "I will regularly elevate the client's left leg."
• "Applying moist heat to the client's left leg is beneficial."
• "I will ambulate the client in the hall at least once per shift."
• "The client will benefit from regular doses of acetaminophen."
• "I will ambulate the client in the hall at least once per shift."
• After a lumbar laminectomy, a client continues to

complain of the same low back pain that he had before he had surgery. The nurse knows that this finding is caused by what problem?

• Failure of the surgeon to remove the client's herniated disk
• Swelling in the operative area that compresses adjacent structures
• Twisting of the client's spine when he turns from side to side
• Limitation of movement resulting from spinal fusion
• Swelling in the operative area that compresses adjacent structures
• Which finding indicates the presence of an inguinal

hernia on a child?

• Reports of difficulty defecating
• Reports of a dribbling urinary stream
• Absence of the testes within the scrotum
• Painless groin swelling noticed when the child cries
• Painless groin swelling noticed when the child cries