NSG 3280 Unit 7: Musculoskeletal Practice
Questions
Question 1 A nurse is assessing a patient who experienced a ligament
injury during a sporting event. The patient reports severe pain and the
nurse notes significant instability in the affected joint. Based on the
classification system for ligament injuries, which grade does the nurse
anticipate the physician will assign?
A. Grade 1
B. Grade 2
C. Grade 3
D. Micro failure
Question 2 A 45-year-old construction worker sustained a crush injury to
the lower leg. Examination reveals an unstable fracture with multiple bone
fragments and a wound greater than 2 cm that is visibly contaminated with
dirt and gravel. The orthopedic team classifies this as an Open Fracture
Grade III. Which findings justify the assignment of this specific wound
classification?
A. The presence of multiple bone fragments.
B. The wound size is greater than 1 cm.
C. The fracture is unstable and comminuted.
D. The presence of high contamination.
E. Significant soft tissue damage is involved.
Question 3 (Select All That Apply) The nurse is educating a student
about the specialized structure of the joint capsule. Which functions or
characteristics should the nurse highlight regarding the inner layer
(synovial membrane)?
A. It is less vascular than the outer layer.
B. It contains the majority of the joint's nerves.
C. It produces hyaluronic acid for lubrication.
D. It synthesizes matrix collagen, the structural protein.
E. It lines the joint cavity.
,Question 4 A pediatric patient, age 6, is brought to the clinic after a fall.
The X-ray reveals an incomplete break where the bone cortex has buckled
but the fracture does not extend across the entire bone. Which two fracture
types are specifically associated with this description or are usually seen in
children?
A. Spiral and Avulsion
B. Greenstick and Longitudinal
C. Greenstick and Incomplete
D. Comminuted and Impacted
Question 5 A nurse is reviewing the results of a patient's CT scan following
severe blunt trauma to the thigh. The nurse notes documentation
suggesting calcification of the muscle tissue (myositis ossificans). This
complication is a direct result of which initial pathological process following
blunt trauma?
A. Decreased range of motion (ROM)
B. Hemorrhage of the muscle belly
C. Increased vascularity of the bursa
D. Decreased contractibility of the muscle
Question 6 When discussing the pathophysiology of different bone types,
the nurse explains that the cortical bone is structurally optimized for
which mechanical stress, and where is a fracture most likely to occur under
tension?
A. Decreased tolerance for compression; fracture occurs in the interior of
the bone.
B. Built for compression and shear; fracture occurs on the convex side.
C. Spongy and lattice-like; fracture occurs under rotational force.
D. Built for tension and bending; fracture occurs on the concave side.
,Question 7 A nurse is reviewing different fracture patterns resulting from
mechanical forces. Which type of fracture is characterized by an S-shaped
separation around the bone, specifically caused by rotational force?
A. Transverse fracture
B. Oblique fracture
C. Spiral fracture
D. Longitudinal fracture
Question 8 A patient is placed in prolonged immobilization following a
severe joint capsule injury. The nurse understands that this intervention,
while necessary for healing, carries specific risks for joint degeneration.
Which sequence correctly describes the adverse effects of immobilization on
the joint capsule and cartilage?
A. Decreased mobility decreased synovial fluid flow joint degeneration
B. Increased vascularity fibrous tissue formation cartilage compression
C. Capsule thickening increased joint nutrition contracture of muscle
D. Decreased synovial fluid flow increased joint nutrition decreased ROM
Question 9 A patient presents with pain and swelling at the elbow. History
reveals repetitive forceful movements in their occupation. The physician
diagnoses bursitis. The nurse understands that the function of the bursa is
primarily related to which mechanisms?
A. Guiding joint motion and preventing excess movement.
B. Synthesizing structural protein and lining the joint cavity.
C. Increasing lubrication and decreasing friction.
D. Providing sole responsibility for joint stability.
, Question 10 A nurse is examining an X-ray of a patient who suffered a
crush injury. The image shows a fracture where excessive force has driven
one fragment of bone into another. This fracture type is known as:
A. Comminuted
B. Stress
C. Depressed
D. Impacted
Question 11 A patient sustained a complex tibial fracture 8 months ago.
Despite ongoing treatment, the patient continues to experience bone pain,
and recent imaging confirms the fracture site has not healed. Which
fracture complication is defined by a lack of healing after 6 months?
A. Delayed Union
B. Malunion
C. Nonunion
D. Osteonecrosis
Question 12 A patient who had a long bone fracture 48 hours ago begins to
exhibit sudden shortness of breath (SOB), tachypnea, and petechiae across
the chest, followed by altered mental status. The nurse recognizes these
findings as the classic triad associated with which life-threatening
complication?
A. Compartment Syndrome
B. Osteomyelitis
C. Fat Embolism Syndrome (FES)
D. Osteonecrosis
Question 13 (SATA) A nurse is caring for a patient admitted with
osteomyelitis. The patient is a child under 16 who recently had a blunt
Questions
Question 1 A nurse is assessing a patient who experienced a ligament
injury during a sporting event. The patient reports severe pain and the
nurse notes significant instability in the affected joint. Based on the
classification system for ligament injuries, which grade does the nurse
anticipate the physician will assign?
A. Grade 1
B. Grade 2
C. Grade 3
D. Micro failure
Question 2 A 45-year-old construction worker sustained a crush injury to
the lower leg. Examination reveals an unstable fracture with multiple bone
fragments and a wound greater than 2 cm that is visibly contaminated with
dirt and gravel. The orthopedic team classifies this as an Open Fracture
Grade III. Which findings justify the assignment of this specific wound
classification?
A. The presence of multiple bone fragments.
B. The wound size is greater than 1 cm.
C. The fracture is unstable and comminuted.
D. The presence of high contamination.
E. Significant soft tissue damage is involved.
Question 3 (Select All That Apply) The nurse is educating a student
about the specialized structure of the joint capsule. Which functions or
characteristics should the nurse highlight regarding the inner layer
(synovial membrane)?
A. It is less vascular than the outer layer.
B. It contains the majority of the joint's nerves.
C. It produces hyaluronic acid for lubrication.
D. It synthesizes matrix collagen, the structural protein.
E. It lines the joint cavity.
,Question 4 A pediatric patient, age 6, is brought to the clinic after a fall.
The X-ray reveals an incomplete break where the bone cortex has buckled
but the fracture does not extend across the entire bone. Which two fracture
types are specifically associated with this description or are usually seen in
children?
A. Spiral and Avulsion
B. Greenstick and Longitudinal
C. Greenstick and Incomplete
D. Comminuted and Impacted
Question 5 A nurse is reviewing the results of a patient's CT scan following
severe blunt trauma to the thigh. The nurse notes documentation
suggesting calcification of the muscle tissue (myositis ossificans). This
complication is a direct result of which initial pathological process following
blunt trauma?
A. Decreased range of motion (ROM)
B. Hemorrhage of the muscle belly
C. Increased vascularity of the bursa
D. Decreased contractibility of the muscle
Question 6 When discussing the pathophysiology of different bone types,
the nurse explains that the cortical bone is structurally optimized for
which mechanical stress, and where is a fracture most likely to occur under
tension?
A. Decreased tolerance for compression; fracture occurs in the interior of
the bone.
B. Built for compression and shear; fracture occurs on the convex side.
C. Spongy and lattice-like; fracture occurs under rotational force.
D. Built for tension and bending; fracture occurs on the concave side.
,Question 7 A nurse is reviewing different fracture patterns resulting from
mechanical forces. Which type of fracture is characterized by an S-shaped
separation around the bone, specifically caused by rotational force?
A. Transverse fracture
B. Oblique fracture
C. Spiral fracture
D. Longitudinal fracture
Question 8 A patient is placed in prolonged immobilization following a
severe joint capsule injury. The nurse understands that this intervention,
while necessary for healing, carries specific risks for joint degeneration.
Which sequence correctly describes the adverse effects of immobilization on
the joint capsule and cartilage?
A. Decreased mobility decreased synovial fluid flow joint degeneration
B. Increased vascularity fibrous tissue formation cartilage compression
C. Capsule thickening increased joint nutrition contracture of muscle
D. Decreased synovial fluid flow increased joint nutrition decreased ROM
Question 9 A patient presents with pain and swelling at the elbow. History
reveals repetitive forceful movements in their occupation. The physician
diagnoses bursitis. The nurse understands that the function of the bursa is
primarily related to which mechanisms?
A. Guiding joint motion and preventing excess movement.
B. Synthesizing structural protein and lining the joint cavity.
C. Increasing lubrication and decreasing friction.
D. Providing sole responsibility for joint stability.
, Question 10 A nurse is examining an X-ray of a patient who suffered a
crush injury. The image shows a fracture where excessive force has driven
one fragment of bone into another. This fracture type is known as:
A. Comminuted
B. Stress
C. Depressed
D. Impacted
Question 11 A patient sustained a complex tibial fracture 8 months ago.
Despite ongoing treatment, the patient continues to experience bone pain,
and recent imaging confirms the fracture site has not healed. Which
fracture complication is defined by a lack of healing after 6 months?
A. Delayed Union
B. Malunion
C. Nonunion
D. Osteonecrosis
Question 12 A patient who had a long bone fracture 48 hours ago begins to
exhibit sudden shortness of breath (SOB), tachypnea, and petechiae across
the chest, followed by altered mental status. The nurse recognizes these
findings as the classic triad associated with which life-threatening
complication?
A. Compartment Syndrome
B. Osteomyelitis
C. Fat Embolism Syndrome (FES)
D. Osteonecrosis
Question 13 (SATA) A nurse is caring for a patient admitted with
osteomyelitis. The patient is a child under 16 who recently had a blunt
