HH 4 Test 2 Questions With Complete Solutions
When would the nurse suspect an ankle sprain for the client
being seen at the urgent care centre?
a. Client was hit by another soccer player on the field.
b. Client has ankle pain after sprinting around the track.
c. Client dropped a 4.5-kg weight on his lower leg at the health
club.
d. Client had a twisting injury while running bases during a
baseball game.
d
The nurse explains to a client with a distal tibial fracture
returning for a 3-week checkup that healing is indicated by
which of the following?
a. Callus formation
b. Complete bony union
c. Hematoma at the fracture site
d. Presence of granulation tissue
a
A client with a comminuted fracture of the femur is to have an
open reduction with internal fixation (ORIF) of the fracture. In
which of the following situations is an ORIF indicated?
a. The client is able to tolerate prolonged immobilization.
b. The client cannot tolerate the surgery for a closed reduction.
c. A temporary cast would be too unstable to provide normal
mobility.
,d. Adequate alignment cannot be obtained by other nonsurgical
methods.
d
Which of the following indicates a neurovascular condition
during the nurse's assessment of a client with a fracture?
a. Exaggeration of extremity movement
b. Increased redness and heat below the injury
c. Decreased sensation distal to the fracture site
d. Purulent drainage at the site of an open fracture
c
A client with a stable, closed fracture of the humerus caused by
trauma to the arm has a temporary splint with bulky padding
applied with an elastic bandage. For which of the following
symptoms would the nurse suspect compartment syndrome and
notify the health care provider?
a. Increasing edema of the limb
b. Muscle spasms of the lower arm
c. Rebounding pulse at the fracture site
d. Pain when passively extending the fingers
d
Which of the following symptoms should the nurse be
monitoring for in a client with pelvic fracture?
a. Changes in urinary output
b. Petechiae on the abdomen
c. A palpable lump in the buttock
d. Sudden increase in blood pressure
,a
. During the postoperative period, what should the client with an
above-the-knee amputation be told about the negative effect of
routinely elevating the residual limb?
a. The flexed position can promote hip flexion contracture.
b. This position reduces the development of phantom pain.
c. This position promotes clot formation at the incision site and
thigh.
d. Unnecessary movement of the extremity can cause wound
dehiscence.
a
A client with rheumatoid arthritis is scheduled for an
arthroplasty. How should the nurse explain the purpose of this
procedure? (Select all that apply.)
a. To fuse the joint
b. To replace the joint
c. To prevent further damage
d. To improve or maintain ROM
e. To decrease the amount of destruction in the joint
b
d
What should the nurse teach a client recovering from a total hip
replacement to avoid?
a. Sleeping on the abdomen
b. Sitting with the legs crossed
c. Abduction exercises of the affected leg
d. Bearing weight on the affected leg for 6 weeks
, b
Which of the following would the nurse understand as causing
damage to the joints of a client with rheumatoid arthritis?
a. The development of Heberden nodes in the joint capsule
b. The deterioration of cartilage by the enzyme hyaluronidase
c. Invasion of pannus into the joint capsule and subchondral
bone
d. Bony ankylosis after inflammation of the joints in HLA-B27-
positive individuals
c
A client with rheumatoid arthritis is experiencing articular
involvement of the joints. The nurse recognizes that these
characteristic changes include which of the following? (Select
all that apply.)
a. Bamboo-shaped fingers
b. Metatarsal head dislocation in feet
c. Noninflammatory pain in large joints
d. Asymmetrical involvement of small joints
e. Morning stiffness lasting 60 minutes or more
b
e
Which of the following would the nurse teach to a client with
ankylosing spondylitis?
a. Avoid extremes in environmental temperatures.
b. Continue with physical activity during flare-ups.
c. Apply cool compresses for relief of local symptoms.
d. Maintain proper posture and engage in regular exercise.
When would the nurse suspect an ankle sprain for the client
being seen at the urgent care centre?
a. Client was hit by another soccer player on the field.
b. Client has ankle pain after sprinting around the track.
c. Client dropped a 4.5-kg weight on his lower leg at the health
club.
d. Client had a twisting injury while running bases during a
baseball game.
d
The nurse explains to a client with a distal tibial fracture
returning for a 3-week checkup that healing is indicated by
which of the following?
a. Callus formation
b. Complete bony union
c. Hematoma at the fracture site
d. Presence of granulation tissue
a
A client with a comminuted fracture of the femur is to have an
open reduction with internal fixation (ORIF) of the fracture. In
which of the following situations is an ORIF indicated?
a. The client is able to tolerate prolonged immobilization.
b. The client cannot tolerate the surgery for a closed reduction.
c. A temporary cast would be too unstable to provide normal
mobility.
,d. Adequate alignment cannot be obtained by other nonsurgical
methods.
d
Which of the following indicates a neurovascular condition
during the nurse's assessment of a client with a fracture?
a. Exaggeration of extremity movement
b. Increased redness and heat below the injury
c. Decreased sensation distal to the fracture site
d. Purulent drainage at the site of an open fracture
c
A client with a stable, closed fracture of the humerus caused by
trauma to the arm has a temporary splint with bulky padding
applied with an elastic bandage. For which of the following
symptoms would the nurse suspect compartment syndrome and
notify the health care provider?
a. Increasing edema of the limb
b. Muscle spasms of the lower arm
c. Rebounding pulse at the fracture site
d. Pain when passively extending the fingers
d
Which of the following symptoms should the nurse be
monitoring for in a client with pelvic fracture?
a. Changes in urinary output
b. Petechiae on the abdomen
c. A palpable lump in the buttock
d. Sudden increase in blood pressure
,a
. During the postoperative period, what should the client with an
above-the-knee amputation be told about the negative effect of
routinely elevating the residual limb?
a. The flexed position can promote hip flexion contracture.
b. This position reduces the development of phantom pain.
c. This position promotes clot formation at the incision site and
thigh.
d. Unnecessary movement of the extremity can cause wound
dehiscence.
a
A client with rheumatoid arthritis is scheduled for an
arthroplasty. How should the nurse explain the purpose of this
procedure? (Select all that apply.)
a. To fuse the joint
b. To replace the joint
c. To prevent further damage
d. To improve or maintain ROM
e. To decrease the amount of destruction in the joint
b
d
What should the nurse teach a client recovering from a total hip
replacement to avoid?
a. Sleeping on the abdomen
b. Sitting with the legs crossed
c. Abduction exercises of the affected leg
d. Bearing weight on the affected leg for 6 weeks
, b
Which of the following would the nurse understand as causing
damage to the joints of a client with rheumatoid arthritis?
a. The development of Heberden nodes in the joint capsule
b. The deterioration of cartilage by the enzyme hyaluronidase
c. Invasion of pannus into the joint capsule and subchondral
bone
d. Bony ankylosis after inflammation of the joints in HLA-B27-
positive individuals
c
A client with rheumatoid arthritis is experiencing articular
involvement of the joints. The nurse recognizes that these
characteristic changes include which of the following? (Select
all that apply.)
a. Bamboo-shaped fingers
b. Metatarsal head dislocation in feet
c. Noninflammatory pain in large joints
d. Asymmetrical involvement of small joints
e. Morning stiffness lasting 60 minutes or more
b
e
Which of the following would the nurse teach to a client with
ankylosing spondylitis?
a. Avoid extremes in environmental temperatures.
b. Continue with physical activity during flare-ups.
c. Apply cool compresses for relief of local symptoms.
d. Maintain proper posture and engage in regular exercise.
