MDC1 2356 EXAM 2: ORTHOPEDIC & SENSORY
NURSING – QUESTIONS WITH VERIFIED ANSWERS
AND DETAILED RATIONALES
1. The nurse is assessing a client who had a cast placed 4 hours ago. What
assessment finding is cause for concern?
Choices:
A. The nurse cannot insert one finger between the cast and the skin
B. The nurse finds 2+ pulses distal from the cast
C. The nurse assesses capillary refill of 2 seconds
D. The nurse does not observe any drainage
Correct Answer: A
Rationale: A cast that is too tight prevents the nurse from inserting one finger
between the cast and skin, indicating potential compartment syndrome.
2. What non-pharmacological intervention does not help reduce edema?
Choices:
A. Cold therapy
B. Passive range of motion (PROM)
C. Heat therapy
D. Elevation
Correct Answer: C
Rationale: Heat therapy causes vasodilation, which can increase edema, whereas
cold therapy, elevation, and PROM help reduce swelling.
3. What intervention by the nurse would be best to prevent deep vein
thrombosis after a fracture of the hip?
,Choices:
A. Encouraging bedrest
B. Applying anti-embolism stockings
C. Teaching about smoking cessation
D. Telling the client to take anticoagulants
Correct Answer: B
Rationale: Anti-embolism stockings promote venous return and are a key nursing
intervention to prevent DVT. Anticoagulants require a prescription.
4. What is correct health promotion education for vision? (Select all that apply)
Choices:
A. Wear sunglasses to filter ultraviolet (UV) light
B. Avoid nonsteroidal anti-inflammatory drug (NSAID) use
C. Older adults should have an eye exam every 3-5 years
D. Wear eye protection when working with fluids
E. Wash your hands before touching your eyelids
Correct Answer: A, D, E
Rationale: UV protection, eye protection with fluids, and hand hygiene prevent eye
injury and infection. NSAIDs are not typically avoided for vision health, and older
adults should have annual eye exams.
5. What is the most common method of reducing and immobilizing a fracture?
Choices:
A. Open reduction with external fixation
B. Open reduction with internal fixation
C. External reduction and internal fixation
D. External fixation with closed reduction
Correct Answer: B
Rationale: Open reduction with internal fixation (ORIF) is the most common
method for surgical fracture management.
, 6. The client reports a ringing in the ears. What is this called?
Choices:
A. Rinne
B. Tinnitus
C. Pinna
D. Weber
Correct Answer: B
Rationale: Tinnitus is the perception of ringing or noise in the ears without an
external source.
7. The provider orders the client to be placed in a high Fowler's position. At what
angle will the nurse position the client?
Choices:
A. 0 degrees
B. 15 degrees
C. 30 degrees
D. 90 degrees
Correct Answer: D
Rationale: High Fowler's position is 90 degrees (sitting upright).
8. What is the priority nursing diagnosis for a client with immobility?
Choices:
A. Constipation related to immobility
B. Risk for disuse syndrome as evidenced by immobility
C. Risk of impaired skin integrity as evidenced by pressure over bony prominences
Correct Answer: B
Rationale: Risk for disuse syndrome encompasses multiple system complications of
immobility and is the broader priority diagnosis.
NURSING – QUESTIONS WITH VERIFIED ANSWERS
AND DETAILED RATIONALES
1. The nurse is assessing a client who had a cast placed 4 hours ago. What
assessment finding is cause for concern?
Choices:
A. The nurse cannot insert one finger between the cast and the skin
B. The nurse finds 2+ pulses distal from the cast
C. The nurse assesses capillary refill of 2 seconds
D. The nurse does not observe any drainage
Correct Answer: A
Rationale: A cast that is too tight prevents the nurse from inserting one finger
between the cast and skin, indicating potential compartment syndrome.
2. What non-pharmacological intervention does not help reduce edema?
Choices:
A. Cold therapy
B. Passive range of motion (PROM)
C. Heat therapy
D. Elevation
Correct Answer: C
Rationale: Heat therapy causes vasodilation, which can increase edema, whereas
cold therapy, elevation, and PROM help reduce swelling.
3. What intervention by the nurse would be best to prevent deep vein
thrombosis after a fracture of the hip?
,Choices:
A. Encouraging bedrest
B. Applying anti-embolism stockings
C. Teaching about smoking cessation
D. Telling the client to take anticoagulants
Correct Answer: B
Rationale: Anti-embolism stockings promote venous return and are a key nursing
intervention to prevent DVT. Anticoagulants require a prescription.
4. What is correct health promotion education for vision? (Select all that apply)
Choices:
A. Wear sunglasses to filter ultraviolet (UV) light
B. Avoid nonsteroidal anti-inflammatory drug (NSAID) use
C. Older adults should have an eye exam every 3-5 years
D. Wear eye protection when working with fluids
E. Wash your hands before touching your eyelids
Correct Answer: A, D, E
Rationale: UV protection, eye protection with fluids, and hand hygiene prevent eye
injury and infection. NSAIDs are not typically avoided for vision health, and older
adults should have annual eye exams.
5. What is the most common method of reducing and immobilizing a fracture?
Choices:
A. Open reduction with external fixation
B. Open reduction with internal fixation
C. External reduction and internal fixation
D. External fixation with closed reduction
Correct Answer: B
Rationale: Open reduction with internal fixation (ORIF) is the most common
method for surgical fracture management.
, 6. The client reports a ringing in the ears. What is this called?
Choices:
A. Rinne
B. Tinnitus
C. Pinna
D. Weber
Correct Answer: B
Rationale: Tinnitus is the perception of ringing or noise in the ears without an
external source.
7. The provider orders the client to be placed in a high Fowler's position. At what
angle will the nurse position the client?
Choices:
A. 0 degrees
B. 15 degrees
C. 30 degrees
D. 90 degrees
Correct Answer: D
Rationale: High Fowler's position is 90 degrees (sitting upright).
8. What is the priority nursing diagnosis for a client with immobility?
Choices:
A. Constipation related to immobility
B. Risk for disuse syndrome as evidenced by immobility
C. Risk of impaired skin integrity as evidenced by pressure over bony prominences
Correct Answer: B
Rationale: Risk for disuse syndrome encompasses multiple system complications of
immobility and is the broader priority diagnosis.
