Med Surg 2 - Musculoskeletal
Ati exam NUR10005- Med Surg 2 - Musculoskeletal test bank with 180
questions with verified answers and graded A
1. The nurse is conducting health screening for osteoporosis. Which client is
at greatest risk of developing this disorder?
1. A 25-year-old woman who jogs
2. A 36-year-old man who has asthma
3. A 70-year-old man who consumes excess alcohol
4. A sedentary 65-year-old woman who smokes cigarettes
4. A sedentary 65-year-old woman who smokes cigarettes
2. The nurse has given instructions to a client returning home after knee
arthroscopy. Which statement by the client indicates that the
instructions are understood?
1. "I can resume regular exercise tomorrow."
2. "I can't eat food for the remainder of the day."
3. "I need to stay off the leg entirely for the rest of the day."
4. "I need to report a fever or site inflammation to my health care
provider."
4. "I need to report a fever or site inflammation to my health care provider."
3. The nurse is one of several persons who witnessed a vehicle hit a
pedestrian at fairly low speed on a small street. The victim is dazed and
tries to get up. The leg appears fractured. Which intervention should the
nurse take?
1. Try to reduce the fracture manually.
2. Assist the victim to get up and walk to the sidewalk.
3. Leave the victim for a few moments to call an ambulance.
4. Stay with the victim and encourage the person to remain still.
4. Stay with the victim and encourage the person to remain still.
4. Which cast care instructions should the nurse provide to a client who
just had a plaster cast applied to the right forearm? Select all that
apply.
1. Keep the cast clean and dry.
2. Allow the cast 24 to 72 hours to dry.
3. Keep the cast and extremity elevated.
4. Expect tingling and numbness in the extremity.
5. Use a hair dryer set on a warm to hot setting to dry the cast.
6. Use a soft padded object that will fit under the cast to scratch the
skin under the cast.
o 1. Keep the cast clean and dry.
o 2. Allow the cast 24 to 72 hours to dry.
o 3. Keep the cast and extremity elevated.
5. The nurse is evaluating the pin sites of a client in skeletal traction. The
nurse would be least concerned with which finding?
1. Inflammation
,Med Surg 2 - Musculoskeletal
Ati exam NUR10005- Med Surg 2 - Musculoskeletal test bank with 180
questions with verified answers and graded A
2. Serous drainage
3. Pain at a pin site
4. Purulent drainage
,Med Surg 2 - Musculoskeletal
Ati exam NUR10005- Med Surg 2 - Musculoskeletal test bank with 180
questions with verified answers and graded A
2. Serous drainage
6. The nurse is assessing the casted extremity of a client. Which sign is
indicative of infection?
1. Dependent edema
2. Diminished distal pulse
3. Presence of a "hot spot" on the cast
4. Coolness and pallor of the extremity
3. Presence of a "hot spot" on the cast
7. A client has sustained a closed fracture and has just had a cast applied
to the affected arm. The client is complaining of intense pain. The nurse
elevates the limb, applies an ice bag, and administers an analgesic, with
little relief. Which problem may be causing this pain?
1. Infection under the cast
2. The anxiety of the client
3. Impaired tissue perfusion
4. The recent occurrence of the fracture
3. Impaired tissue perfusion
8. The nurse is admitting a client with multiple trauma to the nursing unit.
The client has a leg fracture and had a plaster cast applied. Which
position would be best for the casted leg?
1. Flat for 12 hours, then elevated for 12 hours
2. Elevated for 3 hours and then flat for 1 hour
3. Flat for 3 hours and then elevated for 1 hour
4. Elevated on pillows continuously for 24 to 48 hours
4. Elevated on pillows continuously for 24 to 48 hours
9. A client is being discharged to home after application of a plaster leg
cast. Which statement indicates that the client understands proper
care of the cast?
1. "I need to avoid getting the cast wet."
2. "I need to cover the casted leg with warm blankets."
3. "I need to use my fingertips to lift and move my leg."
4. "I need to use something like a padded coat hanger end to scratch
under the cast if it itches."
1. "I need to avoid getting the cast wet."
10. A client being measured for crutches asks the nurse why the crutches
cannot rest up underneath the arm for extra support. The nurse responds
knowing that which
would most likely result from this improper crutch measurement?
1. A fall and further injury
2. Injury to the brachial plexus nerves
, Med Surg 2 - Musculoskeletal
Ati exam NUR10005- Med Surg 2 - Musculoskeletal test bank with 180
questions with verified answers and graded A
3. Skin breakdown in the area of the axilla
4. Impaired range of motion while the client ambulates
2. Injury to the brachial plexus nerves
11. The nurse has given a client instructions about crutch safety. Which
client statement indicates that the client understands the instructions?
Select all that apply.
1. "I should not use someone else's crutches."
2. "I need to remove any scatter rugs at home."
3. "I can use crutch tips even when they are wet."
4. "I need to have spare crutches and tips available."
5. "When I'm using the crutches my arms need to be completely straight."
o 1. "I should not use someone else's crutches."
o 2. "I need to remove any scatter rugs at home."
o 4. "I need to have spare crutches and tips available."
12. The nurse is caring for a client being treated for fat embolus after
multiple fractures. Which data would the nurse evaluate as the most
favorable indication of resolution of the fat embolus?
1. Clear mentation
2. Minimal dyspnea
3. Oxygen saturation of 85%
4. Arterial oxygen level of 78 mm Hg
1. Clear mentation
13. The nurse has conducted teaching with a client in an arm cast about
the signs and symptoms of compartment syndrome. The nurse
determines that the client understands the information if the client
states that he or she should report
which earlysymptom of compartment syndrome?
1. Cold, bluish-colored fingers
2. Numbness and tingling in the fingers
3. Pain that increases when the arm is dependent
4. Pain that is out of proportion to the severity of the fracture
2. Numbness and tingling in the fingers
14. A client with diabetes mellitus has had a right below-knee amputation.
Given the client's history of diabetes mellitus, which should the nurse
specifically observe in the postoperative period?
1. Hemorrhage
2. Edema of the residual limb
3. Slight redness of the incision
4. Separation of the wound edges
4. Separation of the wound edges
15. The nurse is caring for a client who had an above-knee amputation 2
days ago. The residual limb was wrapped with an elastic compression
bandage, which has come
Ati exam NUR10005- Med Surg 2 - Musculoskeletal test bank with 180
questions with verified answers and graded A
1. The nurse is conducting health screening for osteoporosis. Which client is
at greatest risk of developing this disorder?
1. A 25-year-old woman who jogs
2. A 36-year-old man who has asthma
3. A 70-year-old man who consumes excess alcohol
4. A sedentary 65-year-old woman who smokes cigarettes
4. A sedentary 65-year-old woman who smokes cigarettes
2. The nurse has given instructions to a client returning home after knee
arthroscopy. Which statement by the client indicates that the
instructions are understood?
1. "I can resume regular exercise tomorrow."
2. "I can't eat food for the remainder of the day."
3. "I need to stay off the leg entirely for the rest of the day."
4. "I need to report a fever or site inflammation to my health care
provider."
4. "I need to report a fever or site inflammation to my health care provider."
3. The nurse is one of several persons who witnessed a vehicle hit a
pedestrian at fairly low speed on a small street. The victim is dazed and
tries to get up. The leg appears fractured. Which intervention should the
nurse take?
1. Try to reduce the fracture manually.
2. Assist the victim to get up and walk to the sidewalk.
3. Leave the victim for a few moments to call an ambulance.
4. Stay with the victim and encourage the person to remain still.
4. Stay with the victim and encourage the person to remain still.
4. Which cast care instructions should the nurse provide to a client who
just had a plaster cast applied to the right forearm? Select all that
apply.
1. Keep the cast clean and dry.
2. Allow the cast 24 to 72 hours to dry.
3. Keep the cast and extremity elevated.
4. Expect tingling and numbness in the extremity.
5. Use a hair dryer set on a warm to hot setting to dry the cast.
6. Use a soft padded object that will fit under the cast to scratch the
skin under the cast.
o 1. Keep the cast clean and dry.
o 2. Allow the cast 24 to 72 hours to dry.
o 3. Keep the cast and extremity elevated.
5. The nurse is evaluating the pin sites of a client in skeletal traction. The
nurse would be least concerned with which finding?
1. Inflammation
,Med Surg 2 - Musculoskeletal
Ati exam NUR10005- Med Surg 2 - Musculoskeletal test bank with 180
questions with verified answers and graded A
2. Serous drainage
3. Pain at a pin site
4. Purulent drainage
,Med Surg 2 - Musculoskeletal
Ati exam NUR10005- Med Surg 2 - Musculoskeletal test bank with 180
questions with verified answers and graded A
2. Serous drainage
6. The nurse is assessing the casted extremity of a client. Which sign is
indicative of infection?
1. Dependent edema
2. Diminished distal pulse
3. Presence of a "hot spot" on the cast
4. Coolness and pallor of the extremity
3. Presence of a "hot spot" on the cast
7. A client has sustained a closed fracture and has just had a cast applied
to the affected arm. The client is complaining of intense pain. The nurse
elevates the limb, applies an ice bag, and administers an analgesic, with
little relief. Which problem may be causing this pain?
1. Infection under the cast
2. The anxiety of the client
3. Impaired tissue perfusion
4. The recent occurrence of the fracture
3. Impaired tissue perfusion
8. The nurse is admitting a client with multiple trauma to the nursing unit.
The client has a leg fracture and had a plaster cast applied. Which
position would be best for the casted leg?
1. Flat for 12 hours, then elevated for 12 hours
2. Elevated for 3 hours and then flat for 1 hour
3. Flat for 3 hours and then elevated for 1 hour
4. Elevated on pillows continuously for 24 to 48 hours
4. Elevated on pillows continuously for 24 to 48 hours
9. A client is being discharged to home after application of a plaster leg
cast. Which statement indicates that the client understands proper
care of the cast?
1. "I need to avoid getting the cast wet."
2. "I need to cover the casted leg with warm blankets."
3. "I need to use my fingertips to lift and move my leg."
4. "I need to use something like a padded coat hanger end to scratch
under the cast if it itches."
1. "I need to avoid getting the cast wet."
10. A client being measured for crutches asks the nurse why the crutches
cannot rest up underneath the arm for extra support. The nurse responds
knowing that which
would most likely result from this improper crutch measurement?
1. A fall and further injury
2. Injury to the brachial plexus nerves
, Med Surg 2 - Musculoskeletal
Ati exam NUR10005- Med Surg 2 - Musculoskeletal test bank with 180
questions with verified answers and graded A
3. Skin breakdown in the area of the axilla
4. Impaired range of motion while the client ambulates
2. Injury to the brachial plexus nerves
11. The nurse has given a client instructions about crutch safety. Which
client statement indicates that the client understands the instructions?
Select all that apply.
1. "I should not use someone else's crutches."
2. "I need to remove any scatter rugs at home."
3. "I can use crutch tips even when they are wet."
4. "I need to have spare crutches and tips available."
5. "When I'm using the crutches my arms need to be completely straight."
o 1. "I should not use someone else's crutches."
o 2. "I need to remove any scatter rugs at home."
o 4. "I need to have spare crutches and tips available."
12. The nurse is caring for a client being treated for fat embolus after
multiple fractures. Which data would the nurse evaluate as the most
favorable indication of resolution of the fat embolus?
1. Clear mentation
2. Minimal dyspnea
3. Oxygen saturation of 85%
4. Arterial oxygen level of 78 mm Hg
1. Clear mentation
13. The nurse has conducted teaching with a client in an arm cast about
the signs and symptoms of compartment syndrome. The nurse
determines that the client understands the information if the client
states that he or she should report
which earlysymptom of compartment syndrome?
1. Cold, bluish-colored fingers
2. Numbness and tingling in the fingers
3. Pain that increases when the arm is dependent
4. Pain that is out of proportion to the severity of the fracture
2. Numbness and tingling in the fingers
14. A client with diabetes mellitus has had a right below-knee amputation.
Given the client's history of diabetes mellitus, which should the nurse
specifically observe in the postoperative period?
1. Hemorrhage
2. Edema of the residual limb
3. Slight redness of the incision
4. Separation of the wound edges
4. Separation of the wound edges
15. The nurse is caring for a client who had an above-knee amputation 2
days ago. The residual limb was wrapped with an elastic compression
bandage, which has come
