ATI Musculoskeletal
A nurse is completing preoperative teaching for a client who is to undergo an
arthroplasty to repair a shoulder injury. Which of following statements should the nurse
include? - Answer -"Inspect your incision daily for indications of infection"
-"Apply ice packs to the area for the first 24 hours"
-"Perform isometric exercises"
A nurse is planning care for a client who is postoperative following an arthroplasty of the
knee. Which of the following actions should the nurse take? - Answer -Assess color and
temperature of the extremity
-Place pillows under the extremity
-Administer analgesic medication
-Assess pulse and sensation in the foot
A nurse is teaching a client who is going to have a bone scan. Which of the following
statements should the nurse include? - Answer "You will have to urinate just before the
procedure"
A nurse is educating clients at a health fair about dual-energy x-ray absorptiometry
(DXA) scans. Which of the following information should the nurse include? - Answer -
The hip and spine are the usual areas the device scans
-Bone pain can indicate a need for a scan
-Females should have a baseline scan during their 40s
A nurse is planning care for a client who will undergo an electromyography (EMG).
Which of the following actions should the nurse include? - Answer -Assess for bruising
-Determine whether the client takes a musclee relaxant
-Instruct the client to flex muscles during needle insertion
A nurse is reviewing the health record of a client who is to undergo total joint
arthroplasty. The nurse should recognize which of the following findings as a
contraindication to this procedure? - Answer Bronchitis 2 weeks ago
A nurse is admitting a client to the orthopedic unit following a total knee arthroplasty.
Which of the following actions by the nurse are appropriate? - Answer -Check
continuous passive motion device settings
-Palpate dorsal pedal pulses
-Elevate heels off bed
A nurse is planning discharge teaching for a client who had a total hip arthroplasty.
Which of the following should the nurse include in the teaching? - Answer -Clean the
incision daily with soap and water
-Sit in a straight-backed armchair
-Use a raised toilet seat
, A nurse is assessing a client who is scheduled to undergo a right knee hip arthroplasty.
The nurse should expect which of the following findings? - Answer -Pain when bearing
weight
-Joint crepitus
-Swelling of the affected joint
-Limited joint motion
A nurse is completing a preoperative teaching plan for a client who is scheduled to have
a total hip arthroplasty. Which of the following should the nurse include in the teaching
plan? - Answer -Encourage complete autologous blood donation
-Use an abductor pillow when turning the client
-Perform isometric exercises
A nurse is presenting information to a group of clients at a health fair about measures to
reduce the risk of amputation. Which of the following information should the nurse
provide? - Answer -Encourage clients who smoke to consider smoking cessation
programs
-Encourage clients who have diabetes melitus to maintain blood glucose within the
expected reference range
-Instruct clients to unplug electrical equipment when performing repairs
-Encourage clients who have a vascular disease to maintain good foot care
A nurse is assessing a client who has arteriosclerosis and is scheduled for a possible
right lower extremity amputation. Which of the following are expected findings in the
affected extremity? - Answer -Skin cool to touch from mid-calf to the toes
-Lack of hair on lower leg
-Blackened areas on several toes
A nurse is caring for a client following a below-the-elbow amputation. Which of the
following actions should the nurse take? - Answer -Encourage dependent positioning of
the residual limp
-Inspect for presence and amount of drainage
-Implement shrinkage intervention of the residual limb
-Assess for feelings of body image changes
A nurse is caring for a client who had an above-the-knee amputation. The client reports
a sharp, stabbing type of phantom pain. Which of the following actions should the nurse
take? - Answer Administer an antiepileptic medication
A nurse is admitting an adult client who has suspected osteoporosis. Which of the
following findings are risk factors for osteoporosis? - Answer -Loss in height of 2 in (5.1
cm)
-Body mass index (BMI) of 18
-Kyphotic curve at upper thoracic spine
-History of lactose intolerance
A nurse is completing preoperative teaching for a client who is to undergo an
arthroplasty to repair a shoulder injury. Which of following statements should the nurse
include? - Answer -"Inspect your incision daily for indications of infection"
-"Apply ice packs to the area for the first 24 hours"
-"Perform isometric exercises"
A nurse is planning care for a client who is postoperative following an arthroplasty of the
knee. Which of the following actions should the nurse take? - Answer -Assess color and
temperature of the extremity
-Place pillows under the extremity
-Administer analgesic medication
-Assess pulse and sensation in the foot
A nurse is teaching a client who is going to have a bone scan. Which of the following
statements should the nurse include? - Answer "You will have to urinate just before the
procedure"
A nurse is educating clients at a health fair about dual-energy x-ray absorptiometry
(DXA) scans. Which of the following information should the nurse include? - Answer -
The hip and spine are the usual areas the device scans
-Bone pain can indicate a need for a scan
-Females should have a baseline scan during their 40s
A nurse is planning care for a client who will undergo an electromyography (EMG).
Which of the following actions should the nurse include? - Answer -Assess for bruising
-Determine whether the client takes a musclee relaxant
-Instruct the client to flex muscles during needle insertion
A nurse is reviewing the health record of a client who is to undergo total joint
arthroplasty. The nurse should recognize which of the following findings as a
contraindication to this procedure? - Answer Bronchitis 2 weeks ago
A nurse is admitting a client to the orthopedic unit following a total knee arthroplasty.
Which of the following actions by the nurse are appropriate? - Answer -Check
continuous passive motion device settings
-Palpate dorsal pedal pulses
-Elevate heels off bed
A nurse is planning discharge teaching for a client who had a total hip arthroplasty.
Which of the following should the nurse include in the teaching? - Answer -Clean the
incision daily with soap and water
-Sit in a straight-backed armchair
-Use a raised toilet seat
, A nurse is assessing a client who is scheduled to undergo a right knee hip arthroplasty.
The nurse should expect which of the following findings? - Answer -Pain when bearing
weight
-Joint crepitus
-Swelling of the affected joint
-Limited joint motion
A nurse is completing a preoperative teaching plan for a client who is scheduled to have
a total hip arthroplasty. Which of the following should the nurse include in the teaching
plan? - Answer -Encourage complete autologous blood donation
-Use an abductor pillow when turning the client
-Perform isometric exercises
A nurse is presenting information to a group of clients at a health fair about measures to
reduce the risk of amputation. Which of the following information should the nurse
provide? - Answer -Encourage clients who smoke to consider smoking cessation
programs
-Encourage clients who have diabetes melitus to maintain blood glucose within the
expected reference range
-Instruct clients to unplug electrical equipment when performing repairs
-Encourage clients who have a vascular disease to maintain good foot care
A nurse is assessing a client who has arteriosclerosis and is scheduled for a possible
right lower extremity amputation. Which of the following are expected findings in the
affected extremity? - Answer -Skin cool to touch from mid-calf to the toes
-Lack of hair on lower leg
-Blackened areas on several toes
A nurse is caring for a client following a below-the-elbow amputation. Which of the
following actions should the nurse take? - Answer -Encourage dependent positioning of
the residual limp
-Inspect for presence and amount of drainage
-Implement shrinkage intervention of the residual limb
-Assess for feelings of body image changes
A nurse is caring for a client who had an above-the-knee amputation. The client reports
a sharp, stabbing type of phantom pain. Which of the following actions should the nurse
take? - Answer Administer an antiepileptic medication
A nurse is admitting an adult client who has suspected osteoporosis. Which of the
following findings are risk factors for osteoporosis? - Answer -Loss in height of 2 in (5.1
cm)
-Body mass index (BMI) of 18
-Kyphotic curve at upper thoracic spine
-History of lactose intolerance
