NUR2356: Multidimensional Care I / MDC 1 Exam 2
1.A client has a fiberglass cast on the right arm. Which action should the nurse include in the
care plan?
Assessing movement and sensation in the fingers of the right hand
2.A client has a Fiberglass cast on the right arm. Which action should the nurse include in the
care plan?
-Fingers on the left hand are swollen and cool
-Presence of a normal popliteal pulse
-Minimal pain in the left arm
-Cast edges are rough, with skin irritation present
Fingers on the left hand are swollen and cool
3.A nurse is given instructions to a client who's going home with a leg cast. Which teaching
point is most critical?
-Avoiding walking on a leg cast without the health care provider's permission
-Exercising joints above and below the cast, as ordered
-Using crutches properly
-Reporting signs of impaired circulation
Reporting signs of impaired circulation
4.Which is a benefit of a continuous passive motion (CPM) device when applied after knee
surgery?
-It provides active range of motion
-It promotes healing by immobilizing the knee joint
-It prevents infection and controls edema and bleeding
-It promotes healing by increasing circulation and movement of the knee joint.
It promotes healing by increasing circulation and movement of the knee joint
5.Which nursing action would help prevent deep vein thrombosis in a client who has had an
orthopedic surgery?
-Instruct about exercise, as prescribed
-Instruct about using client-controlled analgesia, if prescribed
-Apply anti embolism stockings
-Apply cold packs
Apply ant-embolism stockings
6.Which is an inaccurate principle of traction
-The weights hang freely
, NUR2356: Multidimensional Care I / MDC 1 Exam 2
-The client must be in good alignment in the center of the bed.
-The weights are not removed unless intermittent treatment is prescribed.
-Skeletal traction is interrupted to turn an deposition that client.
Skeletal traction is interrupted to turn an deposition that client.
Which orthopedic surgery is done to correct and align a fracture after surgical dissection and
exposure of the fracture?
-Open reduction
-Total joint arthroplasty
-Arthrodesis
-Joint arthroplasty
Open reduction
7.A client has a plaster cast applied to the left leg. Which comment by the client following the
procedure should the nurse address first?
-"My toes are stiff"
-"My cast is still wet
-"My pain is 3"
-My toes are pink"
"My toes are stiff"
8.The nurse is admitting a client who is to undergo an open reduction with internal fixation for a
fractured femur. About which comment should the nurse be most concerned?
-" The surgeon can see the bones when putting them in correct position."
-"A joint replacement or bone graft is not necessary."
-"The surgeon is planning to use a metal plate and screws to fix my hip."
-"The surgeon is planning to use a metal plate and screws to fix my hip."
-" I was worried I would have an incision and scar."
I was worried I would have an incision and scar."
9.The client returns to the nursing unit following an open reduction with internal fixation of the
right hip. Nursing assessment findings include temperature 100.8 degrees Fahrenheit, heart
rate 112 beats per minute, respiratory rate 28 breaths per minute, and blood pressure 86/58.
There is no urine in the Foley catheter collection bag. the nurse interprets these findings as
indicating which complication?
-Osteomyelitis
1.A client has a fiberglass cast on the right arm. Which action should the nurse include in the
care plan?
Assessing movement and sensation in the fingers of the right hand
2.A client has a Fiberglass cast on the right arm. Which action should the nurse include in the
care plan?
-Fingers on the left hand are swollen and cool
-Presence of a normal popliteal pulse
-Minimal pain in the left arm
-Cast edges are rough, with skin irritation present
Fingers on the left hand are swollen and cool
3.A nurse is given instructions to a client who's going home with a leg cast. Which teaching
point is most critical?
-Avoiding walking on a leg cast without the health care provider's permission
-Exercising joints above and below the cast, as ordered
-Using crutches properly
-Reporting signs of impaired circulation
Reporting signs of impaired circulation
4.Which is a benefit of a continuous passive motion (CPM) device when applied after knee
surgery?
-It provides active range of motion
-It promotes healing by immobilizing the knee joint
-It prevents infection and controls edema and bleeding
-It promotes healing by increasing circulation and movement of the knee joint.
It promotes healing by increasing circulation and movement of the knee joint
5.Which nursing action would help prevent deep vein thrombosis in a client who has had an
orthopedic surgery?
-Instruct about exercise, as prescribed
-Instruct about using client-controlled analgesia, if prescribed
-Apply anti embolism stockings
-Apply cold packs
Apply ant-embolism stockings
6.Which is an inaccurate principle of traction
-The weights hang freely
, NUR2356: Multidimensional Care I / MDC 1 Exam 2
-The client must be in good alignment in the center of the bed.
-The weights are not removed unless intermittent treatment is prescribed.
-Skeletal traction is interrupted to turn an deposition that client.
Skeletal traction is interrupted to turn an deposition that client.
Which orthopedic surgery is done to correct and align a fracture after surgical dissection and
exposure of the fracture?
-Open reduction
-Total joint arthroplasty
-Arthrodesis
-Joint arthroplasty
Open reduction
7.A client has a plaster cast applied to the left leg. Which comment by the client following the
procedure should the nurse address first?
-"My toes are stiff"
-"My cast is still wet
-"My pain is 3"
-My toes are pink"
"My toes are stiff"
8.The nurse is admitting a client who is to undergo an open reduction with internal fixation for a
fractured femur. About which comment should the nurse be most concerned?
-" The surgeon can see the bones when putting them in correct position."
-"A joint replacement or bone graft is not necessary."
-"The surgeon is planning to use a metal plate and screws to fix my hip."
-"The surgeon is planning to use a metal plate and screws to fix my hip."
-" I was worried I would have an incision and scar."
I was worried I would have an incision and scar."
9.The client returns to the nursing unit following an open reduction with internal fixation of the
right hip. Nursing assessment findings include temperature 100.8 degrees Fahrenheit, heart
rate 112 beats per minute, respiratory rate 28 breaths per minute, and blood pressure 86/58.
There is no urine in the Foley catheter collection bag. the nurse interprets these findings as
indicating which complication?
-Osteomyelitis
