MDC 1 Exam 2 Prep Questions & Answers (Latest) 2024
A client's left leg is in skeletal traction with a Thomas leg splint and Pearson
attachment. Which intervention should the nurse include in this client's care
plan?
A. Apply the traction straps snugly.
B. Assess the client's level of consciousness.
C. Remove the traction at least every 8 hours.
D. Teach the client how to prevent problems caused by immobility.
D. Teach the client how to prevent problems caused by immobility.
A nurse is caring for a client placed in traction to treat a fractured femur. Which
nursing intervention has the highest priority?
A. Assessing the extremity for neurovascular integrity
B. Keeping the client from sliding to the foot of the bed
C.Keeping the ropes over the center of the pulley
D. Ensuring that the weights hang free at all times
A. Assessing the extremity for neurovascular integrity
Which orthopedic surgery is done to correct and align a fracture after surgical
dissection and exposure of the fracture?
A.Arthrodesis
B.Joint arthroplasty
C.Total joint arthroplasty
D.Open reduction
D.Open reduction
The client displays manifestations of compartment syndrome. What treatment will
the nurse expect the client to be scheduled for?
A. An open reduction
B. A fasciotomy
C. A total hip replacement
D. A total knee replacement
B. A fasciotomy
A client who is undergoing skeletal traction reports pressure on bony areas.
Which action would be most appropriate to provide comfort for the client?
A. Assisting with range-of-motion and isometric exercises.
B. Changing the client's position within prescribed limits.
C. Administering prescribed analgesics.
D. Applying warm compresses.
B. Changing the client's position within prescribed limits.
A client's fracture was reduced by surgically exposing the bone and realigning it.
What type of treatment does the nurse identity this as?
,A.Buck's traction
B.Skeletal traction
C.Internal fixation
D.Open reduction
D.Open reduction
The nurse is checking the traction apparatus for a client in skin traction. Which
finding would require the nurse to intervene?
A.Body aligned opposite to line of traction pull
B.Weights hanging and touching the floor
C.Pulleys without evidence of the obstruction
D.Ropes freely moving over pulleys
B.Weights hanging and touching the floor
A group of students is studying for a test on traction. The students demonstrate
understanding of the types of traction when they identify which of the following
as an example of skin traction?
A.Crutchfield tongs
B.Thomas splint
C.Buck's
D.Balanced suspension
C.Buck's
The nurse is providing instructions to the client who is being prepared for
skeletal traction. Which statement by the client indicates teaching was effective?
A."Metal pins will go through my skin to the bone."
B."I will wear a boot with weights attached."
C."A belt will go around my pelvis and weights will be attached."
D."The traction can be removed once a day so I can shower."
A."Metal pins will go through my skin to the bone."
A client is reporting pain following orthopedic surgery. Which intervention will
help relieve pain?
A.Elevate the affected extremity and use cold applications.
B.Breathe deeply and cough every 2 hours until ambulation is possible.
C.Do ROM exercises as indicated.
D.Apply antiembolism stockings as indicated.
A.Elevate the affected extremity and use cold applications.
A client has severe osteoarthritis in the left hip and is having surgery to replace
both articular surfaces of the hip. What type of surgical procedure will the nurse
prepare the client for?
A.Arthrodesis
B.Hemiarthroplasty
C.Total arthroplasty
D.Osteotomy
, C.Total arthroplasty
A client is brought to the emergency department by a softball team member who
states the client and another player ran into each other, and the client is having
severe pain in the right shoulder. What symptoms of a fractured clavicle does the
nurse recognize?
A.Client complains of tingling and numbness in the right shoulder.
B.Right shoulder is elevated above the left.
C.Client complains of pain in the unaffected shoulder.
D.Right shoulder slopes downward and droops inward.
D.Right shoulder slopes downward and droops inward.
The nurse is preparing a client to have his cast cut off after having it for 6 weeks
to treat a fractured tibia. What should the nurse inform the client prior to the cast
being removed?
A.The leg will look as it did prior to the cast being applied.
B.The leg will look moist and will have small bumps that will go away in a few
days.
C.The skin may be covered with a yellowish crust that will shed in a few days.
D.The leg strength is enforced by the wearing of the cast.
C. The skin may be covered with a yellowish crust that will shed in a few days.
A client was playing softball and dislocated four of his fingers when diving for a
ball. The physician manipulated the fingers into alignment and applied a splint to
maintain alignment. What type of procedure does the nurse document this as?
A.Open reduction
B.Closed reduction
C.Open reduction with internal fixation
D.External fixation
B.Closed reduction
Which would be consistent as a component of self-care activities for the client
with a cast?
A.Cover the cast with plastic to insulate it
B.Cushion rough edges of the cast with tape
C.Frequently place the casted extremity in a dependent position
D.Use a plastic hanger wrapped in gauze to scratch under the cast.
B.Cushion rough edges of the cast with tape
A client with a long arm cast continues to complain of unrelieved throbbing pain
even after receiving opioid pain medication. Which is the priority action by the
nurse?
A.Assess for complications.
B.Assess for previous opioid drug use.
C.Reposition the client for comfort.
D.Teach relaxation techniques.
A client's left leg is in skeletal traction with a Thomas leg splint and Pearson
attachment. Which intervention should the nurse include in this client's care
plan?
A. Apply the traction straps snugly.
B. Assess the client's level of consciousness.
C. Remove the traction at least every 8 hours.
D. Teach the client how to prevent problems caused by immobility.
D. Teach the client how to prevent problems caused by immobility.
A nurse is caring for a client placed in traction to treat a fractured femur. Which
nursing intervention has the highest priority?
A. Assessing the extremity for neurovascular integrity
B. Keeping the client from sliding to the foot of the bed
C.Keeping the ropes over the center of the pulley
D. Ensuring that the weights hang free at all times
A. Assessing the extremity for neurovascular integrity
Which orthopedic surgery is done to correct and align a fracture after surgical
dissection and exposure of the fracture?
A.Arthrodesis
B.Joint arthroplasty
C.Total joint arthroplasty
D.Open reduction
D.Open reduction
The client displays manifestations of compartment syndrome. What treatment will
the nurse expect the client to be scheduled for?
A. An open reduction
B. A fasciotomy
C. A total hip replacement
D. A total knee replacement
B. A fasciotomy
A client who is undergoing skeletal traction reports pressure on bony areas.
Which action would be most appropriate to provide comfort for the client?
A. Assisting with range-of-motion and isometric exercises.
B. Changing the client's position within prescribed limits.
C. Administering prescribed analgesics.
D. Applying warm compresses.
B. Changing the client's position within prescribed limits.
A client's fracture was reduced by surgically exposing the bone and realigning it.
What type of treatment does the nurse identity this as?
,A.Buck's traction
B.Skeletal traction
C.Internal fixation
D.Open reduction
D.Open reduction
The nurse is checking the traction apparatus for a client in skin traction. Which
finding would require the nurse to intervene?
A.Body aligned opposite to line of traction pull
B.Weights hanging and touching the floor
C.Pulleys without evidence of the obstruction
D.Ropes freely moving over pulleys
B.Weights hanging and touching the floor
A group of students is studying for a test on traction. The students demonstrate
understanding of the types of traction when they identify which of the following
as an example of skin traction?
A.Crutchfield tongs
B.Thomas splint
C.Buck's
D.Balanced suspension
C.Buck's
The nurse is providing instructions to the client who is being prepared for
skeletal traction. Which statement by the client indicates teaching was effective?
A."Metal pins will go through my skin to the bone."
B."I will wear a boot with weights attached."
C."A belt will go around my pelvis and weights will be attached."
D."The traction can be removed once a day so I can shower."
A."Metal pins will go through my skin to the bone."
A client is reporting pain following orthopedic surgery. Which intervention will
help relieve pain?
A.Elevate the affected extremity and use cold applications.
B.Breathe deeply and cough every 2 hours until ambulation is possible.
C.Do ROM exercises as indicated.
D.Apply antiembolism stockings as indicated.
A.Elevate the affected extremity and use cold applications.
A client has severe osteoarthritis in the left hip and is having surgery to replace
both articular surfaces of the hip. What type of surgical procedure will the nurse
prepare the client for?
A.Arthrodesis
B.Hemiarthroplasty
C.Total arthroplasty
D.Osteotomy
, C.Total arthroplasty
A client is brought to the emergency department by a softball team member who
states the client and another player ran into each other, and the client is having
severe pain in the right shoulder. What symptoms of a fractured clavicle does the
nurse recognize?
A.Client complains of tingling and numbness in the right shoulder.
B.Right shoulder is elevated above the left.
C.Client complains of pain in the unaffected shoulder.
D.Right shoulder slopes downward and droops inward.
D.Right shoulder slopes downward and droops inward.
The nurse is preparing a client to have his cast cut off after having it for 6 weeks
to treat a fractured tibia. What should the nurse inform the client prior to the cast
being removed?
A.The leg will look as it did prior to the cast being applied.
B.The leg will look moist and will have small bumps that will go away in a few
days.
C.The skin may be covered with a yellowish crust that will shed in a few days.
D.The leg strength is enforced by the wearing of the cast.
C. The skin may be covered with a yellowish crust that will shed in a few days.
A client was playing softball and dislocated four of his fingers when diving for a
ball. The physician manipulated the fingers into alignment and applied a splint to
maintain alignment. What type of procedure does the nurse document this as?
A.Open reduction
B.Closed reduction
C.Open reduction with internal fixation
D.External fixation
B.Closed reduction
Which would be consistent as a component of self-care activities for the client
with a cast?
A.Cover the cast with plastic to insulate it
B.Cushion rough edges of the cast with tape
C.Frequently place the casted extremity in a dependent position
D.Use a plastic hanger wrapped in gauze to scratch under the cast.
B.Cushion rough edges of the cast with tape
A client with a long arm cast continues to complain of unrelieved throbbing pain
even after receiving opioid pain medication. Which is the priority action by the
nurse?
A.Assess for complications.
B.Assess for previous opioid drug use.
C.Reposition the client for comfort.
D.Teach relaxation techniques.
