NUR450 - Final Exam - Blackboard posted questions and case studies
Musculoskeletal System - Blackboard questions - correct answer ---
812. A client with cancer is scheduled for a bone scan to determine the presence of metastasis.
The nurse evaluates that the teaching before the scheduled bone scan is effective when the
client states that:
1. "X-rays will be taken to identify where I may have lost calcium from my bones."
2. "Portions of my bone marrow will be removed and examined for cell composition."
3. "A radioactive chemical will be injected into my vein that will destroy cancer cells present in
my bones."
4. "A substance of low radioactivity will be injected into my vein and my body inspected by an
instrument to detect where it is deposited." - correct answer Ans: 4
4. A bone scan maps the uptake of a bone-seeking radioactive isotope; an increased uptake is
seen in metastatic bone disease, osteosarcoma, osteomyelitis, and certain fractures.
813. A nurse explains to a client that stimulation of calcium deposition in the bone after a distal
femoral fracture is best achieved by:
1. Resting the extremity
2. Weight-bearing activity
3. Normal aging processes
4. Ingesting foods high in ca - correct answer Ans: 2
2. Weight bearing and the use of antigravity muscles stimulate bone formatiqn or osteoblastic
function.
814. A nurse is performing range-of-motion exercises with a client who had a brain attack. The
nurse places the client's hand in the position exhibited in the picture (open hand with fingers
fully extended). This position is known as:
1. Flexion
2. Extension
3. Adduction
4. Circumduction - correct answer Ans: 2
2. The fingers are flared out in the extended, abducted position.
,NUR450 - Final Exam - Blackboard posted questions and case studies
815. A male college basketball player comes to the infirmary complaining of a "click" in his knee
when walking. He states that it occasionally gives way when he is running and sometimes locks.
He does not recall any specific injury. Which condition should the nurse anticipate that the
practitioner primarily will consider when determining the diagnostic tests to order?
1. Cracked patella
2. Ruptured Achilles tendon
3. Injured cartilage in the knee
4. Stress fracture of the tibial plateau - correct answer Ans: 3
3. These adaptations are consistent with a torn cartilage; this injury is common among
basketball players.
816. A client is scheduled for arthroscopic knee surgery and asks the nurse about the
procedure. The statement by the nurse that best describes the procedure is:
1. "It is surgical repair of a joint under direct visualization using an arthroscope."
2. "It is a radiological procedure that will help diagnose the extent of the knee injury."
3. "The procedure will determine the type of treatments the surgeon will prescribe."
4. "You will be anesthetized so that you do not remember anything about the procedure." -
correct answer Ans: 1
1. This describes the procedure in which the surgeon uses a scope to visualize and operate on
the knee.
817. The practitioner orders non-weight bearing with crutches for a client with a leg injury.
Before arnbulation is begun, the most important activity the nurse should teach the client to
facilitate walking with crutches is:
1. Sitting up in a chair to help strengthen back muscles
2. Keeping the unaffected leg in extension and abduction
3. Exercising the triceps, finger flexors, and elbow extensors
4. Using a trapeze frequently to strengthen the bicep muscles - correct answer Ans: 3
3 These sets of muscles are used in crutch walking and therefore need strengthening.
818. A client with impaired balance is using a walker to provide support when ambulating.
While observing the client transferring from a sitting to a standing position and using the
walker, the nurse evaluates that further teaching is required when the client:
,NUR450 - Final Exam - Blackboard posted questions and case studies
1. Slides toward the edge of the seat before standing
2. Holds both handles of the walker while rising to the standing position
3. Moves forward into the walker after transferring from sitting to standing
4. Stands in place holding on to the walker for at least 30 seconds before walking - correct
answer Ans: 2
2. Because of the angle of force applied to a walker when a person uses it to move from a
sitting to a standing position, the walker can become unstable and tip over. The arms of the
chair should be used for support when rising from a sitting position.
819. A client with multiple injuries from an automobile collision is now permitted out of bed to
a chair but is not permitted to bear weight on the lower extremities. When using a mechanical
lift to transfer the client, it is essential that the nurse:
1. Fold the client's arms across, the chest
2. Place the sling so that the top is below the client's scapulae
3. Call the practitioner to secure an order to use a mechanical lift
4. Raise the lift so that the sling is at least twelve inches above the mattress - correct answer
Ans: 1
1. Folding the arms across the chest maintains both arms in a safe position during the transfer.
820. A nurse performs full range of motion on a client's extremities. When putting an ankle
through range of motion, the nurse must perform:
1. Flexion, extension, and rotation
2. Abduction, flexion, adduction, and extension
3. Pronation, supination, rotation, and extension
4. Dorsiflexion, plantar flexion, eversion, and inversion - correct answer Ans: 4
4. These movements include all possible range of motion for the ankle joint.
821. An x-ray film of a client's arm reveals a comminuted fracture of the radial bone. The nurse
expects that with a comminuted fracture:
1. Bone protrudes through a break in the skin
2. The bone has broken into several fragments and the skin is intact
3. The bone is broken into two parts and the skin mayor may not be broken
, NUR450 - Final Exam - Blackboard posted questions and case studies
4. Splintering has occurred on one side of the bone and bending on the other - correct answer
Ans: 2
2. In a comminuted fracture, the bone is splintered or crushed.
822. Clients who have casts applied to an extremity must be monitored for complications. The
most significant complication for which the nurse should assess the client's extremity is:
1. Warmth
2. Numbness
3. Skin desquamation
4. Generalized discomfort - correct answer Ans: 2
2. Numbness is a neurological sign because it indicates pressure on the nerves and blood
vessels and should be reported immediately.
1. Warmth is a sign of adequate circulation.
3. Skin desquamation results from inadequate skin care and can be managed with lotion or oil.
4. Some degree of discomfort is expected after cast application.
823. A nurse is providing teaching about self-care to a client who had a cast applied for a
fracture of the right ulna and radius. For which occurrence should the nurse instruct the client
to immediately notify the practitioner?
1. Slight stiffness of the fingers
2. Increasing pain at the injury site
3. Small amount of bloody drainage on the cast
4. Bounding radial pulse in the affected extremity - correct answer Ans: 2
2 This may indicate cast pressure on a nerve and should be investigated further.
824. A client's right tibia is fractured in an automobile collision, and a cast is applied. For which
manifestation related to damage to major blood vessels by the fractured tibia should the nurse
assess?
1. Increased blood pressure
2. Prolonged edema in the thigh
3. Increased skin temperature of the foot
Musculoskeletal System - Blackboard questions - correct answer ---
812. A client with cancer is scheduled for a bone scan to determine the presence of metastasis.
The nurse evaluates that the teaching before the scheduled bone scan is effective when the
client states that:
1. "X-rays will be taken to identify where I may have lost calcium from my bones."
2. "Portions of my bone marrow will be removed and examined for cell composition."
3. "A radioactive chemical will be injected into my vein that will destroy cancer cells present in
my bones."
4. "A substance of low radioactivity will be injected into my vein and my body inspected by an
instrument to detect where it is deposited." - correct answer Ans: 4
4. A bone scan maps the uptake of a bone-seeking radioactive isotope; an increased uptake is
seen in metastatic bone disease, osteosarcoma, osteomyelitis, and certain fractures.
813. A nurse explains to a client that stimulation of calcium deposition in the bone after a distal
femoral fracture is best achieved by:
1. Resting the extremity
2. Weight-bearing activity
3. Normal aging processes
4. Ingesting foods high in ca - correct answer Ans: 2
2. Weight bearing and the use of antigravity muscles stimulate bone formatiqn or osteoblastic
function.
814. A nurse is performing range-of-motion exercises with a client who had a brain attack. The
nurse places the client's hand in the position exhibited in the picture (open hand with fingers
fully extended). This position is known as:
1. Flexion
2. Extension
3. Adduction
4. Circumduction - correct answer Ans: 2
2. The fingers are flared out in the extended, abducted position.
,NUR450 - Final Exam - Blackboard posted questions and case studies
815. A male college basketball player comes to the infirmary complaining of a "click" in his knee
when walking. He states that it occasionally gives way when he is running and sometimes locks.
He does not recall any specific injury. Which condition should the nurse anticipate that the
practitioner primarily will consider when determining the diagnostic tests to order?
1. Cracked patella
2. Ruptured Achilles tendon
3. Injured cartilage in the knee
4. Stress fracture of the tibial plateau - correct answer Ans: 3
3. These adaptations are consistent with a torn cartilage; this injury is common among
basketball players.
816. A client is scheduled for arthroscopic knee surgery and asks the nurse about the
procedure. The statement by the nurse that best describes the procedure is:
1. "It is surgical repair of a joint under direct visualization using an arthroscope."
2. "It is a radiological procedure that will help diagnose the extent of the knee injury."
3. "The procedure will determine the type of treatments the surgeon will prescribe."
4. "You will be anesthetized so that you do not remember anything about the procedure." -
correct answer Ans: 1
1. This describes the procedure in which the surgeon uses a scope to visualize and operate on
the knee.
817. The practitioner orders non-weight bearing with crutches for a client with a leg injury.
Before arnbulation is begun, the most important activity the nurse should teach the client to
facilitate walking with crutches is:
1. Sitting up in a chair to help strengthen back muscles
2. Keeping the unaffected leg in extension and abduction
3. Exercising the triceps, finger flexors, and elbow extensors
4. Using a trapeze frequently to strengthen the bicep muscles - correct answer Ans: 3
3 These sets of muscles are used in crutch walking and therefore need strengthening.
818. A client with impaired balance is using a walker to provide support when ambulating.
While observing the client transferring from a sitting to a standing position and using the
walker, the nurse evaluates that further teaching is required when the client:
,NUR450 - Final Exam - Blackboard posted questions and case studies
1. Slides toward the edge of the seat before standing
2. Holds both handles of the walker while rising to the standing position
3. Moves forward into the walker after transferring from sitting to standing
4. Stands in place holding on to the walker for at least 30 seconds before walking - correct
answer Ans: 2
2. Because of the angle of force applied to a walker when a person uses it to move from a
sitting to a standing position, the walker can become unstable and tip over. The arms of the
chair should be used for support when rising from a sitting position.
819. A client with multiple injuries from an automobile collision is now permitted out of bed to
a chair but is not permitted to bear weight on the lower extremities. When using a mechanical
lift to transfer the client, it is essential that the nurse:
1. Fold the client's arms across, the chest
2. Place the sling so that the top is below the client's scapulae
3. Call the practitioner to secure an order to use a mechanical lift
4. Raise the lift so that the sling is at least twelve inches above the mattress - correct answer
Ans: 1
1. Folding the arms across the chest maintains both arms in a safe position during the transfer.
820. A nurse performs full range of motion on a client's extremities. When putting an ankle
through range of motion, the nurse must perform:
1. Flexion, extension, and rotation
2. Abduction, flexion, adduction, and extension
3. Pronation, supination, rotation, and extension
4. Dorsiflexion, plantar flexion, eversion, and inversion - correct answer Ans: 4
4. These movements include all possible range of motion for the ankle joint.
821. An x-ray film of a client's arm reveals a comminuted fracture of the radial bone. The nurse
expects that with a comminuted fracture:
1. Bone protrudes through a break in the skin
2. The bone has broken into several fragments and the skin is intact
3. The bone is broken into two parts and the skin mayor may not be broken
, NUR450 - Final Exam - Blackboard posted questions and case studies
4. Splintering has occurred on one side of the bone and bending on the other - correct answer
Ans: 2
2. In a comminuted fracture, the bone is splintered or crushed.
822. Clients who have casts applied to an extremity must be monitored for complications. The
most significant complication for which the nurse should assess the client's extremity is:
1. Warmth
2. Numbness
3. Skin desquamation
4. Generalized discomfort - correct answer Ans: 2
2. Numbness is a neurological sign because it indicates pressure on the nerves and blood
vessels and should be reported immediately.
1. Warmth is a sign of adequate circulation.
3. Skin desquamation results from inadequate skin care and can be managed with lotion or oil.
4. Some degree of discomfort is expected after cast application.
823. A nurse is providing teaching about self-care to a client who had a cast applied for a
fracture of the right ulna and radius. For which occurrence should the nurse instruct the client
to immediately notify the practitioner?
1. Slight stiffness of the fingers
2. Increasing pain at the injury site
3. Small amount of bloody drainage on the cast
4. Bounding radial pulse in the affected extremity - correct answer Ans: 2
2 This may indicate cast pressure on a nerve and should be investigated further.
824. A client's right tibia is fractured in an automobile collision, and a cast is applied. For which
manifestation related to damage to major blood vessels by the fractured tibia should the nurse
assess?
1. Increased blood pressure
2. Prolonged edema in the thigh
3. Increased skin temperature of the foot
