NUR450 - Final Exam - Blackboard
posted questions and case studies
Musculoskeletal System - Blackboard questions - ANS ---
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." - ANS 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 - ANS 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 - ANS Ans: 2
2. The fingers are flared out in the extended, abducted position.
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 - ANS 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." - ANS 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 - ANS 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:
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 - ANS 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 - ANS 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 - ANS 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
4. Splintering has occurred on one side of the bone and bending on the other - ANS 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 - ANS 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.
posted questions and case studies
Musculoskeletal System - Blackboard questions - ANS ---
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." - ANS 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 - ANS 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 - ANS Ans: 2
2. The fingers are flared out in the extended, abducted position.
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 - ANS 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." - ANS 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 - ANS 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:
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 - ANS 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 - ANS 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 - ANS 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
4. Splintering has occurred on one side of the bone and bending on the other - ANS 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 - ANS 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.
