ATI MEDSURG 2 MUSCULOSKELETAL AND
RESPIRATORY EXAM 2025 ACTUAL EXAM
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A client has sustained traumatic ANS: C
injuries that involve several bone
fractures. A fracture of what type Flat bones, such as the sternum, provide vital organ protection.
of bone may interfere with the Fractures of the flat bones may lead to puncturing of the vital
protection of the client's vital organs or may interfere with the protection of the vital organs.
organs? Long, short, and irregular bones do not usually have this
A. Long bones physiologic function.
B. Short bones
C. Flat bones
D. Irregular bones
A client's fracture is healing and ANS: C
compact bone is replacing
spongy bone around the Remodeling occurs as necrotic bone is removed by the
periphery of the fracture. This osteoclasts. In this phase, compact bone replaces spongy bone
process characterizes what around the periphery of the fracture. Each of the other listed
phase of the bone healing phases precedes this stage.
process?
A. Hematoma formation
B. Fibrocartilaginous callus
formation
C. Remodeling
D. Bony callus formation
,A nurse admits a client who has ANS: B
a fracture of the nose that has
resulted in a skin tear and A compound fracture involves damage to the skin or mucous
involvement of the mucous membranes and is also called an open fracture. A compression
membranes of the nasal fracture involves compression of bone and is seen in vertebral
passages The orthopedic nurse fractures. An impacted fracture occurs when a bone fragment is
should plan to care for what driven into another bone fragment. A transverse fracture occurs
type of fracture? straight across the bone shaft.
A. Compression
B. Compound
C. Impacted
D. Transverse
The orthopedic nurse should ANS: B
assess for signs and symptoms
of Volkmann contracture if a The most serious complication of a supracondylar fracture of the
client has fractured which of the humerus is Volkmann ischemic contracture, which results from
following bones? antecubital swelling or damage to the brachial artery. This
A. Femur complication is specific to humeral fractures.
B. Humerus
C. Radial head
D. Clavicle
Radiographs of a client's upper ANS: B
arm shows three fragments of
the humeral bone. This A comminuted fracture has more than two bone fragments. An
diagnostic result suggests what open fracture has a bone end which breaks through the skin
type of fracture? surface. An intra-articulate fracture extends into the joint surface
A. Open of a bone. A greenstick fracture refers to a partial break of a
B. Comminuted bone
C. Intra-articular
D. Greenstick
What nursing intervention ANS: B
should the nurse prioritize to
facilitate healing in a client who Placing a pillow between the client's legs when turning prevents
has suffered a hip fracture? addiction and supports the client's legs. Administering analgesics
A. Administer analgesics as addresses pain but does not directly protect bone remodeling
required. and promote healing. Rotation of the affected leg can abuse
B. Place a pillow between the dislocation and must be avoided. Prone positioning does not
client's leg when turning need to be maintained at all times.
C. Maintain prone positioning at
all times
D. Encourage internal and
external rotation of the affected
leg.
,A client is admitted to the ANS: C, D, E
orthopedic unit with a fractured
femur after a motorcycle Early complications include shock, fat embolism, compartment
accident. The client has been syndrome, and venous thromboembolism (deep vein thrombosis
placed in traction until the femur [DVT], pulmonary embolism [PE]). Infection and complex
can be rodded in surgery. For regional pain syndrome are later complications of fractures.
what early complications(s)
should the nurse monitor this
client? Select all that apply.
A. Systemic infection
B. Complex regional pain
syndrome
C. Deep vein thrombosis
D. Compartment syndrome
E. Fat embolism
An older adult client has called ANS: B
in the home and is brought to
the emergency department by Fractures of the neck of the demure may damage the vascular
ambulance with a suspected system that supplies blood to the head and the neck of the
fractured hip. X-rays confirm a femur, and the bone may become ischemic. For this reason, AVN
fracture of the left femoral neck. is common in clients with femoral neck fractures. Infections are
When planning assessments not immediate complications and phantom pain applies to clients
during the client's pre surgical with amputations, not hip fractures.
care, the nurse should be aware
of the client's heightened risk of
what complication?
A. Osteomyelitis
B. Avascular necrosis
C. Phantom pain
D. Septicemia
A nurse is caring for a client who ANS: A
has just had an arthroscopy as
an outpatient and is getting Following arthroscopy, the client and family are informed of
ready to go home. The nurse complications to watch for, including fever. Synovial fluid leakage
should teach the client to is unlikely and crepitus would not develop as a post procedure
monitor closely for what complication, Fasciculations are muscle twitches and do not
postprocedure complication? involve joint integrity or function.
A. Fever.
B. Crepitus
C. Fasciculations
D. Synovial fluid leakage
A client has just had an ANS: A
arthroscopy performed to
assess a knee injury. What Interventions to perform following an arthroscopy include
nursing intervention should the wrapping the joint in a compression dressing, extending and
nurse perform following this elevating the joint, and applying ice or cold packs. Passive ROM
procedure? exercises, static flexion, and heat are not indicated.
A. Wrap the joint in a
compression dressing.
B. Perform passive range of
motion exercises
C. Maintain the knee in flexion
for up to 30 minutes.
D. Apply heat to the knee.
, A nurse is caring for a client who ANS: C
has been scheduled for a bone
scan. Which statement should It is important to encourage the client to drink plenty of fluids to
the nurse include when help distribute and eliminate the isotope after it is injected. There
educating the client about this are important contraindications to the procedure, including
diagnostic test? pregnancy or an allergy to the radioisotope. The test requires the
A. "The test is brief and requires injection of an IV radioisotope and the scan is performed 2 to 3
that you drink a calcium solution hours after the isotope is injected. A calcium solution is not used.
2 hours before the test. "
B. "You will not be allowed fluid
for 2 hours before and 3 hours
after the test.
C. "You will be encouraged to
drink water after the
administration of the
radioisotope injection.
D. "This is a common test that
can be safely performed on
anyone."
A nurse is caring for a client who ANS: D
has an MRI scheduled. What is
the priority safety action prior to Absolutely no metal objects can be present during MRI—their
this diagnostic procedure? presence constitutes a serious safety risk. The procedure takes
A. Assessing the client for signs up to 90 minutes. Nut allergies and infection are not
and symptoms of active contraindications to MRI.
infection
B. Ensuring that the client can
remain immobile for up to 3
hours
C. Assessing the client for a
history of nut allergies
D. Ensuring that there are no
metal objects on or in the client.
Diagnostic tests show that a ANS: A
client's bone density has
decreased over the past several Nutrition has a profound effect on bone density, especially later
years. The client asks the nurse life. Genetics are also an important factor, but nutrition has a
which factors contribute to more pronounced effect. The pathophysiology of bone density is
bone density decreasing. Which well understood and psychosocial stress has a minimal effect.
response by the nurse would be
best?
A. "For many people, a lack of
proper nutrition can cause a loss
of bone density."
B. "Progressive loss of bone
density is mostly related to your
genes."
C. "Stress is known to have many
unhealthy effects, including
reduced bone density."
D. "Bone density decreases with
age, but scientists are not
exactly sure why this is the case."