Chapter 51 Care Of patients With Musculoskeletal Trauma- NCLEX
Review Questions.Exam With Complete Solutions
1.ID: 4615491966
Which nursing action does the nurse on the orthopedic unit plan to delegate to
unlicensed assistive personnel (UAP)?
A. Remove the wound drain for a client who had an open reduction of a hip fracture 3
days ago.
B. Assess for bruising on a client who is receiving warfarin (Coumadin) to prevent deep
vein thrombosis.
C. Teach a client with a right ankle fracture how to use crutches when transferring and
ambulating.
D. Check the vital signs for a client who was admitted after a total knee replacement 3
hours ago. - answer D. Check the vital signs for a client who was admitted after a total
knee replacement 3 hours ago. Correct
Vital sign assessment is a skill that is within the role of the UAP. Removing a wound
drain, assessment, and client teaching are nursing actions that require broader
education and are within the scope of practice of licensed nursing staff.
2.ID: 4615491959
The nurse refers a client with an amputation and the client's family to which community
resource?
A. American Amputee Society (AAS)
B. Amputee Coalition of America (ACA)
C. Community Workers for Amputees (CWA)
D. National Amputee of America Society (NAAS) - answer B. Amputee Coalition of
America (ACA)
The ACA is an available resource for clients with amputations and supports them and
their families. The AAS, CWA, and NAAS do not exist.
A client is brought to the emergency department via ambulance after a motor vehicle
crash. What condition does the nurse assess for first?
A. Bleeding
B. Head injury
, C. Pain
D. Respiratory distress - answer D. Respiratory distress
The client should first be assessed for respiratory distress, and any oxygen
interventions instituted accordingly. Bleeding is the second assessment priority, head
injury is the third assessment priority, and pain is the fourth assessment priority in this
case.
A client has a grade III compound fracture of the right tibia. To prevent infection, which
intervention does the nurse implement?
A. Apply bacitracin (Neosporin) ointment to the site daily with a sterile cotton swab.
B. Use strict aseptic technique when cleaning the site.
C. Leave the site open to the air to keep it dry.
D. Assist the client to shower daily and pat the wound site dry. - answer B. Use strict
aseptic technique when cleaning the site.
Using aseptic technique is the best way to prevent infection. Chlorhexidine (Hibiclens),
2 mg/mL solution, is the better cleansing solution for pin site care, not Neosporin
ointment. A wound of this type should be kept covered, not left open to the air. The
wound site of a compound fracture must not be exposed to a shower; this practice
violates maintaining aseptic technique.
The nurse is instructing a local community group about ways to reduce the risk for
musculoskeletal injury. What information does the nurse include in the teaching plan?
A. "Avoid contact sports."
B. "Avoid rigorous exercise."
C. "Wear helmets when riding a motorcycle."
D. "Avoid driving in inclement weather." - answer C. "Wear helmets when riding a
motorcycle."
Those who ride motorcycles or bicycles should wear helmets to prevent head injury.
Telling the general public to avoid contact sports or to avoid driving in inclement
weather is not realistic. Telling the general public to avoid rigorous exercise is not only
unrealistic, it is also opposed to what many health care professionals recommend to
maintain health.
An older adult client has had an open reduction and internal fixation of a fractured right
hip. Which intervention does the nurse implement for this client?
Review Questions.Exam With Complete Solutions
1.ID: 4615491966
Which nursing action does the nurse on the orthopedic unit plan to delegate to
unlicensed assistive personnel (UAP)?
A. Remove the wound drain for a client who had an open reduction of a hip fracture 3
days ago.
B. Assess for bruising on a client who is receiving warfarin (Coumadin) to prevent deep
vein thrombosis.
C. Teach a client with a right ankle fracture how to use crutches when transferring and
ambulating.
D. Check the vital signs for a client who was admitted after a total knee replacement 3
hours ago. - answer D. Check the vital signs for a client who was admitted after a total
knee replacement 3 hours ago. Correct
Vital sign assessment is a skill that is within the role of the UAP. Removing a wound
drain, assessment, and client teaching are nursing actions that require broader
education and are within the scope of practice of licensed nursing staff.
2.ID: 4615491959
The nurse refers a client with an amputation and the client's family to which community
resource?
A. American Amputee Society (AAS)
B. Amputee Coalition of America (ACA)
C. Community Workers for Amputees (CWA)
D. National Amputee of America Society (NAAS) - answer B. Amputee Coalition of
America (ACA)
The ACA is an available resource for clients with amputations and supports them and
their families. The AAS, CWA, and NAAS do not exist.
A client is brought to the emergency department via ambulance after a motor vehicle
crash. What condition does the nurse assess for first?
A. Bleeding
B. Head injury
, C. Pain
D. Respiratory distress - answer D. Respiratory distress
The client should first be assessed for respiratory distress, and any oxygen
interventions instituted accordingly. Bleeding is the second assessment priority, head
injury is the third assessment priority, and pain is the fourth assessment priority in this
case.
A client has a grade III compound fracture of the right tibia. To prevent infection, which
intervention does the nurse implement?
A. Apply bacitracin (Neosporin) ointment to the site daily with a sterile cotton swab.
B. Use strict aseptic technique when cleaning the site.
C. Leave the site open to the air to keep it dry.
D. Assist the client to shower daily and pat the wound site dry. - answer B. Use strict
aseptic technique when cleaning the site.
Using aseptic technique is the best way to prevent infection. Chlorhexidine (Hibiclens),
2 mg/mL solution, is the better cleansing solution for pin site care, not Neosporin
ointment. A wound of this type should be kept covered, not left open to the air. The
wound site of a compound fracture must not be exposed to a shower; this practice
violates maintaining aseptic technique.
The nurse is instructing a local community group about ways to reduce the risk for
musculoskeletal injury. What information does the nurse include in the teaching plan?
A. "Avoid contact sports."
B. "Avoid rigorous exercise."
C. "Wear helmets when riding a motorcycle."
D. "Avoid driving in inclement weather." - answer C. "Wear helmets when riding a
motorcycle."
Those who ride motorcycles or bicycles should wear helmets to prevent head injury.
Telling the general public to avoid contact sports or to avoid driving in inclement
weather is not realistic. Telling the general public to avoid rigorous exercise is not only
unrealistic, it is also opposed to what many health care professionals recommend to
maintain health.
An older adult client has had an open reduction and internal fixation of a fractured right
hip. Which intervention does the nurse implement for this client?
