NUR450 - Final Exam - Blackboard posted questions and case studies
Musculoskeletal System - ---
Blackboard questions
812. A client with cancer is Ans: 4
scheduled for a bone scan to 4. A bone scan maps the uptake of a bone-seeking radioactive
determine the presence of isotope; an increased uptake is seen in metastatic bone disease,
metastasis. The nurse evaluates osteosarcoma, osteomyelitis, and certain fractures.
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."
,813. A nurse explains to a Ans: 2
client that stimulation of 2. Weight bearing and the use of antigravity muscles stimulate
calcium deposition in the bone bone formatiqn or osteoblastic function.
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
814. A nurse is performing range- Ans: 2
of-motion exercises with a client 2. The fingers are flared out in the extended, abducted position.
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
815. A male college basketball Ans: 3
player comes to the infirmary 3. These adaptations are consistent with a torn cartilage; this injury
complaining of a "click" in his is common among basketball players.
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
816. A client is scheduled for Ans: 1
,arthroscopic knee surgery and 1. This describes the procedure in which the surgeon uses a scope
asks the nurse about the to visualize and operate on the knee.
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."
, 817. The practitioner orders Ans: 3
non-weight bearing with crutches 3 These sets of muscles are used in crutch walking and therefore need
for a client with a leg injury. Before strengthening.
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
818. A client with impaired balance Ans: 2
is using a walker to provide 2. Because of the angle of force applied to a walker when a person
support when ambulating. uses it to move from a sitting to a standing position, the walker can
While observing the client become unstable and tip over. The arms of the chair should be
transferring from a sitting to a used for support when rising from a sitting position.
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
819. A client with multiple injuries Ans: 1
from an automobile collision is 1. Folding the arms across the chest maintains both arms in a safe
now permitted out of bed to a position during the transfer.
chair but is not permitted to
bear weight on the lower
extremities. When using a
Musculoskeletal System - ---
Blackboard questions
812. A client with cancer is Ans: 4
scheduled for a bone scan to 4. A bone scan maps the uptake of a bone-seeking radioactive
determine the presence of isotope; an increased uptake is seen in metastatic bone disease,
metastasis. The nurse evaluates osteosarcoma, osteomyelitis, and certain fractures.
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."
,813. A nurse explains to a Ans: 2
client that stimulation of 2. Weight bearing and the use of antigravity muscles stimulate
calcium deposition in the bone bone formatiqn or osteoblastic function.
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
814. A nurse is performing range- Ans: 2
of-motion exercises with a client 2. The fingers are flared out in the extended, abducted position.
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
815. A male college basketball Ans: 3
player comes to the infirmary 3. These adaptations are consistent with a torn cartilage; this injury
complaining of a "click" in his is common among basketball players.
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
816. A client is scheduled for Ans: 1
,arthroscopic knee surgery and 1. This describes the procedure in which the surgeon uses a scope
asks the nurse about the to visualize and operate on the knee.
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."
, 817. The practitioner orders Ans: 3
non-weight bearing with crutches 3 These sets of muscles are used in crutch walking and therefore need
for a client with a leg injury. Before strengthening.
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
818. A client with impaired balance Ans: 2
is using a walker to provide 2. Because of the angle of force applied to a walker when a person
support when ambulating. uses it to move from a sitting to a standing position, the walker can
While observing the client become unstable and tip over. The arms of the chair should be
transferring from a sitting to a used for support when rising from a sitting position.
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
819. A client with multiple injuries Ans: 1
from an automobile collision is 1. Folding the arms across the chest maintains both arms in a safe
now permitted out of bed to a position during the transfer.
chair but is not permitted to
bear weight on the lower
extremities. When using a
