NUR 2520 MegSurg 2 Exam 3 Practice Questions
A nurse is preparing a presentation at a community Affects weight-bearing joints
center about osteoarthritis. The nurse should plan to Crepitus can occur in affected joints
include which of the following information Causes joint stiffness
Causes joint pain
A nurse is assessing a client who has Paget's disease of cranial enlargement
the bone. Which of the following findings should the skeletal pain
nurse expect Waddling gait
A nurse is teaching a client who is to begin long-term Calcium and Vitamin D
therapy with prednisone to treat rheumatoid arthritis. The
nurse should instruct the client to take which of the
following supplements while taking this medication?
A nurse is teaching a client who has rheumatoid arthritis Drink 2-3L of water per day
about taking methotrexate. Which of the following
information should the nurse include?
A nurse is teaching a group of clients about Maintain a recommended body weight
osteoarthritis. Which of the following recommendations
should the nurse include in the teaching?
A nurse is caring for an older adult client who has Erythrocyte sedimentation rate (ESR)
rheumatoid arthritis and is taking aspirin 650mg every 4
hours. Which of the following diagnostic tests should the
nurse monitor to evaluate the effectiveness of the
medication?
A young adult client with a new diagnosis of rheumatoid Denial
arthritis states, "The pain in my joints is just a temporary
thing. If I keep eating right and exercising, it'll go away."
The nurse should identify the client is exhibiting which of
the following defense mechanisms?
A nurse is teaching a client who has gout about Salicylates, such as aspirin, and diuretics can trigger gout attacks.
medications. The nurse should teach the client to avoid
the use of which of the following types of medication?
A nurse is caring for a client who has developed gout. Allopurinol
Which of the following medications should the nurse
prepare to administer?
A nurse is completing discharge instructions with a client I will limit my alcohol intake
following an acute onset of gout. Which of the following
client statements indicates an understanding of the
treatment regimen?
A nurse is completing a physical assessment of a client Pain worsens with activity
who has early osteoarthritis. Which of the following
manifestations should the nurse expect?
A nurse is assessing a client who has systemic lupus Blurred vision
erythematosus and is taking hydroxychloroquine. The
nurse should report which of the following adverse
effects to the provider immediately?
A nurse is teaching a client how to follow a low-purine "I should avoid eating liver and other organ meats"
diet as prescribed by the provider for the management of
gout. Which of the following statements indicates the
client understands the teaching?
A nurse is reviewing the cause of gout with a group of "The intra-articular deposition of urate crystals causes inflammation."
nurses. Which of the following statements should the
nurse make?
, NUR 2520 MegSurg 2 Exam 3 Practice Questions
A nurse is teaching a client who has a new diagnosis of eat less/avoid- liver, sardines, shrimp, red meats, beef, lamb, pork
gout about managing the disorder. Which of the following
instructions should the nurse include in the teaching?
A nurse is teaching a client about risk factors for Aging, obesity, smoking
osteoarthritis. Which of the following factors should the
nurse include in the teaching?
A nurse is assessing an older adult client who has Kyphosis
experienced some loss of bone density. The nurse
observes a "hunchback" curvature of the client's spine.
The nurse should expect the provider to document which
of the following disorders?
A nurse is caring for a client following a right total hip Abduction
arthroplasty. Postoperatively the nurse should maintain
the right leg in which of the following positions?
A nurse is caring for a client who sustained a femur The client develops a life-threatening situation
fracture in an automobile accident and is placed into
skeletal traction. The nurse may remove the weights
from the traction device if which of the following occurs?
A nurse is assessing a client who is 24 hours Dyspnea
postoperative following an open reduction and internal
fixation to repair a fracture of the femur. Which of the
following assessment findings is an early manifestation
of fat embolism syndrome (FES)?
A nurse is caring for a client who is postoperative Perform neurovascular checks of the extremities.
following an open reduction and internal fixation of a
fractured femur. Which of the following actions is the
most important for the nurse to complete in the
postoperative period?
A nurse is assessing a client who is in skeletal traction. Fever
Which of the following findings should the nurse identify
as an indication of infection at the pin site?
A nurse is assessing a client who has a fracture of the Increased respiratory rate of 18 to 44
femur. The nurse obtains vital signs on admission and
again in 2 hours. Which of the following changes in
assessment should indicate to the nurse that the client
could be developing a serious complication?
A nurse is planning care for a client who is postoperative Prevent hip flexion of the affected extremity
following a total hip arthroplasty. Which of the following
interventions should the nurse include in the plan of
care?
A nurse is caring for a client who is postoperative maintain foam wedge between legs
following a total hip arthroplasty. The nurse assists the
client into a supine position. Which of the following
actions is appropriate to prevent dislocation of the hip?
A nurse is teaching a client who has a fractured femur Petechiae on the chest
about fat emboli syndrome. Which of the following
findings should the nurse include as a manifestation of a
fat embolism?
A nurse is teaching a client who has a pelvic fracture Tachypnea
about manifestations of fat embolism syndrome. The
nurse should include which of the following findings as
an early manifestation?
A nurse is caring for a client who has acute Administer antibiotics to the client
osteomyelitis. Which of the following interventions is the
nurse's priority?
, NUR 2520 MegSurg 2 Exam 3 Practice Questions
A nurse is planning care for a newly admitted client who Monitor the clients pedal pulses every hour
has skeletal traction for a fractured femur. Which of the
following interventions should the nurse include in the
plan?
A nurse is assessing a client who has a puncture wound Localized erythema
on his foot. Which of the following findings is a
manifestation of acute osteomyelitis?
*A patient complains of shoulder pain when the nurse B
moves the patient's arm behind the back.
Which question should the nurse ask?*
a. "Are you able to feed yourself without difficulty?"
b. "Do you have difficulty when you are putting on a
shirt?"
c. "Are you able to sleep through the night without
waking?"
d. "Do you ever have trouble lowering yourself to the
toilet?"
*A patient with left knee pain is diagnosed with bursitis. A
The nurse will explain that bursitis is
an inflammation of*
a. a fluid-filled sac found at some joints.
b. a synovial membrane that lines the joint.
c. the connective tissue joining bones within a joint.
d. the fibrocartilage that acts as a shock absorber in the
knee.
*The nurse who notes that a 59-yr-old female patient has D
lost 1 inch in height over the past 2
years will plan to teach the patient about*
a. discography studies.
b. myelographic testing.
c. magnetic resonance imaging (MRI).
d. dual-energy x-ray absorptiometry (DXA).
Which information in a 67-yr-old woman's health B
history will alert the nurse to the need for a more
focused assessment of the musculoskeletal system?
a. The patient sprained her ankle at age 13.
b. The patient's mother became shorter with aging.
c. The patient takes ibuprofen for occasional headaches.
d. The patient's father died of complications of miliary
tuberculosis.
*Which information obtained during the nurse's C
assessment of a patient's nutritional-metabolic
pattern may indicates increased risk for musculoskeletal
problems?*
a. The patient takes a multivitamin daily.
b. The patient dislikes fruits and vegetables.
c. The patient is 5 ft, 2 in tall and weighs 180 lb.
d. The patient prefers whole milk to nonfat milk.
*Which medication information will the nurse identify as a C
potential risk to a patient's
musculoskeletal system?*
a. The patient takes a daily multivitamin and calcium
supplement.
b. The patient takes hormone replacement therapy
(HRT) to prevent "hot flashes."
c. The patient has severe asthma requiring frequent
therapy with oral corticosteroids.
d. The patient has headaches treated with nonsteroidal
antiinflammatory drugs
(NSAIDs).
A nurse is preparing a presentation at a community Affects weight-bearing joints
center about osteoarthritis. The nurse should plan to Crepitus can occur in affected joints
include which of the following information Causes joint stiffness
Causes joint pain
A nurse is assessing a client who has Paget's disease of cranial enlargement
the bone. Which of the following findings should the skeletal pain
nurse expect Waddling gait
A nurse is teaching a client who is to begin long-term Calcium and Vitamin D
therapy with prednisone to treat rheumatoid arthritis. The
nurse should instruct the client to take which of the
following supplements while taking this medication?
A nurse is teaching a client who has rheumatoid arthritis Drink 2-3L of water per day
about taking methotrexate. Which of the following
information should the nurse include?
A nurse is teaching a group of clients about Maintain a recommended body weight
osteoarthritis. Which of the following recommendations
should the nurse include in the teaching?
A nurse is caring for an older adult client who has Erythrocyte sedimentation rate (ESR)
rheumatoid arthritis and is taking aspirin 650mg every 4
hours. Which of the following diagnostic tests should the
nurse monitor to evaluate the effectiveness of the
medication?
A young adult client with a new diagnosis of rheumatoid Denial
arthritis states, "The pain in my joints is just a temporary
thing. If I keep eating right and exercising, it'll go away."
The nurse should identify the client is exhibiting which of
the following defense mechanisms?
A nurse is teaching a client who has gout about Salicylates, such as aspirin, and diuretics can trigger gout attacks.
medications. The nurse should teach the client to avoid
the use of which of the following types of medication?
A nurse is caring for a client who has developed gout. Allopurinol
Which of the following medications should the nurse
prepare to administer?
A nurse is completing discharge instructions with a client I will limit my alcohol intake
following an acute onset of gout. Which of the following
client statements indicates an understanding of the
treatment regimen?
A nurse is completing a physical assessment of a client Pain worsens with activity
who has early osteoarthritis. Which of the following
manifestations should the nurse expect?
A nurse is assessing a client who has systemic lupus Blurred vision
erythematosus and is taking hydroxychloroquine. The
nurse should report which of the following adverse
effects to the provider immediately?
A nurse is teaching a client how to follow a low-purine "I should avoid eating liver and other organ meats"
diet as prescribed by the provider for the management of
gout. Which of the following statements indicates the
client understands the teaching?
A nurse is reviewing the cause of gout with a group of "The intra-articular deposition of urate crystals causes inflammation."
nurses. Which of the following statements should the
nurse make?
, NUR 2520 MegSurg 2 Exam 3 Practice Questions
A nurse is teaching a client who has a new diagnosis of eat less/avoid- liver, sardines, shrimp, red meats, beef, lamb, pork
gout about managing the disorder. Which of the following
instructions should the nurse include in the teaching?
A nurse is teaching a client about risk factors for Aging, obesity, smoking
osteoarthritis. Which of the following factors should the
nurse include in the teaching?
A nurse is assessing an older adult client who has Kyphosis
experienced some loss of bone density. The nurse
observes a "hunchback" curvature of the client's spine.
The nurse should expect the provider to document which
of the following disorders?
A nurse is caring for a client following a right total hip Abduction
arthroplasty. Postoperatively the nurse should maintain
the right leg in which of the following positions?
A nurse is caring for a client who sustained a femur The client develops a life-threatening situation
fracture in an automobile accident and is placed into
skeletal traction. The nurse may remove the weights
from the traction device if which of the following occurs?
A nurse is assessing a client who is 24 hours Dyspnea
postoperative following an open reduction and internal
fixation to repair a fracture of the femur. Which of the
following assessment findings is an early manifestation
of fat embolism syndrome (FES)?
A nurse is caring for a client who is postoperative Perform neurovascular checks of the extremities.
following an open reduction and internal fixation of a
fractured femur. Which of the following actions is the
most important for the nurse to complete in the
postoperative period?
A nurse is assessing a client who is in skeletal traction. Fever
Which of the following findings should the nurse identify
as an indication of infection at the pin site?
A nurse is assessing a client who has a fracture of the Increased respiratory rate of 18 to 44
femur. The nurse obtains vital signs on admission and
again in 2 hours. Which of the following changes in
assessment should indicate to the nurse that the client
could be developing a serious complication?
A nurse is planning care for a client who is postoperative Prevent hip flexion of the affected extremity
following a total hip arthroplasty. Which of the following
interventions should the nurse include in the plan of
care?
A nurse is caring for a client who is postoperative maintain foam wedge between legs
following a total hip arthroplasty. The nurse assists the
client into a supine position. Which of the following
actions is appropriate to prevent dislocation of the hip?
A nurse is teaching a client who has a fractured femur Petechiae on the chest
about fat emboli syndrome. Which of the following
findings should the nurse include as a manifestation of a
fat embolism?
A nurse is teaching a client who has a pelvic fracture Tachypnea
about manifestations of fat embolism syndrome. The
nurse should include which of the following findings as
an early manifestation?
A nurse is caring for a client who has acute Administer antibiotics to the client
osteomyelitis. Which of the following interventions is the
nurse's priority?
, NUR 2520 MegSurg 2 Exam 3 Practice Questions
A nurse is planning care for a newly admitted client who Monitor the clients pedal pulses every hour
has skeletal traction for a fractured femur. Which of the
following interventions should the nurse include in the
plan?
A nurse is assessing a client who has a puncture wound Localized erythema
on his foot. Which of the following findings is a
manifestation of acute osteomyelitis?
*A patient complains of shoulder pain when the nurse B
moves the patient's arm behind the back.
Which question should the nurse ask?*
a. "Are you able to feed yourself without difficulty?"
b. "Do you have difficulty when you are putting on a
shirt?"
c. "Are you able to sleep through the night without
waking?"
d. "Do you ever have trouble lowering yourself to the
toilet?"
*A patient with left knee pain is diagnosed with bursitis. A
The nurse will explain that bursitis is
an inflammation of*
a. a fluid-filled sac found at some joints.
b. a synovial membrane that lines the joint.
c. the connective tissue joining bones within a joint.
d. the fibrocartilage that acts as a shock absorber in the
knee.
*The nurse who notes that a 59-yr-old female patient has D
lost 1 inch in height over the past 2
years will plan to teach the patient about*
a. discography studies.
b. myelographic testing.
c. magnetic resonance imaging (MRI).
d. dual-energy x-ray absorptiometry (DXA).
Which information in a 67-yr-old woman's health B
history will alert the nurse to the need for a more
focused assessment of the musculoskeletal system?
a. The patient sprained her ankle at age 13.
b. The patient's mother became shorter with aging.
c. The patient takes ibuprofen for occasional headaches.
d. The patient's father died of complications of miliary
tuberculosis.
*Which information obtained during the nurse's C
assessment of a patient's nutritional-metabolic
pattern may indicates increased risk for musculoskeletal
problems?*
a. The patient takes a multivitamin daily.
b. The patient dislikes fruits and vegetables.
c. The patient is 5 ft, 2 in tall and weighs 180 lb.
d. The patient prefers whole milk to nonfat milk.
*Which medication information will the nurse identify as a C
potential risk to a patient's
musculoskeletal system?*
a. The patient takes a daily multivitamin and calcium
supplement.
b. The patient takes hormone replacement therapy
(HRT) to prevent "hot flashes."
c. The patient has severe asthma requiring frequent
therapy with oral corticosteroids.
d. The patient has headaches treated with nonsteroidal
antiinflammatory drugs
(NSAIDs).
