MSK EXAM QUESTIONS WITH 100% CORRECT ANSWERS

MSK EXAM QUESTIONS WITH 100% CORRECT ANSWERS A client in the PACU with a left below the knee amputation complains of pain in her left big toe. Which of the following would the nurse do first? a. Tell the client it is impossible to feel the pain b. Show the client that the toes are not there c. Explain to the client that the pain is real d. Give the client the prescribed narcotic analgesic - Answer-d. Give the client the prescribed narcotic analgesic The client with an above the knee amputation is to use crutches until the prosthesis is being adjusted. In which of the following exercises would the nurse instruct the client to best prepare him for using crutches? a. Abdominal exercises b. Isometric shoulder exercises c. Quadriceps setting exercises d. Triceps stretching exercises - Answer-d. Triceps stretching exercises The client with an above the knee amputation is to use crutches until the prosthesis is properly lifted. When teaching the client about using the crutches, the nurse instructs the client to support her weight primarily on which of the following body areas? a. Axillae b. Elbows c. Upper arms d. Hands - Answer-d. Hands Three hours ago a client was thrown from a car into a ditch, and he is now admitted to the ED in a stable condition with vital signs within normal limits, alert and oriented with good coloring and an open fracture of the right tibia. When assessing the client, the nurse would be especially alert for signs and symptoms of which of the following? a. Hemorrhage b. Infection c. Deformity d. Shock - Answer-a. Hemorrhage The client with a fractured tibia has been taking methocarbamol (Robaxin), when teaching the client about this drug, which of the following would the nurse include as the drug's primary effect? a. Killing of microorganisms b. Reduction in itching c. Relief of muscle spasms d. Decrease in nervousness - Answer-c. Relief of muscle spasms A client who has been taking carisoprodol (Soma) at home for a fractured arm is admitted with a blood pressure of 80/50 mmHg, a pulse rate of 115bpm, and respirations of 8 breaths/minute and shallow, the nurse interprets these finding as indicating which of the following? a. Expected common side effects b. Hypersensitivity reactions c. Possible habituating effects d. Hemorrhage from GI irritation - Answer-a. Expected common side effects When admitting a client with a fractured extremity, the nurse would focus the assessment on which of the following first? a. The area proximal to the fracture b. The actual fracture site c. The area distal to the fracture d. The opposite extremity for baseline comparison - Answer-c. The area distal to the fracture A client with fracture develops compartment syndrome. When caring for the client, the nurse would be alert for which of the following signs of possible organ failure? a. Rales b. Jaundice c. Generalized edema d. Dark, scanty urine - Answer-d. Dark, scanty urine Which of the following would lead the nurse to suspect that a client with a fracture of the right femur may be developing a fat embolus? a. Acute respiratory distress syndrome b. Migraine like headaches c. Numbness in the right leg d. Muscle spasms in the right thigh - Answer-a. Acute respiratory distress syndrome The client who had an open femoral fracture was discharged to her home, where she developed, fever, night sweats, chills, restlessness and restrictive movement of the fractured leg. The nurse interprets these finding as indicating which of the following? a. Pulmonary emboli b. Osteomyelitis c. Fat emboli d. Urinary tract infection - Answer-b. Osteomyelitis