Musculoskeletal Nursing Care 100
Question Practice Exam Merged With
Correct Verified And Well Analyzed
Answers Graded A+ | 2026 Latest
Update!!!
1. A nurse is assessing a client with a fractured femur. Which
assessment finding requires immediate intervention?
A. Pain rated 6/10 at the fracture site B. Swelling around the
affected extremity C. Pale, cool foot with absent pedal pulse D.
Bruising around the fracture area
Answer: C. Pale, cool foot with absent pedal pulse
Rationale: A pale, cool extremity with an absent pulse indicates
impaired circulation, which may signal compartment syndrome or
vascular compromise. This is a medical emergency because prolonged
decreased blood flow can result in permanent tissue damage or limb
loss. Pain, bruising, and swelling are expected findings after a
fracture, but compromised circulation requires immediate attention.
2. Which nursing intervention is most appropriate for a client in
skeletal traction?
,A. Remove the weights every shift B. Ensure the weights hang freely
at all times C. Place the weights on the bed during repositioning D.
Turn the client without assistance
Answer: B. Ensure the weights hang freely at all times
Rationale: Skeletal traction functions properly only when the weights
hang freely without obstruction. Removing weights or placing them on
the bed interrupts the traction force and can worsen alignment.
Repositioning should be performed carefully with assistance to
maintain therapeutic traction alignment.
3. A client with osteoporosis asks the nurse how to prevent
fractures. Which response is best?
A. “Limit physical activity to prevent falls.” B. “Increase calcium
and vitamin D intake.” C. “Avoid weight-bearing exercises.” D.
“Drink more caffeinated beverages.”
Answer: B. “Increase calcium and vitamin D intake.”
Rationale: Calcium and vitamin D are essential for bone strength and
prevention of osteoporosis-related fractures. Weight-bearing exercise
is also beneficial because it stimulates bone formation. Limiting
activity and consuming caffeine can contribute to bone loss and
increased fracture risk.
4. Which assessment finding is most consistent with rheumatoid
arthritis?
A. Asymmetrical joint involvement B. Morning stiffness lasting
more than 1 hour C. Pain relieved completely by rest D. Heberden’s
nodes on distal joints
Answer: B. Morning stiffness lasting more than 1 hour
, Rationale: Rheumatoid arthritis commonly causes prolonged morning
stiffness, symmetrical joint involvement, and systemic inflammation.
Heberden’s nodes are more characteristic of osteoarthritis. Rest may
reduce discomfort but does not completely relieve rheumatoid arthritis
symptoms.
5. A nurse is teaching a client about cast care. Which statement
by the client indicates a need for further teaching?
A. “I will keep the cast dry.” B. “I can insert objects into the cast if
it itches.” C. “I will elevate the extremity above heart level.” D. “I
should report foul odors from the cast.”
Answer: B. “I can insert objects into the cast if it itches.”
Rationale: Clients should never insert objects into a cast because
doing so can damage the skin and increase the risk of infection.
Keeping the cast dry, elevating the extremity, and reporting foul odors
are correct cast care practices.
6. Which laboratory value is most important for the nurse to
monitor in a client with osteomyelitis?
A. Hemoglobin B. Platelet count C. White blood cell count D.
Potassium level
Answer: C. White blood cell count
Rationale: Osteomyelitis is a bone infection, and an elevated white
blood cell count may indicate ongoing infection or inflammation.
Monitoring this value helps evaluate the effectiveness of treatment.
Hemoglobin, platelet count, and potassium are less directly related to
infection status.
7. A client reports severe pain unrelieved by medication after a
leg fracture. The nurse also notes numbness and decreased
pulses. Which complication should the nurse suspect?
Question Practice Exam Merged With
Correct Verified And Well Analyzed
Answers Graded A+ | 2026 Latest
Update!!!
1. A nurse is assessing a client with a fractured femur. Which
assessment finding requires immediate intervention?
A. Pain rated 6/10 at the fracture site B. Swelling around the
affected extremity C. Pale, cool foot with absent pedal pulse D.
Bruising around the fracture area
Answer: C. Pale, cool foot with absent pedal pulse
Rationale: A pale, cool extremity with an absent pulse indicates
impaired circulation, which may signal compartment syndrome or
vascular compromise. This is a medical emergency because prolonged
decreased blood flow can result in permanent tissue damage or limb
loss. Pain, bruising, and swelling are expected findings after a
fracture, but compromised circulation requires immediate attention.
2. Which nursing intervention is most appropriate for a client in
skeletal traction?
,A. Remove the weights every shift B. Ensure the weights hang freely
at all times C. Place the weights on the bed during repositioning D.
Turn the client without assistance
Answer: B. Ensure the weights hang freely at all times
Rationale: Skeletal traction functions properly only when the weights
hang freely without obstruction. Removing weights or placing them on
the bed interrupts the traction force and can worsen alignment.
Repositioning should be performed carefully with assistance to
maintain therapeutic traction alignment.
3. A client with osteoporosis asks the nurse how to prevent
fractures. Which response is best?
A. “Limit physical activity to prevent falls.” B. “Increase calcium
and vitamin D intake.” C. “Avoid weight-bearing exercises.” D.
“Drink more caffeinated beverages.”
Answer: B. “Increase calcium and vitamin D intake.”
Rationale: Calcium and vitamin D are essential for bone strength and
prevention of osteoporosis-related fractures. Weight-bearing exercise
is also beneficial because it stimulates bone formation. Limiting
activity and consuming caffeine can contribute to bone loss and
increased fracture risk.
4. Which assessment finding is most consistent with rheumatoid
arthritis?
A. Asymmetrical joint involvement B. Morning stiffness lasting
more than 1 hour C. Pain relieved completely by rest D. Heberden’s
nodes on distal joints
Answer: B. Morning stiffness lasting more than 1 hour
, Rationale: Rheumatoid arthritis commonly causes prolonged morning
stiffness, symmetrical joint involvement, and systemic inflammation.
Heberden’s nodes are more characteristic of osteoarthritis. Rest may
reduce discomfort but does not completely relieve rheumatoid arthritis
symptoms.
5. A nurse is teaching a client about cast care. Which statement
by the client indicates a need for further teaching?
A. “I will keep the cast dry.” B. “I can insert objects into the cast if
it itches.” C. “I will elevate the extremity above heart level.” D. “I
should report foul odors from the cast.”
Answer: B. “I can insert objects into the cast if it itches.”
Rationale: Clients should never insert objects into a cast because
doing so can damage the skin and increase the risk of infection.
Keeping the cast dry, elevating the extremity, and reporting foul odors
are correct cast care practices.
6. Which laboratory value is most important for the nurse to
monitor in a client with osteomyelitis?
A. Hemoglobin B. Platelet count C. White blood cell count D.
Potassium level
Answer: C. White blood cell count
Rationale: Osteomyelitis is a bone infection, and an elevated white
blood cell count may indicate ongoing infection or inflammation.
Monitoring this value helps evaluate the effectiveness of treatment.
Hemoglobin, platelet count, and potassium are less directly related to
infection status.
7. A client reports severe pain unrelieved by medication after a
leg fracture. The nurse also notes numbness and decreased
pulses. Which complication should the nurse suspect?
