MDC 1 EXAM 2 EXAM STUDY GUIDE
QUESTIONS AND SOLUTIONS 100 PERCENT
CORRECT VERIFIED ANSWERS
●● A nurse is caring for a client placed in traction to treat a fractured
femur. Which nursing intervention has the highest priority?
A. Assessing the extremity for neurovascular integrity
B. Keeping the client from sliding to the foot of the bed
C.Keeping the ropes over the center of the pulley
D. Ensuring that the weights hang free at all times
Answer: A. Assessing the extremity for neurovascular integrity
●● Which orthopedic surgery is done to correct and align a fracture after
surgical dissection and exposure of the fracture?
A.Arthrodesis
B.Joint arthroplasty
C.Total joint arthroplasty
D.Open reduction
Answer: D.Open reduction
,●● The client displays manifestations of compartment syndrome. What
treatment will the nurse expect the client to be scheduled for?
A. An open reduction
B. A fasciotomy
C. A total hip replacement
D. A total knee replacement
Answer: B. A fasciotomy
●● A client who is undergoing skeletal traction reports pressure on bony
areas. Which action would be most appropriate to provide comfort for
the client?
A. Assisting with range-of-motion and isometric exercises.
B. Changing the client's position within prescribed limits.
C. Administering prescribed analgesics.
D. Applying warm compresses.
Answer: B. Changing the client's position within prescribed limits.
●● A client's fracture was reduced by surgically exposing the bone and
realigning it. What type of treatment does the nurse identity this as?
A.Buck's traction
,B.Skeletal traction
C.Internal fixation
D.Open reduction
Answer: D.Open reduction
●● The nurse is checking the traction apparatus for a client in skin
traction. Which finding would require the nurse to intervene?
A.Body aligned opposite to line of traction pull
B.Weights hanging and touching the floor
C.Pulleys without evidence of the obstruction
D.Ropes freely moving over pulleys
Answer: B.Weights hanging and touching the floor
●● A group of students is studying for a test on traction. The students
demonstrate understanding of the types of traction when they identify
which of the following as an example of skin traction?
A.Crutchfield tongs
B.Thomas splint
C.Buck's
D.Balanced suspension
Answer: C.Buck's
, ●● The nurse is providing instructions to the client who is being
prepared for skeletal traction. Which statement by the client indicates
teaching was effective?
A."Metal pins will go through my skin to the bone."
B."I will wear a boot with weights attached."
C."A belt will go around my pelvis and weights will be attached."
D."The traction can be removed once a day so I can shower."
Answer: A."Metal pins will go through my skin to the bone."
●● A client is reporting pain following orthopedic surgery. Which
intervention will help relieve pain?
A.Elevate the affected extremity and use cold applications.
B.Breathe deeply and cough every 2 hours until ambulation is possible.
C.Do ROM exercises as indicated.
D.Apply antiembolism stockings as indicated.
Answer: A.Elevate the affected extremity and use cold applications.
●● A client has severe osteoarthritis in the left hip and is having surgery
to replace both articular surfaces of the hip. What type of surgical
procedure will the nurse prepare the client for?
QUESTIONS AND SOLUTIONS 100 PERCENT
CORRECT VERIFIED ANSWERS
●● A nurse is caring for a client placed in traction to treat a fractured
femur. Which nursing intervention has the highest priority?
A. Assessing the extremity for neurovascular integrity
B. Keeping the client from sliding to the foot of the bed
C.Keeping the ropes over the center of the pulley
D. Ensuring that the weights hang free at all times
Answer: A. Assessing the extremity for neurovascular integrity
●● Which orthopedic surgery is done to correct and align a fracture after
surgical dissection and exposure of the fracture?
A.Arthrodesis
B.Joint arthroplasty
C.Total joint arthroplasty
D.Open reduction
Answer: D.Open reduction
,●● The client displays manifestations of compartment syndrome. What
treatment will the nurse expect the client to be scheduled for?
A. An open reduction
B. A fasciotomy
C. A total hip replacement
D. A total knee replacement
Answer: B. A fasciotomy
●● A client who is undergoing skeletal traction reports pressure on bony
areas. Which action would be most appropriate to provide comfort for
the client?
A. Assisting with range-of-motion and isometric exercises.
B. Changing the client's position within prescribed limits.
C. Administering prescribed analgesics.
D. Applying warm compresses.
Answer: B. Changing the client's position within prescribed limits.
●● A client's fracture was reduced by surgically exposing the bone and
realigning it. What type of treatment does the nurse identity this as?
A.Buck's traction
,B.Skeletal traction
C.Internal fixation
D.Open reduction
Answer: D.Open reduction
●● The nurse is checking the traction apparatus for a client in skin
traction. Which finding would require the nurse to intervene?
A.Body aligned opposite to line of traction pull
B.Weights hanging and touching the floor
C.Pulleys without evidence of the obstruction
D.Ropes freely moving over pulleys
Answer: B.Weights hanging and touching the floor
●● A group of students is studying for a test on traction. The students
demonstrate understanding of the types of traction when they identify
which of the following as an example of skin traction?
A.Crutchfield tongs
B.Thomas splint
C.Buck's
D.Balanced suspension
Answer: C.Buck's
, ●● The nurse is providing instructions to the client who is being
prepared for skeletal traction. Which statement by the client indicates
teaching was effective?
A."Metal pins will go through my skin to the bone."
B."I will wear a boot with weights attached."
C."A belt will go around my pelvis and weights will be attached."
D."The traction can be removed once a day so I can shower."
Answer: A."Metal pins will go through my skin to the bone."
●● A client is reporting pain following orthopedic surgery. Which
intervention will help relieve pain?
A.Elevate the affected extremity and use cold applications.
B.Breathe deeply and cough every 2 hours until ambulation is possible.
C.Do ROM exercises as indicated.
D.Apply antiembolism stockings as indicated.
Answer: A.Elevate the affected extremity and use cold applications.
●● A client has severe osteoarthritis in the left hip and is having surgery
to replace both articular surfaces of the hip. What type of surgical
procedure will the nurse prepare the client for?
