NSG 330 Ch 42- Management
Musculoskeletal Trauma Exam Questions
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,An x-ray demonstrates a fracture in which the fragments depressed.
of bone are driven inward. This type of fracture is Explanation:
referred to as
Depressed skull fractures occur as a result of blunt trauma. A compound
fracture is one in which damage also involves the skin or mucous membranes. A
comminuted fracture is one in which the bone has splintered into several
pieces. An impacted fracture is one in which a bone fragment is driven into
another bone fragment.
A client has had surgical repair of a hip injury after joint skin breakdown
manipulation was unsuccessful. After surgery, the nurse wound infection
implements measures to prevent complications. Which pneumonia
complications is the nurse seeking to prevent? Select
all that apply. After surgery, the nurse implements measures to prevent skin breakdown,
wound infection, pneumonia, constipation, urinary retention, muscle atrophy,
and contractures.
A client undergoes a total hip replacement. Which "I don't know if I'll be able to get off that low toilet seat at home by myself."
statement made by the client indicates to the nurse that Explanation:
the client requires further teaching? The client requires additional teaching if he is concerned about using a low
toilet seat. To prevent hip dislocation after a total hip replacement, the client
must avoid bending the hips beyond 90 degrees. The nurse should instruct the
client to use assistive devices, such as a raised toilet seat, to prevent severe hip
flexion. Using an abduction pillow or placing several pillows between the legs
reduces the risk of hip dislocation by preventing adduction and internal
rotation of the legs. Teaching the client to avoid crossing the legs also reduces
the risk of hip dislocation. A sock puller helps a client get dressed without
flexing the hips beyond 90 degrees.
A fracture is considered pathologic when it occurs through an area of diseased bone.
Explanation:
Pathologic fractures can occur without the trauma of a fall. An avulsion fracture
results in a fragment of bone being pulled away by a ligament or tendon and its
attachment. A greenstick fracture presents as one side of the bone being
broken and the other side being bent. A compound fracture involves damage
to the skin or mucous membranes.
Elderly clients who fall are most at risk for which Pelvic fractures
injuries? Explanation:
Elderly clients who fall are most at risk for pelvic and lower extremity fractures.
These injuries are devastating because they can seriously alter an elderly
client's lifestyle and reduce functional independence. Wrist fractures usually
occur with falls on an outstretched hand or from a direct blow. Such fractures
are commonly found in young men. Humerus fractures and cervical spine
fractures aren't age-specific.
, Which factor inhibits fracture healing? Local malignancy
Explanation:
Factors that inhibit fracture healing include local malignancy, bone loss, and
extensive local trauma. Factors that enhance fracture healing include proper
nutrition, vitamin D, exercise, and maximum bone fragment contact.
Which factor inhibits fracture healing? History of diabetes
Explanation:
Factors that inhibit fracture healing include diabetes, smoking, local
malignancy, bone loss, extensive local trauma, age greater than 40, and
infection. Factors that enhance fracture healing include proper nutrition,
vitamin D and calcium, exercise, maximum bone fragment contact, proper
alignment, and immobilization of the fracture.
A client sustains a fractured right humerus in an Compartment syndrome
automobile accident. The arm is edematous, the client Explanation:
states not being able to move or feel the fingers, and
the nurse does not feel a pulse. What condition should Separation of adjacent bones from their articulating joint interferes with normal
the nurse be concerned about that requires emergency use and produces a distorted appearance. The injury may disrupt local blood
measures? supply to structures such as the joint cartilage, causing degeneration, chronic
pain, and restricted movement. Compartment syndrome is a condition in which
a structure such as a tendon or nerve is constricted in a confined space. The
fractured humerus may also be dislocated but is not the result of the impaired
circulatory status. Muscle spasms may occur around the fracture site but are
not the cause of circulatory impairment. Subluxation is a partial dislocation.
Which term refers to a fracture in which one side of a Greenstick
bone is broken and the other side is bent? Explanation:
A greenstick fracture is a fracture in which one side of a bone is broken and the
other side is bent. A spiral fracture is a fracture twisting around the shaft of the
bone. An avulsion is when a fragment of bone has been pulled away by a
ligament or tendon and its attachment. An oblique is a fracture occurring at an
angle across the bone.
Musculoskeletal Trauma Exam Questions
& Answers | Complete Practice Test |
Latest 2026–2027
** Expert-Verified Explanation
** All Questions with Verified Answer
** Guaranteed Pass
** 100% Correct Answers | Graded A+
,An x-ray demonstrates a fracture in which the fragments depressed.
of bone are driven inward. This type of fracture is Explanation:
referred to as
Depressed skull fractures occur as a result of blunt trauma. A compound
fracture is one in which damage also involves the skin or mucous membranes. A
comminuted fracture is one in which the bone has splintered into several
pieces. An impacted fracture is one in which a bone fragment is driven into
another bone fragment.
A client has had surgical repair of a hip injury after joint skin breakdown
manipulation was unsuccessful. After surgery, the nurse wound infection
implements measures to prevent complications. Which pneumonia
complications is the nurse seeking to prevent? Select
all that apply. After surgery, the nurse implements measures to prevent skin breakdown,
wound infection, pneumonia, constipation, urinary retention, muscle atrophy,
and contractures.
A client undergoes a total hip replacement. Which "I don't know if I'll be able to get off that low toilet seat at home by myself."
statement made by the client indicates to the nurse that Explanation:
the client requires further teaching? The client requires additional teaching if he is concerned about using a low
toilet seat. To prevent hip dislocation after a total hip replacement, the client
must avoid bending the hips beyond 90 degrees. The nurse should instruct the
client to use assistive devices, such as a raised toilet seat, to prevent severe hip
flexion. Using an abduction pillow or placing several pillows between the legs
reduces the risk of hip dislocation by preventing adduction and internal
rotation of the legs. Teaching the client to avoid crossing the legs also reduces
the risk of hip dislocation. A sock puller helps a client get dressed without
flexing the hips beyond 90 degrees.
A fracture is considered pathologic when it occurs through an area of diseased bone.
Explanation:
Pathologic fractures can occur without the trauma of a fall. An avulsion fracture
results in a fragment of bone being pulled away by a ligament or tendon and its
attachment. A greenstick fracture presents as one side of the bone being
broken and the other side being bent. A compound fracture involves damage
to the skin or mucous membranes.
Elderly clients who fall are most at risk for which Pelvic fractures
injuries? Explanation:
Elderly clients who fall are most at risk for pelvic and lower extremity fractures.
These injuries are devastating because they can seriously alter an elderly
client's lifestyle and reduce functional independence. Wrist fractures usually
occur with falls on an outstretched hand or from a direct blow. Such fractures
are commonly found in young men. Humerus fractures and cervical spine
fractures aren't age-specific.
, Which factor inhibits fracture healing? Local malignancy
Explanation:
Factors that inhibit fracture healing include local malignancy, bone loss, and
extensive local trauma. Factors that enhance fracture healing include proper
nutrition, vitamin D, exercise, and maximum bone fragment contact.
Which factor inhibits fracture healing? History of diabetes
Explanation:
Factors that inhibit fracture healing include diabetes, smoking, local
malignancy, bone loss, extensive local trauma, age greater than 40, and
infection. Factors that enhance fracture healing include proper nutrition,
vitamin D and calcium, exercise, maximum bone fragment contact, proper
alignment, and immobilization of the fracture.
A client sustains a fractured right humerus in an Compartment syndrome
automobile accident. The arm is edematous, the client Explanation:
states not being able to move or feel the fingers, and
the nurse does not feel a pulse. What condition should Separation of adjacent bones from their articulating joint interferes with normal
the nurse be concerned about that requires emergency use and produces a distorted appearance. The injury may disrupt local blood
measures? supply to structures such as the joint cartilage, causing degeneration, chronic
pain, and restricted movement. Compartment syndrome is a condition in which
a structure such as a tendon or nerve is constricted in a confined space. The
fractured humerus may also be dislocated but is not the result of the impaired
circulatory status. Muscle spasms may occur around the fracture site but are
not the cause of circulatory impairment. Subluxation is a partial dislocation.
Which term refers to a fracture in which one side of a Greenstick
bone is broken and the other side is bent? Explanation:
A greenstick fracture is a fracture in which one side of a bone is broken and the
other side is bent. A spiral fracture is a fracture twisting around the shaft of the
bone. An avulsion is when a fragment of bone has been pulled away by a
ligament or tendon and its attachment. An oblique is a fracture occurring at an
angle across the bone.
