MUSCULOSKELETAL NUR 453 ROLE
TRANSITION EXAM 3 QUESTIONS AND
ANSWERS | STUDY GUIDE & PRACTICE TEST
2026/2027
1 of 81
Term
FRACTURE OF AN EXTREMITY: Assessment and Care
Give this one a go later!
Reinforce the exercise program and the importance of participating in the program
Instruct the client that exercises should be active rather than passive and to exercise
only to the point of pain
Instruct the client to stop exercise if pain is increased with exercising
Instruct the client to decrease the number of repetitions in an exercise when the
inflammation is severe
, • ASSESSMENT
• Care
- Immobilize
- Neurovascular assessment
- Pain or tenderness over the involved area
- Loss of strength or function
- Deformity
- Crepitus
- Muscle spasm
• INITIAL CARE
- Immobilize affected extremity
~ if open apply sterile dressing
- If a compound fracture exists, splint the extremity and cover the wound with
• M u s ca usl toetrei lneddinr oe sussi nogr rotator cuff of the shoulder sustains a tear usually as a result
of trauma
• Characterized by shoulder pain and the inability to maintain abduction of the arm
at the shoulder (drop arm test)
• Management
- Surgery may be required
• An interruption in the blood supply to the bony tissue, which results in the death of
the bone
ASSESSMENT
• Pain
• Decreased sensation
Nursing Interventions
• Notify the physician if pain or decreased sensation occurs
• Prepare the client for removal of necrotic tissue because it serves as a focus for
infection
, Don't know?
2 of 81
Term
INFECTION AND OSTEOMYELITIS
Give this one a go later!
• Can be caused by the interruption of the integrity of the skin
• The infection invades bone tissue
Nucleus of the disc protrudes into the annulus causing nerve compression
TYPES
- Cervical
- Lumbar
• Bone is broken inside the joint
• Skin traction is applied preoperatively to immobilize and prevent pain
• Treatment includes a total hip replacement or internal fixation with replacement
of the femoral head with a prosthesis
- leg must be abducted
, Clinical Presentation
• Fever
• Pain
• Erythema in the area surrounding the fracture
• Tachycardia
• Elevated white blood cell (WBC) count
Nursing Interventions
• Notify the physician Don't know?
• Prepare to initiate aggressive IV antibiotic therapy
• Surgery
• Hyperbaric treatment as prescribed
3 of 81
Term
Gout nursing interventions
Give this one a go later!
Encourage a well-balanced diet
A fractured bone compressed by
other bone
Encourage weight loss if necessary
pain
paresthesia
... paralysis
pulse
pallor
Don't know?
4 of 81
TRANSITION EXAM 3 QUESTIONS AND
ANSWERS | STUDY GUIDE & PRACTICE TEST
2026/2027
1 of 81
Term
FRACTURE OF AN EXTREMITY: Assessment and Care
Give this one a go later!
Reinforce the exercise program and the importance of participating in the program
Instruct the client that exercises should be active rather than passive and to exercise
only to the point of pain
Instruct the client to stop exercise if pain is increased with exercising
Instruct the client to decrease the number of repetitions in an exercise when the
inflammation is severe
, • ASSESSMENT
• Care
- Immobilize
- Neurovascular assessment
- Pain or tenderness over the involved area
- Loss of strength or function
- Deformity
- Crepitus
- Muscle spasm
• INITIAL CARE
- Immobilize affected extremity
~ if open apply sterile dressing
- If a compound fracture exists, splint the extremity and cover the wound with
• M u s ca usl toetrei lneddinr oe sussi nogr rotator cuff of the shoulder sustains a tear usually as a result
of trauma
• Characterized by shoulder pain and the inability to maintain abduction of the arm
at the shoulder (drop arm test)
• Management
- Surgery may be required
• An interruption in the blood supply to the bony tissue, which results in the death of
the bone
ASSESSMENT
• Pain
• Decreased sensation
Nursing Interventions
• Notify the physician if pain or decreased sensation occurs
• Prepare the client for removal of necrotic tissue because it serves as a focus for
infection
, Don't know?
2 of 81
Term
INFECTION AND OSTEOMYELITIS
Give this one a go later!
• Can be caused by the interruption of the integrity of the skin
• The infection invades bone tissue
Nucleus of the disc protrudes into the annulus causing nerve compression
TYPES
- Cervical
- Lumbar
• Bone is broken inside the joint
• Skin traction is applied preoperatively to immobilize and prevent pain
• Treatment includes a total hip replacement or internal fixation with replacement
of the femoral head with a prosthesis
- leg must be abducted
, Clinical Presentation
• Fever
• Pain
• Erythema in the area surrounding the fracture
• Tachycardia
• Elevated white blood cell (WBC) count
Nursing Interventions
• Notify the physician Don't know?
• Prepare to initiate aggressive IV antibiotic therapy
• Surgery
• Hyperbaric treatment as prescribed
3 of 81
Term
Gout nursing interventions
Give this one a go later!
Encourage a well-balanced diet
A fractured bone compressed by
other bone
Encourage weight loss if necessary
pain
paresthesia
... paralysis
pulse
pallor
Don't know?
4 of 81
