EXAM 5
Arthritis, Osteoporosis, and Mobility
75 Multiple-Choice Questions • Correct Answers Highlighted • Brief Rationales
Instructions: Choose the single best answer for each question. The correct option is highlighted in yellow, followed by a brief
rationale.
Study resource: Original practice questions based on the working assumption that NR-252 covers Adult Health II /
medical-surgical nursing. This is not an official Chamberlain exam; verify topics against your current syllabus.
1. Complication prevention: A client with a fracture has suspected fat embolism syndrome. Which complication or risk should
the nurse address first?
A. Treat as simple anxiety only
B. Recognize respiratory distress, confusion, or petechiae as urgent and escalate care
C. Delay oxygen assessment
D. Encourage walking alone
Rationale: Fat embolism can follow long-bone trauma and requires emergency support.
2. Safety check: A client after total hip arthroplasty has a posterior approach. Which action best promotes client safety?
A. Cross the legs tightly
B. Bend the hip beyond 90 degrees if painful
C. Twist sharply toward the operative side
D. Follow prescribed hip precautions and avoid excessive flexion, adduction, and internal rotation
Rationale: These movements can increase dislocation risk after a posterior approach.
3. Safety check: A client with gout is prescribed allopurinol. Which action best promotes client safety?
A. Double doses after a missed dose
B. Stop it as soon as pain ends without advice
C. Use it as the only immediate pain reliever during an acute attack
D. Explain that it helps prevent future attacks and should be taken as prescribed
Rationale: Allopurinol lowers uric acid over time; acute flare treatment may differ.
4. Client scenario: A client with a hip fracture is awaiting surgery. Which instruction should the nurse reinforce?
A. Maintain alignment, manage pain, and monitor neurovascular status
B. Place a pillow under the knee indefinitely
C. Repeatedly reposition the affected hip without support
D. Encourage weight bearing without orders
Rationale: Safe alignment and surveillance reduce pain and complications.
5. Client scenario: A client with a fracture has suspected fat embolism syndrome. Which instruction should the nurse
reinforce?
A. Treat as simple anxiety only
B. Delay oxygen assessment
C. Encourage walking alone
D. Recognize respiratory distress, confusion, or petechiae as urgent and escalate care
Rationale: Fat embolism can follow long-bone trauma and requires emergency support.
, 6. Complication prevention: A client with a hip fracture is awaiting surgery. Which complication or risk should the nurse
address first?
A. Place a pillow under the knee indefinitely
B. Encourage weight bearing without orders
C. Repeatedly reposition the affected hip without support
D. Maintain alignment, manage pain, and monitor neurovascular status
Rationale: Safe alignment and surveillance reduce pain and complications.
7. Complication prevention: A client with osteoarthritis reports pain after activity. Which complication or risk should the nurse
address first?
A. Avoid all joint movement
B. Remain in bed all day
C. Use prescribed analgesia, pacing, and low-impact exercise
D. Perform high-impact exercise through severe pain
Rationale: Low-impact activity and pacing support function and symptom control.
8. At the bedside, a client after total knee arthroplasty is prescribed early mobility. What should the nurse do next?
A. Ignore pain control needs
B. Avoid all ankle movement
C. Assist with prescribed ambulation and exercises
D. Keep the knee immobile for several weeks without orders
Rationale: Early prescribed mobility helps recovery and reduces complications.
9. Teaching and care planning: A client with gout is prescribed allopurinol. Which statement shows the best understanding of
care?
A. Explain that it helps prevent future attacks and should be taken as prescribed
B. Stop it as soon as pain ends without advice
C. Use it as the only immediate pain reliever during an acute attack
D. Double doses after a missed dose
Rationale: Allopurinol lowers uric acid over time; acute flare treatment may differ.
10. Safety check: A client after total knee arthroplasty is prescribed early mobility. Which action best promotes client safety?
A. Avoid all ankle movement
B. Keep the knee immobile for several weeks without orders
C. Ignore pain control needs
D. Assist with prescribed ambulation and exercises
Rationale: Early prescribed mobility helps recovery and reduces complications.
11. Safety check: A client with osteoporosis asks how to reduce fracture risk. Which action best promotes client safety?
A. Avoid all physical activity
B. Use weight-bearing exercise, adequate calcium/vitamin D as advised, and fall prevention
C. Smoke to reduce stress
D. Remove night lighting
Rationale: Bone health and fall prevention lower fracture risk.
12. A client with a fracture has suspected fat embolism syndrome. Which action is the nurse's priority?
A. Encourage walking alone
B. Treat as simple anxiety only
C. Delay oxygen assessment
D. Recognize respiratory distress, confusion, or petechiae as urgent and escalate care
Rationale: Fat embolism can follow long-bone trauma and requires emergency support.
Arthritis, Osteoporosis, and Mobility
75 Multiple-Choice Questions • Correct Answers Highlighted • Brief Rationales
Instructions: Choose the single best answer for each question. The correct option is highlighted in yellow, followed by a brief
rationale.
Study resource: Original practice questions based on the working assumption that NR-252 covers Adult Health II /
medical-surgical nursing. This is not an official Chamberlain exam; verify topics against your current syllabus.
1. Complication prevention: A client with a fracture has suspected fat embolism syndrome. Which complication or risk should
the nurse address first?
A. Treat as simple anxiety only
B. Recognize respiratory distress, confusion, or petechiae as urgent and escalate care
C. Delay oxygen assessment
D. Encourage walking alone
Rationale: Fat embolism can follow long-bone trauma and requires emergency support.
2. Safety check: A client after total hip arthroplasty has a posterior approach. Which action best promotes client safety?
A. Cross the legs tightly
B. Bend the hip beyond 90 degrees if painful
C. Twist sharply toward the operative side
D. Follow prescribed hip precautions and avoid excessive flexion, adduction, and internal rotation
Rationale: These movements can increase dislocation risk after a posterior approach.
3. Safety check: A client with gout is prescribed allopurinol. Which action best promotes client safety?
A. Double doses after a missed dose
B. Stop it as soon as pain ends without advice
C. Use it as the only immediate pain reliever during an acute attack
D. Explain that it helps prevent future attacks and should be taken as prescribed
Rationale: Allopurinol lowers uric acid over time; acute flare treatment may differ.
4. Client scenario: A client with a hip fracture is awaiting surgery. Which instruction should the nurse reinforce?
A. Maintain alignment, manage pain, and monitor neurovascular status
B. Place a pillow under the knee indefinitely
C. Repeatedly reposition the affected hip without support
D. Encourage weight bearing without orders
Rationale: Safe alignment and surveillance reduce pain and complications.
5. Client scenario: A client with a fracture has suspected fat embolism syndrome. Which instruction should the nurse
reinforce?
A. Treat as simple anxiety only
B. Delay oxygen assessment
C. Encourage walking alone
D. Recognize respiratory distress, confusion, or petechiae as urgent and escalate care
Rationale: Fat embolism can follow long-bone trauma and requires emergency support.
, 6. Complication prevention: A client with a hip fracture is awaiting surgery. Which complication or risk should the nurse
address first?
A. Place a pillow under the knee indefinitely
B. Encourage weight bearing without orders
C. Repeatedly reposition the affected hip without support
D. Maintain alignment, manage pain, and monitor neurovascular status
Rationale: Safe alignment and surveillance reduce pain and complications.
7. Complication prevention: A client with osteoarthritis reports pain after activity. Which complication or risk should the nurse
address first?
A. Avoid all joint movement
B. Remain in bed all day
C. Use prescribed analgesia, pacing, and low-impact exercise
D. Perform high-impact exercise through severe pain
Rationale: Low-impact activity and pacing support function and symptom control.
8. At the bedside, a client after total knee arthroplasty is prescribed early mobility. What should the nurse do next?
A. Ignore pain control needs
B. Avoid all ankle movement
C. Assist with prescribed ambulation and exercises
D. Keep the knee immobile for several weeks without orders
Rationale: Early prescribed mobility helps recovery and reduces complications.
9. Teaching and care planning: A client with gout is prescribed allopurinol. Which statement shows the best understanding of
care?
A. Explain that it helps prevent future attacks and should be taken as prescribed
B. Stop it as soon as pain ends without advice
C. Use it as the only immediate pain reliever during an acute attack
D. Double doses after a missed dose
Rationale: Allopurinol lowers uric acid over time; acute flare treatment may differ.
10. Safety check: A client after total knee arthroplasty is prescribed early mobility. Which action best promotes client safety?
A. Avoid all ankle movement
B. Keep the knee immobile for several weeks without orders
C. Ignore pain control needs
D. Assist with prescribed ambulation and exercises
Rationale: Early prescribed mobility helps recovery and reduces complications.
11. Safety check: A client with osteoporosis asks how to reduce fracture risk. Which action best promotes client safety?
A. Avoid all physical activity
B. Use weight-bearing exercise, adequate calcium/vitamin D as advised, and fall prevention
C. Smoke to reduce stress
D. Remove night lighting
Rationale: Bone health and fall prevention lower fracture risk.
12. A client with a fracture has suspected fat embolism syndrome. Which action is the nurse's priority?
A. Encourage walking alone
B. Treat as simple anxiety only
C. Delay oxygen assessment
D. Recognize respiratory distress, confusion, or petechiae as urgent and escalate care
Rationale: Fat embolism can follow long-bone trauma and requires emergency support.
