Lewis 12th edition end of chapter questions: 66,67,68,69,12,15,56,26
1. 67.1 The nurse in urgent care suspects an ankle sprain when a patient
describes
a. being hit by another soccer player during a game.
b. having ankle pain after sprinting around the track.
c. dropping a 10-lb weight on his lower leg at the health club.
d. twisting his ankle while running bases during a baseball game.: d. twisting his
ankle while running bases during a baseball game.
2. 67.2 A patient with a humeral fracture is returning for a 4-week checkup. The
nurse explains that initial evidence of healing on x-ray is indicated by a. formation
of callus.
b. complete bony union.
c. hematoma at the fracture site.
d. presence of granulation tissue.: a. formation of callus.
3. 67.3 A patient with a comminuted fracture of the tibia is to have an open
reduction with internal fixation (ORIF) of the fracture. The nurse explains that
ORIF is indicated when
a. the patient cannot tolerate prolonged immobilization.
b. the patient cannot tolerate the surgery for a closed reduction.
c. other nonsurgical methods cannot achieve adequate alignment.
d. a temporary cast would be too unstable to provide normal mobility.: c. other
nonsurgical methods cannot achieve adequate alignment.
4. 67.4 The nurse suspects a neurovascular problem based on assessment of
a. exaggerated strength with movement.
b. increased redness and heat below the injury.
c. decreased sensation distal to the fracture site.
d. purulent drainage at the site of an open fracture.: c. decreased sensation distal
to the fracture site.
5. 67.5 A patient with a stable, closed humeral fracture has a temporary splint with
bulky padding applied with an elastic bandage.
The nurse suspects early compartment syndrome when the patient has a.
increasing edema of the limb.
b. muscle spasms of the lower arm.
c. bounding pulse at the fracture site.
d. pain when passively extending the fingers.: d. pain when passively extending
the fingers.
, Lewis 12th edition end of chapter questions: 66,67,68,69,12,15,56,26
6. 67.6 The nurse would monitor a patient with a pelvic fracture for
a. changes in urine output.
b. petechiae on the abdomen.
c. a palpable lump in the buttock.
d. sudden increase in blood pressure.: a. changes in urine output.
7. 67.7 The nurse teaches the patient with an above-the-knee amputation that the
residual limb should not be routinely elevated because this position promotes
a. hip flexion contracture.
b. clot formation at the incision.
c. skin irritation and breakdown.
d. increased risk for wound dehiscence.: a. hip flexion contracture.
8. 67.8 A patient with osteoarthritis is scheduled for total hip arthroplasty. The
nurse explains the purpose of this procedure is to (select all that apply) a. fuse the
joint.
b. replace the joint.
c. prevent further damage.
d. improve or maintain ROM.
e. decrease the amount of destruction in the joint.: b. replace the joint.
d. improve or maintain ROM
9. 67.9 A patient is scheduled for total ankle replacement. The nurse should tell
the patient that after surgery he should avoid a. lifting heavy objects.
b. sleeping on the back.
c. abduction exercises of the affected ankle.
d. bearing weight on the affected leg for 6 weeks: d. bearing weight on the
affected leg for 6 weeks
10. 66.1 The bone cells that function in the formation of new bone tissue after a
patient sustains a fracture are called a. osteoids.
b. osteocytes.
c. osteoclasts.
d. osteoblasts.: d. osteoblasts.
11. 66.2 When performing passive range of motion for a patient, the nurse puts
the elbow joint through the movements of (select all that apply)
a. flexion and extension.
b. inversion and eversion.
c. pronation and supination.
, Lewis 12th edition end of chapter questions: 66,67,68,69,12,15,56,26
d. flexion, extension, abduction, and adduction.
e. pronation, supination, rotation, and circumduction.: a. flexion and extension. c.
pronation and supination
12. 66.3 A patient with a torn ligament in the knee asks what the ligament does.
The nurse would respond that ligaments a. connect bone to bone.
b. provide strength to muscle.
c. lubricate joints with synovial fluid.
d. relieve friction between moving parts.: a. connect bone to bone.
13. 66.4 The increased risk for falls in the older adult is likely due to (select all that
apply)
a. changes in balance.
b. decrease in bone mass.
c. loss of ligament elasticity.
d. erosion of articular cartilage.
e. decrease in muscle mass and strength.: a. changes in balance.
b. decrease in bone mass.
c. loss of ligament elasticity.
e. decrease in muscle mass and strength.
14. 66.5 The nurse obtained a health history of a patient with a fracture. Which
problem, if reported by the patient, would most concern the nurse? a. Diabetes
b. Hypertension
c. Chronic bronchitis
d. Nephrotic syndrome: a. Diabetes
15. 6. When grading muscle strength, the nurse records a score of 3/5, which
indicates
a. no detection of muscular contraction.
b. a barely detectable flicker of contraction.
c. active movement against full resistance without fatigue.
d. active movement against gravity but not against resistance.: d. active
movement against gravity but not against resistance.
16. 66.8 A patient is scheduled for a bone scan. The nurse explains that this
diagnostic test involves
a. incision or puncture of the joint capsule.
b. insertion of small needles into certain muscles.
1. 67.1 The nurse in urgent care suspects an ankle sprain when a patient
describes
a. being hit by another soccer player during a game.
b. having ankle pain after sprinting around the track.
c. dropping a 10-lb weight on his lower leg at the health club.
d. twisting his ankle while running bases during a baseball game.: d. twisting his
ankle while running bases during a baseball game.
2. 67.2 A patient with a humeral fracture is returning for a 4-week checkup. The
nurse explains that initial evidence of healing on x-ray is indicated by a. formation
of callus.
b. complete bony union.
c. hematoma at the fracture site.
d. presence of granulation tissue.: a. formation of callus.
3. 67.3 A patient with a comminuted fracture of the tibia is to have an open
reduction with internal fixation (ORIF) of the fracture. The nurse explains that
ORIF is indicated when
a. the patient cannot tolerate prolonged immobilization.
b. the patient cannot tolerate the surgery for a closed reduction.
c. other nonsurgical methods cannot achieve adequate alignment.
d. a temporary cast would be too unstable to provide normal mobility.: c. other
nonsurgical methods cannot achieve adequate alignment.
4. 67.4 The nurse suspects a neurovascular problem based on assessment of
a. exaggerated strength with movement.
b. increased redness and heat below the injury.
c. decreased sensation distal to the fracture site.
d. purulent drainage at the site of an open fracture.: c. decreased sensation distal
to the fracture site.
5. 67.5 A patient with a stable, closed humeral fracture has a temporary splint with
bulky padding applied with an elastic bandage.
The nurse suspects early compartment syndrome when the patient has a.
increasing edema of the limb.
b. muscle spasms of the lower arm.
c. bounding pulse at the fracture site.
d. pain when passively extending the fingers.: d. pain when passively extending
the fingers.
, Lewis 12th edition end of chapter questions: 66,67,68,69,12,15,56,26
6. 67.6 The nurse would monitor a patient with a pelvic fracture for
a. changes in urine output.
b. petechiae on the abdomen.
c. a palpable lump in the buttock.
d. sudden increase in blood pressure.: a. changes in urine output.
7. 67.7 The nurse teaches the patient with an above-the-knee amputation that the
residual limb should not be routinely elevated because this position promotes
a. hip flexion contracture.
b. clot formation at the incision.
c. skin irritation and breakdown.
d. increased risk for wound dehiscence.: a. hip flexion contracture.
8. 67.8 A patient with osteoarthritis is scheduled for total hip arthroplasty. The
nurse explains the purpose of this procedure is to (select all that apply) a. fuse the
joint.
b. replace the joint.
c. prevent further damage.
d. improve or maintain ROM.
e. decrease the amount of destruction in the joint.: b. replace the joint.
d. improve or maintain ROM
9. 67.9 A patient is scheduled for total ankle replacement. The nurse should tell
the patient that after surgery he should avoid a. lifting heavy objects.
b. sleeping on the back.
c. abduction exercises of the affected ankle.
d. bearing weight on the affected leg for 6 weeks: d. bearing weight on the
affected leg for 6 weeks
10. 66.1 The bone cells that function in the formation of new bone tissue after a
patient sustains a fracture are called a. osteoids.
b. osteocytes.
c. osteoclasts.
d. osteoblasts.: d. osteoblasts.
11. 66.2 When performing passive range of motion for a patient, the nurse puts
the elbow joint through the movements of (select all that apply)
a. flexion and extension.
b. inversion and eversion.
c. pronation and supination.
, Lewis 12th edition end of chapter questions: 66,67,68,69,12,15,56,26
d. flexion, extension, abduction, and adduction.
e. pronation, supination, rotation, and circumduction.: a. flexion and extension. c.
pronation and supination
12. 66.3 A patient with a torn ligament in the knee asks what the ligament does.
The nurse would respond that ligaments a. connect bone to bone.
b. provide strength to muscle.
c. lubricate joints with synovial fluid.
d. relieve friction between moving parts.: a. connect bone to bone.
13. 66.4 The increased risk for falls in the older adult is likely due to (select all that
apply)
a. changes in balance.
b. decrease in bone mass.
c. loss of ligament elasticity.
d. erosion of articular cartilage.
e. decrease in muscle mass and strength.: a. changes in balance.
b. decrease in bone mass.
c. loss of ligament elasticity.
e. decrease in muscle mass and strength.
14. 66.5 The nurse obtained a health history of a patient with a fracture. Which
problem, if reported by the patient, would most concern the nurse? a. Diabetes
b. Hypertension
c. Chronic bronchitis
d. Nephrotic syndrome: a. Diabetes
15. 6. When grading muscle strength, the nurse records a score of 3/5, which
indicates
a. no detection of muscular contraction.
b. a barely detectable flicker of contraction.
c. active movement against full resistance without fatigue.
d. active movement against gravity but not against resistance.: d. active
movement against gravity but not against resistance.
16. 66.8 A patient is scheduled for a bone scan. The nurse explains that this
diagnostic test involves
a. incision or puncture of the joint capsule.
b. insertion of small needles into certain muscles.
