Rasmussen College MDC 1 Exam 2
Questions with Verified Answers
100% Guarantee passing score of 90% or higher
Consist of multichoice Questions with Answers
1. a client's fracture was reduced by surgically exposing the bone and realign-
ing 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
Open reduction
2. 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
Jo
sh
c. pulleys without evidence of the obstruction
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,d. ropes freely moving over pulleys
Answer
body aligned opposite to line of traction pull
3. A group of students is studying for a test on traction. The students demon-
strate understanding of the types of traction when they identify which of the
following as an example of skin traction?
a. crutched tongs
b. Thomas splint
c. Buck's traction
d. Balanced suspension
Answer
Buck's traction
4. 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
Jo
" Metal pins will go through my skin to the bone."
sh
ua
,5. 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
apply antiembolism stockings
as indicated.
6. 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?
a. arthrodesis
b. hemiarthroplasty
c. total arthroplasty
d. osteotomy
Answer
total arthroplasty
7. A client is brought to the emergency department by a softball team member
who states the client and another player ran into each other, and the client
is having severe pain in the right shoulder. What symptoms of a fractured
Jo
sh
clavicle does the nurse recognize?
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,A. Client complains of tingling and numbness in the right shoulder.
B. Right shoulder is elevated above the left
C. Client complains of pain in the unaffected shoulder.
D. Right shoulder slopes downward and droops inward
Answer
Right shoulder slopes downward and droops inward
8. The nurse is preparing a client to have his cast cut off after having it for 6
weeks to treat a fractured tibia. What should the nurse inform the client prior
to the cast being removed?
A. The leg will look as it did prior to the cast being applied.
B. The leg will look moist and will have small bumps that will go away in a few
days.
C. The skin may be covered with a yellowish crust that will shed in a few days.
D. The leg strength is enforced by the wearing of the cast.
Answer
The skin may be covered with a yellowish crust that will shed in a few days.
9. A client's left leg is in skeletal traction with a Thomas leg splint and Pearson
attachment. Which intervention should the nurse include in this client's care
plan?
Jo
sh
A. Apply the traction straps snugly.
ua
,B. Assess the client's level of consciousness.
C. Remove the traction at least every 8 hours.
D. Teach the client how to prevent problems caused by immobility.
Answer
Teach the client how to prevent problems caused by immobility.
10. 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
Assessing the extremity for neurovascular integrity
11. 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
Jo
Open reduction
sh
ua
,12. The client displays manifestations of compartment syndrome. What
treat- ment 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
fasciotomy
13. 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 clients position within prescribed limits.
c. administering prescribed analgesics
d. applying warm compresses
Answer
changing the clients position within prescribed limits.
14. A client was playing softball and dislocated four of his fingers when diving
for a ball. The physician manipulated the fingers into alignment and applied a
splint to maintain alignment. What type of procedure does the nurse document
this as?
A. Open reduction
Jo
sh
B. Closed reduction
ua
,C. Open reduction with internal fixation
D. External fixation
Answer
Closed reduction
Jo
sh
ua
, 15. Which would be consistent as a component of self-care activities for the
client with a cast?
A. Cover the cast with plastic to insulate it
B. Cushion rough edges of the cast with tape
C. Frequently place the casted extremity in a dependent position
D. Use a plastic hanger wrapped in gauze to scratch under the cast.
Answer
Cushion rough edges of the cast with tape
16. A client with a long arm cast continues to complain of unrelieved throbbing
pain even after receiving opioid pain medication. Which is the priority action
by the nurse?
A. Assess for complications
B. Assess for previous opioid drug use.
C. Reposition the client for comfort.
D. Teach relaxation techniques
Answer
Assess for complications
17. A client arrives in the emergency department with a suspected bone
fracture of the right arm. How does the nurse expect the client to describe the
pain?
Jo
sh
A. A dull, deep, boring ache
ua
Questions with Verified Answers
100% Guarantee passing score of 90% or higher
Consist of multichoice Questions with Answers
1. a client's fracture was reduced by surgically exposing the bone and realign-
ing 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
Open reduction
2. 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
Jo
sh
c. pulleys without evidence of the obstruction
ua
,d. ropes freely moving over pulleys
Answer
body aligned opposite to line of traction pull
3. A group of students is studying for a test on traction. The students demon-
strate understanding of the types of traction when they identify which of the
following as an example of skin traction?
a. crutched tongs
b. Thomas splint
c. Buck's traction
d. Balanced suspension
Answer
Buck's traction
4. 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
Jo
" Metal pins will go through my skin to the bone."
sh
ua
,5. 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
apply antiembolism stockings
as indicated.
6. 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?
a. arthrodesis
b. hemiarthroplasty
c. total arthroplasty
d. osteotomy
Answer
total arthroplasty
7. A client is brought to the emergency department by a softball team member
who states the client and another player ran into each other, and the client
is having severe pain in the right shoulder. What symptoms of a fractured
Jo
sh
clavicle does the nurse recognize?
ua
,A. Client complains of tingling and numbness in the right shoulder.
B. Right shoulder is elevated above the left
C. Client complains of pain in the unaffected shoulder.
D. Right shoulder slopes downward and droops inward
Answer
Right shoulder slopes downward and droops inward
8. The nurse is preparing a client to have his cast cut off after having it for 6
weeks to treat a fractured tibia. What should the nurse inform the client prior
to the cast being removed?
A. The leg will look as it did prior to the cast being applied.
B. The leg will look moist and will have small bumps that will go away in a few
days.
C. The skin may be covered with a yellowish crust that will shed in a few days.
D. The leg strength is enforced by the wearing of the cast.
Answer
The skin may be covered with a yellowish crust that will shed in a few days.
9. A client's left leg is in skeletal traction with a Thomas leg splint and Pearson
attachment. Which intervention should the nurse include in this client's care
plan?
Jo
sh
A. Apply the traction straps snugly.
ua
,B. Assess the client's level of consciousness.
C. Remove the traction at least every 8 hours.
D. Teach the client how to prevent problems caused by immobility.
Answer
Teach the client how to prevent problems caused by immobility.
10. 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
Assessing the extremity for neurovascular integrity
11. 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
Jo
Open reduction
sh
ua
,12. The client displays manifestations of compartment syndrome. What
treat- ment 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
fasciotomy
13. 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 clients position within prescribed limits.
c. administering prescribed analgesics
d. applying warm compresses
Answer
changing the clients position within prescribed limits.
14. A client was playing softball and dislocated four of his fingers when diving
for a ball. The physician manipulated the fingers into alignment and applied a
splint to maintain alignment. What type of procedure does the nurse document
this as?
A. Open reduction
Jo
sh
B. Closed reduction
ua
,C. Open reduction with internal fixation
D. External fixation
Answer
Closed reduction
Jo
sh
ua
, 15. Which would be consistent as a component of self-care activities for the
client with a cast?
A. Cover the cast with plastic to insulate it
B. Cushion rough edges of the cast with tape
C. Frequently place the casted extremity in a dependent position
D. Use a plastic hanger wrapped in gauze to scratch under the cast.
Answer
Cushion rough edges of the cast with tape
16. A client with a long arm cast continues to complain of unrelieved throbbing
pain even after receiving opioid pain medication. Which is the priority action
by the nurse?
A. Assess for complications
B. Assess for previous opioid drug use.
C. Reposition the client for comfort.
D. Teach relaxation techniques
Answer
Assess for complications
17. A client arrives in the emergency department with a suspected bone
fracture of the right arm. How does the nurse expect the client to describe the
pain?
Jo
sh
A. A dull, deep, boring ache
ua
