ATI MEDSURG 2 MUSCULOSKELETAL AND RESPIRATORY EXAM
Medsurg 2 Exam 2 (musculoskeletal & respiratory)
2025 | ALL QUESTIONS AND CORRECT ANSWERS WITH
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EXPLANATIONS | GRADED A+
1. A client has sustained trau- ANS: C
matic injuries that involve
several bone fractures. A Flat bones, such as the sternum, provide vital organ protection.
fracture of what type of Fractures of the flat bones may lead to puncturing of the vital or-
bone may interfere with the gans or may interfere with the protection of the vital organs. Long,
protection of the client's vi- short, and irregular bones do not usually have this physiologic
tal organs? function.
A. Long bones
B. Short bones
C. Flat bones
D. Irregular bones
2. A client's fracture is heal- ANS: C
ing and compact bone
is replacing spongy bone Remodeling occurs as necrotic bone is removed by the osteoclasts.
around the periphery of the In this phase, compact bone replaces spongy bone around the
fracture. This process char- periphery of the fracture. Each of the other listed phases precedes
acterizes what phase of the this stage.
bone healing process?
A. Hematoma formation
B. Fibrocartilaginous callus
formation
C. Remodeling
D. Bony callus formation
3. A nurse admits a client who ANS: B
has a fracture of the nose
that has resulted in a skin A compound fracture involves damage to the skin or mucous
tear and involvement of the membranes and is also called an open fracture. A compression
mucous membranes of the fracture involves compression of bone and is seen in vertebral
nasal passages The ortho- fractures. An impacted fracture occurs when a bone fragment is
pedic nurse should plan to
, Medsurg 2 Exam 2 (musculoskeletal & respiratory)
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care for what type of frac- driven into another bone fragment. A transverse fracture occurs
ture? straight across the bone shaft.
A. Compression
B. Compound
C. Impacted
D. Transverse
4. The orthopedic nurse ANS: B
should assess for signs
and symptoms of Volk- The most serious complication of a supracondylar fracture of the
mann contracture if a client humerus is Volkmann ischemic contracture, which results from
has fractured which of the antecubital swelling or damage to the brachial artery. This com-
following bones? plication is specific to humeral fractures.
A. Femur
B. Humerus
C. Radial head
D. Clavicle
5. Radiographs of a client's ANS: B
upper arm shows three
fragments of the humeral A comminuted fracture has more than two bone fragments. An
bone. This diagnostic result open fracture has a bone end which breaks through the skin
suggests what type of frac- surface. An intra-articulate fracture extends into the joint surface
ture? of a bone. A greenstick fracture refers to a partial break of a bone
A. Open
B. Comminuted
C. Intra-articular
D. Greenstick
6. What nursing intervention ANS: B
should the nurse prioritize
to facilitate healing in a Placing a pillow between the client's legs when turning prevents
addiction and supports the client's legs. Administering analgesics
, Medsurg 2 Exam 2 (musculoskeletal & respiratory)
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client who has suffered a addresses pain but does not directly protect bone remodeling and
hip fracture? promote healing. Rotation of the affected leg can abuse disloca-
A. Administer analgesics as tion and must be avoided. Prone positioning does not need to be
required. maintained at all times.
B. Place a pillow between
the client's leg when turn-
ing
C. Maintain prone position-
ing at all times
D. Encourage internal and
external rotation of the af-
fected leg.
7. A client is admitted to the ANS: C, D, E
orthopedic unit with a frac-
tured femur after a motor- Early complications include shock, fat embolism, compartment
cycle accident. The client syndrome, and venous thromboembolism (deep vein thrombosis
has been placed in trac- [DVT], pulmonary embolism [PE]). Infection and complex regional
tion until the femur can pain syndrome are later complications of fractures.
be rodded in surgery. For
what early complications(s)
should the nurse monitor
this client? Select all that ap-
ply.
A. Systemic infection
B. Complex regional pain
syndrome
C. Deep vein thrombosis
D. Compartment syn-
drome
E. Fat embolism
, Medsurg 2 Exam 2 (musculoskeletal & respiratory)
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8. An older adult client has ANS: B
called in the home and
is brought to the emer- Fractures of the neck of the demure may damage the vascular
gency department by am- system that supplies blood to the head and the neck of the fe-
bulance with a suspected mur, and the bone may become ischemic. For this reason, AVN is
fractured hip. X-rays con- common in clients with femoral neck fractures. Infections are not
firm a fracture of the left immediate complications and phantom pain applies to clients with
femoral neck. When plan- amputations, not hip fractures.
ning assessments during
the client's pre surgical
care, the nurse should be
aware of the client's height-
ened risk of what complica-
tion?
A. Osteomyelitis
B. Avascular necrosis
C. Phantom pain
D. Septicemia
9. A nurse is caring for a ANS: A
client who has just had an
arthroscopy as an outpa- Following arthroscopy, the client and family are informed of com-
tient and is getting ready to plications to watch for, including fever. Synovial fluid leakage is
go home. The nurse should unlikely and crepitus would not develop as a post procedure com-
teach the client to monitor plication, Fasciculations are muscle twitches and do not involve
closely for what postproce- joint integrity or function.
dure complication?
A. Fever.
B. Crepitus
C. Fasciculations
D. Synovial fluid leakage
Medsurg 2 Exam 2 (musculoskeletal & respiratory)
2025 | ALL QUESTIONS AND CORRECT ANSWERS WITH
Study online at https://quizlet.com/_h2x5k1
EXPLANATIONS | GRADED A+
1. A client has sustained trau- ANS: C
matic injuries that involve
several bone fractures. A Flat bones, such as the sternum, provide vital organ protection.
fracture of what type of Fractures of the flat bones may lead to puncturing of the vital or-
bone may interfere with the gans or may interfere with the protection of the vital organs. Long,
protection of the client's vi- short, and irregular bones do not usually have this physiologic
tal organs? function.
A. Long bones
B. Short bones
C. Flat bones
D. Irregular bones
2. A client's fracture is heal- ANS: C
ing and compact bone
is replacing spongy bone Remodeling occurs as necrotic bone is removed by the osteoclasts.
around the periphery of the In this phase, compact bone replaces spongy bone around the
fracture. This process char- periphery of the fracture. Each of the other listed phases precedes
acterizes what phase of the this stage.
bone healing process?
A. Hematoma formation
B. Fibrocartilaginous callus
formation
C. Remodeling
D. Bony callus formation
3. A nurse admits a client who ANS: B
has a fracture of the nose
that has resulted in a skin A compound fracture involves damage to the skin or mucous
tear and involvement of the membranes and is also called an open fracture. A compression
mucous membranes of the fracture involves compression of bone and is seen in vertebral
nasal passages The ortho- fractures. An impacted fracture occurs when a bone fragment is
pedic nurse should plan to
, Medsurg 2 Exam 2 (musculoskeletal & respiratory)
Study online at https://quizlet.com/_h2x5k1
care for what type of frac- driven into another bone fragment. A transverse fracture occurs
ture? straight across the bone shaft.
A. Compression
B. Compound
C. Impacted
D. Transverse
4. The orthopedic nurse ANS: B
should assess for signs
and symptoms of Volk- The most serious complication of a supracondylar fracture of the
mann contracture if a client humerus is Volkmann ischemic contracture, which results from
has fractured which of the antecubital swelling or damage to the brachial artery. This com-
following bones? plication is specific to humeral fractures.
A. Femur
B. Humerus
C. Radial head
D. Clavicle
5. Radiographs of a client's ANS: B
upper arm shows three
fragments of the humeral A comminuted fracture has more than two bone fragments. An
bone. This diagnostic result open fracture has a bone end which breaks through the skin
suggests what type of frac- surface. An intra-articulate fracture extends into the joint surface
ture? of a bone. A greenstick fracture refers to a partial break of a bone
A. Open
B. Comminuted
C. Intra-articular
D. Greenstick
6. What nursing intervention ANS: B
should the nurse prioritize
to facilitate healing in a Placing a pillow between the client's legs when turning prevents
addiction and supports the client's legs. Administering analgesics
, Medsurg 2 Exam 2 (musculoskeletal & respiratory)
Study online at https://quizlet.com/_h2x5k1
client who has suffered a addresses pain but does not directly protect bone remodeling and
hip fracture? promote healing. Rotation of the affected leg can abuse disloca-
A. Administer analgesics as tion and must be avoided. Prone positioning does not need to be
required. maintained at all times.
B. Place a pillow between
the client's leg when turn-
ing
C. Maintain prone position-
ing at all times
D. Encourage internal and
external rotation of the af-
fected leg.
7. A client is admitted to the ANS: C, D, E
orthopedic unit with a frac-
tured femur after a motor- Early complications include shock, fat embolism, compartment
cycle accident. The client syndrome, and venous thromboembolism (deep vein thrombosis
has been placed in trac- [DVT], pulmonary embolism [PE]). Infection and complex regional
tion until the femur can pain syndrome are later complications of fractures.
be rodded in surgery. For
what early complications(s)
should the nurse monitor
this client? Select all that ap-
ply.
A. Systemic infection
B. Complex regional pain
syndrome
C. Deep vein thrombosis
D. Compartment syn-
drome
E. Fat embolism
, Medsurg 2 Exam 2 (musculoskeletal & respiratory)
Study online at https://quizlet.com/_h2x5k1
8. An older adult client has ANS: B
called in the home and
is brought to the emer- Fractures of the neck of the demure may damage the vascular
gency department by am- system that supplies blood to the head and the neck of the fe-
bulance with a suspected mur, and the bone may become ischemic. For this reason, AVN is
fractured hip. X-rays con- common in clients with femoral neck fractures. Infections are not
firm a fracture of the left immediate complications and phantom pain applies to clients with
femoral neck. When plan- amputations, not hip fractures.
ning assessments during
the client's pre surgical
care, the nurse should be
aware of the client's height-
ened risk of what complica-
tion?
A. Osteomyelitis
B. Avascular necrosis
C. Phantom pain
D. Septicemia
9. A nurse is caring for a ANS: A
client who has just had an
arthroscopy as an outpa- Following arthroscopy, the client and family are informed of com-
tient and is getting ready to plications to watch for, including fever. Synovial fluid leakage is
go home. The nurse should unlikely and crepitus would not develop as a post procedure com-
teach the client to monitor plication, Fasciculations are muscle twitches and do not involve
closely for what postproce- joint integrity or function.
dure complication?
A. Fever.
B. Crepitus
C. Fasciculations
D. Synovial fluid leakage
