ATI MEDSURG 2 MUSCULOSKELETAL AND
RESPIRATORY EXAM QUESTIONS AND
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A client has sustained ANS: C
traumatic injuries that
involve several bone Flat bones, such as the sternum, provide vital organ
fractures. A fracture of protection. Fractures of the flat bones may lead to
what type of bone may puncturing of the vital organs or may interfere with
interfere with the the protection of the vital organs. Long, short, and
protection of the client's irregular bones do not usually have this physiologic
vital organs? function.
A. Long bones
B. Short bones
C. Flat bones
D. Irregular bones
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A client's fracture is ANS: C
healing and compact
bone is replacing spongy Remodeling occurs as necrotic bone is removed by
bone around the the osteoclasts. In this phase, compact bone replaces
periphery of the fracture. spongy bone around the periphery of the fracture.
This process characterizes Each of the other listed phases precedes this stage.
what phase of the bone
healing process?
A. Hematoma formation
B. Fibrocartilaginous callus
formation
C. Remodeling
D. Bony callus formation
A nurse admits a client ANS: B
who has a fracture of the
nose that has resulted in a A compound fracture involves damage to the skin or
skin tear and involvement mucous membranes and is also called an open
of the mucous membranes fracture. A compression fracture involves compression
of the nasal passages The of bone and is seen in vertebral fractures. An
orthopedic nurse should impacted fracture occurs when a bone fragment is
plan to care for what type driven into another bone fragment. A transverse
of fracture? fracture occurs straight across the bone shaft.
A. Compression
B. Compound
C. Impacted
D. Transverse
The orthopedic nurse ANS: B
should assess for signs
and symptoms of The most serious complication of a supracondylar
Volkmann contracture if a fracture of the humerus is Volkmann ischemic
client has fractured which contracture, which results from antecubital swelling or
of the following bones? damage to the brachial artery. This complication is
A. Femur specific to humeral fractures.
B. Humerus
C. Radial head
D. Clavicle
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Radiographs of a client's ANS: B
upper arm shows three
fragments of the humeral A comminuted fracture has more than two bone
bone. This diagnostic fragments. An open fracture has a bone end which
result suggests what type breaks through the skin surface. An intra-articulate
of fracture? fracture extends into the joint surface of a bone. A
A. Open greenstick fracture refers to a partial break of a bone
B. Comminuted
C. Intra-articular
D. Greenstick
What nursing intervention ANS: B
should the nurse prioritize
to facilitate healing in a Placing a pillow between the client's legs when
client who has suffered a turning prevents addiction and supports the client's
hip fracture? legs. Administering analgesics addresses pain but
A. Administer analgesics does not directly protect bone remodeling and
as required. promote healing. Rotation of the affected leg can
B. Place a pillow between abuse dislocation and must be avoided. Prone
the client's leg when positioning does not need to be maintained at all
turning times.
C. Maintain prone
positioning at all times
D. Encourage internal and
external rotation of the
affected leg.
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A client is admitted to the ANS: C, D, E
orthopedic unit with a
fractured femur after a Early complications include shock, fat embolism,
motorcycle accident. The compartment syndrome, and venous
client has been placed in thromboembolism (deep vein thrombosis [DVT],
traction until the femur pulmonary embolism [PE]). Infection and complex
can be rodded in surgery. regional pain syndrome are later complications of
For what early fractures.
complications(s) should
the nurse monitor this
client? Select all that
apply.
A. Systemic infection
B. Complex regional pain
syndrome
C. Deep vein thrombosis
D. Compartment
syndrome
E. Fat embolism
An older adult client has ANS: B
called in the home and is
brought to the emergency Fractures of the neck of the demure may damage the
department by ambulance vascular system that supplies blood to the head and
with a suspected fractured the neck of the femur, and the bone may become
hip. X-rays confirm a ischemic. For this reason, AVN is common in clients
fracture of the left femoral with femoral neck fractures. Infections are not
neck. When planning immediate complications and phantom pain applies to
assessments during the clients with amputations, not hip fractures.
client's pre surgical care,
the nurse should be aware
of the client's heightened
risk of what complication?
A. Osteomyelitis
B. Avascular necrosis
C. Phantom pain
D. Septicemia
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