ADH2 ORTHOPEDIC EXAM 2025
QUESTIONSAND ANSWERS
A nurse is assessing a client who has a left lower arm fracture. Which of the following findings
indicates impaired venous return in the affected arm?
a) bounding distal pulse
b) acute pain
c) ecchymosis of the surrounding skin
d) increasing edema - ANS d
A nurse is caring for a client following arthroscopic knee surgery. To prevent postoperative
complications, the nurse should have the client do which of the following?
a) remain on bedrest for the first 24 hr
b) keep the leg in a dependent position
c) apply ice to the affected area
d) begin active ROM - ANS b?
A nurse in an urgent care center is caring for a child who has a forearm fracture. The parent
tells the nurse that the provider said it was a greenstick fracture and asks what that means. The
nurse should explain that:
a) the bone cracked lengthwise but didn't break all the way through
b) fragments of the bone have splintered into the surrounding tissue
c) the bone ends have been forced toward each other
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,d) the sharp edge of the bone has broken through the skin - ANS a
A nurse is teaching a client who has RA about self-care techniques. Which of the following
strategies should she include to illustrate the concept of joint protection?
a) press water from a sponge rather than wringing it
b) lift objects instead of sliding or pushing them
c) finish weekly household tasks within 1 or 2 days
d) engage in repetitive tasks that keep the joints mobile - ANS A
A client who has had RA for 3 years reports increasing pain and stiffness in her hands, especially
in the morning. on physical examination, the nurse in the clinic should expect which of the
following findings?
a) anorexia
b) knuckle deformity
c) low-grade fever
d) reddened joints - ANS b
A nurse is caring for a client who has just undergone insertion of a femoral head prosthesis. The
nurse should instruct the client to avoid which of the following activities?
a) placing a large pillow between the legs when turning
b) putting on shoes and socks
c) using a raised toilet seat
d) using a walker - ANS b
A client tells a nurse at the clinic that she thinks she might be developing RA because she has
some stiffness in her joints. which other early manifestation of RA should the nurse expect to
find when she assesses the client?
a) muscle atrophy
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, b) fatigue
c) temporomandibular joint pain
d) decreased ROM - ANS b
A client is admitted to the rehabilitation unit following a spinal cord injury that resulted in
paraplegia. after a week on the unit, the nurse notes that the client is withdrawn and
increasingly resistant to rehabilitative efforts by the staff. which of the following actions should
the nurse take first?
a) inform the client that privileges are related to participation in therapy
b) limit visiting hours until the client begins to participate in therapy
c) allow the client to control the timing and frequency of therapy
d) establish a plan of care with the client with mutually set attainable goals - ANS d
A nurse is planning care for a client who is postoperative from a total hip arthroplasty. which of
the following is appropriate to include in the plan of care?
a) instruct the client to avoid movement of the affected leg
b) prevent hip flexion of the affected extremity
c) position the lower extremities so that they are touching
d) ensure that the client's heels are touching the bed - ANS b
a nurse is teaching a client who has fibromyalgia about strategies that might help reduce her
symptoms. which of the following interventions should the nurse include?
a) establish a regular sleep pattern
b) avoid exercise during flare-ups
c) try jogging or running between flare-ups
d) increase calcium intake - ANS a
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QUESTIONSAND ANSWERS
A nurse is assessing a client who has a left lower arm fracture. Which of the following findings
indicates impaired venous return in the affected arm?
a) bounding distal pulse
b) acute pain
c) ecchymosis of the surrounding skin
d) increasing edema - ANS d
A nurse is caring for a client following arthroscopic knee surgery. To prevent postoperative
complications, the nurse should have the client do which of the following?
a) remain on bedrest for the first 24 hr
b) keep the leg in a dependent position
c) apply ice to the affected area
d) begin active ROM - ANS b?
A nurse in an urgent care center is caring for a child who has a forearm fracture. The parent
tells the nurse that the provider said it was a greenstick fracture and asks what that means. The
nurse should explain that:
a) the bone cracked lengthwise but didn't break all the way through
b) fragments of the bone have splintered into the surrounding tissue
c) the bone ends have been forced toward each other
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,d) the sharp edge of the bone has broken through the skin - ANS a
A nurse is teaching a client who has RA about self-care techniques. Which of the following
strategies should she include to illustrate the concept of joint protection?
a) press water from a sponge rather than wringing it
b) lift objects instead of sliding or pushing them
c) finish weekly household tasks within 1 or 2 days
d) engage in repetitive tasks that keep the joints mobile - ANS A
A client who has had RA for 3 years reports increasing pain and stiffness in her hands, especially
in the morning. on physical examination, the nurse in the clinic should expect which of the
following findings?
a) anorexia
b) knuckle deformity
c) low-grade fever
d) reddened joints - ANS b
A nurse is caring for a client who has just undergone insertion of a femoral head prosthesis. The
nurse should instruct the client to avoid which of the following activities?
a) placing a large pillow between the legs when turning
b) putting on shoes and socks
c) using a raised toilet seat
d) using a walker - ANS b
A client tells a nurse at the clinic that she thinks she might be developing RA because she has
some stiffness in her joints. which other early manifestation of RA should the nurse expect to
find when she assesses the client?
a) muscle atrophy
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, b) fatigue
c) temporomandibular joint pain
d) decreased ROM - ANS b
A client is admitted to the rehabilitation unit following a spinal cord injury that resulted in
paraplegia. after a week on the unit, the nurse notes that the client is withdrawn and
increasingly resistant to rehabilitative efforts by the staff. which of the following actions should
the nurse take first?
a) inform the client that privileges are related to participation in therapy
b) limit visiting hours until the client begins to participate in therapy
c) allow the client to control the timing and frequency of therapy
d) establish a plan of care with the client with mutually set attainable goals - ANS d
A nurse is planning care for a client who is postoperative from a total hip arthroplasty. which of
the following is appropriate to include in the plan of care?
a) instruct the client to avoid movement of the affected leg
b) prevent hip flexion of the affected extremity
c) position the lower extremities so that they are touching
d) ensure that the client's heels are touching the bed - ANS b
a nurse is teaching a client who has fibromyalgia about strategies that might help reduce her
symptoms. which of the following interventions should the nurse include?
a) establish a regular sleep pattern
b) avoid exercise during flare-ups
c) try jogging or running between flare-ups
d) increase calcium intake - ANS a
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