NRSG 3320 Exam 1 Musculoskeletal Conditions module 3 questions with correct answers

NRSG 3320 Exam 1 Musculoskeletal
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Conditions module 3 questions with correct
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answers

A |patient |with |a |history |of |osteoporosis |is |prescribed |alendronate. |Which |instruction |should |the |nurse
|include |in |patient |teaching?



A. |"Take |the |medication |with |a |high-calcium |meal."

B. |"Remain |upright |for |at |least |30 |minutes |after |taking |it."

C. |"Crush |the |tablet |if |you |have |difficulty |swallowing."

D. |"Take |it |right |before |going |to |bed." |- |CORRECT |ANSWER-Correct |Answer: |B

Rationale: |Alendronate |can |cause |esophageal |irritation, |so |patients |must |remain |upright |for |at |least |
30 |minutes |after |taking |it |on |an |empty |stomach |with |water.



A |patient |returns |from |surgery |after |a |total |hip |arthroplasty. |Which |positioning |instruction |is |most |
important |to |prevent |dislocation |of |the |prosthesis?

A. |Maintain |the |hip |in |full |extension

B. |Use |pillows |to |keep |the |legs |crossed

C. |Place |an |abduction |wedge |between |the |legs

D. |Keep |the |hip |flexed |at |greater |than |90 |degrees |- |CORRECT |ANSWER-Correct |Answer: |C

Rationale: |An |abduction |wedge |helps |maintain |correct |alignment |and |prevents |adduction, |reducing |
the |risk |of |hip |dislocation.



A |nurse |is |assessing |a |patient |with |Paget's |disease. |Which |clinical |finding |is |most |expected?

A. |Muscle |rigidity |and |jaw |clenching

B. |Bowing |of |the |legs |and |increasing |hat |size

C. |Widespread |petechiae |and |ecchymosis

D. |Sudden |sharp |chest |pain |and |cough |- |CORRECT |ANSWER-Correct |Answer: |B

, Rationale: |Paget's |disease |causes |abnormal |bone |remodeling |leading |to |skull |enlargement |and |bowing
|of |long |bones.




A |nurse |is |caring |for |a |patient |3 |hours |post |open |reduction |internal |fixation |(ORIF) |for |a |femur |
fracture. |The |patient |reports |increasing |pain |unrelieved |by |opioids. |What |is |the |nurse's |priority |
action?

A. |Elevate |the |limb |above |heart |level

B. |Administer |additional |pain |medication

C. |Assess |neurovascular |status |of |the |limb

D. |Encourage |deep |breathing |and |relaxation |- |CORRECT |ANSWER-Correct |Answer: |C

Rationale: |Unrelieved |pain |may |be |a |sign |of |compartment |syndrome. |The |nurse |should |assess |
circulation, |motion, |and |sensation |immediately.



Which |patient |is |at |highest |risk |for |developing |osteomyelitis?

A. |A |22-year-old |with |a |sprained |ankle

B. |A |67-year-old |with |diabetes |and |a |nonhealing |foot |ulcer

C. |A |34-year-old |with |a |closed |humerus |fracture

D. |A |19-year-old |post |meniscectomy |- |CORRECT |ANSWER-Correct |Answer: |B

Rationale: |Patients |with |diabetes |and |chronic |wounds |are |at |high |risk |for |developing |bone |infections |
due |to |poor |circulation |and |immune |response.



The |nurse |is |educating |a |patient |with |newly |diagnosed |osteoarthritis. |Which |statement |indicates |the |
need |for |further |teaching?

A. |"I |will |try |to |walk |or |swim |most |days |of |the |week."

B. |"Taking |NSAIDs |every |day |will |completely |cure |the |disease."

C. |"I'll |consider |using |heat |or |cold |for |my |joint |pain."

D. |"I |understand |this |is |a |degenerative |condition." |- |CORRECT |ANSWER-Correct |Answer: |B

Rationale: |NSAIDs |help |manage |pain |and |inflammation |but |do |not |cure |osteoarthritis. |This |statement |
reflects |misunderstanding.



A |patient |with |a |recent |leg |cast |reports |increasing |pain, |swelling, |and |tingling |in |the |toes. |What |is |the
|nurse's |first |action?