ADVANCED MED SURG PRINCIPLES PRACTICE
EVALUATION 2026 QUESTION SOLUTION SET
◉ Ch 39: What are two complicants following an arthoscopy?
Answer: - infection
- bleeding
◉ Ch 39: What is lab value elevated in liver disease or bone
disorders?
Answer: alkaline phosphate
◉ Ch 39: What is nephrotoxic and contraindicated in a pt who has an
allergy to iodine, shellfish, or seafood, who may be pregnant, or has
elevated creatinine levels?
Answer: contrast medium
◉ Ch 39: What is important to intruct on during a bone scan using
an isotope?
Answer: hydration is used to eliminate the isotope
◉ Ch 39: What diagnostic test is used to help distinguish muscle
from nerve disorders by directly stimulating muscle cells?
,Answer: electromyography
◉ Ch 39: What two interventions do you do for the diagnostic test
electromyography?
Answer: - check for use of anticoagulants prior to it (bleeding in the
muscle could occur)
- apply warm compress to relieve discomfort following the test
◉ Ch 39: What two complications do diagnostic procedures that
disrupt skin surfaces cause?
Answer: increased risk of:
- infection
- bleeding
◉ Ch 39: What decreases serum calcium levels?
Answer: calcitonin
◉ Ch 39: What increases serum calcium levels?
Answer: parathyroid hormone
◉ Ch 39: When phophorus levels rise the calcium levels do what?
Answer: - decrease
,- pt can present with S/S of hypocalcemia
◉ Ch 39: What holds articulating bones together and an injury can
impair movement?
Answer: ligaments
◉ Ch 39: What connects muscle to bone and an injury can impair
movement?
Answer: tendons
◉ Ch 39: What can helo support bone formation?
Answer: - weight bearing exercises
- sex hormones
- calcitonin
- calcium intake
◉ Ch 39: Adults over 50 require how much Vit D daily to help
prevent osteoporosis?
Answer: 800 - 1000 IU
◉ Ch 39: What is important to instruct pts on consuming in regards
to helping to prevent osteoporosis?
Answer: - 1,200 mg of calcium daily
, - 600 IU Vit D daily (with intake of low-fat milk, yogart, and cheese)
◉ Ch 39: What can increase bone resorption and could lead to
osteoporosis?
Answer: - excessive cortisol production
- excessive thyroid hormone production
◉ Ch 39: What stimulates osteoblastic (bone formation) activity and
inhibits osteoclastic (bone resorption) activity?
Answer: estrogen
◉ Ch 39: Compromised estrogen levels in menopause can increase
the risk of?
Answer: osteoporosis
◉ Ch 39: What two things can result in a loss in height?
Answer: - vertebral fractures
- loss vertebral cratilage
◉ Ch 40: Because external fixators increase the risk for
osteomyelitis you should do what for the pt?
Answer: perform pin site care using the aseptic technique (use
chlorhexidine 2 mg/mL solution unless contraindicated)
EVALUATION 2026 QUESTION SOLUTION SET
◉ Ch 39: What are two complicants following an arthoscopy?
Answer: - infection
- bleeding
◉ Ch 39: What is lab value elevated in liver disease or bone
disorders?
Answer: alkaline phosphate
◉ Ch 39: What is nephrotoxic and contraindicated in a pt who has an
allergy to iodine, shellfish, or seafood, who may be pregnant, or has
elevated creatinine levels?
Answer: contrast medium
◉ Ch 39: What is important to intruct on during a bone scan using
an isotope?
Answer: hydration is used to eliminate the isotope
◉ Ch 39: What diagnostic test is used to help distinguish muscle
from nerve disorders by directly stimulating muscle cells?
,Answer: electromyography
◉ Ch 39: What two interventions do you do for the diagnostic test
electromyography?
Answer: - check for use of anticoagulants prior to it (bleeding in the
muscle could occur)
- apply warm compress to relieve discomfort following the test
◉ Ch 39: What two complications do diagnostic procedures that
disrupt skin surfaces cause?
Answer: increased risk of:
- infection
- bleeding
◉ Ch 39: What decreases serum calcium levels?
Answer: calcitonin
◉ Ch 39: What increases serum calcium levels?
Answer: parathyroid hormone
◉ Ch 39: When phophorus levels rise the calcium levels do what?
Answer: - decrease
,- pt can present with S/S of hypocalcemia
◉ Ch 39: What holds articulating bones together and an injury can
impair movement?
Answer: ligaments
◉ Ch 39: What connects muscle to bone and an injury can impair
movement?
Answer: tendons
◉ Ch 39: What can helo support bone formation?
Answer: - weight bearing exercises
- sex hormones
- calcitonin
- calcium intake
◉ Ch 39: Adults over 50 require how much Vit D daily to help
prevent osteoporosis?
Answer: 800 - 1000 IU
◉ Ch 39: What is important to instruct pts on consuming in regards
to helping to prevent osteoporosis?
Answer: - 1,200 mg of calcium daily
, - 600 IU Vit D daily (with intake of low-fat milk, yogart, and cheese)
◉ Ch 39: What can increase bone resorption and could lead to
osteoporosis?
Answer: - excessive cortisol production
- excessive thyroid hormone production
◉ Ch 39: What stimulates osteoblastic (bone formation) activity and
inhibits osteoclastic (bone resorption) activity?
Answer: estrogen
◉ Ch 39: Compromised estrogen levels in menopause can increase
the risk of?
Answer: osteoporosis
◉ Ch 39: What two things can result in a loss in height?
Answer: - vertebral fractures
- loss vertebral cratilage
◉ Ch 40: Because external fixators increase the risk for
osteomyelitis you should do what for the pt?
Answer: perform pin site care using the aseptic technique (use
chlorhexidine 2 mg/mL solution unless contraindicated)
