Test Bank Questions – Musculoskeletal With Answers
A patient is admitted to the orthopedic unit with a fractured femur after a motorcycle acciden
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx
t. The patient has been placed in traction until his femur can be rodded in surgery. For what
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx
early complications should the nurse monitor this patient? Select all that apply.
zx zx zx zx zx zx zx zx zx zx zx
A) Systemic infection
zx zx
B) Complex regional pain syndrome
zx zx zx zx
C) Deep vein thrombosis
zx zx zx
D) Compartment syndrome
zx zx
E) Fat embolism - ans-C) Deep vein thrombosis
zx zx zx zx zx zx zx
D) Compartment syndrome
zx zx
E) Fat embolism
zx zx
A nurse is assessing a patient who is experiencing peripheral neurovascular dysfunction.
zx zx zx zx zx zx zx zx zx zx zx zx
What assessment findings are most consistent with this diagnosis?
zx zx zx zx zx zx zx zx
A) Hot skin with a capillary refill of 1 to 2 seconds
zx zx zx zx zx zx zx zx zx zx zx
B) Absence of feeling, capillary refill of 4 to 5 seconds, and cool skin
zx zx zx zx zx zx zx zx zx zx zx zx zx
C) Pain, diaphoresis, and erythema
zx zx zx zx
D) Jaundiced skin, weakness, and capillary refill of 3 seconds - ans-
zx zx zx zx zx zx zx zx zx zx zx
B) Absence of feeling, capillary refill of 4 to 5 seconds, and cool skin
zx zx zx zx zx zx zx zx zx zx zx zx zx
While assessing a patient who has had knee replacement surgery, the nurse notes that the
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx
patient has developed a hematoma at the surgical site. The affected leg has a decreased p
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx
edal pulse. What would be the priority nursing diagnosis for this patient?
zx zx zx zx zx zx zx zx zx zx zx
A) Risk for Infection
zx zx zx
B) Risk for Peripheral Neurovascular Dysfunction
zx zx zx zx zx
C) Unilateral Neglect
zx zx
D) Disturbed Kinesthetic Sensory Perception - ans-
zx zx zx zx zx zx
B) Risk for Peripheral Neurovascular Dysfunction
zx zx zx zx zx
A nurse is assessing a patient who is receiving traction. The nurse's assessment confirms t
zx zx zx zx zx zx zx zx zx zx zx zx zx zx
hat the patient is able to perform plantar flexion. What conclusion can the nurse draw from t
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx
his finding? zx zx
A) The leg that was assessed is free from DVT.
zx zx zx zx zx zx zx zx zx
B) The patient's tibial nerve is functional.
zx zx zx zx zx zx
C) Circulation to the distal extremity is adequate.
zx zx zx zx zx zx zx
D) The patient does not have peripheral neurovascular dysfunction. - ans-
zx zx zx zx zx zx zx zx zx zx
B) The patient's tibial nerve is functional
zx zx zx zx zx zx
A nurse's assessment of a teenage girl reveals that her shoulders are not level and that she
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx
has one prominent scapula that is accentuated by bending forward. The nurse should expe
zx zx zx zx zx zx zx zx zx zx zx zx zx
ct to read about what health problem in the patient's electronic health record.
zx zx zx zx zx zx zx zx zx zx zx zx
A) Lordosiszx
, B) Kyphosis
zx
C) Scoliosis
zx
D) Muscular dystrophy - ans-C) Scoliosis
zx zx zx zx zx
An older adult patient has come to the clinic for a regular check-
zx zx zx zx zx zx zx zx zx zx zx zx
up. The nurse's initial inspection reveals an increased thoracic curvature of the patient's spi
zx zx zx zx zx zx zx zx zx zx zx zx zx
ne. The nurse should document the presence of which of the following?
zx zx zx zx zx zx zx zx zx zx zx
A) Scoliosis
zx
B) Epiphyses
zx
C) Lordosis
zx
D) Kyphosis - ans-D) Kyphosis
zx zx zx zx
The results of a nurse's musculoskeletal examination show an increase in the lumbar curva
zx zx zx zx zx zx zx zx zx zx zx zx zx
ture of the spine. The nurse should recognize the presence of what health problem?
zx zx zx zx zx zx zx zx zx zx zx zx zx
A) Osteoporosis
zx
B) Kyphosis
zx
C) Lordosis
zx
D) Scoliosis - ans-C) Lordosis
zx zx zx zx
A patient has just had an arthroscopy performed to assess a knee injury. What nursing inter
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx
vention should the nurse implement following this procedure?
zx zx zx zx zx zx zx
A) Wrap the joint in a compression dressing.
zx zx zx zx zx zx zx
B) Perform passive range of motion exercises.
zx zx zx zx zx zx
C) Maintain the knee in flexion for up to 30 minutes.
zx zx zx zx zx zx zx zx zx zx
D) Apply heat to the knee. - ans-A) Wrap the joint in a compression dressing
zx zx zx zx zx zx zx zx zx zx zx zx zx zx
A nurse is caring for a patient who has just had an arthroscopy as an outpatient and is gettin
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx
g ready to go home. The nurse should teach the patient to monitor closely for what post proc
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx
edure complication. zx
A) Feverzx
B) Crepitus
zx
C) Fasciculations
zx
D) Synovial fluid leakage - ans-A) Fever
zx zx zx zx zx zx
A nurse is assessing a child who has a diagnosis of muscular dystrophy. Assessment revea
zx zx zx zx zx zx zx zx zx zx zx zx zx zx
ls that the child's muscles have greater-than-
zx zx zx zx zx zx
normal tone. The nurse should document the presence of which of the following?
zx zx zx zx zx zx zx zx zx zx zx zx
A) Tonuszx
B) Flaccidity
zx
C) Atonyzx
D) Spasticity - ans-D) Spasticity
zx zx zx zx
A nurse is caring for an older adult who has been diagnosed with geriatric failure to thrive. T
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx
his patients prolonged immobility creates a risk for what complication?
zx zx zx zx zx zx zx zx zx
A) Muscle clonus
zx zx
B) Muscle atrophy
zx zx
A patient is admitted to the orthopedic unit with a fractured femur after a motorcycle acciden
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx
t. The patient has been placed in traction until his femur can be rodded in surgery. For what
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx
early complications should the nurse monitor this patient? Select all that apply.
zx zx zx zx zx zx zx zx zx zx zx
A) Systemic infection
zx zx
B) Complex regional pain syndrome
zx zx zx zx
C) Deep vein thrombosis
zx zx zx
D) Compartment syndrome
zx zx
E) Fat embolism - ans-C) Deep vein thrombosis
zx zx zx zx zx zx zx
D) Compartment syndrome
zx zx
E) Fat embolism
zx zx
A nurse is assessing a patient who is experiencing peripheral neurovascular dysfunction.
zx zx zx zx zx zx zx zx zx zx zx zx
What assessment findings are most consistent with this diagnosis?
zx zx zx zx zx zx zx zx
A) Hot skin with a capillary refill of 1 to 2 seconds
zx zx zx zx zx zx zx zx zx zx zx
B) Absence of feeling, capillary refill of 4 to 5 seconds, and cool skin
zx zx zx zx zx zx zx zx zx zx zx zx zx
C) Pain, diaphoresis, and erythema
zx zx zx zx
D) Jaundiced skin, weakness, and capillary refill of 3 seconds - ans-
zx zx zx zx zx zx zx zx zx zx zx
B) Absence of feeling, capillary refill of 4 to 5 seconds, and cool skin
zx zx zx zx zx zx zx zx zx zx zx zx zx
While assessing a patient who has had knee replacement surgery, the nurse notes that the
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx
patient has developed a hematoma at the surgical site. The affected leg has a decreased p
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx
edal pulse. What would be the priority nursing diagnosis for this patient?
zx zx zx zx zx zx zx zx zx zx zx
A) Risk for Infection
zx zx zx
B) Risk for Peripheral Neurovascular Dysfunction
zx zx zx zx zx
C) Unilateral Neglect
zx zx
D) Disturbed Kinesthetic Sensory Perception - ans-
zx zx zx zx zx zx
B) Risk for Peripheral Neurovascular Dysfunction
zx zx zx zx zx
A nurse is assessing a patient who is receiving traction. The nurse's assessment confirms t
zx zx zx zx zx zx zx zx zx zx zx zx zx zx
hat the patient is able to perform plantar flexion. What conclusion can the nurse draw from t
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx
his finding? zx zx
A) The leg that was assessed is free from DVT.
zx zx zx zx zx zx zx zx zx
B) The patient's tibial nerve is functional.
zx zx zx zx zx zx
C) Circulation to the distal extremity is adequate.
zx zx zx zx zx zx zx
D) The patient does not have peripheral neurovascular dysfunction. - ans-
zx zx zx zx zx zx zx zx zx zx
B) The patient's tibial nerve is functional
zx zx zx zx zx zx
A nurse's assessment of a teenage girl reveals that her shoulders are not level and that she
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx
has one prominent scapula that is accentuated by bending forward. The nurse should expe
zx zx zx zx zx zx zx zx zx zx zx zx zx
ct to read about what health problem in the patient's electronic health record.
zx zx zx zx zx zx zx zx zx zx zx zx
A) Lordosiszx
, B) Kyphosis
zx
C) Scoliosis
zx
D) Muscular dystrophy - ans-C) Scoliosis
zx zx zx zx zx
An older adult patient has come to the clinic for a regular check-
zx zx zx zx zx zx zx zx zx zx zx zx
up. The nurse's initial inspection reveals an increased thoracic curvature of the patient's spi
zx zx zx zx zx zx zx zx zx zx zx zx zx
ne. The nurse should document the presence of which of the following?
zx zx zx zx zx zx zx zx zx zx zx
A) Scoliosis
zx
B) Epiphyses
zx
C) Lordosis
zx
D) Kyphosis - ans-D) Kyphosis
zx zx zx zx
The results of a nurse's musculoskeletal examination show an increase in the lumbar curva
zx zx zx zx zx zx zx zx zx zx zx zx zx
ture of the spine. The nurse should recognize the presence of what health problem?
zx zx zx zx zx zx zx zx zx zx zx zx zx
A) Osteoporosis
zx
B) Kyphosis
zx
C) Lordosis
zx
D) Scoliosis - ans-C) Lordosis
zx zx zx zx
A patient has just had an arthroscopy performed to assess a knee injury. What nursing inter
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx
vention should the nurse implement following this procedure?
zx zx zx zx zx zx zx
A) Wrap the joint in a compression dressing.
zx zx zx zx zx zx zx
B) Perform passive range of motion exercises.
zx zx zx zx zx zx
C) Maintain the knee in flexion for up to 30 minutes.
zx zx zx zx zx zx zx zx zx zx
D) Apply heat to the knee. - ans-A) Wrap the joint in a compression dressing
zx zx zx zx zx zx zx zx zx zx zx zx zx zx
A nurse is caring for a patient who has just had an arthroscopy as an outpatient and is gettin
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx
g ready to go home. The nurse should teach the patient to monitor closely for what post proc
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx
edure complication. zx
A) Feverzx
B) Crepitus
zx
C) Fasciculations
zx
D) Synovial fluid leakage - ans-A) Fever
zx zx zx zx zx zx
A nurse is assessing a child who has a diagnosis of muscular dystrophy. Assessment revea
zx zx zx zx zx zx zx zx zx zx zx zx zx zx
ls that the child's muscles have greater-than-
zx zx zx zx zx zx
normal tone. The nurse should document the presence of which of the following?
zx zx zx zx zx zx zx zx zx zx zx zx
A) Tonuszx
B) Flaccidity
zx
C) Atonyzx
D) Spasticity - ans-D) Spasticity
zx zx zx zx
A nurse is caring for an older adult who has been diagnosed with geriatric failure to thrive. T
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx
his patients prolonged immobility creates a risk for what complication?
zx zx zx zx zx zx zx zx zx
A) Muscle clonus
zx zx
B) Muscle atrophy
zx zx
