Musculoskeletal System A Questions With Complete
Solutions
A client is evaluated in clinic for rheumatoid arthritis. Which of
following findings should assume highest priority for nurse
when assessing and planning client's care?
A. subcutaneous nodules on client's right and left forearms
B. slight contracture of right wrist
C. mild erythema of finger joints
D. bruised area about 3 mm in diameter on right forearm
Correct Answers B
Indicates inadequate pain management; give prescribed
medications as ordered on time to ensure constant blood levels;
alternate rest and activity; position joints properly; ice applied
for acute inflammation; heat (showers and hot packs) used to
relieve stiffness
A nurse witnesses a care hit a pedestrian in parking lot. As nurse
approaches pedestrian, pedestrian cries out, "I think my leg is
broken!" Which action does nurse take *first*?
A. asks client to move ankle and foot on affected side
B. inspects client for evidence of bleeding
C. cuts away client's pant leg on affected side
D. immobilizes affected leg Correct Answers C
Must be able to inspect injury for bleeding, swelling, or any
deformity
A pt asks nurse, "What is difference between rheumatoid
arthritis and osteoarthritis?" Which of following responses by
nurse is BEST?
A. rheumatoid arthritis is progressive and osteoarthritis is not
, B. rheumatoid arthritis is often treated surgically and
osteoarthritis is not
C. rheumatoid arthritis is a systemic disease and osteoarthritis is
not
D. there is very little clinical difference between rheumatoid
arthritis and osteoarthritis Correct Answers C
Osteoarthritis is a "wear and tear" disease; rheumatoid arthritis
is a systemic inflammatory disease that affects synovial joints as
well as blood vessels causing vasculitis; since it affects
connective tissue, can affect any body system w/connective
tissue
A pt diagnosed w/type 1 diabetes is scheduled for a right below
the knee amputation due to a gangrenous toe. Pt asks nurse why
amputation is so extensive. Nurse's response should be based on
which of following?
A. a below the knee amputation ensures enough skin to form a
flap over stump
B. a below the knee amputation results in better circulation and
healing
C. a below the knee amputation facilitates earliest prosthesis
training
D. a below the knee amputation significantly reduces edema of
residual limb Correct Answers B
Level of an amputation is based on adequacy of circulation; to
leave tissues that are poorly supplied w/blood would cause poor
healing and could lead to development of gangrene
An elderly client undergoes an open reduction and internal
fixation of left femoral head after a fracture. Which action by
nurse is *best*?
Solutions
A client is evaluated in clinic for rheumatoid arthritis. Which of
following findings should assume highest priority for nurse
when assessing and planning client's care?
A. subcutaneous nodules on client's right and left forearms
B. slight contracture of right wrist
C. mild erythema of finger joints
D. bruised area about 3 mm in diameter on right forearm
Correct Answers B
Indicates inadequate pain management; give prescribed
medications as ordered on time to ensure constant blood levels;
alternate rest and activity; position joints properly; ice applied
for acute inflammation; heat (showers and hot packs) used to
relieve stiffness
A nurse witnesses a care hit a pedestrian in parking lot. As nurse
approaches pedestrian, pedestrian cries out, "I think my leg is
broken!" Which action does nurse take *first*?
A. asks client to move ankle and foot on affected side
B. inspects client for evidence of bleeding
C. cuts away client's pant leg on affected side
D. immobilizes affected leg Correct Answers C
Must be able to inspect injury for bleeding, swelling, or any
deformity
A pt asks nurse, "What is difference between rheumatoid
arthritis and osteoarthritis?" Which of following responses by
nurse is BEST?
A. rheumatoid arthritis is progressive and osteoarthritis is not
, B. rheumatoid arthritis is often treated surgically and
osteoarthritis is not
C. rheumatoid arthritis is a systemic disease and osteoarthritis is
not
D. there is very little clinical difference between rheumatoid
arthritis and osteoarthritis Correct Answers C
Osteoarthritis is a "wear and tear" disease; rheumatoid arthritis
is a systemic inflammatory disease that affects synovial joints as
well as blood vessels causing vasculitis; since it affects
connective tissue, can affect any body system w/connective
tissue
A pt diagnosed w/type 1 diabetes is scheduled for a right below
the knee amputation due to a gangrenous toe. Pt asks nurse why
amputation is so extensive. Nurse's response should be based on
which of following?
A. a below the knee amputation ensures enough skin to form a
flap over stump
B. a below the knee amputation results in better circulation and
healing
C. a below the knee amputation facilitates earliest prosthesis
training
D. a below the knee amputation significantly reduces edema of
residual limb Correct Answers B
Level of an amputation is based on adequacy of circulation; to
leave tissues that are poorly supplied w/blood would cause poor
healing and could lead to development of gangrene
An elderly client undergoes an open reduction and internal
fixation of left femoral head after a fracture. Which action by
nurse is *best*?
