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NSC 22083 (TEST 1)

Total questions: 21

Worksheet time: 35mins

Name
Class
Date
1.

Which of the following fracture types is also known as open fracture?

a)

Spiral fracture

b)

Oblique fracture

c)

Compound fracture

d)

Comminuted fracture

2.

Mr. Ramli, 26 years old fall from stairs at home. He complains of pain and there is obvious deformity at his right leg. What is your FIRST intervention if you are at the scene?

a)

Elevate the affected leg

b)

Apply cold packs at the affected leg

c)

Immobilize the affected leg using splint

d)

Administer topical analgesic at affected leg

3.

The following is the complications of fracture, EXCEPT:

a)

Fat emboli

b)

Bone infection

c)

Joint dislocation

d)

Compartment syndrome

4.

Mr Smith diagnosed with osteomyelitis of right tibia.

During assessment, you may find that there is __________.

a)

deformity of the leg

b)

no sensation of the leg

c)

obvious swelling of the leg

d)

cracking sound produced by the bone

5.

Which of the following is a drug of choice for treating bone tuberculosis?

a)

Adriamycin

b)

Gentamycin

c)

Vancomycin

d)

Streptomycin

6.

Which of the following is manifested by client with arthritis?

a)

Joint pain

b)

Bone pain

c)

Muscle pain

d)

Phantom pain

7.

Which of the following is CORRECT about metastatic bone tumor?

a)

Growing slowly

b)

Non-cancerous

c)

Spread from other organ in body

d)

Proliferation of cell of bone tissue

8.

Passive range-of-motion(ROM) exercises will prevent __________.

a)

decubiti

b)

contractures

c)

loss of muscle mass

d)

loss of body nitrogen

9.

The early sign manifested by a child with Duchenne’ muscular dystrophy is __________.

a)

Kehr sign

b)

Cullen sign

c)

Gower’s sign

d)

Tredelenburg sign

10.

Ben is diagnosed with osteogenesis imperfect. What is the compilation of osteogenisis imperfect?

a)

Fracture

b)

Infection

c)

Malunion

d)

Gangrene

11.

Which of the following finding may be expected on the assessment of the client with osteoporosis?

a)

Increase joint pain

b)

Decrease of height

c)

Increase bone calcium

d)

Decrease serum vitamin A

12.

What is the risk factor for developing osteoporosis?

a)

Dysmenorrhea

b)

Inactive lifestyle

c)

High estrogen level

d)

High calcium intake

13.

Mr Ali is diagnosed with osteomalacia. Which of the following can be the cause of osteomalacia?

a)

Bone tumor

b)

Gene defect

c)

Kidney disease

d)

Bacterial infection

14.

What is the BEST definition for Paget’s disease?

a)

Enlargement and weakening of bone

b)

Softening of bone due to vitamin D deficiency

c)

Progressive muscle weakness of the extremities

d)

Fragility of bone due to defect in production of collagen

15.

When obtaining nursing history, which of the following represents a major complaint of client with gout?

a)

Low back pain

b)

Limited joint flexion

c)

Painful, swollen joint

d)

Weakness of leg muscle

16.

Talipes is a congenital deformity of ankle bone. What is the characteristic of talipes equinovarus?

a)

Foot pointing upward and twisted inward

b)

Foot pointing upward and twisted outward

c)

Foot pointing downward and twisted inward

d)

Foot pointing downward and twisted outward

17.

Which of the following assessments is included in neurovascular checks of the lower extremities?

a)

Biceps reflex

b)

Radial pulses

c)

Femoral pulses

d)

Checking for clubbing

18.

What is the common manifestation of a child congenital hip dislocation?

a)

Limited hip adduction

b)

Obvious swelling at the thigh

c)

Increase pain at the affected leg

d)

Extra creases of the skin fold at thigh

19.

Which of the following describing the open reduction procedure?

a)

Surgical removal of limb

b)

Bone realignment by traction

c)

Visualization of joints structure

d)

Surgical implanting of plates and pins

20.

The nurse is caring for a client who just had a plaster cast applied. Which action should the nurse take to facilitate cast drying?

a)

Apply a heating pad

b)

Increase the room temperature

c)

Turn the client every two hours

d)

Cover the cast with blankets to provide extra warmth

21.

Madam Lim, 76 years-old is admitted to female orthopedic ward for fracture of femur. During assessment, client complained of severe pain and swelling of the affected leg.


a) List ONE (1) nursing diagnosis for Mdm Lim. (2 MARKS)


b) State THREE (3) nursing interventions for Mdm Lim.

(3 MARKS)

4 lines