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WorksheetsNUR211MobilityExam2
Total questions: 145
Worksheet time: 1hrs 25mins
Which of the following symptoms would lead to a diagnosis of parkinson's disease
Tremor
Rigidity
Postural instability
All of the above
What causes parkinson's
Sensory neuron death
Motor neurones apathy
Decreased acetylcholine
Loss of dopamine producing cells
Which of the following is a symptom of parkinson's disease
Fast speaking
Hyper activity
Bradykinesia(slow movement)
Changes to levels of _____ and _____ have key roles in parkinson's disease
Dopamine,acetylcholine
Serotonin,acetylcholine
Dopamine,melatonin
Dopamin,serotonin
The leading treatment for Parkinson's Disease is:
Carbidopa-levodopa
Cardipoda-levopoda
Carbinova-levopada
Carbonipa-levadopa
The Nurse explains to a patient newly diagnosed with MS that the diagnosis is made primarily by
Spinal x-ray findings.
T-cell analysis of the blood
Analysis of cerebrospinal fluid
History and clinical manifestations
During your discharge teaching to a patient with multiple sclerosis, you educate the patient on how to avoid increasing symptoms and relapses. You tell the patient to avoid: (select all that apply)
Cold temperatures
Infection
Overexertion
Salt
Stress
A patient diagnosed with multiple sclerosis tells the healthcare provider, “I’m not sure if I’ll be able to exercise anymore.” Which of the following is the most appropriate response?
“Exercise often causes a relapse in the disease, so it should be avoided.”
“Swimming or exercising in the water can be both enjoyable and beneficial.”
“It’s important for you to conserve your strength by not being too active.”
“You should get a personal trainer to help you plan a fitness program.”
What is MS?
Disease of the CNS that attacks dendrites
Disease of the PNS that attacks dendrites
Disease of the CNS that attacks myelin
Disease of the PNS that attacks myelin
What are symptoms of MS? (select all)
Fatigue
Mood changes
Increased sensation
Impaired bladder control
The prevalence of MS is higher in countries that have what?
Warmer climate
Colder climate
Which is not an MS category?
Progressive Relapsing MS
Progressive MS
Relapsing Remitting MS
Remitting MS
The majority of all MS cases are Relapsing Remitting. True or false?
True
False
What lifestyle changes may help improve the quality of life for those with MS?
Healthy eating
Daily physical activity
Getting plenty of rest
Stress management
All of the above
What kind of disease is multiple sclerosis?
Infectious
Viral
Autoimmune
Blood
Multiple Sclerosis is
A progressive autoimmune condition in which the neurons of the central nervous system demyelinate
Immune system attacks the joints
When the immune system attacks blood vessels
What is the most common type of MS?
Secondary progressive MS
Relapsing remitting MS
Primary progressive MS
Benign
MS affects central nervous system (CNS). Which part of the CNS is affected
Nerve cell(neurons)
Myelin
Plaques
Vertebrae
Which of the following is the most helpful study in the clinical investigation of MS?
MRI
Radiography
Visual evoked potentials
Lumbar puncture
Select the TRUE statements about the pathophysiology of multiple sclerosis
Plaques of demyelination, disseminated in time and space, interfere with neuronal transmission
The dendrites on the neuron are overstimulated leading to the destruction of the axon.
The dopaminergic neurons in the part of the brain called substantia nigra have started to die.
A chronic nervous system disease characterized
by a slowly spreading tremor, muscular
weakness, and rigidity
epilepsy
muscular dystophy
Parkinson's disease
meningitis
A chronic, slowly progressive disease of the
central nervous system that destroys the myelin
sheath of nerve cell axons
multiple sclerosis
epilepsy
Parkinson's disease
Alzheimer's disease
Osteoclast do not reabsorb and it makes the bones very dense. It leads to facial paralysis and decreased blood production.
osteoporosis
osteogenesis imperfecta
osteopetrosis
osteomyopathy
Which of the following statements explains the difference between a sprain and a strain?
in both cases the liagment is pulled, but the degree of damage determines the difference
a sprain is a pulled tendon and a strain is a pulled ligament
a strain is a pulled muscle and a sprain is a pulled ligament
there is no difference between a strain and sprain.
Autoimmune disorder that damages the myelin around nerve cells, reducing the response of muscles. Leads to numbness, tremors, and visions problems.
Myopathy
Duchenne msucular dystrophy
Marfan syndrome
Multiple Sclerosis
Caucasian and Asian women are more likely to have this disorder due to lack of Ca+ uptake. This leads to fractures in the hips and vertebrate.
Osteoporosis
Osteopetrosis
Osteogenesis imperfecta
Osteoblast Cyst
Inflammation of tendons typically in the shoulder, wrist, knee, and elbow, that is the result of repeated movements of that joint (like a baseball player throwing a ball).
multiple sclerosis
tendonitis
osteotendonitis
Marfan syndrome
Name the Disorder
Scoleosis
Multiple Sclerosis
Marfan syndrome
What is Multiple Sclerosis?
It is a disease of the Central nervous system.
It affects the brain, spinal cord, and optic nerves.
Interferes with the transmission of nerve signals between the brain and spinal cord.
All of the above.
A 95 year old patient has an accidental fall while going to the bathroom without assistance. It appears the patient has sustained a bone fracture to the right leg. The leg’s shape is deformed and the patient is unable to move it. The patient is alert and oriented but in pain. What will you do FIRST after confirming the patient is safe and stable?
Apply an ice pack covered with a towel to the site.
Immobilize the fracture with a splint.
Administer pain medication.
Elevate the extremity above heart level.
A female patient is brought to the emergency room with an injury to her lower leg from an ATV accident. You notice a white tip of a bone protruding through the skin as you cut her pant leg off. Her injury is described as what kind of fracture.
Comminuted
Pathologic
Compound
Stress
The diagram shows a fracture that has pierced through the skin. What type of fracture is this?
Simple
Compound
Impacted
Greenstick
The xray shows a fracture that has bones broken into more than two pieces. What type of fracture is this?
Simple
Compound
Impacted
Comminuted
The diagram shows a fracture that has two bones crushing into each other. What type of fracture is this?
Simple
Compound
Impacted
Comminuted
Open
Closed
Trauma
Stress
Pathologic
Closed Reduction
Treating a bone through realignment with one's hands
Treating a bone surgically with pins, rods, screws, and/or wires
Placing the broken bone within a cast, splint, or boot
Open Reduction
Treating a bone through realignment with one's hands
Treating a bone surgically with pins, rods, screws, and/or wires
Placing the broken bone within a cast, splint, or boot
Immobilization
Treating a bone through realignment with one's hands
Treating a bone surgically with pins, rods, screws, and/or wires
Placing the broken bone within a cast, splint, or boot
What type of fracture is this? (Hint: it's across the bone.)
Dorsal
Linear
Closed
Transverse
What is the name of the incomplete fracture usually seen in children?
Linear
Transverse
Fibial
Greenstick
When a broken bone moves out of its original position, it is ___________.
Closed
Displaced
Rearranged
Opened
_________ fractures are diagonal breaks in the bone.
Incomplete
Linear
Closed
Oblique
What is a non-surgical way to treat a fracture?
Immobilization
Discombobulation
Reduction
Amputation
What type of fracture DOESN'T penetrate through the skin?
Open
Closed
Comminuted
Oblique
If a fracture is comminuted, that means the bone is in _______ pieces.
Multiple
One
What are the precautions while treating fracture?
Movement must be cut down to a minimum before supporting the fractured position
Watch the signs of loss of circulation to the limb every 15 minutes
Do not try to force a broken bone back into place
Always cover the places where the skin had been punctured by the bone with bandages or a cloth
A 45 year old patient comes to the clinic after a fall from a ladder. When she moves her injured leg, a grating sound is heard. How should you document this sound?
Fremitus
Crepitus
Arthritis
Clicking
What type of fracture is this?
Compound
Hairline
Simple
Spiral
What type of fracture is this?
Compound
Open
Simple
Spiral
Open Reduction
Treating a bone through realignment with one's hands
Treating a bone surgically with pins, rods, screws, and/or wires
Placing the broken bone within a cast, splint, or boot
Immobilization
Treating a bone through realignment with one's hands
Treating a bone surgically with pins, rods, screws, and/or wires
Placing the broken bone within a cast, splint, or boot
What is a late sign of compartment syndrome?
Paralysis
Pain
Paresthesia
Pulselessness
A patient sustained a fracture to the femur. The patient has suddenly become confused, restless, and has a respiratory rate of 30 breaths per minute. Based on the location of fracture and the presenting symptoms, this patient may be experiencing what type of complication?
Compartment Syndrome
Osteomyelitis
Fat embolism
Hypovolemia
This cell lays down new bone and helps repair damage.
Osteoblast
Osteoclast
Osteocyte
Osteobuddies
Which of the following is part of a Synovial joint
Synovial membrane
Joint cavity
Ligament
Cartilage
What is total hip arthroplasty?
A surgical procedure in which the hip joint is replaced by a hip prosthesis
A surgical procedure in which hip joint is removed
A surgical procedure in which the entire hip is plastered
A surgical procedure in which the elbow joint is repaired
What is the most common purpose to diagnose total hip arthroplasty?
Rheumatoid arthritis
Trauma arthritis
Hip resurfacing
Osteoarthritis
What is osteoarthritis caused by?
Fracture of bone
Inflammation of liver
Deterioration of cartilage
Excessive production of cartilage
What are some types of hip arthroplasty?
Total hip arthroplasty
Hemiarthroplasty
Hip resurfacing
All of the above
Which of the following may indicate that the patient has a herniated disk?
Cough or hoarseness that doesn't go away
Unusual bleeding
Pain and numbness, most commonly on one side of the body
Skin irregularities
A discectomy is the surgical removal of abnormal disc material that presses on a nerve root or the spinal cord.
True
False
Which of the following may result in a herniated disk?
Physically demanding occupations
Being overweight
Genetics -- if another family member had a herniated disk
All of the above
surgical puncture to aspirate fluid from a joint
arthrocentesis
arthrodesis
arthroplasty
arthroscopy
surgical repair of a joint
arthrocentesis
arthrodesis
arthroplasty
arthroscopy
radiographic imaging of a joint
arthrocentesis
arthrography
arthroplasty
arthroscopy
visual examination of a joint
arthrocentesis
arthrography
arthroplasty
arthroscopy
A medical emergency that must be identified immediately; pressure within the muscle compartment or cast increases as perfusion to the area decreases which could lead to necrosis and irreversible neuromuscular damage. Pain is worst with movement.
Compact syndrome
Avascular necrosis
Compartment syndrome
Atherosclerosis
Select all that are signs of impaired neurovascular signs include (select all that apply)
Pain
Coolness
Pallor
Paralysis
Redness
Not using pillows behind the knee and not using a knee gatch on the bed prevents which of the following post-op ortho. complications?
Flexion contractures
Extensor contractures
Avascular necrosis
Footdrop
Apply trochanter rolls to immobile patients to prevent?
Joint extention
Compartment syndrome
Internal rotation
External rotation
What is used to measure bone density and diagnose osteoporosis?
Bone scan
Duel-energy x-ray absorptiometry (DEXA) scan
Gallium scan
CAT scan
What precautions should be made to prevent total hip dislocation after total hip arthroplasty? (select all that apply)
Avoid flexing the hip more than 90 degree
Prevent external rotation
Keep the head of the bed below 45 degree
Avoid crossing your legs
Do not bend at the waste
Forward curvature of the thoracic spine is referred to as__________
Lordosis
Callus
Scoliosis
Kyphosis
Symptoms of neurovascular compromise are ( select all that apply)
Poikilothermia
Pain
Position
Pallor
Parasthesia
Which term means an attempt to return the affected bone to its normal alignment by manually applied forces?
immobilization
closed reduction
traction
This injury results in the total displacement of a bone from its joint.
subluxation
dislocation
A sprain is a small, medium, or complete tear to the:
bone
tendon
ligament
muscle
A STRAIN is a small, medium, or complete tear of the:
muscle or tendon
tendon or ligament
cartilage
cartilage and ligament
Which of the following is the gold standard for diagnosis of DVT?
Contrast venography
Doppler ultrasound
Homan's sign
Wells Clinical Decision Rule
Early mobilization post surgery has been shown to result in all of the following EXCEPT:
Increased pain
Shorter hospital stays
Reduced risk of DVT
Greater independence
Which of the following nutrients is most important for wound healing?
Calcium
Carbohydrates
Protein
Magnesium
Which of the following may be a sign of post surgical wound infection?
Fever
Redness
Increased drainage
All of the above
Recommended non-surgical managements for knee osteoarthritis for which there are good evidence in all the following EXCEPT:
Footwear modification
Self-management and education
Weight management
Land-based exercise
Difficult movement
hyperkinesia
bradykinesia
dyskinesia
break down of striated muscle
spondylosis
rhabdomyolysis
spondylolisthesis
a crackling sound heard during flexion and extension
osteopenia
exostosis
crepitus
Osteoarthritis can cause pain due to inflammation of the joints. What type of pain medication may the provider ask you to administer?
Analgesic
Anti-inflammatory
Antiemetic
none of the above
Which of the below treatment can be the last option for osteoarthritis patient?
Wear joint support
Use assistive aid
Joint replacement
Corticosteroid injection
A nurse is assisting with the care of a client who has a femur fracture and is in skeletal traction. Which of the following actions should the nurse take?
Loosen the knots on the ropes if the client is experiencing pain.
Ensure the client’s weights are hanging freely from the bed.
Check the client’s bony prominences every 12 hr.
Cleanse the client’s pin sites with povidone-iodine.
A nurse is contributing to the plan of care for an older adult client who is postoperative following a right hip arthroplasty. Which of the following interventions should the nurse include in the plan?
Perform the client's personal care activities for her.
Limit the client’s fluid intake.
Monitor the Homan’s sign.
Maintain abduction of the right hip.
A nurse is assisting with the plan of care for an older adult client who is 4 hr postoperative following an open reduction and internal fixation of a fractured femur. Which of the following interventions should the nurse include in the plan of care?
Restrict oral fluid intake to 1,000 mL per day.
Remove antiembolic stockings once each day to examine skin integrity.
Maintain the client on bed rest for 72 hr after surgery.
Check capillary refill in the affected extremity every 4 hr.
A nurse is collecting data from a client following the application of a leg cast for the treatment of a fracture. Which of the following findings should the nurse expect to find first if the cast is too tight?
Toes cool to touch
Edema of the toes
Pallor of the toes
Inability to move toes
A nurse is collecting data on a client who has a femur fracture. Which of the following findings is a manifestation of fat embolism syndrome?
Reduced pulses distal to the client's fracture
Swelling below the client's injury
A drop in the client's temperature
Petechiae over the client's chest
Bones need a balanced diet that includes:
calcium and vitamin D
calcium and vitamin A
Vitamin C and Calcium
calcium Vitamin A
Bony nodes seen in the Distal interphalangeal (DIP) joints in osteoarthritis is called
Bouchard's nodes
Virchow's nodes
Rheumatoid nodules
Heberden’s nodes
Immature bone cell
osteoblast
osteoclast
cell that reabsorbs (digests, breaks down) bone tissue
osteoblast
osteoclast
Softening of bone
Osteomalacia
Chrondrocyte
Encephalitis
Tendotomy
an abnormal bending of a joint into a fixed position
flexion
extension
contraction
contracture
leg brace, shoe insert, splint
What is osteoblast?
A strong band of connective tissue that joins one bone to another
The irregularly shaped end of a long bone
The fibrous membrane that covers a bone’s surface
A cell that produces bone tissue
What agent is used to prevent and treat osteoporosis? (It increases bone mass by decreasing bone turnover)
non-steroidal antiinflammatory drugs (NSAIDs)
selective estrogen receptor modulator (SERM)
steroids
bisphosphonate
A nurse is caring for a client who displays manifestations of stage III parkinson's disease. Which of the following actions should the nurse include?
Recommend a community support group
Integrate a daily exercise routine
Provide a walker for ambulation
Perform ADLs for the client
A nurse is reinforcing teaching with a client who has parkinson's disease and has a new prescription for bromocriptine. Which of the following instructions should the nurse include?
Rise slowly when standing
Expect urine to be dark colored
avoid foods containing tyramine
report any skin discoloration
A nurse is caring for a client who has parkinson's disease and is starting to display bradykinesia. Which of the following is an appropriate action by the nurse?
Tech the client to walk more quickly when ambulating
Complete passive range of motion excercises daily
place the client on a low protein low calorie diet
give the client extra time to perform activities
A nurse is caring for a client who has Multiple Sclerosis. Which of the following findings should the nurse expect?
fluctuations in blood pressure
loss of cognitive function
ineffective cough
drooping eye lids
A nurse is beginning a physical assessment of a client who has a new diagnosis of multiple sclerosis. Which of the following findings should the nurse expect? (select all that apply)
Areas of paresthesia
involuntary eye movements
alopecia
increased salivation
ataxia
A nurse is teaching a client who has multiple sclerosis and a new prescription for baclofen. Which of the following statments should the nurse include in the teaching?
this medication will help with your tremors
this medication will help with your bladder function
this medication can cause your skin to bruise easily
this medication can cause you to experience dizziness
A nurse is reviewing the health record of a client who is to undergo total joint arthroplasty. Which of the following should the nurse recognize as a contraindication to this procedure?
age 78 yrs
history of cancer
previous joint replacement
bronchitis 2 weeks ago
A nurse is admitting a client to the orthopedic unit following a total knee arthroplasty. Which of the following actions by the nurse are appropriate? (Select all that apply)
check CPM device settings
palpate dorsal and pedal pulses
place a pillow behind the knee
elevate heels off of bed
apply heat therapy to incision
A nurse is planning discharge teaching for a client who had a total hip arthroplasty. which of the following should the nurse include in the teaching? (select all that apply)
clean incision daily with soap and water
turn toes inward when sitting or lying
sit in straight-backed armchair
bend at waist when putting on socks
use a raised toiletseat
A nurse is assessing a client who is scheduled to undergo a right knee arthroplasty. The nurse should expect which of the following findings? (Select all that apply)
skin reddened over the joint
pain when bearing weight
joint crepitus
swelling of affected joint
limited joint motion
A nurse is completing a preoperative teaching plan for a client who is scheduled to have a total hip arthroplasty. Which of the following should the nurse include in the teaching? (select all that apply)
encourage complete autologous blood donation
sit in a low reclining chair
instruct client to roll onto the operative hip
use an abductor pillow when turning the client
perform isometric exercises
A nurse is admitting an adult client who has suspected osteoporosis. Which of the following findings are risk factors for osteoporosis? (select all that apply)
history of consuming 1 glass of wine per day
loss in height of 2 in
BMI of 18
kyphotic curve at upper thoracic spine
history of lactose intolerance
A nurse is providing care for a client who had a vertebroplasty of the thoracic spine. Which of the following actions should the nurse take?
apply heat to the puncture site
place the client in supine position
turn client every 1 hour
ambulate the client within the first hour postprocedure
A nurse is providing dietary teaching about calcium-rich foods to a client who has osteoporosis. Which of the following foods should the nurse include in the instructions?
White bread
Kale
Apples
Brown rice
A nurse is performing health screenings at a health fair. Which of the following clients have a risk factor for osteoporosis? (select all that apply)
40 yr old who has been taking prednisone for 4 months
30 yr old who jogs 3 miles a day
45 yr old who takes phenytoin for seizures
a 65 yr old who has sedentary lifestyle
a 70 yr old who has smoked for 50 years
A nurse is planning discharge teaching on home safety for a client who has osteoporosis. Which of the following information should the nurse include in the teaching? (select all that apply)
remove throw rugs in walkways
use prescribed assistive devices
remove clutter from environment
wear soft-bottomed shoes
maintain lighting of doorway areas
A nurse is teaching a client how to manage an external fixation device upon discharge. Which of the following statements by the client indicates an understanding? (select all that apply)
I will clean the pins more often if drainage increases
i will use a seperate cotton swab for each pin
i will report loosening of the pins to my doctor
I will move my leg by lifting the device in the middle
I will report increased redness at the site
A nurse is assessing a client who has a casted compound fracture of the femur. Which of the following findings is a manifestation of a fat embolus?
Altered mental status
reduced bowel sounds
swelling of toes distal to the injury
pain with passive movement of the foot distal to the injury
A nurse is assessing a client who had an external fixation device applied 2 hours ago for a fracture of the left tibia and fibula. Which of the following findings is a clincial manifestation of compartment syndrome? (select all that apply)
intense pain when the client's left foot is passively moved
capillary refill of 3 sec on the client's left toes
hard, swollen, muscles in the clients left leg
burning and tingling of the left foot
client report of minimal pain relief following a second dose of opioid pain med
A nurse in the ER is planning care for a client who has a right hip fracture. Which of the following immobilization devices should the nurse anticipate in the plan of care?
Skeletal traction
Buck's traction
Halo traction
Bryants traction
A nurse is assessing a client who has osteoarthritis of the knees and fingers. Which of the following manifestations should the nurse expect to find? (select all that apply.)
Herberden's nodes
swelling of all joints
small body frame
enlarged joint size
limp when walking
A nurse is providing teaching about capsaicin cream to a client who reports continuous knee pain from osteoarthritis. Which of the following information should the nurse include in the discussion?
continuous pain relief is provided
put on gloves before applying cream to other parts of the body
leave cream on the hands for 10 min following application
apply the medication every 2 hours during the day
