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WorksheetsNCLEX ?'s Musculoskeletal
Total questions: 18
Worksheet time: 7mins
Which nursing intervention is appropriate for a client with musculoskeletal trauma?
Encourage the client to rest and avoid movement
Administer pain medication as needed
Apply heat to the affected area
Encourage the client to bear weight on the affected limb
A client has just arrived to the ED with a fracture femur. Which of the following nursing care tasks should be prioritized? Select all that apply
Performing range of motion exercises
Preparing the patient for surgery
Providing emotional support
Assessing neurovascular status
Administering pain medication
A nurse is completing discharge teaching with a client following arthroscopic knee surgery. Which of the following instructions should the nurse include in the teaching?
Remain on bedrest for the first 24 hr.
Keep the leg in a dependent position.
Apply ice to the affected area.
Apply ice to the affected area.
A nurse is caring for a client who has a Jackson-Pratt (JP) drain in place after surgery for an open reduction and internal fixation. The nurse should understand that the JP drain was placed for which of the following purposes?
To prevent fluid from accumulating in the wound
To limit the amount of bleeding from the surgical site
To provide a means for medication administration
To eliminate the need for wound irrigations
A nurse is caring for a client who sustained a femur fracture in an automobile accident and is placed into skeletal traction. The nurse may remove the weights from the traction device if which of the following occurs?
The client complains of pain.
The client develops a life-threatening situation
The client needs to have an x-ray of the femur performed
The client has to be repositioned in the bed.
A nurse is caring for a client who is postoperative following an open reduction and internal fixation of a fractured femur. Which of the following actions is the most important for the nurse to complete in the postoperative period
Medicate the client for pain.
Instruct the client on use of crutches.
Perform neurovascular checks of the extremities.
Direct the client to perform exercises of the ankle and toes.
A nurse is caring for a client who has an unrepaired femur fracture of the midshaft. Which of the following techniques should the nurse use when performing an assessment of the client's neurovascular status?
Measure the circumference of the thigh
Palpate the femoral pulse.
Monitor the client's calf for edema.
Instruct the client to wiggle his toes.
A nurse is caring for a client who is postoperative and in skeletal traction. When assessing the client, the nurse should expect which of the following findings? (Select all that apply.)
Movement of the pin at the insertion site
Slight pain at the insertion site
Elastic bandages secure around the traction ropes
Serous drainage on the dressing
Minimal edema around the pin
A nurse in an urgent care center is caring for a client who experienced an ankle injury. Prior to examination by the provider, which of the following nursing actions should the nurse perform? (Select all that apply.)
Apply ice to the affected area.
Elevate the foot.
Encourage range of motion of the foot.
Provide the client with a light snack.
Apply a compression bandage.
A nurse is caring for a client who is 2 days postoperative following an above-the knee-amputation. Which of the following is an appropriate nursing intervention for this client at this time?
Elevate the foot of the bed.
Encourage the client to sit up as much as possible.
Elevate the client's residual limb on a pillow.
Have the client lie prone every 3 hr for 20 min at a time.
A nurse is providing discharge teaching to a client following hip arthroplasty. Which of the following pieces of furniture should the nurse instruct the client to sit in at home?
A reclining chair with an ottoman
A straight-backed chair with an elevated seat
A couch with plush cushions
A rocking chair with a curved back
A nurse is caring for a client who has a femur fracture. The nurse suspects that the client has fat embolism syndrome. Which of the following findings should the nurse identify as an early manifestation of fat embolism syndrome?
Petechiae
Hypoxemia
Headache
Precordial chest pain
A nurse is caring for a client who has multiple long bone fractures caused by a motor-vehicle crash that happened 24 hr ago. The client tells the nurse he is short of breath and experiencing chest pain. The nurse should assess the client further for which of the following potential complications?
Hypovolemic shock
Fat embolism syndrome
Compartment syndrome
Venous thromboembolism
A nurse is assessing a client who has a hip fracture. Which of the following findings should the nurse expect?
Leg lengthening
Hip pallor
Muscle spasms
Leg abduction
A nurse is teaching an older adult client who has an intracapsular fracture of the right hip following a fall about the purpose of Buck’s traction. The nurse should include which of the following information in the teaching?
Buck’s traction will reduce the fracture.
Buck’s traction will relieve muscle spasms.
Buck’s traction will maintain alignment of the pins.
Buck’s traction will allow supported movement of the extremity.
Which type of muscle is under voluntary control?
Smooth muscle
Cardiac muscle
Skeletal muscle
Ligament
What is the role of ligaments?
To connect muscle to bone
To connect bone to bone
To contract and produce movement
To protect internal organs
What is the term for the growth plate found in long bones?
Epiphyseal plate
Periosteum
Endosteum
Medullary cavity
