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WorksheetsAmputation and Musculoskeletal Nursing Quiz
Total questions: 20
Worksheet time: 10mins
A nurse is caring for a client who has had an above-the-knee amputation. Which action should the nurse take to prevent a hip contracture?
Maintain the affected leg elevated on pillows at all times
Encourage sitting in a chair for several hours daily
Position the client prone for 30 minutes three to four times a day
Keep the residual limb adducted with a pillow between the legs
A client who had a below-the-knee amputation reports sharp, shooting pain in the missing limb. Which response by the nurse is most appropriate?
That type of pain is psychological and should lessen soon.
This type of pain is normal and may improve with mirror therapy.
Let’s check your dressing; the pain is likely due to infection.
You should avoid moving the residual limb to prevent worsening pain.
A nurse witnesses a traumatic amputation of a hand. What should be done with the amputated part?
Wrap it directly in ice
Rinse it with warm saline and keep it dry
Place it in a watertight bag and then in ice water
Wrap it in a wet towel and place it under running water
Which statement by a client after a lower extremity amputation indicates a need for further teaching?
I’ll wash my limb daily with mild soap and warm water.
I’ll inspect my limb every day for redness or open areas.
I’ll apply rubbing alcohol after washing to prevent infection.
I’ll avoid using lotion unless prescribed by my surgeon.
The nurse is caring for a postoperative amputation client who begins bleeding from the residual limb. What should the nurse do first?
Elevate the limb and notify the surgeon
Apply a tourniquet and then notify the surgeon
Reinforce the dressing and reassess in 15 minutes
Lower the limb below heart level to improve perfusion
A nurse suspects compartment syndrome in a client with a casted leg. Which finding requires immediate intervention?
Dull, aching pain relieved by analgesics
Pallor and cool skin distal to the cast
Tingling sensation that resolves with repositioning
Mild edema and warmth around the incision
A client develops compartment syndrome following a tibial fracture. Which nursing action is most appropriate?
Elevate the limb above heart level
Apply an elastic compression bandage
Remove the restrictive dressing
Apply ice packs to reduce swelling
Which combination of symptoms is most consistent with early compartment syndrome?
Pulselessness, paralysis, and poikilothermia
Pallor, pressure, and paresthesia
Paralysis, pulselessness, and pain
Poikilothermia, pallor, and paralysis
After an emergency fasciotomy, which nursing assessment is priority?
Drain output
Capillary refill and distal pulses
Range of motion
Pain score
Which client is at highest risk for developing compartment syndrome?
Client with a sprained ankle
Client with a casted femur fracture
Client receiving IV antibiotics
Client with a knee replacement
A client with a long-bone fracture becomes confused and short of breath, and has petechiae on the chest. The nurse recognizes these findings as:
Pulmonary embolism
Deep vein thrombosis
Fat embolism syndrome
Compartment syndrome
A nurse notes that a client’s fingers are pale and cool following a distal humerus fracture with a tight cast. What is the nurse’s first action?
Document findings and reassess in 1 hour
Notify the health care provider immediately
Remove or loosen the cast
Elevate the arm on pillows
To prevent venous thromboembolism (VTE) in a client with a hip fracture, the nurse should:
Restrict fluid intake to reduce edema
Encourage foot and ankle exercises
Elevate the injured limb above heart level continuously
Avoid anticoagulants due to bleeding risk
Which finding in a client with a pelvic fracture requires immediate notification of the provider?
Pain during repositioning
Bloody urine
Ecchymosis on the hip
Low-grade fever
Which condition is characterized by bone cell death due to disrupted blood supply?
Complex regional pain syndrome
Avascular necrosis
Delayed union
Volkmann contracture
Which finding best differentiates rheumatoid arthritis (RA) from osteoarthritis (OA)?
Pain that worsens with movement
Morning stiffness lasting more than 1 hour
Absence of systemic symptoms
Asymmetric joint involvement
Which medication is classified as a disease-modifying antirheumatic drug (DMARD) for RA?
Prednisone
Methotrexate
Ibuprofen
Acetaminophen
Which client statement indicates a need for further teaching?
I’ll use both hands when lifting heavy objects.
I’ll use my palms instead of my fingers when pushing up from a chair.
I’ll avoid using any assistive devices to stay independent.
I’ll take frequent rest periods throughout the day.
A client with RA reports increased pain after knitting all afternoon. Which nursing response is most appropriate?
You should alternate between hot and cold therapy after activity.
That’s normal; continue as tolerated to keep joints flexible.
Next time, wear gloves to support your hands.
Try completing your crafts only during the morning.
What is the primary goal of nursing care for a client with rheumatoid arthritis?
Promote complete remission
Maintain joint function and mobility
Prevent all deformities
Eliminate pain completely
