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    Exam Review

    1. A nurse is assisting a client who is 2 days postoperative following a total hip arthroplasty to walk to a chair. When the nurse offers to help the client ambulate, the client refuses to get out of bed. Which of the following actions should the nurse take?
      A)
      Instruct the assistive personnel (AP) to transfer the client to a chair.
      B)
      Acknowledge the client's wishes, but explain the importance of ambulation post operatively.
      C)
      Tell the client that if she does not get out of bed she will not receive any assistance with bathing.
      D)
      Ask for assistance from a physical therapist to help move the client out of bed.
    2. The nurse is collecting data on a patient with a left tibia fracture. Which of the following findings is a priority finding?
      A)
      Absent left pedal pulse
      B)
      Decreased lymphocyte count
      C)
      Increased red blood cell count
      D)
      Decreased body temperature
    3. A nurse is caring for a client with osteoporosis in the vertebral bones of the thoracic spine. Which of the following assessments should the nurse be alert to?
      A)
      Limited range of motion in arms
      B)
      Shortness of breath
      C)
      Stiff joints, especially first thing in the morning
      D)
      Chronic pain
    4. Which of the following is a manifestation of a soft tissue injury?
      A)
      Swelling and bruising
      B)
      Numbness and tingling
      C)
      Loss of consciousness
      D)
      Shortness of breath
    Page 1 of 8

    Exam Review

    1. Which activity should the nurse recommend to help manage osteoarthritis symptoms?
      A)
      Performing high impact aerobic exercises
      B)
      Running on treadmill for 30 minutes daily
      C)
      Swimming or water aerobics
      D)
      Complete bedrest on flare up days
    2. Which of the following strategies is most effective in preventing osteoporosis in older adults?
      A)
      Regular weight-bearing exercise
      B)
      Taking calcium supplements
      C)
      Avoiding all forms of physical activity
      D)
      Limiting sun exposure
    3. Which clinical manifestation should the nurse expect in a client with early-stage rheumatoid arthritis?
      A)
      Kirk and Spock's nodes
      B)
      Joint pain that improves with activity
      C)
      Bone spurs and asymmetric joints involvement
      D)
      Morning stiffness lasting more than an hour
    4. A nurse is reinforcing teaching with a client that has osteomyelitis of an open wound on his heel. Which of the following information should the nurse include?
      A)
      "Your provider may prescribe a central catheter line for long term antibiotics.
      B)
      "You may need to provide a cold pack to the site three times (3x) per day."
      C)
      "You will need to limit consumption of high protein foods."
      D)
      "Your provider may ask you to walk multiple times per day to increase circulation."
    Page 2 of 8

    Exam Review

    1. A nurse is reinforcing teaching with a client who has rheumatoid arthritis. Which of the following statements by the client indicates understanding of the information?
      A)
      "I will schedule important tasks in the afternoon."
      B)
      "I can use heat or cold to help relieve my pain."
      C)
      "I need to perform range-of-motion of my joints if I notice they are red."
      D)
      "I should stop exercising if I experience even a little bit of discomfort."
    2. Mama Teen Bean was pushing her chair in when it hit Papa Teen Bean's toe, he screamed really loud, and Mama laughed, she went to grab his medication, allopurinol (Zyloprim) out of the medicine cabinet. Why would she grab this medication for Papa Teen Bean?
      A)
      It increases metabolism of purines.
      B)
      It increases formation of purines.
      C)
      It excretes protein.
      D)
      It blocks formation of uric acid in patients with Gout.
    3. A nurse is contributing to the plan of care for a client to achieve the outcome of functional healing of a fracture. Which of the following nursing interventions is the HIGHEST priority to assist in meeting this outcome?
      A)
      Provide relief from pain and discomfort for the client.
      B)
      Promote independence in activities of daily living for the client.
      C)
      Provide optimal nutrition and hydration for the client.
      D)
      Maintain immobilization and alignment for the client.
    4. A nurse is reinforcing teaching about placement of a prosthesis with a client who is having a below the knee amputation. Which of the following information should the nurse include in the teaching?
      A)
      "Placing this now will improve the fit of the prosthesis."
      B)
      "This will improve your ability to ambulate sooner."
      C)
      "This will help to decrease the frequency of dressing changes."
      D)
      "This will decrease the chance of you experiencing phantom limb pain."
    Page 3 of 8

    Exam Review

    1. Which medical condition increases the risk of osteomyelitis?
      A)
      Osteoporosis
      B)
      Osteogenesis imperfecta
      C)
      Diabetes
      D)
      Cancer
    2. A nurse is monitoring a client who has a cast on her right ankle following an open reduction and internal fixation procedure. The nurse should monitor for which of the following findings to identify compartment syndrome?
      A)
      Pain unrelieved by routine medications
      B)
      Elevated WBC count
      C)
      Swelling and redness of the right leg
      D)
      Decreased oxygen saturation
    3. A nurse in an urgent care center is caring for a client who fell and injured her ankle. The ankle appears swollen and ecchymotic. Which of the following interventions should the nurse take? (Select all that apply.)
      A)
      (Select All that Apply.)
      B)
      Check the client's toes for color, temperature, and sensation.
      C)
      Apply heat to the client's ankle.
      D)
      Elevate the client's foot.
      E)
      Encourage range of motion of the client's foot and ankle.
      F)
      Apply a compression bandage or ace wrap to the client's ankle.
    4. A patient sustains a closed femur fracture of the right tibia and is placed in a long leg plaster cast, which is still damp. Which of the following methods should the nurse use to move the cast to prevent complications?
      A)
      Use your fingertips to grasp the cast.
      B)
      Use your palms to move the cast.
      C)
      Have the patient reposition their own leg.
      D)
      Do not move the cast until it is dry.
    Page 4 of 8

    Exam Review

    1. A client returns to the surgical unit from the PACU in skeletal traction. The nurse should take this action to correct which of the following problems with the traction setup?
      A)
      The weights are equal on each side.
      B)
      The ropes attach securely to the pin.
      C)
      The weights rest against the foot of the bed.
      D)
      The ropes are in the center of the wheel grooves.
    2. A nurse is collecting data from a client who has multiple fractures in his left leg and reports severe pain and tingling in the extremity. The nurse should suspect which of the following complications?
      A)
      Fat embolism syndrome
      B)
      Pulmonary embolism
      C)
      Osteomyelitis
      D)
      Acute compartment syndrome
    3. While collecting data from a client who has a cast on his right leg, a nurse locates an area on the cast that feels warm to the touch. The nurse also notices an odor in the area of the cast. Which of the following findings should the nurse identify as a complication to the client's condition?
      A)
      Infection
      B)
      Poor circulation
      C)
      Uneven cast drying
      D)
      Pressure from the cast
    4. A nurse is reviewing the treatment for a ankle fracture. Which of the following is a treatment option for fractures?
      A)
      Taking antibiotics
      B)
      Using heat therapy
      C)
      Applying a cast
      D)
      Performing physical therapy
    Page 5 of 8

    Exam Review

    1. At 0300, a nurse is caring for a client who is postoperative. The client's IV fluids are infusing at 120 mL/hr. How many mL of IV fluid should infuse by 0600?
    2. A nurse at an urgent care center is reinforcing information with a new employee about the difference between sprains and strains. Which of the following examples should the nurse include as a cause of sprain injury?
      A)
      Impact injury on a joint from a fall
      B)
      Twisting a ligament while walking
      C)
      Overusing a muscle while jogging
      D)
      Crush injury to a bone from blunt trauma
    3. A homecare nurse visits a patient who is 78 years old, weighs 210 pounds and lives alone. The patient has a family history of fractures. She is an excessive smoker. She doesn't drink alcohol, but loves coffee. She orders coffee and French fries from grub hub every day because she has a fear of birds. She is allergic to shellfish and has a prosthetic knee. Which factors should the nurse identify as modifiable risk factors for osteoporosis? Select all that apply.
      A)
      family history of fractures
      B)
      excessive smoker
      C)
      coffee and French fries every day
      D)
      78 years old
    4. A nurse is taking care of a client with a displaced fracture. The nurse knows a displaced fracture is best described as?
      A)
      A fracture in which the broken ends of the bone are out of alignment
      B)
      A fracture in which the bone is completely broken into two or more pieces
      C)
      A fracture in which the bone breaks through the skin
      D)
      A fracture in which the bone is partially cracked but still intact
    Page 6 of 8