MDC1 EXAM 2 Sample Test
1. A client's left leg is in skeletal traction with a Thomas leg splint and Pearson attachment. Which
intervention should the nurse include in this client's care plan?
A. Apply the traction straps snugly.
B. Assess the client's level of consciousness.
C. Remove the traction at least every 8 hours.
D. Teach the client how to prevent problems caused by immobility.
2. A nurse is caring for a client placed in traction to treat a fractured femur. Which nursing intervention
has the highest priority?
A. Assessing the extremity for neurovascular integrity
B. Keeping the client from sliding to the foot of the bed
C. Keeping the ropes over the center of the pulley
D. Ensuring that the weights hang free at all times
3. Which orthopedic surgery is done to correct and align a fracture after surgical dissection and
exposure of the fracture?
A. Arthrodesis
B. Joint arthroplasty
C. Total joint arthroplasty
D. Open reduction
4. The client displays manifestations of compartment syndrome. What treatment will the nurse expect
the client to be scheduled for?
A. An open reduction
B. A fasciotomy
C. A total hip replacement
D. A total knee replacement
5. A client who is undergoing skeletal traction reports pressure on bony areas. Which action would be
most appropriate to provide comfort for the client?
A. Assisting with range-of-motion and isometric exercises.
B. Changing the client's position within prescribed limits.
C. Administering prescribed analgesics.
l D. Applying warm compresses.
,6. A client's fracture was reduced by surgically exposing the bone and realigning it. What type of treatment
does the nurse identity this as?
A. Buck's traction
B. Skeletal traction
C. Internal fixation
D. Open reduction
7. The nurse is checking the traction apparatus for a client in skin traction. Which finding would require the
nurse to intervene?
A. Body aligned opposite to line of traction pull
B. Weights hanging and touching the floor
C. Pulleys without evidence of the obstruction
D. Ropes freely moving over pulleys
8. A group of students is studying for a test on traction. The students demonstrate understanding of the types of
traction when they identify which of the following as an example of skin traction?
A. Crutchfield tongs
B. Thomas splint
C. Buck's
D. Balanced suspension
9. The nurse is providing instructions to the client who is being prepared for skeletal traction. Which
statement by the client indicates teaching was effective?
A. "Metal pins will go through my skin to the bone."
B."I will wear a boot with weights attached."
C."A belt will go around my pelvis and weights will be attached."
D The traction can be removed once a day so I can shower."
10. A client is reporting pain following orthopedic surgery. Which intervention will help
relieve pain?
A. Elevate the affected extremity and use cold applications.
B. Breathe deeply and cough every 2 hours until ambulation is possible.
C. Do ROM exercises as indicated.
,D. Apply antiembolism stockings as indicated.
11. A client has severe osteoarthritis in the left hip and is having surgery to replace both articular
surfaces of the hip. What type of surgical procedure will the nurse prepare the client for?
A. Arthrodesis
B. Hemiarthroplasty
C. Total arthroplasty
D. Osteotomy
12. A client is brought to the emergency department by a softball team member who states the client
and another player ran into each other, and the client is having severe pain in the right shoulder. What
symptoms of a fractured clavicle does the nurse recognize?
A. Client complains of tingling and numbness in the right shoulder.
B. Right shoulder is elevated above the left.
C. Client complains of pain in the unaffected shoulder.
D. Right shoulder slopes downward and droops inward.
13. The nurse is preparing a client to have his cast cut off after having it for 6 weeks to treat a fractured
tibia. What should the nurse inform the client prior to the cast being removed?
A. The leg will look as it did prior to the cast being applied.
B. The leg will look moist and will have small bumps that will go away in a few days.
C. The skin may be covered with a yellowish crust that will shed in a few days.
D. The leg strength is enforced by the wearing of the cast.
14. A client was playing softball and dislocated four of his fingers when diving for a ball. The physician
manipulated the fingers into alignment and applied a splint to maintain alignment. What type of
procedure does the nurse document this as?
A. Open reduction
B. Closed reduction
C. Open reduction with internal fixation
D. External fixation
, 15. Which would be consistent as a component of self-care activities for the client with a cast?
A. Cover the cast with plastic to insulate it
B. Cushion rough edges of the cast with tape
C. Frequently place the casted extremity in a dependent position
D. Use a plastic hanger wrapped in gauze to scratch under the cast.
16. A client with a long arm cast continues to complain of unrelieved throbbing pain even after receiving
opioid pain medication. Which is the priority action by the nurse?
A. Assess for complications.
B. Assess for previous opioid drug use.
C. Reposition the client for comfort.
D. Teach relaxation techniques.
17. A client arrives in the emergency department with a suspected bone fracture of the right arm. How
does the nurse expect the client to describe the pain?
A.A dull, deep, boring ache
B. Sharp and piercing
C. Similar to "muscle cramps"
D. Sore and aching
18. Which is a benefit of a continuous passive motion (CPM) device when applied after knee surgery?
A. It provides active range of motion.
B. It promotes healing by increasing circulation and movement of the knee joint.
C. It promotes healing by immobilizing the knee joint.
D. It prevents infection and controls edema and bleeding.
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