NRSG 357 Exam 4 (Orthopedics (Fractures/Bone
Healing, Osteoarthritis, And Osteoporosis), Oncology,
Reproductive Health/STIs): Qs & As
An ambulance arrives at the ER bringing a patient rescued from a high-
velocity motor vehicle accident. Just by looking at the patient's leg you see:
A. Pathological fracture
B. Spiral fracture
C. Nondisplaced fracture
D. Open fracture Right Ans - D. Open fracture
A 59 yr-old patient has stage 4 kidney cancer with metastasis to right femur.
She arrived at the ER after feeling excruciating pain at the R leg, that started
while she was brushing her teeth. She refers numbness and difficulty moving
the limb. These clinical signs and symptoms indicates she might have:
A. Open fracture
B. Pathological fracture
C. Greenstick fracture Right Ans - B. Pathological fracture
The X-ray of a hockey player injured during a game is an example of:
A. Transverse, displaced
B. Transverse, nondisplaced
C. Oblique displaced
D. Linear, displaced Right Ans - C. Oblique displaced
Which statement by a patient, who just received a cast on the right arm for a
fracture, requires you to notify the physician immediately?
A. "It is really itchy inside my cast!"
B. "My pain is so severe that it hurts to stretch or elevate my arm."
C. "I can feel my fingers and move them."
D. "I've been using ice packs to reduce swelling." Right Ans - B. "My pain is
so severe that it hurts to stretch or elevate my arm."
Select all the signs and symptoms that will present in compartment
syndrome?
A. Capillary refill less than 2 seconds
B. Pallor
C. Pain relief with medication
,D. Feeling of tingling in the extremity
E. Affected extremity feels cooler to the touch than the unaffected extremity
Right Ans - B. Pallor
D. Feeling of tingling in the extremity
E. Affected extremity feels cooler to the touch than the unaffected extremity
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?
A. Compartment Syndrome
B. Osteomyelitis
C. Fat embolism
D. Hypovolemia Right Ans - C. Fat embolism
Which assessment finding found while assessing a patient with a fracture who
has traction requires immediate intervention?
A. The weights are freely hanging on the floor.
B. Pin sites are free from drainage.
C. Patient uses the overhead trapeze bar to move around in the bed.
D. Patient's extremities have a capillary refill of less than 2 seconds. Right
Ans - A. The weights are freely hanging on the floor.
Your patient is 2 hours post-op from a cast placement on the right leg. The
patient has family in the room. Which action by the significant other requires
you to re-educate the patient and family about cast care?
A. Gently moving the cast with the fingertips of the hands every 2 hours to
help with drying.
B. Elevating the cast above heart level with pillows.
C. Checking the color and temperature of the right foot.
D. Using a hair dryer on the cool setting to help with drying and itching.
Right Ans - A. Gently moving the cast with the fingertips of the hands every 2
hours to help with drying.
Which patient below is at lower risk for osteoporosis?
A. A 50 year old female whose last menstrual period was 7 years ago.
B. A 45 year old male patient who has been taking glucocorticoids for the last
6 months.
, C. A 30 year old male who drinks alcohol occasionally and has a BMI of 28.
D. A 35 year old female who has a history of seizures and takes Dilantin
regularly. Right Ans - C. A 30 year old male who drinks alcohol occasionally
and has a BMI of 28.
During discharge teaching to a patient at risk for developing osteoporosis, you
discuss the types of exercise the patient should perform. Which type of
exercise is not the best to perform to prevent osteoporosis?
A. Tennis
B. Weight-lifting
C. Cycling
D. Hiking Right Ans - C. Cycling
You're caring for a patient who has a health history of severe osteoporosis. On
assessment you note the patient has severe kyphosis of the upper back. Which
nursing diagnosis takes priority for this patient's care?
A. Risk for skin breakdown
B. Knowledge deficient regarding disease process
C. Limited mobility
D. Risk for falls Right Ans - D. Risk for falls
A patient with osteoarthritis is describing their signs and symptoms. Which
signs and symptoms below are NOT associated with osteoarthritis? Select-all-
that-apply:
A. Morning stiffness greater than 30 minutes
B. Experiencing grating during joint movement
C. Fever and Anemia
D. Symmetrical joint involvement
E. Pain and stiffness tends to be worst at the end of the day Right Ans - A.
Morning stiffness greater than 30 minutes
C. Fever and Anemia
D. Symmetrical joint involvement
A patient with osteoarthritis has finished their first physical therapy session.
As the nurse you want to evaluate the patient's understanding of the type of
exercises they should be performing regularly at home as self-management.
Select all the appropriate types of exercise stated by the patient:
A. Jogging
B. Water aerobics
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