1. In the bustling realm of orthopedic nursing, a patient, Mr. Murphy, 7.
7. Nurse Williams is developing a care plan for a patient who has been
has recently suffered a femur fracture. His treatment plan involves a
balanced skeletal traction using a Thomas splint. The nurse
responsible for his care is now pondering over the most effective
strategy to ward off the development of pressure points at the top of
the splint. The potential methods include:
A. Adding padding at the splint’s top with clean, folded washcloths.
B. Incorporating a footplate in the patient’s bed.
C. Applying a skin-protective lotion in the relevant area.
D. Ensuring that Mr. Murphy maintains an upright position in bed.
2. At the turn of her shift, Nurse Johnson escorts a patient back to the
unit following a computer tomography scan with intravenous contrast
medium. Shortly after, the patient complains about experiencing
shortness of breath and a strange itching sensation. In response,
Nurse Johnson readies herself to treat the patient for which possible
condition:
A. A typical reaction stemming from the stress of the diagnostic
procedure.
B. A potential anaphylactic reaction induced by the contrast dye.
C. Fluid overload due to the volume of the infused solutions.
D. Inflammation resulting from fluid leakage during injection.
3. During her routine rounds, Nurse Patel is caring for a patient with a
freshly applied plaster of Paris cast. She meticulously documents all of
her observations. Among the following conditions, which particular
assessment finding demands immediate attention and notification to
the physician?
A. The patient reports feeling a sensation of heat beneath the cast.
B. The patient expresses experiencing moderate pain.
C. The patient begins to experience paralysis in the toes of the foot
encased in the cast.
D. There is a slight swelling observed in the toes of the foot in the cast.
4. One day after a successful total hip replacement surgery, Nurse
Benson has been tasked with positioning her patient optimally for
recovery. She sifts through her knowledge of body positions,
considering which one would be the most beneficial in this situation:
A. Semi Fowler’s position
B. Supine position
C. Orthopneic position
D. Trendelenburg position
5. In the bustling emergency department, Nurse Gomez is confronted
with a patient who fell from a roof. A fracture of the femoral neck is
suspected. Among the following assessments, which would most
effectively support this diagnosis?
A. The involved limb appears shorter, drawn inward (adducted), and
excessively rotated.
B. The involved limb is noticeably swollen.
C. The patient experiences pain in the affected leg.
D. A substantial bruise (hematoma) is visible on the affected limb.
6. Nurse Rodriguez is caring for a patient who has suffered a
compound fracture of the tibia and fibula, for which skeletal traction
has been applied. Among the following options, which one should be
prioritized in her care plan for this patient?
A. Take off traction weights for a 20-minute interval every two hours.
B. Arrange for a trapeze to enhance the patient’s mobility.
C. Keep the patient in a flat, supine position at all times.
D. Carry out pin care at a minimum frequency of once every hour.
placed in skeletal traction. Among the following options, which
nursing intervention would be suitable in this situation?
A. Limitation of weights to 5 lbs.
B. Use of intermittent weights.
C. Positioning the patient in a prone position.
D. Regular pin care.
8. While attending to a patient in skeletal traction, Nurse Thompson is
pondering over the best nursing actions that will encourage the
patient’s autonomy. Among the following options, which action would
be most beneficial for promoting patient independence?
A. Delivering skin care to avert skin breakdown.
B. Guiding the patient to request an analgesic before pain becomes
severe.
C. Offering an overhead trapeze for the patient’s use.
D. Motivating the patient to perform leg exercises within the
constraints of the traction.
9. Nurse Hamilton is caring for a patient who has had Buck’s traction
applied to their right leg. To ensure that the traction is effective,
which position should the patient be placed in?
A. Lithotomy position
B. Supine position
C. Prone position
D. Sim’s position
10. Nurse Davis is caring for a patient who’s in Buck’s traction. She
understands the need to take precautions against foot drop in this
patient. To accomplish this, she should:
A. Tightly tuck the bed sheets into the foot of the bed.
B. Position pillows beneath the patient’s heels.
C. Guarantee appropriate body positioning of the patient.
D. Educate the patient about the benefits of isometric exercises.
11. Following a below-the-knee amputation of the left leg, a patient
has returned from surgery to the ward where Nurse Mitchell is
assigned. The doctor’s orders include elevating the foot of the bed for
24 hours. Upon observing that a nursing assistant has placed a pillow
under the patient’s amputated limb, Nurse Mitchell should take which
action:
A. Extract the pillow and proceed to elevate the foot of the bed.
B. Retain the pillow as it elevates the patient’s stump.
C. Consult the physician to clarify the orders.
D. Preserve the pillow in place and also elevate the foot of the bed.
12. Nurse Kennedy is caring for an elderly patient who has just
returned from surgery after sustaining an intertrochanteric hip
fracture. A nail plate was inserted for internal fixation, and the patient
has been instructed not to flex her hip. When asked why this
movement could be harmful, the best explanation Nurse Kennedy can
provide is:
A. Hip flexion could cause misalignment of the hip joint.
B. Flexion of the hip may lead to displacement of the nail plate.
C. The action of flexing the hip could cause severe pain to the patient.
D. Flexion might result in damage to the soft tissue around the surgical
site.
13. Nurse Harper is caring for a patient with rheumatoid arthritis who
has been prescribed acetylsalicylic acid, commonly known as aspirin.
The patient is curious about why this medication is used in the
treatment of his condition. The primary reason for using aspirin in the
management of rheumatoid arthritis is to:
A. Diminish the inflammation present in the joints.
B. Halt the progression of the disease process.
C. Lower fever.
D. Enable the patient to perform a range of motion activities without
experiencing pain.
14. During a clinic visit, a patient reports experiencing early signs of
rheumatoid arthritis. Nurse Reynolds is tasked with the patient’s
assessment. Among the following, which symptom would the nurse
most likely expect to find in this initial stage?
A. Distorted joints, particularly in the hands.
B. Restricted joint movement.
C. Presence of rheumatoid nodules.
D. Stiffness is most prominent in the early morning.
15. Nurse Anderson is discussing with a patient the advantages of
immediate prosthesis fitting following an amputation. Among the
following benefits, which one stands out as an advantage to the
patient in this situation?
A. The prosthesis will fit better.
B. The patient will experience less phantom limb sensation.
C. Dressing changes become unnecessary.
D. The patient will regain the ability to walk sooner.
16. Nurse Baxter is caring for a patient with a fractured femur and is
mindful of the risk of circulatory impairment associated with this
injury. One way to assess for signs of circulatory impairment is to ask
the patient to:
A. Move his toes.
B. Engage in coughing and deep breathing.
C. Carry out biceps exercises.
D. Reposition himself in bed.
17. While attending to a patient lying in a supine position, Nurse
Hanson aims to prevent external rotation of the lower extremity. To
achieve this, she should utilize a:
A. Footboard.
B. Sandbag placed on the lateral aspect of the calf.
C. Trochanter rolls positioned near the knee.
D. Trochanter rolls applied to the thigh.
18. Nurse Jordan is conducting a history and physical examination of a
patient recently diagnosed with osteoarthritis. Among the following
factors, what should the nurse be attentive to during her assessment?
A. Signs of osteoporosis.
B. Indications of anemia.
C. Any weight loss.
D. Pain localized to the joints.
19. After a tumble down the basement steps, a man is brought to the
emergency department where his physician confirms a leg fracture.
Post the leg cast application, Nurse Davis’s primary concern would be
to inspect the patient’s toes for:
A. Rise in temperature.
B. Swelling.
C. Ability to move.
D. Alteration in color.
20. A 23-year-old woman, involved in a car accident, is now a
paraplegic. She’s currently on an intermittent urinary catheterization
program and has no dietary restrictions. Nurse Adams’s priority
assessment should be to watch out for:
A. Bowel evacuation.
B. Appetite increase.
C. Bladder distention.
D. Weight gain.
21. As Nurse Andrews oversees patient care, she ponders on the
factors that manage the direction of pull in all traction types. Is it:
A. The configuration of ropes and pulleys.
B. The quantity of the weight used.
C. The location of friction.
D. The posture of the patient.
22. In the midst of her shift, Nurse Matthews is evaluating a woman
suffering from rheumatoid arthritis who has been prescribed aspirin
grain TID and prednisone 10 mg BID for the past couple of years. The
pivotal query regarding the patient’s medication regimen would be to
inquire if she has experienced:
A. Diminished desire for food.
B. Frequent headaches.
C. Dark, sticky feces.
D. Vision that lacks clarity.
23. Nurse Connor attends to a 7-year-old boy with a broken leg who
confides in him about feeling bored. An apt response to uplift the
young patient’s spirits might be to suggest that he:
A. Enjoy a delightful puppet show.
B. Tune in to some engaging radio programming.
C. Dive into a storybook and pretend to be the characters.
D. Pass time by watching some television.
24. As Nurse Patterson crafts an education plan for a patient suffering
from rheumatoid arthritis, with an aim to encourage rest, which of the
following activities would she likely advise the patient to steer clear of
during their periods of rest?
A. Lying face down.
B. Maintaining correct posture.
C. Raising the affected area.
D. Adopting positions of bending or flexing.
25. A young patient is admitted to the hospital with his left leg in
Buck’s traction. The charge nurse instructs Nurse Stevenson to affix a
footplate on the affected side at the foot of the bed. The underlying
rationale for this directive would be to
A. Avert the onset of foot drop.
B. Secure the traction in place.
C. Hinder the patient from sliding down the bed.
D. Forestall the development of pressure sores on the foot.
26. Following her informative session with a patient severely affected
by rheumatoid arthritis about their new medication, methotrexate
(Rheumatrex 0), Nurse Avery picks up on a comment that signals a
need for additional education. Which of these patient statements
could it be?
A. “I’m committed to brushing my teeth after each meal.”
B. “I’ll ensure to keep up with my vitamin intake while on this drug.”
C. “I fully understand that I should avoid alcohol consumption while
taking this medication.”
D. “I’ll maintain my routine of taking my birth control pills.”
27. Nurse Benson is advising a patient who’s been prescribed
ibuprofen (Motrin) to manage pain in the left hip, a result of
osteoarthritis. To lessen any possible irritation to the stomach lining,
at what moment would she guide the patient to take this medication?
A. Right after finishing a meal.
B. At the time of retiring to bed.
C. When the stomach is empty.
D. Upon waking up in the morning.
28. While drafting an educational plan for a patient with osteoarthritis
currently on celecoxib (Celebrex), Nurse Grayson anticipates
explaining that the primary benefit of celecoxib compared to
diclofenac (Voltaren) would likely result in which of the following?
A. Reduced chances of gastrointestinal bleeding.
B. Lesser incidences of nausea and vomiting.
C. Diminished risk of kidney toxicity.
D. Lower potential for liver toxicity.
29. Following surgery and the implementation of a total joint
prosthesis, Nurse Duncan’s patient experiences abrupt, intense pain
and finds it impossible to move the limb. How should the nurse
interpret these symptoms?
A. Dislocation of the joint.
B. An emerging infection.
C. Hemorrhage at the surgical site.
D. Seepage of adhesive into the soft tissue.
30. Having instructed her patient about the risk factors associated
with rheumatoid arthritis, Nurse Ford listens to the patient
recapitulate. If the patient mentions which of the following as a risk
factor, Nurse Ford would recognize the need for further teaching?
A. Being an adult aged between 60 to 75 years.
B. Identifying as female.
C. Having a past infection with the Epstein-Barr virus.
D. Testing positive for the human leukocyte antigen (HLA) DR4 allele.
31. As Nurse Howard gets a patient ready for a magnetic resonance
imaging (MRI) procedure to examine a herniated disc, which of the
following steps would be considered unsuitable?
A. Verifying whether the patient has ever experienced claustrophobia.
B. Assuring the patient that the procedure won’t cause any pain.
C. Initiating an intravenous line to maintain a slow drip rate.
D. Conducting a comprehensive review of the patient’s previous
surgical history.
32. A patient in the postanesthesia care unit (PACU) who’s undergone
a below-the-knee amputation on the left leg reports experiencing pain
in her absent left big toe. What would be Nurse Bailey’s initial course
of action in this situation?
A. Administer the prescribed narcotic pain reliever to the patient.
B. Validate the patient’s experience by affirming that her pain is real.
C. Insist to the patient that feeling pain in the absent toe is impossible.
D. Physically demonstrate to the patient that her toes are no longer
present.
33. When examining a patient diagnosed with an intracapsular hip
fracture, which of the following observations would Nurse Silva be
looking for?
A. The affected leg appears shorter.
B. Flaccidity in the surrounding muscles.
C. Lack of pain in the area of the fracture.
D. Inward turning of the leg.
34. A patient who’s undergone an above-the-knee amputation is
advised to use crutches until her prosthesis is properly fitted. In
educating the patient about the correct usage of crutches, Nurse
Mitchell directs her to primarily bear her weight on which part of the
body?
A. Upper arms.
B. Underarms (axillae).
C. Elbows.
D. Hands.
35. In the early hours of her shift, Nurse Liana is assessing a patient
admitted with a fractured arm. The patient has been taking
carisoprodol (Soma) at home and now presents with a blood pressure
of 80/50 mmHg, a pulse rate of 115 bpm, and shallow respirations at a
rate of 8 breaths per minute. What does Liana interpret these findings
as?
A. Indications of gastrointestinal bleeding due to irritation.
B. Suggestive signs of developing dependency.
C. Typical side effects of the administered medication.
D. Potential symptoms of an allergic reaction.
36. Mason, an experienced nurse, is tending to a patient who has
recently developed compartment syndrome following a fracture. He
knows he must be vigilant for certain signs indicative of possible organ
failure in this context. What symptom is he specifically looking for?
A. Widespread swelling.
B. Crackling sounds from the lungs.
C. Yellowing of the skin and eyes.
D. Reduced urine output with a dark color.
37. Nurse Isabella is preparing to educate a patient with a fractured
tibia about the drug methocarbamol (Robaxin) that he has been taking.
What would she highlight as the main therapeutic effect of this
medication?
A. Reduction in feelings of anxiety.
B. Eradication of microscopic pathogens.
C. Alleviation of muscle cramping.
D. Diminishing of skin pruritus.
38. After being discharged following treatment for an open femoral
fracture, a patient begins to experience fever, night sweats, chills,
restlessness, and restricted movement of the previously injured leg at
home. Nurse Jasmine interprets these symptoms as indicative of
which condition?
A. Infection of the urinary tract.
B. Embolism caused by fat particles.
C. Inflammation of the bone due to infection, known as osteomyelitis.
D. Blockage in the lung’s blood vessels, or pulmonary emboli.
39. Nurse Ethan has provided education to a patient who has
undergone a below-the-knee amputation, focusing on the importance
of prosthesis and stump care. Which statement from the patient
would demonstrate a correct understanding of the given instructions?
A. They plan to utilize a mirror for daily inspections of all areas of the
stump.
B. They commit to wearing a clean nylon stump sock every day.
C. They aim to harden the skin of the stump by rubbing it with alcohol.
D. They will work to avoid skin cracking on the stump by daily
application of lotion.
40. Nurse Gabriel is caring for a patient with osteomyelitis, and he
notices that the antibiotics prescribed are not generating the expected
improvement. Gabriel interprets this situation as most likely indicating
which of the following phenomena?
A. The avascular tissue is supporting bacterial proliferation.
B. Scar tissue formation is hampering drug absorption.
C. The buildup of pus is causing tissue ischemia.
D. The antibiotics are not being delivered directly to the bone.
41. Nurse Olivia is prepping a patient who is scheduled for an
arthrogram using a contrast medium. What would she regard as her
highest priority assessment for this patient?
A. Ensuring the patient has no remaining queries about the process.
B. Checking for any allergy to iodine or shellfish.
C. Confirming if the patient needs to urinate before the procedure.
D. Evaluating the patient’s capability to remain motionless during the
procedure.
42. Nurse Joshua is caring for a patient who sustained a right femur
fracture. What symptom would cause him to suspect that the patient
might be developing a fat embolism?
A. Experiences of migraine-like headaches.
B. Sensation of numbness in the right leg.
C. Development of acute respiratory distress syndrome (ARDS).
D. Occurrence of muscle spasms in the right thigh.
43. Upon admitting a patient with a broken limb, Nurse Emma knows
she needs to prioritize certain areas in her assessment. Which area
would she concentrate on first?
A. The section of the limb located further from the body, beyond the
fracture site.
B. The corresponding limb not affected by the fracture, for a baseline
comparison.
C. The part of the limb closer to the body, above the fracture site.
D. The exact location of the fracture.
44. Nurse Mia is providing patient education for a gallium scan
procedure. Which instruction would she include as part of her
explanation?
A. The patient will need to maintain an upright posture during the
imaging process.
B. The gallium will be administered via an intravenous route 2 to 3
hours prior to the procedure.
C. The scan’s duration will be approximately 15 minutes.
D. The patient should stay on bed rest for the rest of the day following
the scan.
45. Nurse Lucas is examining a patient’s limb that has been encased in
a cast. He’s looking for signs of infection. What specific symptom
would indicate this potential complication?
A. Weakened pulse in the region beyond the cast.
B. The limb appeared cold and pale.
C. Detection of a “hot spot” on the cast.
D. Swelling in the lower part of the limb.
46. Nurse Riley is caring for a patient who has Buck’s extension
applied to their right leg. What would be an appropriate intervention
in her care plan to help prevent complications associated with this
device?
A. Administer pin care once per shift.
B. Apply lotion to the skin of the right leg every 8 hours.
C. Lift the weights off the right leg to allow for daily range of motion
exercises.
D. Perform a skin inspection on the right leg at least every 8 hours.
47. Nurse Ava is instructing a patient with a left leg cast on crutch
walking using the three-point gait, allowing touchdown weight-
bearing for the affected leg. She guides the patient to move in which
sequence?
A. Move the crutches and right leg first, then the left leg.
B. Progress with the crutches and left leg, then the right leg.
C. Move the left leg and right crutch first, then the right leg and left
crutch.
D. Advance the crutches first, then both legs at the same time.
48. Nurse Benjamin is caring for a patient with skeletal leg traction
who expresses feelings of boredom and restlessness. Based on these
complaints, which nursing diagnosis would he identify for this patient?
A. Deficit in self-care.
B. Lack of diversional activities.
C. Sense of powerlessness.
D. Impaired physical mobility.
49. Nurse Alex is teaching a patient with right-sided weakness how to
use a cane. She plans to instruct the patient to hold the cane:
A. In the right hand and place it in front of the right foot.
B. In the left hand and place it in front of the left foot.
C. In the left hand and 6 inches to the side of the left foot.
D. In the right hand and 6 inches to the side of the left foot.
50. On the first postoperative day after a total knee replacement,
Nurse Olivia has orders to assist the patient out of bed and into a chair.
What action would she plan to safeguard the newly replaced knee
joint?
A. Encase the dressing with an Ace wrap and apply ice to the knee
while the patient is seated.
B. Fit a knee immobilizer before helping the patient up and ensure the
patient’s surgical leg is elevated while seated.
C. Procure a walker to limit weight bearing on the affected leg.
D. Lift the patient to the bedside chair while leaving the Continuous
Passive Motion (CPM) machine in place.
51. Nurse Ethan is attending to a patient who underwent an above-
the-knee amputation two days ago. The elastic compression bandage
on the residual limb has come undone. What is his immediate action?
A. Reapply the elastic compression bandage on the stump.
B. Contact the doctor.
C. Apply ice to the site.
D. Dress the site with a dry sterile dressing and elevate it on a pillow.
52. Nurse Leo is looking after a patient suffering from gout. Which
laboratory value does he anticipate finding in this patient?
A. Phosphorus level of 3 mg/dl.
B. Calcium level of 9 mg/dl.
C. Uric acid level of 5 mg/dl.
D. Uric acid level of 8 mg/dl.
53. Nurse Ella is preparing a patient with an above-the-knee
amputation to use crutches until their prosthesis is adjusted. Which
exercise should she advise the patient to perform in order to best
prepare them for using crutches?
A. Isometric shoulder exercises.
B. Abdominal exercises.
C. Quadriceps setting exercises.
D. Triceps stretching exercises.
MUSCULOSKELETAL PROBLEMS D. Respiratory rate 24/minute

1. You are initiating a nursing care plan for a patient with osteoporosis.
All of these nursing interventions apply to the nursing diagnosis Risk
for Falls. Which intervention should you delegate to the nursing
assistant?
7. You are working with a nursing assistant to provide care for six
patients. At the beginning of the shift, you carefully tell the nursing
assistant what patient interventions and tasks she will be expected to
perform. To be sure that your communication is appropriate you refer
to the 4 C’s. List the 4 C’s below.

A. Identify environmental factors that increase risk for falls.

B. Monitor gait, balance, and fatigue level with ambulation. _______________________________________________________
C. Collaborate with physical therapy to provide patient with _______________________________________________________
walker. _______________________________________________________
D. Assist the patient with ambulation to bathroom and in halls. _______________________________________________________

2. You are preparing to teach a newly diagnosed patient with 8. You are providing nursing care for a patient with carpal tunnel
osteoporosis about strategies to prevent falls. Which of these points syndrome (CTS) who is preparing for surgery. Which intervention
will you be sure to include? (Choose all that apply.) should you delegate to the nursing assistant?

A. Wear a hip protector when ambulating. A. Initiate placement of a splint for immobilization during the
B. Remove throw rugs and other obstacles at home. day.
C. Exercise will help build your strength. B. Assess the patient’s wrist and hand for discoloration and
D. You should expect a few bumps and bruises when you go brittle nails.
home. C. Assist the patient with daily self-care measures such as
E. When you are tired, you should rest. bathing and eating.
D. Test the patient for painful tingling in the four digits of the
3. You discover all of these assessment findings when admitting a hand.
patient with Paget’s disease. Which finding indicates that the
physician should be notified? 9. You deserve the nursing assistant performing all of these
interventions for the patient with CTS. Which action requires that you
intervene immediately?
A. The patient has bowing of both legs and the knees are
asymmetric.
B. The base of the patient’s skull is invaginated (platybasia). A. Arrange the patient’s lunch tray and cut the meat.
C. The patient is only 5 feet tall and weighs 120 pounds. B. Provide warm water and assist the patient with a bath.
D. The patient’s skull is soft, thick, and larger than normal. C. Replace the patient’s splint in hyperextension position.
D. Remind the patient not to lift very heavy objects.
4. As charge nurse you observe the LPN/LVN providing all of these
interventions for the patient with Paget’s disease. Which action 10.The patient is scheduled for endoscopic carpal tunnel release
requires that you intervene? surgery in the morning. What key point will you be sure to teach the
A. Administers 600 mg of ibuprofen to the patient patient?
B. Encourages the patient to perform PT recommended
exercises A. Pain and numbness will be experienced for several days to
C. Applies ice and gentle massage to the patient’s lower weeks.
extremities B. Immediately after surgery, the patient will no longer need
D. Reminds the patient to drink milk and eat cottage cheese assistance.
C. After surgery, the dressing will be large with dots of
5. As charge nurse you are making assignments for the day shift. drainage
Which patient would you assign to the nurse who has been pulled D. After surgery, the pain and paresthesia will no longer be
from the post-anesthesia care unit (PACU) for the day? present.

A. A 35-year-old patient with osteomyelitis who needs teaching
prior to hyperbaric oxygen therapy
B. A 62-year-old patient with osteomalacia who is being
discharged to a long-term care facility
C. A 68-year-old patient with osteoporosis and a new orthotic
device whose knowledge of use of this device must be assessed.
D. A 72-year-old patient with Paget’s disease who has just
returned from surgery for total knee replacement
6. You delegate taking vital signs to an experienced nursing assistant.
The patient has been diagnosed with osteomyelitis. Which vital sign
do you want the nursing assistant to report immediately?
11. As charge nurse you assign the nursing care of a patient who has
just returned form open carpal tunnel release surgery to an
experienced LPN/LVN, who will perform under the supervision of an
RN. Which of the following instructions will you provide for the
LPN/LVN? (Choose all that apply.)
A. Check the patient’s vital signs every 15 minutes in the first
hour.
B. Check the dressing for drainage and tightness.
C. Elevate the patient’s hand above the heart.
D. The patient will no longer need pain medication.
E. Check the neurovascular status of the fingers every hour.

A. Temperature 99.90 F
B. Blood pressure 136/80
C. Heart rate 96/minute
12.You are preparing the post-operative CTS patient for discharge. 18.The charge nurse assigns the nursing care of a patient who is 1 day
Which information is important to provide to this patient? post-operative after a left below-the-knee amputation to an
experienced LPN/LVN, what will you describe as the major focus for
A. The surgical procedure is a cure for CTS. care today?
B. Hand movements will be restricted for 4 – 6 weeks after
surgery. A. To attain pain control for phantom pain.
C. Frequent pain medication dosages will no longer be B. To monitor for signs of sufficient tissue perfusion.
necessary. C. To assist the patient to ambulate as soon as possible.
D. Notify the physician immediately for any pain or discomfort. D. To elevate the residual limb when the patient is supine.

13.During discharge preparations, a patient with osteoporosis makes 19.A patient with a right above-the-knee amputation has phantom
all of these statements. Which statement indicates to you that the limb pain (PLP) and asks you why. What is your best response?
patient needs additional teaching?
A. “Phantom limb pain is not explained or predicted by any one
A. “I take my ibuprofen every morning as soon as I get up.” theory.”
B. “My daughter removed all of the throw rugs in my home.” B. “Phantom limb pain occurs because your body thinks you leg
C. “My husband helps me every afternoon with range-of- is still present.”
motion exercises.” C. “Phantom limb pain will not interfere with your activities of
D. “I rest in my recliner chair every day for at least an hour.” daily living.”
D. “Phantom limb pain is not real pain, but is remembered
14.The patient suffered a fractured femur. Which of the following pain.”
would you tell the nursing assistant to report immediately?
20.During morning care, the patient with a below-the-knee
A. The patient complains of pain. amputation asks the nursing assistant about prostheses. How should
B. The patient appears confused. you instruct the nursing assistant to respond?
C. The patient’s blood pressure is 136/88.
D. The patient voided using the bedpan. A. “You should get a prosthesis so that you can walk again.”
B. “Wait and ask your doctor that question next time he comes
15.After change-of-shift report, which patient should the nurse assess in.”
first? C. “It’s too soon to be worrying about getting a prosthesis.”
D. “I’ll ask the nurse to come in and discuss this with you.”
A. A 42-year-old patient with carpal tunnel syndrome
complaining of pain 21.During assessment of a patient with fractures of the medial ulna
B. A 64-year-old patient with osteoporosis who is waiting for and radius, you find all of the following data. Which assessment
discharge finding should you report to the physician immediately?
C. A 28-year-old patient with fracture complaining that the cast
is tight A. The patient complains of pressure and pain.
D. A 56-year-old patient with left leg amputation complaining B. The cast is in place and is dry and intact.
of phantom pain C. The skin is pink and warm to touch.
D. The patient can move all fingers and thumb.
16.A patient with a fractured fibula is receiving skeletal traction and
has skeletal pins in place. You instruct the nursing assistant to
immediately report which of the following?

A. The patient wants to change position in bed.

B. There is a small amount of clear fluid on the pin sites.
C. The traction weights are resting on the floor.
D. The patient is complaining of pain and muscle spasm.

17.A patient with a fracture of the right ankle has a nursing diagnosis
of Impaired Physical Mobility. As charge nurse you observe a new
graduate RN perform all of these interventions. For which action
should you intervene?

A. Encourages the patient to go from lying to standing position

B. Administers pain medication prior to beginning exercises
C. Explains to the patient and family the purpose of the
exercise program
D. Reminds the patient about correct usage of crutches
OSTEOPOROSIS
1. During a routine check-up at Meadow Creek Care Center, Nurse
Riley was discussing bone health with Ms. Avery, a 68-year-old woman
with a familial history of osteoporosis. Riley pondered on the nature
of osteoporosis. What exactly characterizes this condition?
A. A malfunctioning immune response attacking the body’s own cells.
B. A reduction in the density or mass of the bones.
C. A drop in the levels of the female hormone estrogen.
D. A combination of all the above-described situations.
2. At Sunshine Retirement Home, Nurse Marshall was assisting Mrs.
Clark, a postmenopausal woman worried about her risk of
osteoporosis. He pondered on why postmenopausal women like Mrs.
Clark tend to be at higher risk for developing this condition.
A. Rising levels of the female hormone, estrogen.
B. Elevated levels of another female hormone, progesterone.
C. Falling progesterone levels.
D. A decline in estrogen levels.
3. Nurse Patel, working in the busy halls of Riverview Clinic, was
reflecting on the various risk factors for osteoporosis. Among the
following groups and habits, which one does not typically elevate the
risk for this bone-weakening disease?
A. Women of Asian descent.
B. Regular tobacco consumption.
C. Men of Asian descent.
D. Women who have undergone menopause.
4. During a health education session at Midtown Community Clinic,
Nurse Robinson was discussing osteoporosis prevention with a group
of women. She found herself wondering, at what age should proactive
steps ideally begin to ward off this bone condition in women?
A. Once they are past 45 years old.
B. Before they reach their tenth birthday.
C. Somewhere between their twenties and mid-thirties.
D. During the period from 35 to 45 years of age.
5. Nurse Thompson, amidst her rounds in the bustling ward of
Oakwood Medical Center, reflected on the considerations for estrogen
replacement therapy. For which group of women would this hormonal
intervention potentially be inadvisable?
A. Women bearing a significant risk for breast cancer.
B. Women grappling with elevated cholesterol levels.
C. Women predisposed to osteoporosis.
D. Women with an increased likelihood of heart disease.
6. Within the high-tech imaging department at Kingsley Hospital,
Nurse Edwards was about to assist with a procedure aimed at
diagnosing osteoporosis. She pondered, which diagnostic tool is
considered the ‘Gold Standard’ for detecting this condition?
A. Indicators derived from biochemical analysis of the bone.
B. Ultrasound examination of the heel.
C. Dual energy x-ray absorptiometry scan.
D. Conventional x-ray imaging.
7. Nurse Lewis, a diligent practitioner at Parkside Clinic, was
counseling Mrs. Jones, a postmenopausal woman who couldn’t
undergo estrogen replacement therapy. Lewis pondered, how much
daily calcium intake should typically be recommended for such
women?
A. 400 milligrams each day.
B. 200 milligrams each day.
C. 1500 milligrams each day.
D. None of the stated quantities.
8. Within the pharmacology department of Westwood Health Center,
Nurse Bailey was pondering the applicability of alendronate, a drug
often employed in osteoporosis management. Which types of
osteoporosis could benefit from this medication?
A. Osteoporosis found in males.
B. Osteoporosis triggered by prolonged steroid use.
C. Osteoporosis that develops post menopause.
D. Each of the scenarios listed.
9. As part of her work at the Brightside Clinic, Nurse Miller often
counseled patients on the use of alendronate in managing
osteoporosis. She was explaining to a patient that this medication is
beneficial because it:
A. Sets in motion the parathyroid hormone (PTH).
B. Enhances the absorption of calcium into the body.
C. Puts a brake on the activity of bone-resorbing cells, osteoclasts.
D. Blocks the function of bone-forming cells, osteoblasts.
10. Within the research archives at Pinecrest Health Center, Nurse
Kennedy was digging into studies related to alendronate’s use in
postmenopausal women. She found herself curious, what is the
lengthiest period for which this medication has been studied in this
demographic?
A. Over a span of 3 years.
B. Extending to 5 years.
C. Up to 7 years.
D. As long as a decade.
11. While reviewing research material in the library of Hillcrest
Hospital, Nurse Hamilton came across a significant clinical trial that
demonstrated alendronate’s ability to lower the risk of hip and spinal
fractures. What is the name of this landmark trial?
A. FIT trial.
B. EPIC trial.
C. MORE trial.
D. PROOF trial.
12. In the bustling corridors of Rosewood Clinic, Nurse Bennett was
reflecting on various drugs used in the management of osteoporosis.
Among the following, which one does not function as an
antiresorptive agent?
A. Calcitonin, a hormone involved in calcium regulation.
B. Vitamin D, a nutrient vital for calcium absorption.
C. Alendronate, a medication often employed for osteoporosis.
D. Hormone Replacement Therapy, typically used in postmenopausal
women.