Ortho Post-Test PDF

1. A nurse has conducted teaching with a client in an arm cast about *0/1 signs and symptoms of compartment syndrome. The nurse determines that the client understands the information if the client stated that he or she should report which of the following early symptoms of com...

1. A nurse has conducted teaching with a client in an arm cast about *0/1 signs and symptoms of compartment syndrome. The nurse determines that the client understands the information if the client stated that he or she should report which of the following early symptoms of compartment syndrome? A. Pain that is relieved only by oxycodone and aspirin (Percodan) B. Pain that increases when the arm is independent C. Cold, bluish-colored fingers D. Numbness and tingling in the fingers Correct answer B. Pain that increases when the arm is independent 2. A client has been admitted with a fractured femur and has been placed *0/1 in skeletal traction. Which of the following nursing interventions should receive priority? A. Maintaining proper body alignment B. Frequent neurovascular assessments of the affected leg C. Inspection of pin sites for evidence of drainage or inflammation D. Applying an over-bed trapeze to assist the client with movement in bed Correct answer B. Frequent neurovascular assessments of the affected leg  3. A 4 year-old has been hospitalized for 24 hours with skeletal traction *1/1 for treatment of a fracture of the right femur. The nurse finds that the child is now crying and the right foot is pale with the absence of a pulse. What should the nurse do first? A. Notify the health care provider B. Readjust the traction C. Administer the ordered prn medication D. Reassess the foot in fifteen minutes 4. A client with a fractured femur has been in Russell’s traction for 24 *0/1 hours. Which nursing action is associated with this therapy? A. Check the skin on the sacrum for breakdown B. Inspect the pin site for signs of infection C. Auscultate the lungs for atelectasis D. Perform a neurovascular check for circulation Correct answer C. Auscultate the lungs for atelectasis 5. The nurse is caring for a 5 year-old child who has the left leg in *1/1 skeletal traction. Which of the following activities would be an appropriate diversional activity? A. Kicking balloons with right leg B. Playing "Simon Says" C. Playing hand held games D. Throw bean bags 6. A client in skeletal leg traction with an overbed frame is not allowed *1/1 to turn from side to side. Which action by the nurse would be most useful in trying to provide good skin care to the client? A. Ask the client to lift up by digging into the administering care B. Push down on the mattress of the bed while administering care C. Have another nurse turn the client anyway D. Ask the client to pull up on a trapeze to lift the hips off the bed  7. A nurse is evaluating the pin sites of a client in skeletal traction. The *0/1 nurse would be least concerned with which of the following findings? A. Purulent drainage B. Serous drainage C. Pain at a pin site D. Inflammation Correct answer B. Serous drainage 8. A client immobilized in skeletal leg traction complains of being bored *1/1 and restless. Based on these complaints, the nurse formulates which of the following nursing diagnoses for this client? A. Deficient Diversional Activity B. Powerlessness C. Self-Care Deficit D. Impaired Physical Mobility  9. A nurse is caring for a client who had skeletal traction applied to the *1/1 left leg. The client is complaining of severe left leg pain. Which of the following actions should the nurse take first? A. Medicate the client with an analgesic B. Provide pin care C. Call the physician D. Check the client’s alignment in bed 10. A client with a hip fracture asks the nurse why Buck’s extension *0/1 traction is being applied before surgery. The nurse’s response is based on the understanding that Buck’s extension traction primarily. A. Provides rigid immobilization of the fracture site. B. Provides comfort by reducing muscle spasm and provides fracture immobilization C. Lengthens the fractured leg to prevent severing of blood vessels. D. Allows bony healing to begin before surgery. Correct answer B. Provides comfort by reducing muscle spasm and provides fracture immobilization  11. A client has skeletal traction applied to the right leg. The nurse *1/1 would plan which of the following interventions to prevent complications of the device? A. Massage the skin of the right leg with lotion every 8 hours B. Give pin care once a shift C. Inspect the skin on the right leg at for range of motion exercises daily D. release the weights of the traction every shift to relax the limb. 12. A client has been placed in Buck’s extension traction. The nurse can *0/1 provide for counteraction to reduce shear and friction by A. Slightly elevating the head of the bed B. Slightly elevating the foot of the bed C. Providing an overhead trapeze D. Using a footboard Correct answer B. Slightly elevating the foot of the bed 13. The nurse is teaching a client with a left fractured tibia how to walk *1/1 with crutches. Which instruction is appropriate? A. Use the axillae to help carry the weight B. All weight should be on the hands C. Keep feet 12" (30 cm) apart to provide stability and a wide base of support D. Take long strides to maintain maximum mobility 14. A client being measured for crutches asks the nurse why the *1/1 crutches cannot rest up underneath the arm for extra support. The nurse’s response is based on the understanding that this could result in A. Impaired range of motion while the client ambulates B. Skin breakdown in the area of the axilla C. Injury to the brachial plexus nerves D. A fall and further injury  15. A nurse is planning to teach a client how to stand on crutches. The *0/1 nurse plans to incorporate into written instructions that the client should be told to place the crutches. A. 8 inches to the front and side of the client’s toes B. 3 inches to the front and side of the client’s toes C. 20 inches to the front and side of the client’s toes D. 15 inches to the front and side of the client’s toes Correct answer A. 8 inches to the front and side of the client’s toes 16. A nurse has given client instructions about crutch safety. The nurse *1/1 determines that the client needs reinforcement of information if the client states The need to have spare crutches and tips available B. That crutch tips will not slip even when wet C. Not to use someone else’s crutches D. That crutch tips should be inspected periodically for wear  17. A client with right-sided weakness needs to learn how to use a *0/1 cane. The nurse plans to teach the client to position the cane by holding it with the A. Left hand and placing the cane in front of the left foot B. Right hand and placing the cane in front of the right foot C. Left hand and 6 inches lateral to the left foot D. Right hand and 6 inches lateral to the right foot Correct answer C. Left hand and 6 inches lateral to the left foot 18. A nurse is evaluating a client’s use of a cane for left-sided *0/1 weakness. The nurse would intervene and correct the client if the nurse observed that the client A. Holds the cane on the right side B. Keeps the cane 6 inches out to the side of the right foot C. Moves the cane when the right leg is moved D. Leans on the cane when the right leg swings through Correct answer C. Moves the cane when the right leg is moved  19. A school-aged child has had a long leg (hip to ankle) synthetic cast *0/1 applied 4 hours ago. Which statement from the mother indicates that teaching has been inadequate? A. "I will keep the cast for the next day uncovered to prevent burning of the skin." B. "I can apply an ice pack over the area to relieve itching inside the cast." C. "The cast should be propped on at least 2 pillows when my child is lying down." D. "I think I remember that standing cannot be done until after 72 hours." Correct answer D. "I think I remember that standing cannot be done until after 72 hours." 20. A client has been hospitalized after an automobile accident. A full *1/1 leg cast was applied in the emergency room. The most important reason for the nurse to elevate the casted leg is to A. Promote the client's comfort B. Reduce the drying time C. Decrease irritation to the skin D. Improve venous return  21. The RN is planning care at a team meeting for a 2 month-old child *1/1 in bilateral leg casts for congenital clubfoot. Which of these suggestions by the PN should be considered the priority nursing goal following cast application? A. Infant will experience minimal pain B. Muscle spasms will be relieved C. Mobility will be managed as tolerated D. Tissue perfusion will be maintained 22. A 3 year-old had a hip spica cast applied 2 hours ago. In order to *0/1 facilitate drying, the nurse should? A. Expose the cast to air and turn the child frequently B. Use a heat lamp to reduce the drying time C. Handle the cast with the abductor bar D. Turn the child as little as possible Correct answer A. Expose the cast to air and turn the child frequently  23. The nurse is caring for a client with a long leg cast. During *0/1 discharge teaching about appropriate exercises for the affected extremity, the nurse should recommend A. Isometric B. Range of motion C. Aerobic D. Isotonic Correct answer A. Isometric 24. A client with a fracture of the radius had a plaster cast applied 2 *1/1 days ago. The client complains of constant pain and swelling of the fingers. The first action of the nurse should be A. Elevate the arm no higher than heart level B. Remove the cast C. Assess capillary refill of the exposed hand and fingers D. Apply a warm soak to the hand  25. The nurse, assisting in applying a cast to a client with a broken arm, *0/1 knows that A. The cast material should be dipped several times into the warm water B. The cast should be covered until it dries C. The wet cast should be handled with the palms of hands D. The casted extremity should be placed on a cloth-covered surface Correct answer C. The wet cast should be handled with the palms of hands 26. A nurse is planning to teach a client with a left arm cast about *0/1 measures to keep the left shoulder from becoming stiff and frozen. Which suggestion would the nurse include in the teaching plan? A. Lift the left arm up over the head B. Lift the right arm up over the head C. Make a fist with the hand of the casted arm D. Use a sling on the left arm Correct answer A. Lift the left arm up over the head  27. A client has a fiberglass (nonplaster) cast applied to the lower leg. *0/1 The client asks the nurse when the client will be able to walk on the cast. The nurse replies that the client will be able to bear weight on the cast. A. Within 20 to 30 minutes of application B. In about 8 hours C. In 24 hours D. In 48 hours Correct answer A. Within 20 to 30 minutes of application 28. A nurse has given a client with a leg cast instructions on cast care *1/1 at home. The nurse would evaluate that the client needs further instruction if the client makes which of the following statements? A. “I should avoid walking on wet, slippery floors.” B. “It’s okay to wipe dirt off the top of the cast with a damp cloth” C. “I’m not supposed to scratch the skin underneath the cast.” D. “If the cast get wet, I can dry it with a hair dryer turned to the warmest setting.”  29. A nurse is assessing the casted extremity of a client. The nurse *1/1 would assess for which of the following signs and symptoms indicative of infection? A. Coolness and pallor of the extremity B. Presence of a “hot spot” on the cast C. Diminished distal pulse D. Dependent edema 30. A client has sustained a closed fracture and has just had a cast *0/1 applied an ice bag, and administered an analgesic with little relief. The nurse may interprets that this may be due to A. Impaired tissue perfusion B. The newness of the fracture C. The anxiety of the client D. Infection under the cast Correct answer A. Impaired tissue perfusion ORTHO POST-TEST 0 of 0 points Double check your answers before submitting. Make sure to click SUBMIT after answering the test. This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy Forms