1 A nurse is preparing to reposition a client. Which of the following actions should the nurse
take first?
Raise the height of the client's bed.
Pivot their feet in the direction of the move.
Place their feet in line with their shoulders.
Tighten their abdominal muscles.
2 A nurse is assessing an older adult client who is experiencing age-related changes. Which of
the following findings should the nurse expect?
Increased joint stiffness
increased calcification of bones
Increased balance
Increased muscle mass
3 A nurse is caring for a client who has rheumatoid arthritis and is experiencing difficulty
feeding herself using adaptive devices. The nurse should
initiate a referral with which of the following members of the interprofessional health care
team?
Occupational therapist
Social worker
Registered dietitian
Speech pathologist
4 A nurse is caring for a client who has an unrepaired femur fracture of the midshaft. Which of
the following techniques should the nurse use when
performing an assessment of the client's neurovascular status?
Measure the circumference of the thigh.
Palpate the femoral pulse.
Monitor the client's calf for edema.
Instruct the client to wiggle his toes
6 A nurse is teaching a client who has a new prescription for ibuprofen to treat hip pain. Which
of the following instructions should the nurse
include in the teaching?
Expect ringing in your ears.
Take the medication with food.
Store the medication in the refrigerator.
Monitor for weight loss.
7 A nurse working on an orthopedic unit is caring for four clients. Which of the following clients
should the nurse identify as being at the greatest risk for skin breakdown?
An adolescent who has a cervical fracture and is in a halo brace
A young adult who has a femur fracture and is in skeletal balanced suspension traction
A middle adult who has a fractured radius and an arm cast
An older adult who has a hip fracture and is in Buck's traction
8 A nurse is discussing the differences between skeletal and skin traction with a newly licensed
nurse. Which of the following statements by the
newly licensed nurse indicates understanding.
"Skeletal traction has less risk for infection than skin traction."
"Clients with skin traction have more mobility than those with skeletal traction."
"Skeletal traction is more appropriate than skin traction for reducing a fracture."
"Clients with skin traction have more discomfort than those with skeletal traction."
9 A nurse is performing a mobility assessment on a client. Which of the following data should
the nurse collect as part of this assessment?
The client's ability to sit.
The condition of the client's skin.
The client's health literacy level.
The clients need for assistance with ADLs.
The client's daily calcium intake.
10 A nurse is completing discharge instructions with a client following an acute onset of gout.
Which of the following client statements indicates an understanding of the treatment regimen?
"I will closely follow a high-purine diet."
"I will limit my fluid intake to 1 liter per day."
"I will take one aspirin every day."
"I will limit my alcohol intake
11 A nurse is talking to a client who is taking a calcium supplement for osteoporosis. The client
tells the nurse she is experiencing flank pain. Which
of the following adverse effects should the nurse suspect?
Hepatitis
Peptic ulcer fracture
Renal stones
Pancreatitis
12 A home health nurse is developing a plan of care for a child who has hemiplegic cerebral
palsy. Which of the following goals is the priority for the Nurse, to include in the plan of care?
Provide respite services for the parents.
Improve the client's communication skills.
Foster self-care activities.
Modify the environment.
13 A nurse is performing a mobility assessment on a client. Which of the following actions
should the nurse take first?
Ask the client to sit on the edge of the bed for 2 min.
Ask the client to march in place.
Ask the client to place their feet on the floor.
Ask the client to stand for 5 seconds.
14 A nurse is caring for a client who has impaired mobility. Which of the following support
devices should the nurse plan to use to prevent the client
from developing plantar flexion contractures?
Trochanter roll
Sheepskin heel pad
Abduction pillow
Footboard
15 A nurse is teaching a client who has a new prescription for colchicine to treat gout. Which of
the following instructions should the nurse include?
"Take this medication with food if nausea develops."
"Monitor for muscle pain."
"Expect to have increased bruising."
"Increase your intake of grapefruit juice."
16 A nurse is caring for an older adult client who has rheumatoid arthritis (RA) and is taking
aspirin 650 mg every 4 hours. Which of the following
diagnostic tests should the nurse monitor to evaluate the effectiveness of this medication?
White blood cell (WBC) count
Rheumatoid factor (RF)
Antinuclear antibody (ANA)
Erythrocyte sedimentation rate (ESR)
17 A nurse is caring for a client who sustained a femur fracture in an automobile accident and is
placed into skeletal traction. The nurse may remove the weights from the traction device if
which of the following occurs?
The client complains of pain.
The client develops a life-threatening situation.
The client needs to have an x-ray of the femur performed
The client has to be repositioned in the bed.
18 A nurse is teaching a client about medications that prevent osteoporosis. The nurse should
instruct the client that which of the following
medications is prescribed to prevent osteoporosis?
Levothyroxine
Calcitonin
Raloxifene
Allopurinol
19 A nurse is teaching a client who has multiple sclerosis and a new prescription for dantrolene.
Which of the following statements by the client indicates an understanding of the teaching?
"I need to apply sunscreen when I go outside."
"I can take an over-the-counter antihistamine for allergies when I'm taking this drug."
"I should take this medication when my spasms are bad."
"My muscle strength should improve a lot in 2 to 3 days.
20 A nurse is caring for a client who is prescribed bed rest. The plan of care indicates that the
client should perform isometric exercises every 2 hr. Which of the following actions should the
nurse take as directed by the plan of care?
Ask the client to move her arms and legs while applying slight resistance.
Move the client's limbs through their complete range of motion.
Have the client move each limb independently through its complete range of motion.
Instruct the client to tighten muscle groups for a short period, and then relax.
21 A nurse is providing teaching to a client who has rheumatoid arthritis and a new prescription
for methotrexate. Which of the following instructions should the nurse include? (Select all that
apply.)
Expect to feel the medication's effects immediately.
Do not drink alcoholic beverages while taking this medication.
Report unexplained bruising to the provider.
Avoid people who have infections.
Take NSAIDS to help minimize the adverse effects of the medication
22 A nurse is caring for a client who received a diagnosis of systemic scleroderma 5 years ago.
The nurse plans to assess the client to document the disease's progression. In addition to skin
changes, which of the following findings should the nurse expect?
Periorbital edema
Excessive salivation
Finger contractures
Thinning of the skin
23 A nurse is providing teaching to a client who has osteoporosis and a new prescription for
alendronate. Which of the following adverse effects
should the nurse instruct the client to report to the provider? (Select all that apply.)
Tinnitus
Jaw pain
Blurred vision
Drowsiness
Dysphagia
24 A nurse is caring for a female client who has rheumatoid arthritis and asks the nurse if it is
safe for her to take aspirin. The nurse should recognize which of the following findings in the
client's history is a contraindication to this medication.
Report of recent migraine headaches
History of gastric ulcers
Current diagnosis of glaucoma
Prior reports of amenorrhea
25 A nurse is teaching a client about preventing osteoporosis. Which of the following
statements by the client indicates a need for further teaching?
"I will reduce my intake of sodium.
"I will decrease my intake of caffeine.
"I will limit my intake of soft drinks."
"I will reduce my intake of vitamin K-rich foods."
26 A nurse is providing teaching to a client who has a new diagnosis of fibromyalgia. Which of
the following client statements indicates an
understanding of the teaching?
"I should increase my caffeine intake."
"I will take my duloxetine in the morning, so I have more energy to accomplish tasks."
"Low-impact aerobics can help reduce episodes of pain."
"A course of chemotherapy treatment should provide a cure."
27 A nurse is caring for a client who is on bed rest and is experiencing constipation. Which of
the following interventions should the nurse implement?
Increase the client's fluid intake.
Request a prescription for mineral oil for the client.
Encourage the client to drink cold fluids.
Place the client on a low-fiber diet.
28 A nurse is assessing a client who reports numbness and pain in his right palm, index finger,
and middle finger. The client reports working with a keyboard most of the time while at work.
The nurse suspects carpal tunnel syndrome. Which of the following tests should the nurse
request that the client perform?
Hold the right arm straight.
Hold the wrist at a 90-degree flexion.
Flex the right arm at the elbow
Extend the right arm upward.
29 A nurse at an extended-care facility is instructing a class of assistive personnel (AP) about
client use of assistive devices during ambulation. Which
of the following instructions should the nurse give the APs about the clients' use of a cane?
"When the client moves. he should move the cane forward first
"The client should hold the cane on the weak side of his body."
"The grip should be level with the client's waist."
"The client should first move the strong leg, then the weak one."
30 A nurse is assisting with transferring a client from the bed to a wheelchair. Which of the
following actions should the nurse take?
Place the wheelchair at a 90° angle to the bed.
Lock the wheels of the bed and the wheelchair.
Acquire the help of several people to lift the client.
Elevate the bed to a position of comfort for the nurse.
31 A nurse is providing teaching about calcium to a client who is at risk for osteoporosis. The
nurse should inform the client that calcium is stored in which of the following locations?
Bones
Tendons
synovial joints
Red bone marrow
32 A nurse is teaching a newly licensed nurse about the difference between a plaster cast and a
synthetic cast. Which of the following information should the nurse include in the teaching?
Drying time is prolonged with a synthetic cast.
A synthetic cast weighs less.
A plaster cast requires expensive equipment for application.
A synthetic case immobilizes bone fractures more effectively
33 A nurse is assessing an older adult client who has osteoporosis. Which of the following spinal
deformities should the nurse expect to find in this client?
Lordosis
Ankylosis
Kyphosis
Scoliosis
34 A nurse is teaching a client about the musculoskeletal system. The nurse should include
which of the following is a fluid-filled capsule that enables movement and flexibility?
cartilage
synovial joints
Tendons
Ligaments