Musculoskeletal

The nurse is teaching a 50-year-old patient with rheumatoid arthritis self-care and management of the condition. Which morning activity does the nurse recommend to the patient to facilitate further activities?

The nurse is caring for the patient who recently underwent right above-knee amputation and complains of pain in the amputated limb. Which response by the nurse is most appropriate?

The nurse is caring for a 50-year-old male patient with osteoarthritis who is prescribed a non-steroidal anti-inflammatory drug for pain. Which instruction does the nurse provide to the patient?

The patient with decreased mobility complains of neck and lower back pain during a bed bath. Which initial intervention does the nurse utilize to promote relaxation and comfort to the patient? 

The nurse is preparing a 57-year-old male patient for discharge. Patient’s left leg is weak due to his recent cerebrovascular accident. Which of the following assistive devices is most helpful for the patient?

A 75-year-old woman appears in the emergency room with a wrist fracture sustained during a minor fall. Which of the following conditions is most likely related to the patient’s condition?

Which of the following statements by a nursing assistant indicates understanding of the nurse’s instructions regarding the care of a patient with failure to thrive?

The nurse is assessing a patient with hypoparathyroidism. Which assessment finding does the nurse expect to see in this patient?

The patient presents to the emergency department with pain and deformity in her wrist after falling on her outstretched arm. The provider diagnoses the patient with a Colles fracture. How does the nurse interpret this information?

The nurse is reviewing today’s patient assignments. Which patient does the nurse assess first?

Which finding in a client receiving a continuous magnesium sulfate infusion for preeclampsia indicates toxicity?

The patient receiving inhaled anesthesia for a surgical procedure develops malignant hyperthermia. Which of the following medications should the nurse expect to administer?

The patient is under general anesthesia for a surgical procedure. Because an inhaled anesthetic is being administered, the nurse should be vigilant for which of the following early signs of malignant hyperthermia?

The patient has sustained a complete spinal cord injury at the C3 level. The patient’s wife asks the nurse what his life will be like. Which of the following responses by the nurse is most appropriate?

The nurse is participating in long-term care planning for a patient who sustained a spinal cord injury at C8. Which of the following long-term goal(s) of care are most appropriate for this patient? Select all that apply.

The nurse is providing discharge teaching to an individual who suffered a spinal cord injury at T11. Which of the following statements by the patient indicates a need for further teaching?

The nurse is caring for a patient who sustained a C4 spinal cord injury one year ago. This patient is most likely at risk for which of the following pulmonary complications?

The patient presents to the emergency department with a probable cervical spinal cord injury following a diving accident one hour ago. The nurse anticipates this patient’s labs will most likely show which of the following acid-base disturbances?

The nurse is caring for a patient who sustained a spinal cord injury at T6, three weeks ago. The patient abruptly complains of a severe headache. On assessment, the nurse notes the patient is diaphoretic. Vitals are significant for a heart rate of 45 bpm, blood pressure 156/98 mmHg, respirations of 16 breaths per minute, and 94% oxygen saturation on room air. Which of the following is the next best step in management?

The patient with a T4 spinal cord injury that occurred 4 weeks ago has been prescribed terazosin. The nurse informs the patient this medication is prescribed to prevent which of the following conditions?

The nurse learns that a patient is in neurogenic shock after a high cervical spinal cord injury. Which of the following set of vital signs is most consistent with this condition?

The nurse is called to assist a 29-year-old G1P0 female with a viable intrauterine pregnancy at 42-weeks estimated gestational age who is in active labor. During spontaneous vaginal delivery of the neonate, shoulder dystocia occurs. The nurse should carefully assess the neonate for which of the following common complication of shoulder dystocia?

An infant has undergone surgery for plagiocephaly. No hydrocephalus is present. The nurse anticipates providing education to the parents about which post-surgical intervention?

A teenager collapsed in the heat following a particularly strenuous football practice. Upon presentation to the emergency department, the patient complains of severe muscle pain and weakness. Rhabdomyolysis is suspected. Which of the following laboratory tests will confirm the diagnosis because it is the most sensitive and specific?

The patient presents to the emergency department after particularly strenuous weight-lifting at the gym complaining of severe muscle pain, inability to remain standing for more than a couple of minutes, and dark urine. The nurse anticipates the patient will be diagnosed with which of the following conditions?

The nurse is performing an electrocardiogram on a patient with rhabdomyolysis. The patient asks the nurse what the rationale is for this test, since he is young and has no cardiac history. Which of the following responses by the nurse is most appropriate?

The patient is diagnosed with rhabdomyolysis after suffering from heatstroke while running a marathon. Which of the following interventions will be most helpful in preventing acute kidney injury?

The nurse notices a patient walking in the hall who has a wristband indicating he is a fall risk. Which action does the nurse take?

Which electrolyte imbalance will decrease the ability of the patient’s muscle cells to reach the action potential and contract?

A 15-year-old patient has been diagnosed with non-mosaic Turner syndrome. The nurse prepares to educate the patient on which medication?

A child with maple syrup urine disease presents to the emergency department with vomiting, diarrhea, lethargy and seizures for the past two days. Which of the following treatments should be started first for this patient?

The patient is receiving high-dose prednisone for an acute flare up of rheumatoid arthritis. Which adverse event is associated with high-dose prednisone? Select all that apply.

A pregnant patient with pre-eclampsia is receiving a magnesium sulfate infusion. Which early symptom, if present in the patient, indicates the patient’s magnesium level is becoming toxic?

The patient tells the nurse, “My doctor wants me to take a vitamin D supplement for my osteoporosis, but I just don’t want to take another pill. What are some foods I can eat to increase my vitamin D?” The nurse counsels the patient to eat which foods high in vitamin D? Select all that apply.

The nurse is providing discharge education about crutches to a patient who has an order to be non-weight bearing due to a broken ankle. Which action, if made by the patient, indicates a need for further teaching?

The patient is weight bearing but has left-sided weakness following a left knee injury. The provider has instructed the nurse to educate the patient on the use of a cane. How does the nurse instruct the patient to use the cane?

The nurse is supervising a patient who recently had a right hip replacement while she moves from sitting to standing with a walker. Which action would prompt the nurse to correct the patient?

The patient with severe fatigue and muscle wasting due to acquired immunodeficiency syndrome (AIDS) is experiencing pain. Which nonpharmacological therapy is most appropriate to include in this patient’s treatment plan?

The patient with a broken arm in a plaster cast requests to take a shower. Which response by the nurse is most appropriate?

The nurse instructs the patient with stress incontinence to perform pelvic floor exercises. Which type of muscle contraction occurs during pelvic floor exercises?

A patient who is immobilized following a motor vehicle accident is at risk for which imbalance?

The 30-year-old female patient presents to the emergency department complaining of double vision, bilateral facial drooping, diffuse muscle weakness, difficulty swallowing, and shallow respirations. The nurse anticipates administering which medication to confirm this patient’s diagnosis?

Which adverse effect is of greatest concern for the patient undergoing treatment for multiple sclerosis?

The nurse assessing the skull of the 6-month-old infant notes the sutures are approximated and cannot appreciate either the anterior or posterior fontanelle. Further investigation and intervention is warranted to prevent complications of which condition?

Following a mass casualty event, the nurse is called in to the hospital to work in accordance with the city's emergency response plan. The nurse is instructed to discharge as many current inpatients as possible to assist with reallocation of resources. Which patient is most appropriate to be discharged?

The nurse is teaching a patient how to walk with a cane following a cerebrovascular accident that left the patient with right-sided weakness. Which action by the patient indicates the teaching was effective?

Which assessment in the patient with bladder cancer indicates the patient is experiencing a complication of the disease?

After receiving report, which patient does the nurse see first?

Which exercise is appropriate for the patient who has a Glasgow Coma Scale of 4?

The patient presents to the emergency department after having a metal beam fall on his head at a work site. He was wearing a helmet which broke with the impact. He was unconscious at the scene but is awake now, and his initial assessment is completely benign. Which finding upon reassessment 30 minutes later is most concerning?