Musculoskeletal

The patient tells the nurse, “I really didn’t expect acupuncture to decrease my pain, but it actually did! Why did it work?” The nurse bases the response on which theory of pain control?

The patient has sustained a spinal cord injury at the level of C8. The nurse plans care to include teaching about the use of which adaptive device?

Place the nursing interventions for a 16-year-old patient in the hospital for severe malnutrition and depression with a history of falls in order from highest priority to lowest priority.

The nurse is the first responder to a motor vehicular accident involving the injury of a 40-year-old male. Which action is the highest priority?

The patient with tears of the right medial meniscus asks the nurse about the use of therapeutic massage. Which response by the nurse is appropriate?

The nurse is admitting a patient who is being transferred from a nursing home who has been bedridden for the past two months. The nurse anticipates the patient will have which electrolyte disturbances?

Which statement by the patient indicates an understanding of the nurse’s teaching about Buck’s traction?

Which patient must be triaged for emergency department care first?

Which patient is at the highest risk for falls?

Which assessment finding in a patient complaining of back pain requires immediate action?

Which statement by the patient indicates a need for further teaching regarding postoperative care for a total hip arthroplasty?

Which diagnosis explains the patient's chronic pain in the shoulder and inability to perform passive range of motion (ROM) exercises? 

The nurse is assessing the patient in the emergency room who is complaining of severe joint pain. Which term does the nurse use to document this complaint?

The nurse is caring for a 12-year-old being evaluated for juvenile rheumatoid arthritis (JRA). Which characteristic is required for the diagnosis? 

The patient with persistent shoulder pain with associated numbness of the hand is scheduled for a magnetic resonance imaging (MRI) scan. The patient tells the nurse, "I'm terrified of enclosed spaces. I just don't know if I'll survive this test." After relaying the patient's concerns to the provider, which response does the nurse expect from the provider? 

At a routine check-up, the nurse expects the healthy 4-month-old to have met which milestone?

At a well-child visit, the mother of a 2-year-old child states, "My child is not keeping up with the other kids." Further evaluation reveals the patient can stack 6 cubes, walk backwards, and copy a line. The child exhibits separation anxiety and has a vocabulary of 10 words but cannot use symbols or use pronouns. Which assessment does the nurse make about the child's development?

The elderly patient is at risk for falls related to urinary incontinence. Which intervention is appropriate?

The 85-year-old patient fell in the bathroom. Which score will most accurately predict the adverse effects the patient will experience from the fall?

Which intervention does the nurse utilize first to decrease the risk for fall in the patient who is confused and agitated?

The physical therapist has recommended active range-of-motion exercises for a patient who had shoulder surgery. Which statement is true regarding the exercises?

The patient is brought to the emergency department after a motorcycle accident which resulted in head trauma. The nurse observes a hematoma and bruising around the mastoid bone. Which term does the nurse use to document the finding?

The home health nurse is working with a patient who is a fall risk. During a home visit, the nurse sees the patient repeatedly using a step stool. Which intervention is the most appropriate?

The nurse receives report on the 6-month-old child with a congenital abnormality of the hip who is in Bryant's traction. Which observation upon entering the patient's room indicates the patient is positioned appropriately? 

The nurse anticipates administering which medication to the patient with osteomyelitis? 

The nurse is preparing a wellness presentation for colleagues. Which tips does the nurse include to prevent low back pain and injury? Select all that apply.

The nurse has provided teaching to the patient regarding the use of crutches after she broke her ankle. Which is the best way for the nurse to assess the patient’s understanding of the teaching?

The patient presents to the emergency department (ED) with nausea, vomiting, fever, severe knee and wrist pain, nosebleed, and lymphadenopathy. A new murmur is noted, as well. The nurse asks the patient about a recent history of which infection?

The child suffered a radial fracture that has just been immobilized with a plaster cast. Which action by the nurse is appropriate? 

The nurse is caring for a 16-month-old child. The child’s father expresses concern to the nurse that his son cannot kick a soccer ball. Which response from the nurse is appropriate?

An emergency room nurse is caring for a patient admitted by ambulance after a motor vehicle collision. The patient was transported with a long spine board and rigid cervical collar. Thirty minutes after arrival, the patient has been log-rolled off the spine board, completed imaging studies of the spine, and is requesting removal of the cervical collar. Which is the nurse’s next action?

The nurse receives report from the operating room regarding a postoperative craniotomy patient and recognizes the patient is at risk for which complications? Select all that apply.

Which situations prompt the use of four-point restraints? Select all that apply.

The nurse advocates for the use of secukinumab in which patient?

Which interventions increase the risk for impaired skin integrity in the patient with congestive heart failure who requires total care? Select all that apply.

Following a motor vehicle accident, the patient is brought to the emergency department with concern for a brainstem injury. Which tests are performed to assess the integrity of this patient’s brainstem? Select all that apply.

The patient is 3 hours postop from an open abdominal surgery. Flexion and extension of which joints are most appropriate for this patient to perform to prevent complications of immobility while minimizing the risk of evisceration? Select all that apply.

Which term does the nurse use to describe the patient who takes oxycodone daily for pain associated with deteriorating knee cartilage and requests a higher dosage for breakthrough pain?

The 18-year-old patient presents to the emergency department (ED) complaining of severe pain in the ankle after falling at work. Range of motion in the ankle is decreased and +1 edema is present. On x-ray, the bones of the foot and ankle are intact and the patient is diagnosed with a mild sprain. How does the nurse assess this patient’s pain?

Which assessments indicate the patient is experiencing chronic pain? Select all that apply.

The patient has been taking oral oxycodone for 5 months and has experienced relief of pain caused by a bulging disc in the lower back. The patient presents to the clinic to report breakthrough pain that is more severe than before treatment. Which action by the nurse is most appropriate?

The patient with scoliosis experiences severe pain due to muscle spasms related to the misalignment of the spine. Which medication does the nurse anticipate to be ordered for this condition?

The nurse recommends transcutaneous electrical nerve stimulation (TENS) to which patients? Select all that apply.

The nurse plans care to assist the patient with cognitive-behavioral strategies to reduce pain at which time?

The patient with damage to the anterior horn of the spinal cord will have which deficiency?

During a comprehensive physical assessment, the nurse instructs the patient to stand still with the eyes closed. After a few seconds, the patient begins to sway and the nurse guides the patient into the chair. How does the nurse document this finding?

The nurse is preparing the patient for a computed tomography (CT) scan of the brain following a blow to the head. Which instruction does the nurse give the patient?

The patient with severe anxiety and claustrophobia is administered intravenous midazolam prior to an outpatient magnetic resonance imaging (MRI) scan of the brain. The nurse informs the patient’s companion that the patient can leave at which time following the procedure?

The patient currently undergoing emergency aspiration of an intracranial hematoma after a construction site accident has a nursing diagnosis of risk for contractures related to immobility. The nurse plans postoperative care to include which intervention to achieve the expected outcome associated with this nursing diagnosis?

The patient is recovering from a lower spinal cord injury that has resulted in paraplegia and lack of sensation below the umbilicus. Which instruction is most important to help the patient protect skin integrity?