Browse all practice questions for the Saunders Musculoskeletal Practice Test. Search by topic, open any question and review its full explanation, then test yourself in the practice quiz.

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Buck's extension traction mainly aims to ease pain by reducing muscle spasms in hip and femur fracturesWhat is the primary purpose of Buck's extension traction?Essential Nursing Interventions After Spinal FusionWhich interventions should the nurse include for a client after spinal fusion?How to Relieve Itching Under a Plaster CastWhat measures can a client take to relieve itching under a plaster cast?Understanding Crutch Safety: Key Tips for Your HomeWhich statement indicates that a client understands crutch safety instructions?Understanding Exercises for Right Skeletal Lower Leg TractionWhat exercises can be performed in right skeletal lower leg traction?Understanding Muscle Spasms in Lumbar Disk HerniationWhich area is likely to show signs of muscle spasm in a client with lumbar disk herniation?Understanding Normal Responses to Skin Traction Can Enhance HealingWhich of the following would be considered a normal response to skin traction?Understanding Post-Operative Care After Femoral Head Prosthetic InsertionWhich statement indicates to the nurse that a client understands the post-operative care after a femoral head prosthetic insertion?Understanding Recovery Indicators for Clients in TractionWhat outcome indicates that a client in traction is not achieving the planned goals?Understanding red flag symptoms in fracture managementIn managing a fracture, which symptom should the nurse consider as a red flag for complications?Understanding Skin Traction: The Role of Ace Wraps, Boots, and SlingsWhat technique is commonly used in skin traction?Understanding the Best Equipment for Bed Mobility in Skeletal TractionWhat equipment should a nurse use to assist with bed mobility for a client in skeletal traction?Understanding the Importance of Hydration After a Bone ScanWhat statement by a client after a bone scan shows understanding of postprocedure care?Understanding the Late Signs of Compartment Syndrome: What You Need to KnowWhat is a late sign of compartment syndrome?Understanding the Link Between Smoking and Osteoporosis RiskClients with a history of which habit have a higher risk for osteoporosis?Understanding the Serum Uric Acid Level Test for Gout DiagnosisWhich tests are used in diagnosing gout?Understanding Total Knee Arthroplasty in Simple TermsWhat is the primary definition of total knee arthroplasty?Understanding Why Proper Crutch Fit Is Essential for SafetyWhy is it important for a client to avoid using someone else's crutches?What Symptoms Should Nurses Monitor in Rheumatoid Arthritis Patients?What symptom might a nurse monitor for in a patient undergoing treatment for rheumatoid arthritis?What to Avoid After a Sprained Ankle: Heat MisconceptionsAfter a sprained ankle, what activity should a patient avoid for the first 24 hours?What Weight-Bearing Status Should You Expect After Total Knee Arthroplasty?What weight-bearing status should the nurse communicate to a client post-total knee arthroplasty?What You Need to Know About Ankle Sprains After a TwistA client with a swollen ankle states he twisted it. What condition is likely diagnosed?Why knots should be kept away from Buck's traction pulleys for smooth pulling and effective alignmentWhy is it important to keep the knots in Buck's traction away from the pulleys?
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  • What sign might indicate potential issues in a client with a recent fracture?
  • A client in skeletal traction develops increased pain. What should the nurse first assess?
  • What is an appropriate use of anti-inflammatory medications in a client with an ACL injury?
  • In what position should a client’s leg be placed after a plaster cast is applied?
  • What should the nurse emphasize for a client in treatment for gout regarding uric acid levels?
  • When educating a patient with a plaster cast, which precaution should be emphasized?
  • Which of the following data would support a diagnosis of osteomyelitis?
  • What actions should the UAP take to ensure safe ambulation of a client?
  • Which symptom should a nurse monitor closely in a patient with a hip fracture in traction?
  • For a client with a contusion, what is the primary goal of applying heat?
  • What is key in maintaining skin integrity for a patient with limited mobility?
  • In caring for a client with an open fracture diagnosed with acute osteomyelitis, which intervention is essential?
  • Which type of fracture occurs when the bone does not completely break through?
  • Which is a common early sign of fat embolism?
  • What dietary deficiency is commonly linked to an increased risk of osteomalacia?
  • What intervention might a nurse consider for a client complaining of pain under a cast?
  • What statement indicates a need for further education regarding osteoporosis risk?
  • What is a significant risk factor for osteoporosis associated with long-term medication use?
  • Which intervention is critical for a client post-total hip arthroplasty to avoid hip complications?
  • Which exercise can help improve stability while in right skeletal lower leg traction?
  • Which interventions could help relieve muscle spasms in a client with a lumbar vertebral fracture?
  • What sign should a nurse look for to indicate potential infection in a casted extremity?
  • Which factor would be most concerning when assessing a client for osteoporosis risk?
  • What indicates the effectiveness of heat application for a severe left ankle contusion?
  • What instruction should the nurse give to prevent stiff or frozen shoulder in a client with a right arm cast?
  • Which food besides salmon is high in calcium suitable for clients with osteoporosis?
  • What is the main cause of osteomalacia in adults?
  • What professional intervention is crucial when caring for a client who has undergone a fasciotomy?
  • What is the appropriate treatment for soft tissue injuries within the first 24 to 48 hours?
  • What should the nurse include when teaching a client about compartment syndrome?
  • What is the most favorable indication of resolution for a fat embolus in a client with multiple fractures?
  • What is the most important item for repositioning a postoperative client with a fractured hip?
  • What should a nurse do if a client is experiencing skin irritation from a cast?
  • Which food item is recommended for inclusion in the diet of a client with osteoporosis due to its high calcium content?
  • Which symptom of muscle spasms may indicate a need for further intervention?
  • In a client with Paget's disease, what primarily contributes to a stooped posture?
  • Which statement would prompt the unit nurse to modify the home environment for a client discharged after spinal fusion?
  • What should be included in discharge instructions for a patient with a new hip prosthesis?
  • During a musculoskeletal assessment, which abnormal finding might be noted?
  • Which symptom is commonly associated with osteoarthritis?
  • Which intervention should a nurse anticipate for a client with a severe ankle sprain?
  • During an assessment, which symptom would most likely indicate a serious complication for a patient with a cast?
  • What is a common complaint of clients after total knee arthroplasty?
  • What is the commonly recommended weight range for maintaining effective skin traction?
  • What should be applied for relief from muscle spasms within the first 48 to 72 hours?
  • What is the appropriate time for a plaster cast to fully dry?
  • What weight-bearing status is appropriate for a patient recovering from hip surgery?
  • What action should a nurse instruct a client to avoid after a hip surgery using a posterior approach?
  • While teaching a client to use crutches, which observation indicates understanding of the three-point gait?
  • Which early symptom should a client in an arm cast report to monitor for compartment syndrome?
  • What symptoms should the nurse include in the care plan for a client at risk of fat embolism after a fractured hip?
  • What is the most common immediate treatment method for sprains in the first 24 hours?
  • A client with pelvic fractures is at risk for which changes in vital signs?
  • What is the typical presentation of fatigue in rheumatoid arthritis?
  • Which lifestyle choice is considered a risk factor for developing osteoporosis?
  • Which findings should suggest impairment of neurovascular status in a client with a cast?
  • What factors can contribute to delayed healing in a post-amputation client?
  • What indicates a proper understanding of the care instructions for a new cast?
  • Which of the following is an important teaching point for a client recovering from a fracture?
  • A client with partial hemiplegia of the left leg would benefit most from which assistive device?
  • Which instruction should be given to a client who just had a plaster cast applied to the right forearm?
  • What assessment finding would be concerning for a client with a right tibia fracture?
  • Which systems should the nurse monitor to identify early signs of fat embolism in a client with a long bone fracture?
  • A client with a fractured femur and pelvic fractures should be monitored for which signs/symptoms?
  • For a client with a herniated intervertebral lumbar disk, what symptom suggests muscle spasm in the area of the herniated disk?
  • What are the 5 P's related to compartment syndrome?
  • In a client diagnosed with a rotator cuff lesion, which structure is most likely affected?
  • What indicates a complete understanding of measures to relieve itching under a cast?
  • What important dietary consideration should women at high risk for osteoporosis be made aware of?
  • What is a common complication associated with osteoporosis that should be monitored?
  • In crutch-walking, what action should a client follow using the three-point gait with touch-down allowed on the affected leg?
  • What interpretation should the nurse make when edema is noted in the foot below a cast?
  • What does the acronym RICE stand for in the context of treating sprains?
  • Which action indicates a client requires further instruction while in skeletal traction?
  • Which of the following is a common intervention for managing swelling in a severe sprain?
  • When should a client with a knee injury seek further medical evaluation?
  • What confirms the diagnosis of polymyositis?
  • What type of fracture involves bone being splintered into fragments?
  • How should crutches be positioned according to proper techniques?
  • What recommendations should be included in a teaching plan for a client with osteoporosis to reduce fall risk?
  • When monitoring a client in skin traction, which finding is considered a priority?
  • If a client with a newly applied body cast presents with anorexia, nausea, and abdominal discomfort, what should the nurse do?
  • What type of wound care will be prescribed for a client who underwent fasciotomy for compartment syndrome?
  • In assessing a comatose client with a fractured femur and pelvis, which early signs of fat embolism should a nurse look for?
  • Which item can be used to help dry a plaster cast safely?
  • Which treatment measure is appropriate for a client with an anterior cruciate ligament injury?
  • What should be monitored closely to prevent complications in a client using Buck's traction?
  • Which sign indicates the need for immediate intervention in a client with a plaster cast?
  • Which of the following is NOT a proper care instruction for a plaster leg cast?
  • In the diagnosis of gout, what is measured over a 24-hour period?
  • After a total knee arthroplasty, what neurovascular parameters should the nurse monitor?
  • If a client with skeletal traction experiences severe leg pain, what should the nurse’s priority action be?
  • What statement from a client indicates a need for further teaching about having a plaster cast applied?
  • What laboratory value is expected for a client diagnosed with gout?
  • When can a client begin weight-bearing on a leg that has just had a fiberglass cast applied?
  • Which factor increases a client's risk for developing osteoporosis?
  • What can indicate that a molded cast is drying properly?
  • After the application of a cast, what symptom should prompt the nurse to check neurovascular status again?
  • How long should a limb be elevated after applying a cast?
  • What is considered the earliest symptom of compartment syndrome?
  • What is the recommended action for a client experiencing an acute attack of gout regarding fluid intake?
  • What are the two types of traction used in musculoskeletal treatment?
  • Which activity is advisable for a client with chronic low back pain to manage symptoms effectively?
  • What instruction should a nurse give before discharging a client receiving a plaster cast?
  • Before teaching a client how to use crutches, which assessment should take priority?
  • What condition is indicated by a client with a shortened, adducted, and externally rotated left leg?
  • When assessing a client after a closed reduction of a fractured humerus, which sign indicates a potential compartment syndrome?
  • Which behavior exhibited by a client after lumbar laminectomy indicates a need for further teaching?
  • For a patient diagnosed with osteomyelitis, what should the nurse prioritize in their care?
  • What factor is MOST likely to increase pain in a patient with low back pain?
  • What medical symptom should prompt immediate reporting to the healthcare provider?
  • What should the nurse monitor for a client with lower extremity fractures in traction?
  • After explaining the surgical procedure for bone grafting, what should the nurse explore with a client?
  • What should be monitored closely for a client in traction regarding their neuromuscular status?
  • Which condition is a client likely to have if they report knee pain that is swollen, reddened, and warm to the touch?
  • In caring for a client with a hip fracture in Buck's traction, what is the most important intervention?
  • What action should the nurse take to provide countertraction for a client in Buck's extension traction?
  • Which activities are likely causes of acute back pain?
  • Which mechanism leads to the necrosis of bones in osteomyelitis?
  • After a right below-knee amputation, which complication is a diabetic client at highest risk for?
  • Which medication is a concern for clients regarding osteoporosis risk?
  • What should the nurse assess first for a client with an open leg fracture in the emergency department?
  • What does RICE stand for in the management of soft tissue injuries?
  • In the care plan for a client in Buck's traction, which finding should the nurse monitor for potential complications?
  • In the context of skin traction, what is not indicated for the nurse to perform?
  • What is a classic sign of fat embolism that a nurse should monitor for in at-risk clients?
  • Before a fracture reduction procedure, which actions should the nurse take?
  • For a client with a torn meniscus, which area should the nurse focus on during immediate assessment?
  • What should the nurse instruct about the use of assistive devices for a client who has undergone a lower extremity amputation?
  • When positioning a client with a herniated lumbar intervertebral disk for bed rest in Williams' position, the bed should be in which position?
  • A client with gout receives dietary education. Which food indicates the need for further teaching?
  • In a client with sudden dyspnea and tachycardia post-fracture, what arterial blood gas parameter suggests a fat embolus?
  • What position should the head of the bed be in for effective countertraction during Buck's traction?
  • When a client taking high doses of acetylsalicylic acid presents with generalized joint pain and fever, what should the nurse assess for?
  • What is a significant risk factor for clients in traction regarding their skin?
  • What should the client monitor for after having a cast applied to avoid complications?
  • What are early signs and symptoms expected in a client with rheumatoid arthritis?
  • What should be monitored in a client with multiple fractures to prevent complications?
  • What is the recommended method for transferring a client after spinal fusion with rod insertion?
  • What is the most appropriate initial intervention for a client with an open fracture of the right tibia?
  • What systemic symptoms should a nurse look for when assessing a client with rheumatoid arthritis?
  • In caring for an older adult in Buck's extension traction who is disoriented, what is the best nursing action?
  • What does a subluxation of the shoulder indicate about the joint?
  • What is the key nurse intervention in the initial management of a sprained ankle?
  • Which of the following is a potential benefit of physical therapy for a sports injury?
  • For a patient who suffered an ankle injury, which management principle is crucial immediately after the injury?
  • When assessing a client using a cane for left-sided weakness, when should the nurse intervene?
  • In addition to pain, what primary physical exam finding might indicate a sprained ankle?
  • What is one of the first actions a nurse should take after a fracture reduction procedure?
  • Which of the following should be avoided to maintain skin integrity under a cast?
  • What is the priority nursing problem for a client in skeletal leg traction who reports boredom and restlessness?
  • In skin traction, how often should the skin be inspected for irritation?
  • What is the correct method for a client using crutches to go down the stairs?
  • Which intervention indicates that the nursing student needs further information regarding postprocedure care for a bone biopsy?
  • What action should a nurse take to prevent compartment syndrome in a client with a newly applied plaster leg cast?
  • Which intervention best assists a client in skeletal leg traction with self-positioning in bed?
  • What are common assessment findings for a client with a fractured hip after a fall?
  • What is the priority nursing action for a client following a left above-knee amputation?
  • What is a critical nursing action when caring for a client in Buck's traction?
  • During pin site care for a client in skeletal traction, what finding would necessitate documentation by the nurse?
  • Which area should be assessed as high risk for pressure and breakdown in a client with skeletal traction?
  • What is the primary purpose of arthroscopy of the knee?
  • Why should crutches not rest under the arm for support?
  • What is a potential cause of intense pain after a cast application, even after rest and analgesics?
  • What symptom is most indicative of a worsening condition in a patient with a cast?
  • What should the nurse advise a client to do when experiencing delayed healing in their fracture?
  • What is the initial nursing action for a client who reports increased pain after a long leg cast application?
  • When should traction ropes not rest against the footboard?
  • For a client with low back pain radiating down the left posterior thigh, which activity should the nurse inquire about aggravating the pain?
  • Which of the following should be documented as a risk factor for osteoporosis?
  • What important teaching point should a nurse include about the use of a thoracolumbosacral orthosis after spinal fusion?
  • What negative outcome should a nurse monitor for in a client who has just had a plaster cast applied on a limb?
  • How can a nurse best assess a client’s understanding of mobilization limitations post-hip replacement?
  • What should be included in the care plan for a client with a spica cast to prevent constipation?
  • Which intervention is appropriate when teaching a client with osteoarthritis?
  • In instructing a client with a below-the-knee amputation, what care should be emphasized to prevent skin breakdown?
  • During a follow-up visit, which sign would suggest that a client with osteoarthritis needs intervention?
  • Which method should the nurse use to reposition a client after hip internal fixation?
  • What is the recommended distance between the tops of crutches and the axillae?
  • In skeletal traction, what role does countertraction play?
  • How does excessive alcohol consumption affect bone health?
  • What is the correct action to ensure proper traction in a client receiving Buck's traction?
  • What kind of fluid aspiration is performed in the diagnosis of gout?
  • After a client is diagnosed with a sprained ankle, which self-care measure shows an understanding of next steps?
  • What nursing intervention should be performed for a client experiencing skin irritation from the edges of a cast?
  • What is an important nursing intervention for a client with a fractured lower leg?
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