NCMB 316 FINALS
NCMB 316 FINALS Review Quiz
Prepare for your NCMB 316 finals with this comprehensive quiz designed specifically for nursing students. With 25 thoughtfully crafted questions, this quiz covers critical topics related to musculoskeletal health, assessment techniques, and patient care practices. Test your knowledge and confidence before exam day!
- 25 Multiple Choice Questions
- Focusing on Osteoarthritis, Rheumatoid Arthritis, Traction, and more
- Self-assess your readiness for finals
Which statement by an adult with osteoarthritis indicates to the nurse that she understands her therapeutic regimen?
I will wait until my pain is very bad before I take my pain medication, or else further on in my disease, the medication won’t help at all”
Jogging for short distances is better for my arthritis than walking for longer distances”
It would probably be a good idea for me to lose the 30 pounds my doctor recommended I lose”
I should do all my house cleaning on one day so I can rest for the remainder of the week”
Which statement best describes the nurse’s assessment of the client with rheumatoid arthritis?
Assessment is done of the musculoskeletal, cardiac, pulmonary, and renal systems
The client’s health history is not nearly as important as the nurse’s findings on physical examination
Pain is best assessed by monitoring the client’s facial expression during exam and by observing limitations in the client’s own movement
Vital signs are adequate assessment of the acuity of the client’s level of pain
An adult is admitted to the medical unit with acute exacerbation rheumatoid arthritis. Which of the following will the nurse include in his nursing care plan?
Schedule hygiene activities together in one block to provide longer rest periods before and after care”
Administer analgesics for pain when systolic blood pressure increases 20 mmHg or more or pulse increases 20% or more”
Instruct client to stop taking iron supplements that lead to constipation”
Develop plan with client to meet self-care needs”
A 17-year-old sprained his left ankle playing football. The emergency nurse is teaching the client ambulation with crutches using a four-point gait. Which sequence correctly describes this gait?
Weight on both crutches and both feet; left foot and right crutch are advanced simultaneously and weight transferred to them; right foot and left crutch are advanced simultaneously and weight transferred to them; the pattern is continued
Weight on both crutches and both feet; right crutch advances forward, then left foot is advanced as weight shifts to right foot and both crunches; weight is distributed to both feet and right crutch as left crutch is advanced; right foot is advanced with weight on left foot and both crutches
Weight on both feet and crutches; both crutches are advanced while weight remains on feet; weight transfers to crutches to as feet swing forward and land with heels on line with the crutches; both crutches are advanced and the pattern is continued
Weight on both crutches and right foot; crutches and left foot move forward while weight stays on right foot; all weight transferred to crutches, then to right foot; crutches and advanced forward for next step
An adult is learning how to use cane. The nurse knows that the person can use the cane safely when observing which of the following?
The cane is held on the unaffected side; the cane and affected leg are moved forward, then the unaffected leg comes forward
The cane is held on the unaffected side; the cane is moved forward, then the unaffected leg, then the affected leg
The cane is held on the affected leg; the can and unaffected leg are moved forward
The cane is held on the affected side; the cane is moved forward, then the unaffected leg, then the affected leg
An adult who has had a total hip replacement is learning how to walk with standard (not reciprocal) walker. Which description bellow tells the nurse that he is walking the walker correctly?
Each time he steps on his non-affected side, the client advances the walker; when moving his affected side, he steps into the walker and lift his non-affected foot
The client lifts the walker in front while balancing on both feet, then walks into the walker, supporting his body weight while advancing his affected side
One side of the walker is simultaneously advanced with the opposite foot; the process is repeated on the other side
The client balances on both feet, most weight on his non-affected side, and lifts the walker forward; he then balances on the walker and swings both feet forward into the walker
Which of the following findings would alert the nurse to notify the physician of a serious complication for the client with a cast on his leg?
Ability of client to move toes without difficulty
Poor capillary refill of the toes
Pain relieved by application of ice bag to cast
Itching under the cast
An adult is in Russel traction. It is appropriate for the nurse to make which of the following assessments because of the client’s treatment modality?
Check that the leg in traction is on the mattress, not elevated
Ensure that both buttocks clear the mattress
Make sure sling under the affected knee is smooth and doesn’t apply pressure in the popliteal space
Assess for numbness and tingling of one or more fingers, suggesting radial, ulnar, or median nerve pressure
The nurse cares for a 14-year-old patient in the emergency department. He has returned to the hospital after having a fiberglass cast applied to his right ulna from a fracture the day before. Which of the following manifestations in the patient should most concern the nurse?
Itching under the cast
Pain in the right shoulder
Capillary refill of 3 seconds in the right fingertips
Severe pain in the right arm
A client’s family asks why the client has been put into pelvic traction for low-back pain. The best response for the nurse to give is
By holding the pelvis still, the back muscles can relax and start to heal
By pulling on either side of the pelvis, the lower back muscles are stretched and this gives relief from the crampy back muscles”
He really needs bed rest; the traction will force him to stay in bed”
Traction helps to relieve compression of the roots of the nerves”
You are a nurse in an emergency department and a patient presents following a bicycle accident in which he fractured his right radius and ulna. The patient complains that he cannot feel his extremity distal to the fracture. The right upper extremity is pale, painful, pulseless, and cool to the touch, and the patient complains of occasional "pins and needles" within and distal to the injury. You note a great deal of swelling around the fracture site. Which of the following is the most likely diagnosis?
Compartment syndrome
Limb necrosis
Fat embolism
Lupus
A 3-year-old child is admitted with a fractured femur and a diagnosis of osteogenesis imperfecta. On physical examination of this child, the nurse also assesses this child to have which of the following clinical manifestations?
Select all that apply:
1. Chronic anemia
2. Open posterior fontanel
3. Blue sclera
4. Bowed legs
5. Hyperlaxity of ligaments
6. Dental deformities
1,5,6
3,5,6
4,5,6
1,2,3
The nurse is caring for a pre-adolescent client in skeletal Dunlop traction. Which of the following nursing interventions is appropriate for this child?
Make certain the child is maintained in correct body alignment.
Be sure the traction weights touch the end of the bed.
Release the traction for 15-20 minutes every six hours prn.
Adjust the head and foot of the bed for the child’s comfort
A 9-year-old child is in the hospital in skin traction after sustaining a simple fracture of the femur. Which of the following assessments should the nurse make during rounds with the child’s orthopedist? The nurse should assess the:
Select all that apply.
1. Capillary refill of the child’s toes.
2. Skin under the ace bandage for signs of skin breakdown.
3. Child’s bowel sounds.
4. Wound for signs of redness, edema, ecchymosis, drainage, and approximation.
5. Child’s level of pain.
2,3,4,5
1,2,3,5
1,2,4,5
2,3,4
A patient in balanced suspension traction for a fractured femur needs to be repositioned toward the head of the bed. During repositioning, the nurse should:
Lift the traction and the patient during repositioning.
Place slight additional tension on the traction cords.
Release the weights, and replace them immediately after positioning
Maintain the same degree of traction tension.
A child has just returned from surgery and has a hip spica cast. A nursing priority at this time is to
Abduct the hips using pillows
Assessed the circulatory status
Turn the child on the right side
Elevate the head of the bed
The production and drainage rate of aqueous humor is not equal in patients with glaucoma. Select below the correct sequence for how aqueous humor should flow through the eye:
The lens produces aqueous humor -> then it flows through the pupil opening -> the anterior chamber (area of the eye between the iris and cornea) -> posterior chamber (area of the eye between lens and iris) -> drainage angle ->trabecular meshwork -> schlemm’s canal -> episcleral veins
The ciliary body produces aqueous humor -> then it flows through the posterior chamber (area of the eye between the lens and iris) -> pupil opening -> anterior chamber (area of the eye between iris and cornea) -> drainage angle ->trabecular meshwork -> schlemm’s canal -> episcleral veins
The ciliary body produces aqueous humor -> then it flows through the anterior chamber (area of the eye between the iris and cornea) -> pupil opening -> posterior chamber (area of the eye between lens and iris) ->drainage angle ->trabecular meshwork -> schlemm’s canal -> episcleral veins
The lens produces aqueous humor -> then it flows through the posterior chamber (area of the eye between the iris and cornea) -> pupil opening -> anterior chamber (area of the eye between lens and iris) -> drainage angle ->trabecular meshwork -> schlemm’s canal -> episcleral veins
You’re providing care to a patient who just had glaucoma surgery. The patient is alert and oriented. Vital signs are: heart rate 82 bpm, blood pressure 110/80, oxygen saturation 97% on room air, respiratory rate 18, and pain rating of 2 on 1-10 scale. Which patient finding below requires you to notify the physician?
The patient reports blurred vision.
The patient’s eyes are frequently tearing up.
The patient reports that the eyes feel itchy.
The patient is having difficulty passing stool and reports constipation.
Which precaution is most important for the nurse to teach a 62-year-old client newly diagnosed with early-stage dry age-related macular degeneration?
Wear dark glasses whenever he or she is outside or in bright interior lighting environment
Quit smoking
Eat more dark green, red, and yellow vegetables
Quit drinking alcoholic beverages
Which of the following is inappropriate nursing intervention for the client with hearing impairment:
Talk directly in front of the client
Talk in clearly enunciated words using normal tone of voice
Use high-pitch voice
Use speech with gestures
When teaching the client about Meniere's disease. Which of the following instructions would a nurse give about vertigo?
Report dizziness at once
Get up slowly, turning the entire body
Drive in daylight hours only
Change your position using the logroll method
A client who is complaining of tinnitus is describing a symptom that is:
Functional
Prodromal
Subjective
Objective
Otosclerosis is a common cause of conductive hearing loss. Which such a partial hearing loss
Air conduction is more effective than bone conduction
The client is usually unable to hear bass tones
Stapedectomy is the procedure of choice
Hearing aids usually restore some hearing
Nilo is complaining of ear pain and a popping sensation in the left ear. What question should the nurse ask nurse?
Are you experiencing any ringing or crackling in your ears?
Do you have sore throat or teeth and gum problems?
Are you having trouble hearing high pitched sounds?
Do you feel like you or the room is spinning?
Nurse Jamir has completed the Weber test on a 70 y/o client and found lateralization of sound to the right ear. What is the client most likely experiencing?
Perceptive hearing loss to the right ear
Conductive hearing loss to the right ear
External hearing loss to the left ear
Sensorineural hearing loss to the left ear
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