NURS 150Practical Nursing Theory 2

Review Questions

1. The nurse is assessing a client with possible osteoarthritis. The most significant risk factor
for osteoarthritis is:

a. Congenital deformity.
b. Age.
c. Trauma.
d. Obesity.

2. Which symptom most commonly leads the client with rheumatic disease to seek medical
attention?

a. Pain.
b. Edema.
c. Loss of function of joint.
d. Tinnitus.

3. Which of the following diffuse connective tissue diseases is the result of an autoimmune
reaction that results in phagocytosis, producing enzymes within the joint that break down
collagen and cause edema?

a. Rheumatoid arthritis (RA).

b. Osteoarthritis.
c. Osteoporosis.
d. Decubitus ulcer.

4. Musculoskeletal assessment is an important component of care for clients on long-term

therapy of which of the following drugs?

a. Antiplatelet.
b. Anti-anginal.
c. Corticosteroids.
d. Calcium-channel blockers.

5. An 83-year-old female client arrives at the emergency department after falling on the ice
outside her senior citizens' housing facility. The admitting diagnosis is right hip fracture.
Which of the following would be most important for the nurse to assess?

a. Leg shortening.
b. Complaints of pain.
c. Neurovascular compromise.
d. Internal or external rotation.

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 NURS 150Practical Nursing Theory 2

6. A male client with a total hip replacement is progressing well and expects to be discharged
tomorrow. On returning to bed after ambulating, he complains of severe pain in the
surgical wound. Which action should the nurse take?

a. Assume he is anxious about discharge, and administer pain medication.

b. Assess the surgical site and affected extremity.
c. Reassure the client that pain is a direct result of increased activity.
d. Suspect a wound infection, and monitor the client's temperature and vital
signs.

7. The nurse is assessing the recent health history of a 63-year-old client with osteoarthritis
(OA). The nurse determines that the client is trying to manage the condition appropriately
when the client describes which of the following activity patterns?

a. Bed rest with bathroom privileges.

b. Daily high-impact aerobic exercise.
c. A regular exercise program of walking.
d. Frequent rest periods with minimal exercise.

8. The nurse is caring for an elderly female with osteoporosis. When teaching the client, the
nurse should include information about which major complication?

a. Bone fracture.
b. Loss of estrogen.
c. Negative calcium balance.
d. Dowager's hump.

9. The nurse is evaluating a postoperative client for infection. Which sign or symptom would
be most indicative of infection?

a. Presence of an indwelling urinary catheter.

b. Rectal temperature of 37.8C.
c. Red, warm, tender incision.
d. Low white blood cells count.

10. A good way to assess the clients pressure ulcer risk is to use:

a. The Braden Scale for predicting pressure sore risk.

b. Empirical knowledge derived from your experience with other clients
with pressure ulcer.
c. A review of body systems approach.
d. Physical assessment.