Question 1

Postmenopausal women are more prone to suffer from osteoporosis due to?*

A. Increased Progesterone level

B. Decreased progesterone level

C. Increased estrogen level

D. Decreased estrogen level

Question 2

Vertebral joints are classified among which type of joint among the following?*

A. Synarthrosis

B. Amphiarthrosis

C. Diarthrosis or synovial

D. synovial

Question 3

After change-of-shift report, which patient should the nurse assess first?*

A. A 64-year-old patient with osteoporosis who is waiting for discharge

B. A 42-year-old patient with carpal tunnel syndrome complaining of pain

C. A 28-year-old patient with fracture complaining that the cast is tight

D. A 56-year-old patient with left leg amputation complaining of phantom pain

Question 4

A patient with a fractured fibula is receiving skeletal traction and has skeletal pins in place. You instruct the nursing assistant to immediately report which of the following?*

A. The patient is complaining of pain and muscle spasm.

B. There is a small amount of clear fluid on the pin sites.

C. The traction weights are resting on the floor.

D. The patient wants to change position in bed

Question 5

During assessment of a patient with fractures of the medial ulna and radius, you find all of the following data. Which assessment finding should you report to the physician immediately?*

A. The patient can move all fingers and thumb.

B. The skin is pink and warm to touch.

C. The patient complains of pressure and pain.

D. The cast is in place and is dry and intact.

Question 6

The patient suffered from fractured femur and you suspect fat embolism. Which of the following would indicate fat embolism?*

A. The patient voided using the bedpan.

B. The patient appears confused.

C. The patient complains of severe pain.

D. The patient’s blood pressure is 146/98

Question 7

Which nursing intervention is appropriate for a client with skeletal traction?*

A. Prone positioning

B. 5kg weight limit

C. Intermittent weight

D. Pin care

Question 8

The client who had an open femoral fracture was discharged to her home, where she developed, fever, night sweats, chills, restlessness and restrictive movement of the fractured leg. The nurse interprets these finding as indicating which of the following?*

A. Pulmonary emboli

B. Fat emboli

C. Osteomyelitis

D. Urinary tract infection

Question 9

What is the fluid requirement of a 50-kg man with first degree burns to his left arm and leg second Circumferential degree burns to his right arm, and third-degree burns to his torso and right leg. What is the rate of initial fluid resuscitation?*

A. 4.5 L over 8 hours, followed by 4.5 L over 16 hours

B. 4.5 L over 8 hours, followed by 6 L over 16 hours

C. 6 L over 8 hours, followed by 6 L over 16 hours

D. 6 L over 8 hours, followed by 9 L over 16 hours

Question 10

Which of the following would lead the nurse to suspect that a client with a fracture of the right femur may be developing a fat embolus?*

A. Migraine like headaches

B. Acute respiratory distress syndrome

C. Numbness in the right leg

D. Muscle spasms in the right thigh

Question 11

You are at night duty and you receive a patient with osteoporosis, as nurses you know that osteoporosis is when:*

A. The rate of bone resorption is greater than the rate of bone formation

B. There is a deficiency of activated vitamin D (calcitriol), which promotes calcium absorption from the gastrointestinal tract and facilitates mineralization of bone

C. There is bone infection caused by staphylococcus aureus causes inflammation and lead to bone necrosis

D. There is a metastatic bone cancer in long bones manifested by dull pain, swelling and bleeding in the bone

Question 12

One of the most important ways to prevent pressure ulcers is to:*

A. Do regular skin assessments

B. Provide support surfaces for all

C. Identify at-risk individuals

D. Do regular repositioning

Question 13

A red wound bed indicates:*

A. Presence of slough or fibrinous tissue

B. Presence of granulation tissue

C. Infection

D. Sign of ischemia

Question 14

Ulcer clinically presents as a deep crater*

A. Stage 1

B. Stage 2

C. Stage 3

D. Stage 4

Question 15

Full thickness skin loss with extensive destruction*

A. stage 1

B. stage 2

C. Stage 3

D. stage 4

Question 16

This morning you have to provide stump wound care to the patient after below the knee amputation done 12hours ago; choose appropriate action:*

A. Put the patient in semi-siting position.

B. Elevate stump during the first 24-48hours.

C. Start physiotherapy for the patient.

D. Patient’s complaints refer to phantom limb pain.

Question 17

Osteoporosis is a disorder of?*

A. Decreased bone mass

B. Decreased estrogen level

C. Autoimmune disorder

D. All of the above

Question 18

One of severe fracture complications is compartment syndrome where the patient may lose limb if pressure is within 4- 6hours.*

A. It has two etiologies: Decreased compartment size (dressings, splints, casts) and Increased compartment content (bleeding, edema)

B. It is resulting from a fracture of long bone where fat globules are released from yellow bone marrow into bloodstream

C. It is Volkmann’s Ischemic Contracture where the blood circulation is compromised.

D. It is infection of bone as a complication of open fracture.

Question 19

Your neighbor, Baby Kankindi 2 years old has a closed fracture of humerus, as student in Level 2 general nursing, you know that Kankindi’s fracture is:*

A. Compound fracture

B. Comminuted fracture

C. Green stick fracture

D. Subluxation

Question 20

A 22-year-old man is brought to the emergency room after a house fire. He has burns around his mouth and his voice is hoarse, but breathing is unlabored. What most appropriate next step in management?*

A. Immediate endotracheal intubation

B. Examination of oral cavity and pharynx, with fiberoptic laryngoscope if available

C. Place on supplemental oxygen

D. Placement of two large-bore intravenous (IV) catheters with fluid resuscitation

Question 21

What is the percentage of burn exhibit by patient suffering a burn to one leg (circumferential), one arm (circumferential), and the anterior trunk.*

A. 18%

B. 27%

C. 36%

D. 45%

Question 22

The difference between Green stick fracture and plastic fracture is that:*

A. Fracture ruptures the skin & bone protrudes in plastic fracture while green stick fracture is an incomplete displacement of bone.

B. The fracture hematoma communicates with the outside through an open wound in green stick fracture while fracture hematoma does not communicate with the outside in plastic fracture.

C. Fracture is incomplete in children, leaving one cortex intact in green stick fracture while plastic fracture is when bowing fracture in children without disruption of cortex.

D. The bone is broken into than two fragments in plastic fracture while green stick fracture it is a fracture in the new born children due to injury during surgery

Question 23

Proper care of a sprain is*

A. Bones kept in place

B. Rest, Ice, Compression and Elevation

C. Regular exercise and supplementation

Question 24

A patient with a right above the knee amputation asks you why he has phantom limb pain. What is your best response?*

A. Phantom limb pain is not explained or predicted by any one theory

B. Phantom limb pain occurs because your body thinks your leg is still present

C. Phantom limb pain will not interfere with your activities of daily living

D. Phantom limb pain is not real pain but is remembered pain

Question 25

You are preparing the patient who had carpal tunnel release surgery for discharge. Which information is important to provide to this patient?*

A. The surgical procedure is a cure for CTS

B. Hand movements will be restricted for 4-6 weeks after surgery

C. Frequent doses of pain medication will no longer be necessary

D. The health care provider should be notified immediately if there is any pain or discomfort

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