AMSN Musculoskeletal and Orthopedic Conditions 2

Question 1

Fat embolism syndrome (FES) is a serious complication most commonly associated with:

Accepted Answer

Long bone fractures, particularly femur and tibia

Answer

Fat embolism syndrome most commonly occurs after fractures of long bones (femur, tibia) when fat globules enter the bloodstream.

Question 2

A patient with FES develops petechiae on the chest, axillae, and conjunctivae 48 hours after a femur fracture. The nurse recognizes this as:

Accepted Answer

A classic sign of fat embolism syndrome

Answer

Petechiae on the chest, axillae, and conjunctivae are a classic clinical sign of fat embolism syndrome caused by fat microglobules obstructing dermal capillaries.

Question 3

A patient in skeletal traction requires nursing care. Which action is correct?

Accepted Answer

Ensure weights hang freely and do not rest on the floor

Answer

Traction weights must hang freely at all times to maintain proper traction force; resting weights on the floor negates the therapeutic effect.

Question 4

A patient asks the nurse why ice packs are applied to a sprained ankle in the first 48 hours. The best response is:

Accepted Answer

'Cold reduces blood flow and decreases inflammation and swelling.'

Answer

Cold therapy reduces blood flow via vasoconstriction, decreasing local inflammation, edema, and pain in the acute phase of injury.

Question 5

A patient with gout is having an acute attack. Which dietary teaching is most appropriate?

Accepted Answer

Increase fluid intake and avoid purine-rich foods and alcohol

Answer

Adequate hydration promotes uric acid excretion; avoiding purines (organ meats, shellfish) and alcohol reduces uric acid production during a gout attack.

AMSN - Academy of Medical-Surgical Nurses Practice Test

AMSN - Academy of Medical-Surgical Nurses Practice Test

AMSN Musculoskeletal and Orthopedic Conditions 2