CMSRN Neurological and Musculoskeletal Care 2

Question 1

A patient with a hip fracture is being assessed for neurovascular status. Which assessment finding requires immediate reporting?

Accepted Answer

Absent distal pulse and pallor in the affected extremity

Answer

Capillary refill of 2 seconds

Answer

Sensation intact to light touch

Answer

Mild swelling at the fracture site

Question 2

Which precaution is essential for a patient who has undergone a posterior total hip replacement?

Accepted Answer

Do not flex the hip beyond 90 degrees

Answer

Avoid abduction of the hip beyond 15 degrees

Answer

Keep the knee fully extended at all times

Answer

Avoid weight bearing on both legs

Question 3

A patient with a long-bone fracture of the femur suddenly develops petechiae on the chest and axillae, confusion, and dyspnea 24 hours post-injury. What complication does the nurse suspect?

Accepted Answer

Fat embolism syndrome

Answer

Pulmonary embolism from DVT

Answer

Compartment syndrome

Answer

Disseminated intravascular coagulation

Question 4

A patient post-total knee replacement complains of calf pain, warmth, and swelling. The priority nursing action is to:

Accepted Answer

Notify the provider and avoid massaging or manipulating the extremity

Answer

Elevate the leg and apply a heating pad

Answer

Perform a Homan's sign test vigorously

Answer

Encourage ambulation to promote circulation

Question 5

When assessing a patient's cast for compartment syndrome, the nurse monitors for which primary symptom?

Accepted Answer

Pain unrelieved by opioids and out of proportion to the injury

Answer

Itching under the cast

Answer

Mild warmth at the cast edges

Answer

Skin discoloration at the cast rim

Question 6

A patient with Parkinson's disease is at high risk for which priority nursing diagnosis?

Accepted Answer

Risk for aspiration related to dysphagia

Answer

Impaired urinary elimination

Answer

Fluid volume excess

Answer

Hypothermia