CRRN Musculoskeletal and Orthopedic Rehabilitation

Question 1

A patient who underwent total hip arthroplasty (THA) via posterior approach is being educated on hip precautions. Which movement is CONTRAINDICATED?

Accepted Answer

Hip flexion beyond 90 degrees

Answer

Hip abduction past midline

Answer

Hip extension exercises

Answer

Isometric gluteal sets

Question 2

A patient post-total knee arthroplasty (TKA) has a target of 90 degrees of knee flexion before discharge. Which intervention BEST achieves this goal?

Accepted Answer

Continuous passive motion (CPM) combined with active ROM exercises

Answer

Strict bed rest with the knee in extension

Answer

Ice therapy only, avoiding movement for 72 hours

Answer

Application of a knee immobilizer at all times

Question 3

A patient with rheumatoid arthritis is scheduled for hand rehabilitation. Which principle BEST guides joint protection education?

Accepted Answer

Distribute force over larger joints and avoid prolonged static gripping

Answer

Use smaller joints to perform tasks requiring strength

Answer

Avoid all exercise to protect inflamed joints

Answer

Perform forceful grip exercises daily to strengthen hand muscles

Question 4

Following a lower extremity amputation, which positioning practice in the early post-operative period is MOST likely to cause a hip flexion contracture?

Accepted Answer

Elevating the residual limb on a pillow for extended periods

Answer

Prone lying for 30 minutes twice daily

Answer

Keeping the residual limb flat and extended when in bed

Answer

Active hip extension exercises

Question 5

A patient with an above-knee amputation is beginning prosthetic gait training. Which nursing observation indicates the prosthetic socket fit is INAPPROPRIATE?

Accepted Answer

Circumferential skin redness and blistering on the distal residual limb

Answer

Stable pelvis during single-limb stance

Answer

Symmetrical step length

Answer

Absence of lateral trunk lean

Question 6

A rehabilitation nurse is caring for a patient with complex regional pain syndrome (CRPS) of the right hand. Which nursing priority is MOST appropriate?

Accepted Answer

Facilitate desensitization therapy and graded motor imagery

Answer

Immobilize the hand in a cast to reduce pain

Answer

Avoid all touch to the affected extremity

Answer

Administer IV opioids around the clock