Hoffman ch 52 Assessment of Musculoskeletal Function

Question 1

The nurse is preparing information about bone health for a community fair. What part of the bone should the nurse identify as containing living bone cells?
1) Nerves
2) Collagen
3) Osteoblasts
4) Blood vessels

Answer 1

3

Question 2

A patient has a muscle that has been torn from the bone. Which structure has been injured in this patient?
1) Fascia
2) Tendon
3) Cartilage
4) Ligament

Answer 2

2

Question 3

A patient is experiencing bursitis of the hip. What physical finding should the nurse expect to assess in this patient?
1) Muscle edema
2) Shortened limb
3) Hip contracture
4) Pain with movement

Answer 3

4

Question 4

The nurse is preparing teaching material on the musculoskeletal system. What should the nurse include about the function of short bones?
1) Produces blood cells
2) Controls movement of the body
3) Provides stability with little movement
4) Controls contraction of organs and blood vessels

Answer 4

3

Question 5

The nurse is assessing a patient’s vertebral column. What term best describes the function of the joints between the vertebrae?
1) Meiosis
2) Diarthrosis
3) Synarthrosis
4) Amphiarthrosis

Answer 5

4

Question 6

A patient has a low level of thyroid stimulating hormone (TSH). How will this affect the musculoskeletal system?
1) Reduces bone growth
2) Initiates the growth of bone
3) Slows the rate of bone destruction
4) Promotes the number of osteoblasts

Answer 6

1

Question 7

The nurse notes that a patient has muscular and skeletal balance. What should this observation indicate to the nurse?
1) Joints are stressed.
2) Muscles are damaged.
3) Body organs are aligned.
4) Bones are compensating.

Answer 7

3

Question 8

The nurse is assessing a patient’s musculoskeletal status. Which observation indicates that the gait is normal?
1) Base is as wide as the patient’s hips.
2) Symmetrical arm swing occurs with each step.
3) Foot is on the ground for 40% of the stance phase.
4) Foot is off of the ground for 60% of the swing phase.

Answer 8

2

Question 9

The nurse is evaluating a patient’s musculoskeletal system. Which approach should be used to determine joint mobility?
1) Gait
2) Posture
3) Range of motion
4) Palpation of muscle tone

Answer 9

3

Question 10

The nurse notes that a patient has full range of motion against gravity but not resistance. How should the nurse document this finding?
1) Fair
2) Poor
3) Good
4) Normal

Answer 10

1

Question 11

A patient is scheduled for a CT scan of the left femur. What should the nurse expect the findings of this diagnostic test to reveal?
1) Fractures
2) Disk disease
3) Osteomyelitis
4) Ligamentous tears

Answer 11

1

Question 12

The nurse notes that patient is scheduled for an arthrogram. What is the purpose of this test?
1) Evaluate healing of a bone fracture
2) Visualize joint soft tissue structures
3) Identify the location of a bone tumor
4) Determine the cause for muscle weakness

Answer 12

2

Question 13

A patient’s bone density results are -2.7. For which potential health problem should the nurse instruct this patient?
1) Pain
2) Fractures
3) Contractures
4) Muscle atrophy

Answer 13

2

Question 14

A patient’s bone scan results showed a 3 cm cold spot area on the right fibula. What does this finding indicate?
1) Cancer
2) Bone infection
3) Healing fracture
4) Bone metabolism disease

Answer 14

1

Question 15

A patient has loose bone fragments within the knee. Which diagnostic test should be considered to remove these fragments?
1) Bone scan
2) Arthroscopy
3) Arthrocentesis
4) Electromyography

Answer 15

2

Question 16

A patient is recovering from an arthrocentesis of the right knee. What should the nurse instruct the patient regarding care at home?
1) Elevate the extremity
2) Ambulate with crutches
3) Avoid all weight bearing for three to five days
4) Apply ice to the wound for the first 24 hours

Answer 16

4

Question 17

The nurse notes that a 55-year-old female patient’s bone density test has changed from -1.2 to a current level of -2.5. What could be the reason for this change?
1) Immobility
2) Loss of estrogen
3) Chronic diseases
4) Poor nutritional status

Answer 17

2

Question 18

An older patient is diagnosed with a fractured hip joint. What should the nurse consider as the reason for this fracture?
1) Mineral deposits
2) Decreased joint fluid
3) Thinner joint cartilage
4) Loss of fluid in tendons

Answer 18

3

Question 19

An older patient is experiencing arthritis in major joints. What could be the reason for the development of this disorder?
1) Decreased cartilage
2) Decline in muscle mass
3) Less fluid in joint spaces
4) Loss of fluid in ligaments

Answer 19

2

Question 20

An older patient asks what can be done to prevent bone fractures. What should the nurse suggest to this patient?
1) Limit exposure to the sun
2) Increase the intake of water
3) Increase frequency of rest periods
4) Engage in weight-bearing exercise

Answer 20

4

Question 21

21. The nurse is preparing educational material for the parents of children recovering from fractures. What should the nurse include as the parts of long bones? Select all that apply.
    1) Diaphysis
    2) Epiphysis
    3) Ligaments
    4) Periosteum
    5) Endosteum

Answer 21

1245

Question 22

The nurse is assessing a patient’s musculoskeletal system. Which observation indicates that the muscles are functioning appropriately? Select all that apply.
1) Limb bends at a joint.
2) A body part is raised.
3) Action occurs automatically.
4) Arm moves in a circle around the shoulder.
5) Limb moves away from the midline of the body.

Answer 22

1245

Question 23

The nurse is preparing to conduct a physical assessment of a patient’s musculoskeletal system. Which techniques should the nurse use for this assessment? Select all that apply.
1) Palpation
2) Inspection
3) Evaluation
4) Percussion
5) Auscultation

Answer 23

12

Question 24

A patient is scheduled for an MRI of the pelvis. What should the nurse include when preparing this patient for the test? Select all that apply.
1) Insert a urinary catheter
2) Assess for metal implants
3) Remove all medication patches
4) Ensure all metal jewelry and hair items are removed
5) Maintain nothing by mouth status for eight hours before the test

Answer 24

2345

Question 25

A patient is scheduled for electromyography. What teaching should the nurse provide to prepare the patient for this test? Select all that apply.
1) Shower before the test.
2) Apply lotion for better electrode contact.
3) Slight pain might occur with needle insertion.
4) Slight bruising may occur at the site of electrodes.
5) Avoid caffeinated food items two to three hours before the test.

Answer 25

1345