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NURS 623 EXAM 4 2024/2025 WITH 100% ACCURATE SOLUTIONS
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NURS 623 EXAM 4 2024/2025 WITH 100% ACCURATE SOLUTIONS
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NURS 623 EXAM 4 2024/2025 WITH 100%ACCURATE SOLUTIONS
1. One of the initial steps in assessing patients with musculoskeletal
complaints is to determine whether the complaint is articular or
nonarticular in origin. Which of the following is an example of an
articular structure?
a. Bone
b. Synovium
c. Tendons
d. Fascia - Precise Answer ✔✔b. Synovium
2. You have detected the presence of crepitus on examination of a
patient with a musculoskeletal complaint. Additionally, there is limited
range of motion (ROM) with both active and passive movement. These
findings suggest that the origin of the musculoskeletal complaint is:
a. Articular
b. Inflammatory
c. Nonarticular
d. A and B - Precise Answer ✔✔a. Articular
3. Which of the following signs or symptoms indicate an inflammatory
etiology to musculoskeletal pain?
a. Decreased C-reactive protein
,b. Hyperalbuminemia
c. Morning stiffness
d. Weight gain - Precise Answer ✔✔c. Morning stiffness
4. Which of the following statements concerning the musculoskeletal
examination is true?
a. The uninvolved side should be examined initially and then compared
to the involved side.
b. The part of the body that is causing the patient pain should be
examined first.
c. When possible, the patient should not be asked to perform active
range-of-motion (ROM) exercises to avoid causing pain.
d. Radiographs should always be obtained prior to examination so as not
to cause further injury to the patient. - Precise Answer ✔✔a. The
uninvolved side should be examined initially and then compared to the
involved side.
5. You are performing muscle strength testing on a patient presenting
with musculoskeletal pain and find that the patient has complete ROM
with gravity eliminated. Which numeric grade of muscle strength would
you give this patient?
a. 1
b. 2
c. 3
d. 4
e. 5 - Precise Answer ✔✔b. 2
, 6. Mrs. Gray is a 55-year-old woman who presents with tightness, pain,
and limited movement in her right shoulder. She denies any history of
trauma. Her examination reveals a 75% reduction in both active and
passive ROM of the right shoulder. Mrs. Gray also is experiencing
tenderness with motion and pain at the deltoid insertion. Her medical
history is significant for type 1 diabetes mellitus and hypertension. Her
social history reveals that she is a secretary and that she is right-handed.
Based on her examination and medical history, you suspect adhesive
capsulitis, or "frozen shoulder." Which clue in Mrs. Gray's history
supports this diagnosis?
a. History of hypertension
b. Her affected shoulder is also her dominant arm.
c. Her history of diabetes mellitus
d. Her work as a secretary predisposes her to repetitive motions. -
Precise Answer ✔✔c. Her history of diabetes mellitus
Mrs. Anderson is a 35-year-old woman who has been recently diagnosed
with carpal tunnel syndrome. She has two young children and asks the
clinician what the chances are that they also will develop carpal tunnel
syndrome. Which of the following responses would be correct regarding
the risk of developing carpal tunnel syndrome?
a. Carpal tunnel syndrome commonly occurs in families. Genetic factors
are thought to account for about one-half the risk of developing carpal
tunnel.
b. Only people with occupations that require repeated flexion extension
of the wrist, use of hand tools that require forceful gripping, or use of
hand tools that vibrate are at risk for developing carpal tunnel.
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