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Musculoskeletal Test Bank Question and answers already passed

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Musculoskeletal Test Bank Question and answers already passed A patient is being assessed for range-of-joint movement. The nurse asks him to move his arm in toward the centre of his body. This movement is called: Adduction A patient tells the nurse that she is having a hard time bringing her...

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  • August 18, 2024
  • 63
  • 2024/2025
  • Exam (elaborations)
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Musculoskeletal Test Bank
A 42-year-old male patient complains of shoulder pain when the nurse moves
his arm behind the back. Which question should the nurse ask?
a. Are you able to feed yourself without difficulty?
b. Do you have difficulty when you are putting on a shirt?
c. Are you able to sleep through the night without waking?
d. Do you ever have trouble lowering yourself to the toilet? - correct answer
✔b. Do you have difficulty when you are putting on a shirt?


The patients pain will make it more difficult to accomplish tasks like putting on
a shirt or jacket. This pain should not affect the patients ability to feed himself
or use the toilet because these tasks do not involve moving the arm behind
the patient. The arm will not usually be positioned behind the patient during
sleeping.


A patient with left knee pain is diagnosed with bursitis. The nurse will explain
that bursitis is an inflammation of
a. the synovial membrane that lines the joint.
b. a small, fluid-filled sac found at some joints.
c. the fibrocartilage that acts as a shock absorber in the knee joint.
d. any connective tissue that is found supporting the joints of the body. -
correct answer ✔b. a small, fluid-filled sac found at some joints.


Bursae are fluid-filled sacs that cushion joints and bony prominences.
Fibrocartilage is a solid tissue that cushions some joints. Bursae are a specific
type of connective tissue. The synovial membrane lines many joints but is not
a bursa.

,The nurse who notes that a 59-year-old female patient has lost 1 inch in
height over the past 2 years will plan to teach the patient about
a. discography studies.
b. myelographic testing.
c. magnetic resonance imaging (MRI).
d. dual-energy x-ray absorptiometry (DXA). - correct answer ✔d. dual-energy
x-ray absorptiometry (DXA).


The decreased height and the patients age suggest that the patient may have
osteoporosis and that bone density testing is needed. Discography, MRI, and
myelography are typically done for patients with current symptoms caused by
musculoskeletal dysfunction and are not the initial diagnostic tests for
osteoporosis.


Which information in a 67-year-old womans health history will alert the nurse
to the need for a more focused assessment of the musculoskeletal system?
a. The patient sprained her ankle at age 13.
b. The patients mother became shorter with aging.
c. The patient takes ibuprofen (Advil) for occasional headaches.
d. The patients father died of complications of miliary tuberculosis. - correct
answer ✔b. The patients mother became shorter with aging.


A family history of height loss with aging may indicate osteoporosis, and the
nurse should perform a more thorough assessment of the patients current
height and other risk factors for osteoporosis. A sprained ankle during
adolescence does not place the patient at increased current risk for
musculoskeletal problems. A family history of tuberculosis is not a risk factor.
Occasional nonsteroidal antiinflammatory drug (NSAID) use does not indicate
any increased musculoskeletal risk.

,Which information obtained during the nurses assessment of a 30-year-old
patients nutritional-metabolic pattern may indicate the risk for musculoskeletal
problems?
a. The patient takes a multivitamin daily.
b. The patient dislikes fruits and vegetables.
c. The patient is 5 ft 2 in and weighs 180 lb.
d. The patient prefers whole milk to nonfat milk. - correct answer ✔c. The
patient is 5 ft 2 in and weighs 180 lb.


The patients height and weight indicate obesity, which places stress on
weight-bearing joints. The use of whole milk, avoiding fruits and vegetables,
and use of a daily multivitamin are not risk factors for musculoskeletal
problems.


Which medication information will the nurse identify as a concern for a
patients musculoskeletal status?
a. The patient takes a daily multivitamin and calcium supplement.
b. The patient takes hormone therapy (HT) to prevent hot flashes.
c. The patient has severe asthma and requires frequent therapy with oral
corticosteroids.
d. The patient has migraine headaches treated with nonsteroidal
antiinflammatory drugs (NSAIDs). - correct answer ✔c. The patient has
severe asthma and requires frequent therapy with oral corticosteroids.


Frequent or chronic corticosteroid use may lead to skeletal problems such as
avascular necrosis and osteoporosis. The use of HT and calcium supplements
will help prevent osteoporosis. NSAID use does not increase the risk for
musculoskeletal problems.

, The nurse finds that a patient can flex the arms when no resistance is applied
but is unable to flex when the nurse applies light resistance. The nurse should
document the patients muscle strength as level
a. 0.
b. 1.
c. 2.
d. 3. - correct answer ✔d. 3.


A level 3 indicates that the patient is unable to move against resistance but
can move against gravity. Level 1 indicates minimal muscle contraction, level
2 indicates that the arm can move when gravity is eliminated, and level 4
indicates active movement with some resistance.


After completing the health history, the nurse assessing the musculoskeletal
system will begin by
a. having the patient move the extremities against resistance.
b. feeling for the presence of crepitus during joint movement.
c. observing the patients body build and muscle configuration.
d. checking active and passive range of motion for the extremities. - correct
answer ✔c. observing the patients body build and muscle configuration.


The usual technique in the physical assessment is to begin with inspection.
Abnormalities in muscle mass or configuration will allow the nurse to perform
a more focused assessment of abnormal areas. The other assessments are
also included in the assessment but are usually done after inspection.


Which nursing action is correct when performing the straight-leg raising test
for an ambulatory patient with back pain?
a. Raise the patients legs to a 60-degree angle from the bed.
b. Place the patient initially in the prone position on the exam table.

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