Nur 230 ch.24 Musculoskeletal Review
Questions and Correct Answers
A school age client has been diagnosed with genu valgum. What is the other name for
this disease? ✅Knock Kneed
A nurse notices that a client has decreased range of motion with lateral bending of the
cervical spine to the left side. What should the nurse do next in relation to this finding?
✅Compare this finding to the range of motion to the right side
The nurse is assessing a client with joint pain and is trying to decide whether it is
inflammatory or non-inflammatory. Which of the following symptoms is consistent with
an inflammatory process? ✅Tenderness
An adult client tells the nurse that he eats sardines every day. The nurse should instruct
the client that a diet high in purines can contribute to ✅gouty arthritis
explanation: a diet high in purine (meat, liver, sardines) can trigger gouty arthritis
A college age athlete presents to the clinic with pain in the tibiotalar joint. It is a hinge
joint limited to flexion and extension. The terms used to describe these movements are
what? ✅dorsiflexion and plantar flexion
A nurse has just finished assessing a client's spine and neck muscles. How would the
nurse document normal findings? ✅C7 and T1 spinous processes prominent.
Paravertebral, sternocleidomastoid, and trapezius muscles fully developed,
symmetrical, and nontender
A nurse is inspecting a client's gait. Which of the following would indicate an abnormal
finding? ✅Toes point out
A client presents to the emergency department after falling off a ladder while doing
some outside painting at home. The client's ankle appears swollen, out of alignment,
and is painful to touch. What is the nurse's first action? ✅Check for a pulse , color,
temperature, and capillary refill
A client visits the clinic and tells the nurse that she has joint pain in her hands,
especially in the morning. The nurse should assess the client further for signs and
symptoms of ✅arthritis
, What is an appropriate question by the nurse to ask a client about the presence of
temporomandibular joint dysfunction? ✅"Have you noticed a popping or grating sound
when you chew?"
During palpation of the client's knee, the nurse compresses the suprapatellar pouch
against the client's femur with one hand while feeling on each side of the patella with the
opposite hand. For which of the following problems is the nurse assessing? ✅Effusion
in the knee joint
Explanation:
The balloon sign is indicative of a large effusion in the knee joint when fluid is palpable
medial to the patella when the suprapatellar pouch is depressed. The presence of
crepitus, osteoarthritis, or ligament damage is not directly suggested by a positive
balloon sign.
A client expresses to the nurse that he has a "giving in" or "locking" sensation in the
knee. Which test should the nurse perform to elicit related findings of a possible tear in
the meniscus of the client's knee? ✅McMurray's
Explanation:
The nurse should perform McMurray's test to confirm meniscal tear. Pain or clicking
during the test is indicative of a torn meniscus of the knee. The Ballottement test and
the Bulge test are done to detect the presence of fluid in the knee joint. Phalen's test is
done to test carpal tunnel syndrome.
The school nurse notes that the client carries her left shoulder higher than her right
shoulder. You should recognize the likely presence of what health problem?
✅Scoliosis
While assessing the elbow of an adult client, the client complains of pain and swelling.
The nurse should further assess the client for ✅arthritis
A nurse conducts a physical examination of the musculoskeletal system of a client who
reports upper arm pain. Which instruction should the nurse provide the client when
assessing flexion of the elbow? ✅"bend your elbow"
Which movement should the nurse instruct the client to perform to assess range of
motion for the knee? ✅flexion
A 32-year-old warehouse worker presents for evaluation of low back pain. He notes a
sudden onset of pain after lifting a heavier-than-usual set of boxes. He also states that
he has numbness and tingling in the left leg. What test should the nurse perform to
assess for a herniated disc? ✅Straight leg raise test
Questions and Correct Answers
A school age client has been diagnosed with genu valgum. What is the other name for
this disease? ✅Knock Kneed
A nurse notices that a client has decreased range of motion with lateral bending of the
cervical spine to the left side. What should the nurse do next in relation to this finding?
✅Compare this finding to the range of motion to the right side
The nurse is assessing a client with joint pain and is trying to decide whether it is
inflammatory or non-inflammatory. Which of the following symptoms is consistent with
an inflammatory process? ✅Tenderness
An adult client tells the nurse that he eats sardines every day. The nurse should instruct
the client that a diet high in purines can contribute to ✅gouty arthritis
explanation: a diet high in purine (meat, liver, sardines) can trigger gouty arthritis
A college age athlete presents to the clinic with pain in the tibiotalar joint. It is a hinge
joint limited to flexion and extension. The terms used to describe these movements are
what? ✅dorsiflexion and plantar flexion
A nurse has just finished assessing a client's spine and neck muscles. How would the
nurse document normal findings? ✅C7 and T1 spinous processes prominent.
Paravertebral, sternocleidomastoid, and trapezius muscles fully developed,
symmetrical, and nontender
A nurse is inspecting a client's gait. Which of the following would indicate an abnormal
finding? ✅Toes point out
A client presents to the emergency department after falling off a ladder while doing
some outside painting at home. The client's ankle appears swollen, out of alignment,
and is painful to touch. What is the nurse's first action? ✅Check for a pulse , color,
temperature, and capillary refill
A client visits the clinic and tells the nurse that she has joint pain in her hands,
especially in the morning. The nurse should assess the client further for signs and
symptoms of ✅arthritis
, What is an appropriate question by the nurse to ask a client about the presence of
temporomandibular joint dysfunction? ✅"Have you noticed a popping or grating sound
when you chew?"
During palpation of the client's knee, the nurse compresses the suprapatellar pouch
against the client's femur with one hand while feeling on each side of the patella with the
opposite hand. For which of the following problems is the nurse assessing? ✅Effusion
in the knee joint
Explanation:
The balloon sign is indicative of a large effusion in the knee joint when fluid is palpable
medial to the patella when the suprapatellar pouch is depressed. The presence of
crepitus, osteoarthritis, or ligament damage is not directly suggested by a positive
balloon sign.
A client expresses to the nurse that he has a "giving in" or "locking" sensation in the
knee. Which test should the nurse perform to elicit related findings of a possible tear in
the meniscus of the client's knee? ✅McMurray's
Explanation:
The nurse should perform McMurray's test to confirm meniscal tear. Pain or clicking
during the test is indicative of a torn meniscus of the knee. The Ballottement test and
the Bulge test are done to detect the presence of fluid in the knee joint. Phalen's test is
done to test carpal tunnel syndrome.
The school nurse notes that the client carries her left shoulder higher than her right
shoulder. You should recognize the likely presence of what health problem?
✅Scoliosis
While assessing the elbow of an adult client, the client complains of pain and swelling.
The nurse should further assess the client for ✅arthritis
A nurse conducts a physical examination of the musculoskeletal system of a client who
reports upper arm pain. Which instruction should the nurse provide the client when
assessing flexion of the elbow? ✅"bend your elbow"
Which movement should the nurse instruct the client to perform to assess range of
motion for the knee? ✅flexion
A 32-year-old warehouse worker presents for evaluation of low back pain. He notes a
sudden onset of pain after lifting a heavier-than-usual set of boxes. He also states that
he has numbness and tingling in the left leg. What test should the nurse perform to
assess for a herniated disc? ✅Straight leg raise test
