Test Bank Unit 12: Understanding Medical-Surgical Nursing 6th Edition Linda S. Williams Paula D. Hopper ||Chapter 45 - 46
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Course
Medical Surgical Nursing
Institution
Medical Surgical Nursing
Test Bank Unit 12: Understanding Medical-Surgical Nursing
6th Edition Linda S. Williams Paula D. Hopper
Chapter 45. Musculoskeletal Function and Assessment
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. The nurse is caring for a patient who h...
Test Bank Unit 12: Understanding Medical-Surgical Nursing
6th Edition Linda S. Williams Paula D. Hopper
Chapter 45. Musculoskeletal Function and Assessment
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. The nurse is caring for a patient who had a bone biopsy on the right leg. Which activity should the
nurse implement?
a. Ambulate twice daily.
b. Monitor site of biopsy for bleeding.
c. Perform hourly passive range of motion.
d. Perform active range of motion every 2 hours.
2. The nurse is caring for a patient 1 hour after a diagnostic arthroscopy of the right knee. Which activity
should the nurse implement?
a. Strict bedrest
b. Straight-leg raises
c. No weight-bearing on right leg for 3 days
d. Partial weight-bearing on left leg for 1 week
3. The nurse, who is inspecting t h e k n e e of a patient who fell and reports stiffness, hears a grating sound
with knee movement. How should the nurse N document
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a. Arthritis
b. Crepitus
c. Synovitis
d. Inflammation
4. The nurse is gathering functional data on a patient with rheumatoid arthritis. Which of these areas
should be included?
a. Ability to dress
b. Muscular build
c. Nutritional status
d. Height and weight
5. A patient recovering from a bone biopsy of the left leg has pain unrelieved by morphine 5 mg
intramuscularly given 1.5 hours ago. The morphine is prescribed for every 3 hours. What should the nurse do?
a. Elevate the extremity.
b. Repeat morphine now.
c. Notify the charge nurse.
,d. Administer morphine in 30 minutes.
6. The nurse is caring for a patient with a suspected bone tumor. Which serum laboratory result indicates
to the nurse that this health problem is present?
a. Decreased calcium
b. Increased magnesium
c. Increased creatine kinase
d. Elevated alkaline phosphatase
7. An older adult visiting a wellness clinic reports joint stiffness in the morning. What should the nurse
respond to this patient?
a. The stiffness is due to decreased moisture in joint bones.
b. As we age, the cartilage in joints gets rough, causing stiffness.
c. The fluid in your joints gets thinner as you age, so your joints get stiff.
d. The body makes extra synovial fluid as we age, and that makes joints stiff.
8. The nurse is collecting data for a patient who is reporting pain in the hand joints. What question should
the nurse ask to determine the quality of the pain?
a. Does the pain move?
b. How does the pain feel?
c. Did an event cause the pain?
d. How would you rate the pain?
9. The nurse is collecting data for a patient who is reporting pain in the right hip. Which question should
the nurse ask to determine the severity of the pain?
a. Is the pain burning?
b. Is the pain throbbing?
c. Does the pain radiate or move around?
d. What number rating would you give your pain on a scale from 0 to 10?
10. The nurse is collecting data for a patient who is reporting pain in the left knee. What question should
the nurse ask to address radiation of the pain?
a. Is the pain intense?
b. Is the pain burning?
c. Does the pain move?
d. How would you describe the pain?
, 11. The nurse is collecting data for a patient who is reporting pain in the left wrist. What question should
the nurse use to address the region of the pain?
a. Is the pain mild?
b. Where is the pain?
c. Does the pain move?
d. How does the pain feel?
12. The nurse is caring for a patient scheduled for an arthrography. What should the nurse explain to the
patient about pain expectations during the procedure?
a. There is no pain during the procedure.
b. There is pain while the x-ray is taken.
c. There is temporary pain during dye injection.
d. The procedure will be uncomfortable until it is completed.
13. The nurse is reinforcing teaching for a patient who has severe arthritis and is having an x-ray. Which
patient statement indicates teaching has been effective?
a. The table is hard and cold.
b. I may move during the x-ray.
c. A soft mattress covers the table.
d. I may lie in a position of comfort.
14. The nurse is collecting data on a patient with a crushing injury to the lower extremities.
Which serum creatine kinase (CK) result should the nurse review and report to the physician?
a. CK-MB
b. CK-MM
c. CK-BB
d. CK1
15. The nurse is collecting data for a patient with osteoporosis. Which serum calcium result indicates the
typical changes that occur in serum calcium levels with osteoporosis?
a. 6.5 mg/dL
b. 8.9 mg/dL
c. 9.7 mg/dL
d. 11.2 mg/dL
16. A patient scheduled for a magnetic resonance imaging (MRI) scan of the abdomen and pelvis asks
how the machine takes a picture. What should the nurse respond to the patient?
, a. Magnetic fields create an image.
b. Sound waves bounce off your organs to create the picture.
c. Heat energy from the molecules of your body is detected to create a picture.
d. X-rays from multiple angles are passed simultaneously to get a three-dimensional image.
17. The nurse is reinforcing teaching provided to a patient scheduled for an arthrocentesis. Which patient
statement indicates understanding of the planned procedure?
a. They will use a small camera to look inside the joint.
b. They will inject dye that shows up on a special camera.
c. Ill be in a closed tube while they take pictures of my arm.
d. A needle will be used to draw off some fluid from my elbow.
18. The nurse is caring for a patient who is to have a needle biopsy of a tumor in the right calf. Which
patient statement indicates correct understanding of the teaching?
a. I will need a few stitches.
b. I will need a spinal anesthetic.
c. The biopsy is usually taken with fluoroscopy.
d. The biopsy will be used to determine iN
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19. A patient is experiencing sacroiliac joint pain after falling. Which structure within the vertebral
column should the nurse suspect is injured in this patient?
a. Axis
b. Atlas
c. Sacrum
d. Coccyx
20. A patient is suspected as having a fractured skull. When explaining this pathology to the patient, how
should the nurse describe the joints between the cranial bones?
a. Pivot
b. Saddle
c. Gliding
d. Sutures
21. The nurse is assessing capillary refill time for a patient with a fractured tibia and fibula. Which refill
time should the nurse report to the physician?
a. 2 seconds
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