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Bio 103 Ch 39 Testbank Questions

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Detailed and comprehensive testbank that contains questions and correct answers on Ch 39 Assessment of Musculoskeletal Function.

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  • October 6, 2024
  • 18
  • 2021/2022
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TestBank-Brunner&Suddarth'sTextbookofMedical-SurgicalNursing14e(Hinkle2017) 747



Chapter39:AssessmentofMusculoskeletalFunction


1. Anurseontheorthopedicunitisassessingapatientsperonealnerve.Thenursewillperformthis
assessmentbydoingwhichofthefollowingactions?


A) Prickingtheskinbetweenthegreatandsecondtoe


B) Strokingtheskinonthesoleofthepatientsfoot


C) Pinchingtheskinbetweenthethumbandindexfinger


D) Strokingthedistalfatpadofthesmallfinger


Ans: A


Feedback:


Thenursewillevaluatethesensationoftheperonealnervebyprickingtheskincenteredbetweenthe
greatandsecondtoe.Noneoftheotherlistedactionselicitsthefunctionofoneoftheperipheralnerves.


2. Apublichealthnurseisorganizingacampaignthatwilladdresstheleadingcauseofmusculoskeletal-
relateddisabilityintheUnitedStates.Thenurseshouldfocusonwhathealthproblem?


A) Osteoporosis


B) Arthritis


C) Hipfractures


D) Lowerbackpain


Ans: B


Feedback:


Theleadingcauseofmusculoskeletal-relateddisabilityintheUnitedStatesisarthritis.


3. Anurseisprovidingcareforapatientwhosepatternoflaboratorytestingrevealslongstanding
hypocalcemia.Whatotherlaboratoryresultismostconsistentwiththisfinding?


A) Anelevatedparathyroidhormonelevel

,TestBank-Brunner&Suddarth'sTextbookofMedical-SurgicalNursing14e(Hinkle2017) 748


B) Anincreasedcalcitoninlevel


C) Anelevatedpotassiumlevel


D) AdecreasedvitaminDlevel


Ans: A


Feedback:


Intheresponsetolowcalciumlevelsintheblood,increasedlevelsofparathyroidhormonepromptthe
mobilizationofcalciumandthedemineralizationofbone.Increasedcalcitoninlevelswouldexacerbate
hypocalcemia.VitaminDlevelsdonotincreaseinresponsetolowcalciumlevels.Potassiumlevels
wouldlikelybeunaffected.


4. Anurseiscaringforapatientwhosecancermetastasishasresultedinbonepain.Whichofthefollowing
aretypicalcharacteristicsofbonepain?


A) Adull,deepachethatisboringinnature


B) Sorenessorachingthatmayincludecramping


C) Sharp,piercingpainthatisrelievedbyimmobilization


D) Spasticorsharppainthatradiates


Ans: A


Feedback:


Bonepainischaracteristicallydescribedasadull,deepachethatisboringinnature,whereasmuscular
painisdescribedassorenessorachingandisreferredtoasmusclecramps.Fracturepainissharpand
piercingandisrelievedbyimmobilization.Sharppainmayalsoresultfromboneinfectionwithmuscle
spasmorpressureonasensorynerve.


5. Anurseisassessingapatientwhoisexperiencingperipheralneurovasculardysfunction.What
assessmentfindingsaremostconsistentwiththisdiagnosis?


A) Hotskinwithacapillaryrefillof1to2seconds


B) Absenceoffeeling,capillaryrefillof4to5seconds,andcoolskin


C) Pain,diaphoresis,anderythema


D) Jaundicedskin,weakness,andcapillaryrefillof3seconds

, TestBank-Brunner&Suddarth'sTextbookofMedical-SurgicalNursing14e(Hinkle2017) 749




Ans: B


Feedback:


Indicatorsofperipheralneurovasculardysfunctionincludepale,cyanotic,ormottledskinwithacool
temperature;capillaryrefillgreaterthan3seconds;weaknessorparalysiswithmotion;andparesthesia,
unrelentingpain,painonpassivestretch,orabsenceoffeeling.Jaundice,diaphoresis,andwarmthare
inconsistentwithperipheralneurovasculardysfunction.


6. Anolderadultpatienthassymptomsofosteoporosisandisbeingassessedduringherannualphysical
examination.Theassessmentshowsthatthepatientwillrequirefurthertestingrelatedtoapossible
exacerbationofherosteoporosis.Thenurseshouldanticipatewhatdiagnostictest?


A) Bonedensitometry


B) Hipboneradiography


C) Computedtomography(CT)


D) Magneticresonanceimaging(MRI)


Ans: A


Feedback:


Bonedensitometryisconsideredthemostaccuratetestforosteoporosisandforpredictingafracture.As
such,itismorelikelytobeusedthanCT,MRI,orx-rays.


7. Apatientinjuredinamotorvehicleaccidenthassustainedafracturetothediaphysisoftherightfemur.
Ofwhatisthediaphysisofthefemurmainlyconstructed?


A) Epiphyses


B) Cartilage


C) Corticalbone


D) Cancellousbone


Ans: C


Feedback:


Thelongboneshaft,whichisreferredtoasthediaphysis,isconstructedprimarilyofcorticalbone.

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