Deck 52: Assessment of Musculoskeletal Function

Question 1

The nurse notes that the patient is scheduled for an arthrogram. What is the purpose of this test?
1)Evaluate healing of a bone fracture
2)Visualize joint soft tissue structures
3)Identify the location of a bone tumor
4)Determine the cause for muscle weakness

Answer 1

2

Question 2

The nurse is assessing a patient's vertebral column. What term best describes the function of the joints between the vertebrae?
1)Viscoelastic
2)Diarthrosis
3)Synarthrosis
4)Amphiarthrosis

Answer 2

4

Question 3

The nurse prepares the patient with loose bone fragments within the knee for which diagnostic test to remove these fragments?
1)Bone scan
2)Arthroscopy
3)Arthrocentesis
4)Electromyography

Answer 3

2

Question 4

The nurse correlates which T score to the presence of osteoporosis in a 65-year-old patient?
1)-1
2)-2.0
3)-2.3
4)-2.7

Question 5

The nurse assesses a patient's muscle strength, noting full range of motion against some resistance. How does the nurse document this finding?
1)Grade 1
2)Grade 2
3)Grade 3
4)Grade 4

Question 6

The nurse correlates a low level of thyroid-stimulating hormone (TSH) to which effect on the musculoskeletal system?
1)Reduces bone growth
2)Initiates the growth of bone
3)Slows the rate of bone destruction
4)Promotes the number of osteoblasts

Question 7

In assessing a patient's musculoskeletal status, which observation does the nurse correlate to normal gait?
1)Base is as wide as the patient's hips.
2)Symmetrical arm swing occurs with each step.
3)Foot is on the ground for 40% of the stance phase.
4)Foot is off of the ground for 60% of the swing phase.

Question 8

A patient's bone density results are -2.7. The nurse recognizes that these results increase the patient's risk for which health problem?
1)Joint hypertrophy
2)Fractures
3)Contractures
4)Muscle atrophy

Question 9

In assessing a patient's muscle function, the nurse asks the patient to raise the arm horizontally away from the body. What voluntary movement is the nurse assessing?
1)Abduction
2)Adduction
3)Circumduction
4)Eversion

Question 10

The nurse correlates a 3 cm cold spot area on the bone scan of a patient's right fibula to which disorder?
1)Cancer
2)Bone infection
3)Healing fracture
4)Bone metabolism disease

Question 11

The nurse monitors for which clinical manifestation in the patient diagnosed with bursitis of the hip?
1)Muscle edema
2)Shortened limb
3)Hip contracture
4)Pain with movement

Question 12

The nurse discusses the results of a bone density test with a patient. The patient's score is a -0.9. Which patient statement indicates a correct understanding of the results?
1)"My bone density test is inconclusive."
2)"My bone density test indicates osteopenia."
3)"My bone density test indicates osteoporosis."
4)"My bone density test is within normal limits."

Question 13

The nurse correlates which part of the bone as containing living bone cells that build up bone?
1)Osteoclasts
2)Collagen
3)Osteoblasts
4)Hematopoietic tissue

Question 14

The nurse correlates which laboratory result to an increased risk for fracture in the adult patient?
1)Serum albumin 5.3 g/dL
2)Serum calcium 7.0 mg/dL
3)Serum phosphorus 4.0 mg/dL
4)Serum magnesium 2.5 mg/dL

Question 15

In evaluating a patient's musculoskeletal system, the nurse assesses which parameter to determine joint mobility?
1)Gait
2)Posture
3)Range of motion
4)Palpation of muscle tone

Question 16

The nurse is teaching a new staff member about the proper use of the goniometer and explains that this instrument measures which musculoskeletal parameter?
1)Bone strength
2)Joint mobility
3)Muscle strength
4)Tendon flexibility

Question 17

The nurse correlates the function of which part of long bone to the cessation of bone growth after puberty?
1)Endosteum
2)Epiphyseal line
3)Epiphyseal plate
4)Epiphysis

Question 18

In preparing teaching material on the musculoskeletal system, what does the nurse include about the function of short bones?
1)Produces blood cells
2)Controls movement of the body
3)Provides stability with little movement
4)Controls contraction of organs and blood vessels

Question 19

A patient has a muscle that has been torn from the bone. Which structure has been injured in this patient?
1)Fascia
2)Tendon
3)Cartilage
4)Ligament

Question 20

The nurse notes that a patient has full range of motion against gravity but not resistance. How does the nurse document this finding?
1)Fair
2)Poor
3)Good
4)Normal

Question 21

Which cells are produced by the red marrow of bones? Select all that apply.
1)Osteoblasts
2)Osteoclasts
3)Erythrocytes
4)Leukocytes
5)Thrombocytes

Question 22

The nurse is preparing an educational program for new patient care technicians about the anatomy and physiology of the musculoskeletal system. What does the nurse describe as the parts of long bones? Select all that apply.
1)Diaphysis
2)Epiphysis
3)Ligaments
4)Periosteum
5)Endosteum

Question 23

The nurse notes that a 55-year-old female patient's bone density test has changed from -1.2 to a current level of -2.
1)Decreased synovial fluid
2)Loss of estrogen
3)Chronic diseases
4)Poor nutritional status
5) The nurse considers which factor as the potential cause for this change?

Question 24

A patient is recovering from an arthrocentesis of the right knee. The nurse includes which instructions regarding care at home?
1)Apply warm heat to the site for the first 24 hours.
2)Ambulate with crutches
3)Avoid all weight bearing for three to five days
4)Apply ice to the wound for the first 24 hours

Question 25

What is the nurse's best response to an older patient who asks what can be done to prevent bone fractures?
1)Limit exposure to the sun
2)Avoid alcohol intake
3)Increase frequency of rest periods
4)Engage in weight-bearing exercise

Question 26

The nurse correlates the actions of which hormones to bone health? Select all that apply.
1)Calcitonin
2)Estrogen
3)Parathyroid hormone
4)Triiodothyronine
5)Thyroid-stimulating hormone

Question 27

A patient is scheduled for electromyography. What teaching does the nurse provide to prepare the patient for this test? Select all that apply.
1)Shower before the test.
2)Take all of your regularly scheduled medications the day of the test.
3)Slight pain might occur with needle insertion.
4)Slight bruising may occur at the site of electrodes.
5)Avoid caffeinated food items 2 to 3 hours before the test.

Question 28

A patient is scheduled for a magnetic resonance imaging (MRI) scan of the pelvis. What does the nurse include when preparing this patient for the test? Select all that apply.
1)Insert a urinary catheter.
2)Assess for metal implants.
3)Remove all medication patches.
4)Ensure all metal jewelry and hair items are removed.
5)Maintain nothing by mouth status for 8 hours before the test.

Question 29

In reviewing the health record of a patient presenting to the clinical for an annual physical examination, the nurse notes the patient has a history of sarcopenia. The nurse correlates which assessment findings to this health problem?
1)Bone pain
2)Muscle pain
3)Decreased muscle mass
4)Decreased bone density

Question 30

What actions does the nurse implement when providing care to a patient with a suspected acute bone injury? Select all that apply.
1)Immobilize the wrist.
2)Monitor for bleeding.
3)Apply a cold pack to the wrist.
4)Elevate the wrist below the level of the heart.
5)Ask the patient to rate the pain using an appropriate scale.