Deck 60: Introduction to the Musculos Keletal System

Question 1

A client is receiving treatment for a head injury. Which of the following would the nurse do related to positioning to reduce the risk of further injury?

A) Maintain the client in a sitting position for as long as possible.
B) Elevate the rest of the client's body slightly above the neck and head.
C) Position the neck and head in line with the rest of the client's body.
D) Elevate the client's head slightly while keeping the neck neutral.

Answer 1

Elevate the client's head slightly while keeping the neck neutral.

Question 2

A group of students are reviewing information about bones in preparation for a quiz. Which of the following indicates that the students have understood the material?

A) The yellow marrow is responsible for manufacturing red blood cells.
B) Long bones typically contain more red bone marrow than yellow.
C) Osteoclasts are involved in the destruction and remodeling of bone.
D) Osteocytes are transformed into osteoblasts or mature bone cells.

Answer 2

Osteoclasts are involved in the destruction and remodeling of bone.

Question 3

A client is recovering from a fractured hip. The nurse would suggest that the client increase intake of which of the following to facilitate calcium absorption from food and supplements?

A) Amino acids
B) Vitamin B6
C) Vitamin D
D) Dairy products

Answer 3

Vitamin D

Question 4

A client undergoes an invasive joint examination of the knee. The nurse would closely monitor the client for which of the following?

A) Lack of sleep and appetite
B) Serous drainage
C) Signs of depression
D) Signs of shock

Question 5

A group of students are reviewing the structure and function of bones. The students demonstrate understanding of the information when they state that cortical bone is found primarily in which of the following?

A) Rounded irregular ends
B) Epiphyses
C) Diaphyses
D) OsteoblastsCortical bony tissue covers bones and is found chiefly in the long shafts, or diaphyses, of bones in the arms and legs. Cancellous bone is found at the rounded, irregular ends, or epiphyses, of long bones. Osteoblasts are cells that build bonesCortical bony tissue covers bones and is found chiefly in the long shafts, or diaphyses, of bones in the arms and legs. Cancellous bone is found at the rounded, irregular ends, or epiphyses, of long bones. Osteoblasts are cells that build bones

Question 6

A client has injured her elbow. The physician informs her that the injury involves the cartilage in that joint. The nurse understands that which type of cartilage has been affected?

A) Costal cartilage
B) Semilunar cartilage
C) Fibrous cartilage
D) Hyaline cartilage

Question 7

Which of the following would be most important for the nurse to include in the teaching plan for a client who has undergone arthrography?

A) Avoid sunlight or harsh, dry climate.
B) Avoid intake of dairy products.
C) Report joint crackling or clicking noises occurring after the second day.
D) Gently massage joints with any crackling or clicking joint noises.

Question 8

The nurse is discussing an older adults risk for skeletal fractures with a group of students assigned to the clinical area. Which of the following would the nurse most likely explain as the underlying reason for the increased risk?

A) Collagen formation decreases.
B) Aging leads to a deficiency of calcium.
C) No bone reformation occurs in the older adult.
D) Bone resorption is more rapid than bone formation.

Question 9

A client is scheduled to have an x-ray examination of his shoulder in which the synovial fluid will be aspirated and sent to the laboratory for analysis. This will be followed by administration of a contrast medium and x-rays. The nurse understands that the client will be undergoing which of the following?

A) Arthroscopy
B) Arthrocentesis
C) Arthrogram
D) Bone densitometry

Question 10

A client comes to the Emergency Department complaining of pain in his left ankle. The client states, "I missed a step coming down the stairs, and landed funny." The ankle is swollen and tender to the touch. Which of the following would the nurse do to help control the swelling?

A) Apply heat to the ankle.
B) Tell the client to flex his left foot frequently.
C) Have him dangle the left leg over the side of the bed.
D) Raise the left leg above the level of the heart.

Question 11

The nurse is conducting a physical assessment of a client with a traumatic injury. Which information would the nurse gather first?

A) Client's age
B) Client's vital signs
C) Nature of the injury
D) Level of sensation of the injured part

Question 12

The nurse is performing a neurovascular assessment of a client's injured extremity. Which of the following would the nurse report?

A) Positive distal pulses
B) Capillary refill of 3 seconds
C) Dusky skin color
D) Skin warm to touch

Question 13

An instructor is describing the process of bone development. Which of the following would the instructor describe as being responsible for the process of ossification?

A) Osteoblasts
B) Cortical bone
C) Osteoclasts
D) Cancellous bone

Question 14

A client is being scheduled for an arthroscopy. Which of the following would be most important for the nurse to ensure before the procedure?

A) Client is in a fasting state.
B) Client has signed a consent form.
C) Client knows how long the test will take.
D) Client has instructions for self-care.

Question 15

A group of students are studying for an examination on joints. The students demonstrate understanding of the material when they identify which of the following as an example of a synarthrodial joint?

A) Between the vertebrae
B) In the fingers
C) At the hip
D) Skull at the temporal and occipital bones

Question 16

Which of the following factors would the nurse need to keep in mind about the focus of the initial history when assessing a new client with a musculoskeletal problem?

A) Client's age
B) Client's life-style
C) Any chronic disorder or recent injury
D) Duration and location of discomfort or pain

Question 17

A nurse is preparing a presentation for a health class about ways to ensure bone health, including the need for an adequate calciumintake. The participants are high-school aged girls. The nurse would encourage them to consume adequate calcium to maximize peak bone mass by which age?

A) 20 to 25 years
B) 30 to 35 years
C) 40 to 45 years
D) 50 to 55 years

Question 18

During a general musculoskeletal assessment, which of the following would help the nurse determine the client's muscle strength?

A) Palpating each of the client's muscles and joints.
B) Asking the client to lift specified amounts of weights.
C) Examining extremities for symmetry, size, and contour.
D) Applying force to the client's extremity as the client pushes against that force.

Question 19

A client experiences a musculoskeletal injury that involves the structure that connects a muscle to the bone. The nurse understands that this injury involves which of the following?

A) Ligament
B) Tendon
C) Cartilage
D) Joint

Question 20

The physician orders an opioid analgesic for a client with a traumatic injury. The nurse would monitor the client closely for which of the following as the priority?

A) Allergic reactions
B) Hypotension
C) Respiratory depression
D) Joint inflammation

Question 21

A client is diagnosed with a bone tumor. Which of the following results would the nurse expect the blood tests to reveal?

A) Decreased alkaline phosphatase
B) Decreased serum calcium level
C) Decreased serum phosphorus
D) Decreased red blood cell count

Question 22

A client is scheduled to undergo an electromyography. The nurse understands that this test is performed to evaluate which of the following?

A) Muscle weakness
B) Muscle composition
C) Bone density
D) Metastatic bone lesions

Question 23

During the interview an older adult client complains of joint pain with movement. She states, "But if I rest it, the pain gets better." The client reports no other problems and the complaints are identified as being due to age-related changes. The nurse understands that which of the following would most likely be responsible for the client's complaints?

A) Deterioration of the cartilage
B) Relaxation of the ligaments
C) Increase in collagen
D) Decreased muscle mass