Deck 33: Nervous System and Musculoskeletal Disorders

Question 1

Which statement about arthritis is correct?

A) It is the most common joint disease.
B) Pain is not commonly experienced.
C) Increased mobility is common.
D) It is cured with arthroplasty.

Answer 1

It is the most common joint disease.

Question 2

Which statement about osteoarthritis is correct?

A) It occurs in the younger population.
B) Pain occurs with non-weight-bearing and joint motion.
C) Being underweight is a common cause.
D) Weight-bearing joints (hips, knees, and spine) are commonly affected.

Answer 2

Weight-bearing joints (hips, knees, and spine) are commonly affected.

Question 3

Which is a sign or symptom of osteoarthritis?

A) Fractures
B) Joint bruising
C) Burning and tingling in the joint
D) Joint swelling or tenderness

Answer 3

Joint swelling or tenderness

Question 4

Which statement about rheumatoid arthritis is correct?

A) It occurs first during childhood.
B) Joints on one side of the body are affected.
C) Wrist and finger joints are commonly affected.
D) The disease is active all the time.

Question 5

A resident has rheumatoid arthritis. Which of the following can relieve pain and inflammation?

A) Casting
B) Heat or cold applications
C) Traction
D) Increased exercise patterns

Question 6

Which statement about osteoporosis is correct?

A) Bones become porous.
B) Bones are strong and take a lot of force to fracture.
C) It is common in younger people.
D) It is caused by high calcium in the diet.

Question 7

Which are risk factors for osteoporosis?

A) Being thin or having a small frame
B) Pregnancy
C) Vitamin use
D) Exercise and activity

Question 8

A resident has osteoporosis. Which of the following would be included in the person's care plan?

A) Discourage any strength training exercises to avoid fractures.
B) Allow the person to assume whatever posture is comfortable.
C) Assist with weight-bearing exercises as directed by PT.
D) Promote bed rest. Turn and reposition gently.

Question 9

A person with an arm fracture may have which of the following?

A) Joint pain and stiffness
B) Poor posture
C) Increased movement of the joint
D) Deformity of the body part

Question 10

You are assisting the nurse with cast care. Which action is correct?

A) Support the entire cast with pillows.
B) Wash and dry the cast when soiling occurs.
C) Let the person insert things, such as a comb, into the cast, when itching occurs.
D) Position the person as he or she desires for comfort.

Question 11

A resident has a cast. Which of the following signs and symptoms indicate a problem?

A) Warm extremities below the casted part
B) Itching beneath the cast
C) Odor and drainage from under the cast
D) Joint pain and stiffness

Question 12

A resident is in traction. Which action is correct?

A) Keep the weights on the floor and do not remove traction devices.
B) Remove weights for complaints of pain or numbness.
C) Provide a regular bedpan for elimination.
D) Make the bed from the head of the bed to the foot of the bed.

Question 13

A resident fell in the shower and fractured his right hip. He is back at the nursing center after surgery to repair the hip. You know that he is at risk for which of the following postoperative complications?

A) Pneumonia, UTI, and thrombi in his leg veins
B) MS, CAD, and RA
C) Hemothorax, depression, and schizophrenia
D) Aspiration, paralysis, and metastasis

Question 14

A resident fell in the shower and fractured his right hip. He is back at the nursing center after surgery to repair the hip. You know that he is at risk for which of the following postoperative complications?

A) Depression, skin tears, and burns
B) Pressure ulcers, constipation, and confusion
C) Incontinence, hair loss, and stomatitis
D) Diarrhea, bleeding, and infection

Question 15

Warning signs of stroke include which of the following?

A) Sudden, severe chest pain and shortness of breath
B) Sudden numbness or weakness on one side of the body
C) Experiencing the sensation of a strange smell
D) A gradual onset, mild headache

Question 16

Warning signs of stroke include which of the following?

A) An altered taste
B) Sudden sleepiness
C) Sudden dizziness or loss of balance or coordination
D) Sudden loss of bowel or bladder control

Question 17

Risk factors for stroke include which of the following?

A) Hypertension and family history
B) Diabetes, osteoporosis, and obesity
C) Malnutrition, regular exercise, vitamin use
D) Low calcium levels

Question 18

A resident had a stroke. The person's left side is affected. Which of the following would be included in the person's care plan?

A) Encourage ambulation in the halls at least three times daily.
B) Turn and reposition every 4 hours.
C) Assist with range-of-motion exercises.
D) Perform all ADL for the person.

Question 19

Effects from a stroke resulting in hemiplegia paralysis often include which of the following?

A) Bilateral loss of body and limb control
B) Dysphagia and aphasia
C) Urinary retention and constipation
D) Tremors and stiff muscles

Question 20

Care of a person after a stroke often includes which of the following?

A) Ostomy care
B) A bowel or bladder training program
C) Regular ambulation
D) Foley catheterization

Question 21

Which of the following are common with Parkinson's disease?

A) Hemiplegia or quadriplegia
B) Flaccid and weak muscles
C) Slow movement and mask-like expression
D) Good posture and coordination

Question 22

Which of the following are common with Parkinson's disease?

A) Pill-rolling movements
B) Scissors gait
C) Eye rolling
D) Flare-ups or relapses

Question 23

Which statement about multiple sclerosis is correct?

A) The person may have remissions early in the disease.
B) Symptoms depend on the age of onset.
C) Cataracts often occur.
D) Severe disability or death is common early after onset.

Question 24

A resident has MS. Which of the following is an accurate item that might be listed in the person's care plan?

A) Perform all ADL for the person.
B) Assist with measures to promote use of a Foley catheter.
C) Assist with deep-breathing and coughing exercises.
D) Perform active range-of-motion exercises every 4 hours while awake.

Question 25

A resident has ALS. Which of the following is an accurate item that might be listed in the person's care plan?

A) Range-of-motion exercises
B) Bed rest with commode privileges
C) Ambulate in the halls three times per day
D) High protein, high fat diet

Question 26

Which statement about head injuries is correct?

A) Rehabilitation will return the person to normal.
B) The injury to the head is an isolated injury with no other body systems affected.
C) Paralysis and breathing difficulties may result.
D) The person will be unable to control his or her bowel or bladder from this point forward.

Question 27

Which statement about spinal cord injuries is correct?

A) All spinal cord injuries are reversible with intense therapy.
B) Paraplegia or quadriplegia can result.
C) A Foley catheter will be necessary for bladder control.
D) Lower level injuries result in greater loss of function.

Question 28

A resident is paralyzed from the waist down. Which of the following is an accurate item that might be listed in the person's care plan?

A) Safety measures to prevent falls
B) Bath water, heat applications, and food should be cooler than the normal temperatures
C) Active range-of-motion exercises to all joints except the neck
D) Limited range-of-motion exercises to prevent injury

Question 29

A resident has rheumatoid arthritis. You should encourage exercise when fever is present.