Deck 45: Musculoskeletal Function and Assessment

Question 1

The nurse is collecting data for a patient who is reporting pain in the hand joints. What question would the nurse ask to determine the quality of the pain?

A)"Did an event cause the pain?"
B)"Does the pain move?"
C)"How would you rate the pain?"
D)"How does the pain feel?"

Answer 1

"How does the pain feel?"

Question 2

The nurse is caring for a patient who is scheduled for a magnetic resonance imaging (MRI) scan of the abdomen and pelvis. The patient asks the nurse how the machine takes a picture. Which of the following responses is best?

A)"Heat energy from the molecules of your body is detected to create a picture."
B)"Sound waves bounce off your organs to create the picture."
C)"X-rays from multiple angles are passed simultaneously to get a three-dimensional image."
D)"Magnetic fields and radio waves create an image."

Answer 2

"Magnetic fields and radio waves create an image."

Question 3

The nurse is collecting data for a patient who is reporting pain in the left knee. What question would address the radiation of the pain?

A)"Is the pain burning?"
B)"Does the pain move?"
C)"Is the pain intense?"
D)"How would you describe the pain?"

Answer 3

"Does the pain move?"

Question 4

The nurse is collecting data for a patient who had 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

Question 5

The nurse is monitoring a patient after a biopsy of the right femur. The patient had pain medication 1 hour ago. The nurse collects data. Which of the following symptoms should be reported and most closely monitored? (Select all that apply.?

A)Hematoma formation
B)Capillary refill of 3 seconds
C)Temperature 98.4°F
D)Pain reported as 7 on a 0-to-10 scale

Question 6

The nurse is reinforcing teaching for a patient who is to have an arthrocentesis. Which of the following statements, if made by the patient, indicate understanding of the planned procedure?

A)"They will use a small camera to look inside the joint."
B)"I'll be in a closed tube while they take pictures of my arm."
C)"They will inject dye that shows up on a special camera."
D)"A needle will be used to draw off some fluid from my elbow."

Question 7

The nurse is caring for a patient who is to have a needle biopsy of a tumor in the right calf. Which of the following patient statements would indicate a correct understanding of the teaching?

A)"The biopsy will be used to determine if this is a cancerous tumor."
B)"I will need a few stitches."
C)"The biopsy is usually taken with flouroscopy."
D)"I will need a spinal anesthetic."
Multiple Response
Identify one or more choices that best complete the statement or answer the question.

Question 8

A patient has had a biopsy of the left leg and has pain unrelieved by morphine 5 mg intramuscularly given 1.5 hours ago. The morphine is ordered every 3 hours. What should the nurse do?

A)Elevate the extremity.
B)Administer morphine in 30 minutes.
C)Repeat morphine now.
D)Notify the registered nurse.

Question 9

The nurse is admitting a patient who is diabetic and scheduled for an arthroscopy of the right knee at 8 a.m. What would be included in nursing preoperative care for this patient? (Select all that apply.?

A)Providing a liquid breakfast
B)Explaining the anesthetic agents
C)Reviewing the surgical procedure
D)Witnessing signature on surgical consent
E)Maintaining NPO status
F)Obtaining blood glucose

Question 10

The nurse is caring for a patient 1 hour after a diagnostic arthroscopy of the right knee. Which activity would the nurse implement?

A)Strict bedrest
B)No weight-bearing on right leg for 3 days
C)Partial weight-bearing on left leg for 1 week
D)Straight-leg raises

Question 11

The nurse is collecting data for a patient who is reporting pain in the right hip. Which question addresses the severity of the pain?

A)"Is the pain throbbing?"
B)"Does the pain radiate or move around?"
C)"What number rating would you give your pain on a scale from 0 to 10?"
D)"Is the pain burning?"

Question 12

The nurse is gathering functional data on a patient with rheumatoid arthritis. Which of these areas would be included?

A)Muscular build
B)Height and weight
C)Movement of joints
D)Ability to dress

Question 13

The nurse, who is inspecting the knee of a patient who fell and reports stiffness, hears a grating sound with knee movement. Which of these actions is appropriate for the nurse to take?

A)Continue inspecting the knee with movement.
B)Encourage active range of motion of the knee.
C)Immobilize the knee.
D)Bend knee rapidly until grating stops.

Question 14

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)Perform active range of motion every 2 hours.
C)Immobilize right leg for 8 to 12 hours.
D)Perform hourly passive range of motion.

Question 15

The nurse is collecting data for a patient who is reporting pain in the left wrist. What question would address the region of the pain?

A)"Where is the pain?"
B)"Does the pain move?"
C)"Is the pain mild?"
D)"How does the pain feel?"

Question 16

The nurse is collecting data for a patient who has 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

Question 17

The nurse is reinforcing teaching for a patient who has severe arthritis and is having an x-ray. Which of the following statements by the patient would indicate a correct understanding of the teaching?

A)"A soft mattress covers the table."
B)"I may lie in a position of comfort."
C)"I may move during the x-ray."
D)"The table is hard and cold."

Question 18

An older adult visiting a wellness clinic reports joint stiffness in the morning. Which of the following statements, by the nurse, is best?

A)"As we age, the cartilage in joints gets rough, causing stiffness."
B)"The stiffness is due to decreased moisture in joint bones."
C)"The body makes extra synovial fluid as we age, and that makes joints stiff."
D)"The fluid in your joints gets thinner as you age, so your joints get stiff."

Question 19

The nurse is caring for a patient who has a suspected bone tumor. Which serum laboratory result would be indicative of this?

A)Increased magnesium
B)Elevated alkaline phosphatase
C)Increased creatine kinase
D)Decreased calcium

Question 20

The nurse is caring for a patient who is undergoing an arthrography. What should the nurse tell the patient about pain expectations during the procedure?

A)"There is no pain during the procedure."
B)"The procedure will be uncomfortable until it is completed."
C)"There is temporary pain during dye injection."
D)"There is pain while the x-ray is taken."

Question 21

The skull consists of ________________cranial bones and 14 facial bones.

Question 22

The nurse is admitting an 88-year-old woman to an extended care facility. Which of the following, if noted by the nurse, would be considered normal age-related changes? (Select all that apply.?

A)The woman reports being 5'2" but measures only 5'.
B)The woman takes small, shuffling steps.
C)The woman walks with a waddling gait.
D)She complains of mild pain in her hands in the morning.
E)There is an S-shaped curve to her back.Completion
Complete each statement.

Question 23

Which of the following are examples of muscles that are antagonistic, having opposite functions? (Select all that apply.?

A)Sartorius-quadriceps
B)Biceps-triceps
C)Quadriceps femoris-hamstrings
D)Pectoralis major-latissimus dorsi
E)Tibialis anterior-gastrocnemius
F)Adductor magnus-latissimus dorsi

Question 24

There are approximately ________________muscles in the body.

Question 25

When assessing a patient with a fractured tibia and fibula, the nurse should report to the physician if the capillary refill time is greater than ________________seconds.

Question 26

Which bones are parts of the appendicular skeleton? (Select all that apply.?

A)Humerus
B)Femur
C)Rib cage
D)Scapula
E)Patella
F)Hyoid

Question 27

There are ________________sacral vertebrae fused into one sacrum.

Question 28

A patient was an unrestrained passenger in a motor vehicle accident and hit the windshield. The patient's leg was also fractured. Which areas should be included in a patient's neurovascular checks? (Select all that apply.?

A)Level of consciousness
B)Pupil reaction
C)Sensation
D)Orientation
E)Pulses
F)Movement