Question 1

The nurse is assisting the primary care provider while performing some specific maneuvers in a client with a knee injury. The primary health-care provider stabilizes the client's distal femur with one hand, grasps the proximal tibia with the other hand, and then attempts to sublux the tibia anteriorly. Which maneuver is the primary care provider performing?

Accepted Answer

The Lachman test is performed by stabilizing the femur and attempting to move the tibia anteriorly to assess the integrity of the anterior cruciate ligament (ACL), which is consistent with the description given.

Question 2

The nurse is performing a physical examination on a client with a suspected musculoskeletal disorder. What is the first nursing intervention during the examination?

Accepted Answer

Assessing general appearance, contour, and symmetry is the first nursing intervention during the examination as it provides an overall understanding of the client's musculoskeletal condition before proceeding to specific assessments.

Question 3

While assessing a client with a musculoskeletal disorder, the nurse abducts the client's arm to 90degrees and places anteriorly directed force on the posterior humeral head from behind. Which test is the nurse performing?

Accepted Answer

The Apprehension test is performed by abducting the arm to 90 degrees and applying an anterior force to the posterior humeral head to assess shoulder instability.

Question 4

When assessing a client with a musculoskeletal disorder, the nurse finds lack of sensation in the dermatome areas of the lower extremity L5. The nurse suspects lumbar sprain /strain. What does the nurse expect the primary care provider to order in this situation?

Accepted Answer

The answer of When assessing a client with a musculoskeletal...

Question 5

The nursing instructor is teaching a group of student nurses about skeletal muscles. Which statement by a student nurse indicates effective learning?

Accepted Answer

The individual muscle fibers of skeletal muscle are indeed arranged in bundles called fascicles, which is a correct statement reflecting effective learning about the structure of skeletal muscles.

Question 6

The nurse finds that a client with a musculoskeletal disorder has pain in the malleolar zone. The client is also unable to bear weight for four steps. What does the nurse expect the primary health-care provider to order in this situation?

Accepted Answer

The client's symptoms indicate a possible ankle injury, so the nurse would expect the primary health-care provider to order an ankle x-ray to assess for any fracture or other damage to the bones and/or joints. The other options (Hawkins test and apprehension test) are specific physical assessments that may be done during a physical examination, but they are not appropriate orders for this situation. A foot x-ray may be ordered if the client had indicated pain in the foot, but since the pain is specifically in the malleolar zone, an ankle x-ray is more appropriate.

Question 7

The nurse is evaluating the performance of a student nurse while caring for a client with an ankle sprain. Which intervention of the student nurse does the nursing instructor correct while providing care to the client?

Accepted Answer

Keeping the ankle below the heart is contraindicated in the management of an ankle sprain, as it may increase swelling and pain. The correct intervention would be to elevate the ankle above the level of the heart to decrease edema and promote circulation. The other interventions (administering analgesics, checking dorsalis pedis pulse, and checking posterior tibial pulse) are appropriate for the care of a client with an ankle sprain.

Question 8

The registered nurse is evaluating the performance of student nurse performing a valgus stress test on a client whose leg is slightly abducted. Which intervention of the student nurse does the registered nurse correct?

Accepted Answer

The correct position for applying valgus stress is at 30 degrees of flexion, not 90 degrees of flexion. Therefore, the student nurse needs to be corrected for applying valgus stress with the knee at 90 degrees of flexion. The other interventions are correct as placing one hand at the lateral aspect of the knee joint and placing the other hand at the medial aspect of the distal tibia are part of the correct steps to perform valgus stress test.

Question 9

A client presents with a swollen left thigh and a lower extremity that appears shortened. The primary care provider orders an arteriogram. What is the client's most likely condition?

Accepted Answer

A shortened limb and swelling can indicate a fracture. An arteriogram may be ordered to assess blood flow to the affected limb. The femur is the strongest bone in the body and a fracture in this area can cause significant pain and disability.

Question 10

Which cervical root is associated with forearm pronation and supination?

Accepted Answer

The cervical root associated with forearm pronation and supination is C6. C5 is associated with shoulder abduction and C7 is associated with elbow extension, while C8 is associated with finger and thumb flexion.

Question 11

A client complains of pain and immobility of the wrist. On assessment, the nurse finds decreased range of motion (ROM), edema, and ecchymosis of the distal radius. The primary health-care provider recommends a neurovascular exam for confirmation. What does the nurse infer from these findings?

Accepted Answer

The answer of A client complains of pain and immobility...

Question 12

What is the most commonly dislocated joint in the body?

Accepted Answer

The most commonly dislocated joint in the body is the shoulder. This is because the shoulder joint has a wide range of motion and is held in place by a relatively shallow socket, making it more susceptible to dislocation.

Question 13

Which musculoskeletal disorder is also called adhesive capsulitis?

Accepted Answer

Frozen shoulder is also known as adhesive capsulitis. Bursitis is inflammation of a bursa, plantar fasciitis is inflammation of the plantar fascia, and carpal tunnel syndrome is compression of the median nerve in the wrist.

Question 14

When assessing a client's muscle strength using the Lovett scale, the nurse finds that the client has no joint motion with palpable contraction of the muscle. What grade does the nurse assign to the client based on this finding?

Accepted Answer

According to the Lovett scale, "Trace" muscle strength is defined as "no joint motion, but palpable contraction of the muscle." Therefore, the nurse would assign a grade of "Trace" to the client based on this finding.

Question 15

The nurse is reviewing the medical records of four clients.  Which client's medical record indicates the need to perform the McMurray test to assess the condition?

Accepted Answer

The answer of The nurse is reviewing the medical records...

Question 16

The nurse is caring for four clients diagnosed with different musculoskeletal disorders.  Which client requires treatment with calcitonin, calcium or vitamin D supplements, analgesics, and muscle relaxants?

Accepted Answer

The answer of The nurse is caring for four clients...

Question 17

While teaching a group of student nurses about various musculoskeletal disorders, the nurse states, "This syndrome occurs when tissue pressure exceeds perfusion pressure in a closed anatomic space." Which syndrome is the nurse describing?

Accepted Answer

The nurse's description of tissue pressure exceeding perfusion pressure in a closed anatomic space is indicative of compartment syndrome, a condition in which increased pressure within a muscle compartment compromises blood flow and neuronal function. Horner syndrome is a combination of symptoms resulting from damage to certain nerves in the face and neck. Cauda equine syndrome is a neurological disorder caused by damage to the bundle of nerve roots that exit the spinal cord at the base of the spinal canal. Carpal tunnel syndrome is a condition involving compression of the median nerve in the wrist.

Question 18

Why is a dual energy x-ray absorptiometry scan used for a client with a musculoskeletal disorder?

Accepted Answer

A dual energy x-ray absorptiometry scan is used to visualize the bone mineral density (BMD) of the hip and lumbar vertebrae, making it an appropriate choice for clients with musculoskeletal disorders such as osteoporosis or osteopenia.

Question 19

When obtaining the health history of a client with a suspected musculoskeletal disorder, why does the nurse ask the client about travel destinations within the past year?

Accepted Answer

Asking about travel destinations can help identify if the client has been exposed to ticks in areas where Lyme disease is prevalent. Lyme disease can cause musculoskeletal symptoms if left untreated.

Question 20

While teaching a group of student nurses about different types of fractures, the nursing instructor says, "This fracture is characterized by the crushing of cancellous bone." Which type of fracture is the nursing instructor describing?

Accepted Answer

The nursing instructor is describing a compression fracture, which occurs when there is crushing of the cancellous bone. Complete fractures involve a break across the entire width of the bone, transverse fractures involve a break that runs perpendicular to the bone's axis, and comminuted fractures involve the bone being broken into several fragments.

Quiz 37: Musculoskeletal Trauma

The nurse is performing a physical examination on a client with a suspected musculoskeletal disorder. What is the first nursing intervention during the examination?

While assessing a client with a musculoskeletal disorder, the nurse abducts the client's arm to 90degrees and places anteriorly directed force on the posterior humeral head from behind. Which test is the nurse performing?

When assessing a client with a musculoskeletal disorder, the nurse finds lack of sensation in the dermatome areas of the lower extremity L5. The nurse suspects lumbar sprain /strain. What does the nurse expect the primary care provider to order in this situation?

The nursing instructor is teaching a group of student nurses about skeletal muscles. Which statement by a student nurse indicates effective learning?

The nurse finds that a client with a musculoskeletal disorder has pain in the malleolar zone. The client is also unable to bear weight for four steps. What does the nurse expect the primary health-care provider to order in this situation?

The nurse is evaluating the performance of a student nurse while caring for a client with an ankle sprain. Which intervention of the student nurse does the nursing instructor correct while providing care to the client?

The registered nurse is evaluating the performance of student nurse performing a valgus stress test on a client whose leg is slightly abducted. Which intervention of the student nurse does the registered nurse correct?

A client presents with a swollen left thigh and a lower extremity that appears shortened. The primary care provider orders an arteriogram. What is the client's most likely condition?

Which cervical root is associated with forearm pronation and supination?

A client complains of pain and immobility of the wrist. On assessment, the nurse finds decreased range of motion (ROM) , edema, and ecchymosis of the distal radius. The primary health-care provider recommends a neurovascular exam for confirmation. What does the nurse infer from these findings?

What is the most commonly dislocated joint in the body?

Which musculoskeletal disorder is also called adhesive capsulitis?

When assessing a client's muscle strength using the Lovett scale, the nurse finds that the client has no joint motion with palpable contraction of the muscle. What grade does the nurse assign to the client based on this finding?

The nurse is reviewing the medical records of four clients. Which client's medical record indicates the need to perform the McMurray test to assess the condition?

The nurse is caring for four clients diagnosed with different musculoskeletal disorders. Which client requires treatment with calcitonin, calcium or vitamin D supplements, analgesics, and muscle relaxants?

While teaching a group of student nurses about various musculoskeletal disorders, the nurse states, "This syndrome occurs when tissue pressure exceeds perfusion pressure in a closed anatomic space." Which syndrome is the nurse describing?

Why is a dual energy x-ray absorptiometry scan used for a client with a musculoskeletal disorder?

When obtaining the health history of a client with a suspected musculoskeletal disorder, why does the nurse ask the client about travel destinations within the past year?

While teaching a group of student nurses about different types of fractures, the nursing instructor says, "This fracture is characterized by the crushing of cancellous bone." Which type of fracture is the nursing instructor describing?

Quiz 37: Musculoskeletal Trauma

The nurse is performing a physical examination on a client with a suspected musculoskeletal disorder. What is the first nursing intervention during the examination?

While assessing a client with a musculoskeletal disorder, the nurse abducts the client's arm to 90 degrees and places anteriorly directed force on the posterior humeral head from behind. Which test is the nurse performing?

When assessing a client with a musculoskeletal disorder, the nurse finds lack of sensation in the dermatome areas of the lower extremity L5. The nurse suspects lumbar sprain /strain. What does the nurse expect the primary care provider to order in this situation?

The nursing instructor is teaching a group of student nurses about skeletal muscles. Which statement by a student nurse indicates effective learning?

The nurse finds that a client with a musculoskeletal disorder has pain in the malleolar zone. The client is also unable to bear weight for four steps. What does the nurse expect the primary health-care provider to order in this situation?

The nurse is evaluating the performance of a student nurse while caring for a client with an ankle sprain. Which intervention of the student nurse does the nursing instructor correct while providing care to the client?

The registered nurse is evaluating the performance of student nurse performing a valgus stress test on a client whose leg is slightly abducted. Which intervention of the student nurse does the registered nurse correct?

A client presents with a swollen left thigh and a lower extremity that appears shortened. The primary care provider orders an arteriogram. What is the client's most likely condition?

Which cervical root is associated with forearm pronation and supination?

A client complains of pain and immobility of the wrist. On assessment, the nurse finds decreased range of motion (ROM) , edema, and ecchymosis of the distal radius. The primary health-care provider recommends a neurovascular exam for confirmation. What does the nurse infer from these findings?

What is the most commonly dislocated joint in the body?

Which musculoskeletal disorder is also called adhesive capsulitis?

When assessing a client's muscle strength using the Lovett scale, the nurse finds that the client has no joint motion with palpable contraction of the muscle. What grade does the nurse assign to the client based on this finding?

The nurse is reviewing the medical records of four clients. Which client's medical record indicates the need to perform the McMurray test to assess the condition?

The nurse is caring for four clients diagnosed with different musculoskeletal disorders. Which client requires treatment with calcitonin, calcium or vitamin D supplements, analgesics, and muscle relaxants?

While teaching a group of student nurses about various musculoskeletal disorders, the nurse states, "This syndrome occurs when tissue pressure exceeds perfusion pressure in a closed anatomic space." Which syndrome is the nurse describing?

Why is a dual energy x-ray absorptiometry scan used for a client with a musculoskeletal disorder?

When obtaining the health history of a client with a suspected musculoskeletal disorder, why does the nurse ask the client about travel destinations within the past year?

While teaching a group of student nurses about different types of fractures, the nursing instructor says, "This fracture is characterized by the crushing of cancellous bone." Which type of fracture is the nursing instructor describing?

While assessing a client with a musculoskeletal disorder, the nurse abducts the client's arm to 90degrees and places anteriorly directed force on the posterior humeral head from behind. Which test is the nurse performing?