Question 1

Which of the following  Select all that apply.

Accepted Answer

D,E

Question 2

The height of a female patient has decreased ? inch over the last year. The patient is concerned and asks the nurse, "What is happening to me?" The most therapeutic response by the nurse would be which of the following?

Accepted Answer

This response acknowledges the patient's concern and provides an explanation for the decrease in height that is age-related, while also mentioning that there can be other causes. It provides reassurance and educates the patient about the normal aging process. Option A is dismissive and does not address the underlying concern. Option B may minimize the patient's worries but does not provide a clear understanding of the situation. Option D may cause unnecessary anxiety for the patient without providing any helpful information.

Question 3

The nurse asks a patient experiencing debilitating rheumatoid arthritis how the condition makes them feel about himself. The nurse is assessing what type of functional health pattern?

Accepted Answer

The nurse is assessing the patient's self-perception and self-concept related to their condition, as rheumatoid arthritis can have a significant impact on a person's sense of self and body image. This falls under the self-perception-self-concept functional health pattern.

Question 4

The nurse, reviewing data collected during the assessment of an elderly female, would identify which of the following as being normal age-related changes?  Select all that apply.

Accepted Answer

The answer of The nurse, reviewing data collected during the...

Question 5

The nurse, instructing a patient about preparations needed for an electromyogram, would determine that further instruction is needed when the patient makes which of the following statements?

Accepted Answer

The patient should not take any muscle relaxants before the test, as they can affect the results. The other statements are correct, as the patient should refrain from smoking before the test, drinking water is fine, and taking lisinopril for blood pressure the night before is not an issue.

Question 6

A patient is being discharged after being treated for a fracture. Which of the following assessments would ensure safety in the patient's home environment?

Accepted Answer

A safe walking path and no scatter rugs in the home environment would reduce the risk of falls and ensure the patient's safety. The location of furniture to aid with ambulation and the proper functioning of devices used for cooking are also important, but not as critical as removing potential tripping hazards. The presence of a small rug in front of the bathroom sink could actually increase the risk of slipping on water.

Question 7

A patient is diagnosed with Ellis-van Creveld syndrome. Which of the following will the nurse most likely assess in this patient?  Select all that apply.

Accepted Answer

Ellis-van Creveld syndrome is characterized by short stature (A), polydactyly (extra digits) (B), and skeletal abnormalities such as wrist deformities (C). Muscle spasms and decayed teeth are not typical features of this syndrome.

Question 8

A patient complains of pain in the jaw, swelling, and the inability to open the mouth without pain. Where should the nurse palpate when assessing this patient?
   Click on the correct area on the image.

Accepted Answer

The answer of A patient complains of pain in the...

Question 9

The nurse, assessing a 68 year-old female patient, notes an exaggerated curvature of the thoracic spine when the patient bends at the waist. The nurse realizes that this finding is consistent with which of the following?

Accepted Answer

The exaggerated curvature of the thoracic spine is consistent with kyphosis, which is a common curvature in older patients.

Question 10

The nurse, assessing a Native American patient diagnosed with rheumatoid arthritis, asks how cultural beliefs or practices affect how the patient feels and cares about the condition. The nurse is assessing what type of functional health pattern?

Accepted Answer

The nurse's assessment is focused on how cultural beliefs and practices affect the patient's feelings and approach to managing their rheumatoid arthritis, which is related to the value-belief functional health pattern.

Question 11

The nurse is assessing an elderly patient. Which of the following would be considered normal findings for this patient?  Select all that apply.

Accepted Answer

Decreased bone mass and minerals, muscle fibers atrophy, and decreased range of motion are all normal findings in elderly patients.

Question 12

While performing range of motion exercises with an elderly patient, the patient begins to cry and states, "My knee hurts when you do that!" Which interventions should be implemented at this time?  Select all that apply.

Accepted Answer

It is important to stop any exercise immediately if the patient reports pain. Continuing with the exercise could cause further harm to the knee. It is also important to notify the physician, as they may want to evaluate the knee and adjust the exercise plan accordingly. Massaging the knee for 20 minutes may not be appropriate without further evaluation, as it could exacerbate any underlying knee injuries or conditions. Having the patient complete the exercise alone is also not recommended, as they may not have the ability to monitor their pain and could potentially cause harm to themselves.

Question 13

A health-conscious young adult female asks the nurse what diagnostic test might help predict the likelihood for developing osteoporosis. With which of the following diagnostic test should the nurse respond?

Accepted Answer

Dual energy x-ray absorptiometry (DEXA) is a diagnostic test that measures bone mineral density and is the gold standard for diagnosing and monitoring osteoporosis. It is a non-invasive, painless test that typically measures bone density in the hip and spine.

Question 14

A patient, recovering from a total hip replacement, develops a fever and redness at the surgical site. Which of the following should the nurse consider first when assessing this patient?

Accepted Answer

The presence of fever and redness at the surgical site is indicative of a possible infection. Osteomyelitis, which is an infection of the bone, is a serious complication that can occur after joint replacement surgery. It is important for the nurse to assess for other signs and symptoms of infection and immediately notify the healthcare provider if an infection is suspected. Subacute osteoporosis, pathological fracture, and osteitis deformans are not typically associated with the development of fever and redness at a surgical site.

Question 15

A priority nursing diagnosis for a patient diagnosed with amyotrophic lateral sclerosis (ALS) would be which of the following?

Accepted Answer

ALS affects the motor neurons controlling voluntary muscles, leading to muscle weakness and atrophy, which can compromise respiratory muscles and impair gas exchange.

Question 16

The nurse asks a patient diagnosed with severe osteoporosis how the condition has interfered with his ability to work. The nurse is assessing what type of functional health pattern?

Accepted Answer

The nurse is assessing the role-relationships functional health pattern, which involves understanding how a patient's health condition affects their roles and relationships, including their ability to work.

Question 17

The nurse asks a patient if she ingests over-the-counter medications, herbal supplements, or nutritional supplements for any type of problems with her bones or muscles. The nurse is assessing what type of functional health pattern?

Accepted Answer

The nurse is assessing the "health perception-health management" pattern, which involves an individual's perceived health and well-being and how their health is managed, including the use of medications or supplements for health issues.

Question 18

The nurse would document "unable to assess" for which of the following patients in relation to performing Phalen's test?

Accepted Answer

Phalen's test is used to diagnose carpal tunnel syndrome by flexing the wrists. A patient with an above-the-elbow amputation cannot perform this test because it requires the presence of both hands and wrists to press together for the assessment.

Question 19

In which order should the nurse assess a patient complaining of pain in both knees? Place in order of priority.  Click and drag the options below to move them up or down.
A)measurement of muscle mass 
B)range of motion 
C)inspection 
D)palpation

Accepted Answer

The answer of In which order should the nurse assess...

Question 20

Which of the following patients could safely undergo an MRI diagnostic test?

Accepted Answer

MRI (Magnetic Resonance Imaging) uses a powerful magnetic field to generate images of the body. Patients with metallic implants like pacemakers or shrapnel can be at risk due to the magnetic field. However, an open wound, while requiring care, does not inherently preclude MRI unless there's metallic contamination.

Quiz 38: Assessing the Musculoskeletal System

Which of the following Select all that apply.

The height of a female patient has decreased ? inch over the last year. The patient is concerned and asks the nurse, "What is happening to me?" The most therapeutic response by the nurse would be which of the following?

The nurse asks a patient experiencing debilitating rheumatoid arthritis how the condition makes them feel about himself. The nurse is assessing what type of functional health pattern?

The nurse, reviewing data collected during the assessment of an elderly female, would identify which of the following as being normal age-related changes? Select all that apply.

The nurse, instructing a patient about preparations needed for an electromyogram, would determine that further instruction is needed when the patient makes which of the following statements?

A patient is being discharged after being treated for a fracture. Which of the following assessments would ensure safety in the patient's home environment?

A patient is diagnosed with Ellis-van Creveld syndrome. Which of the following will the nurse most likely assess in this patient? Select all that apply.

A patient complains of pain in the jaw, swelling, and the inability to open the mouth without pain. Where should the nurse palpate when assessing this patient? Click on the correct area on the image.