Question 1

The term used to describe the weight-bearing status of a patient who rests the injured foot on the floor without bearing weight is

Accepted Answer

A)  non-weight-bearing. 
B)  touchdown weight bearing. 
C)  partial weight bearing. 
D)  minimal weight bearing 
A)  non-weight-bearing. 
B)  touchdown weight bearing. 
C)  partial weight bearing. 
D)  minimal weight bearing

Question 2

A patient lying supine with both legs extended and raised 2 inches off the table,is able to maintain this position for only 20 seconds.You would record that the patient has a positive

Accepted Answer

A)  Trendelenburg test. 
B)  Thomas test. 
C)  Milgram test. 
D)  Apley's scratch test. 
A)  Trendelenburg test. 
B)  Thomas test. 
C)  Milgram test. 
D)  Apley's scratch test.

Question 3

The ____________________ membrane lines a movable joint.

Accepted Answer

synovial
Explanation:A synovia

Question 4

The joint angle decreases in

Accepted Answer

A)  abduction. 
B)  plantar flexion. 
C)  flexion. 
D)  retraction. 
A)  abduction. 
B)  plantar flexion. 
C)  flexion. 
D)  retraction.

Question 5

Numbness and paresthesia in the palmar aspect of the hand and the first three fingers occurring after maintaining wrist flexion of 90° for 1 minute is a positive

Accepted Answer

A)  Phalen's test. 
B)  Tinel's sign. 
C)  Trendelenburg test. 
D)  tunnel test. 
A)  Phalen's test. 
B)  Tinel's sign. 
C)  Trendelenburg test. 
D)  tunnel test.

Question 6

A nursing student is about to perform ROM exercises and the nursing instructor asks the students to explain the process.Which statement by the student would indicate to the instructor that further clarification on the procedure is needed? Select all that apply.

Accepted Answer

A)  Ask the patient to move the joint through each of its various ROM movements. 
B)  Note angle of each joint movement. 
C)  Note any pain, tenderness, or crepitus. 
D)  If the patient is unable to perform active ROM, then contact the physician immediately. 
E)  Push a joint beyond its anatomic angle.
F) Use a goniometer to determine exact ROM in joints with limited ROM. 
A)  Ask the patient to move the joint through each of its various ROM movements. 
B)  Note angle of each joint movement. 
C)  Note any pain, tenderness, or crepitus. 
D)  If the patient is unable to perform active ROM, then contact the physician immediately. 
E)  Push a joint beyond its anatomic angle.
F) Use a goniometer to determine exact ROM in joints with limited ROM.

Question 7

An elementary school nurse is performing an annual screening on a child.The child is asked to bend forward from the waist and touch her toes.What disorder is characterized by lateral curvature of the spine in this position?

Accepted Answer

A)  list 
B)  kyphosis 
C)  lordosis 
D)  scoliosis 
A)  list 
B)  kyphosis 
C)  lordosis 
D)  scoliosis

Question 8

You note that your patient's gluteal cleft is lateral to the imaginary line you drew from her head straight down her spine.This finding indicates

Accepted Answer

A)  structural scoliosis. 
B)  kyphosis. 
C)  a list. 
D)  functional scoliosis. 
A)  structural scoliosis. 
B)  kyphosis. 
C)  a list. 
D)  functional scoliosis.

Question 9

A patient's inability to touch his thumb with the little finger of the same hand indicates involvement of the

Accepted Answer

A)  ulnar nerve. 
B)  radial nerve. 
C)  metacarpophalangeal joints. 
D)  median nerve. 
A)  ulnar nerve. 
B)  radial nerve. 
C)  metacarpophalangeal joints. 
D)  median nerve.

Question 10

Which of the following describes cartilage? Select all that apply.

Accepted Answer

A)  Dense 
B)  Resilient 
C)  Vascular 
D)  Fibrous 
E)  Spongy
F) Fragile 
A)  Dense 
B)  Resilient 
C)  Vascular 
D)  Fibrous 
E)  Spongy
F) Fragile

Question 11

Your patient has a non-weight-bearing cast on her left leg and walks with the aid of crutches.Which observation indicates a problem that requires intervention?

Accepted Answer

A)  The crutches have padded handles. 
B)  The patient is using a two-point crutch gait for partial weight bearing. 
C)  The patient is wearing sneakers with a nonskid surface. 
D)  The patient places weight on the handbar grip as the patient walks. 
A)  The crutches have padded handles. 
B)  The patient is using a two-point crutch gait for partial weight bearing. 
C)  The patient is wearing sneakers with a nonskid surface. 
D)  The patient places weight on the handbar grip as the patient walks.

Question 12

A patient with a stable,closed fracture of the humerus caused by trauma to the arm has a temporary splint with bulky padding applied with an elastic bandage.The nurse suspects compartment syndrome and notifies the health care provider when the patient experiences

Accepted Answer

A)  pain at the fracture site. 
B)  increasing warmth and redness of the skin. 
C)  muscle spasms of the lower arm. 
D)  pain when the nurse passively extends the fingers. 
A)  pain at the fracture site. 
B)  increasing warmth and redness of the skin. 
C)  muscle spasms of the lower arm. 
D)  pain when the nurse passively extends the fingers.

Question 13

A patient with a herniated lumbar disk who reports low back pain with straight leg raising will experience increased pain when you

Accepted Answer

A)  bend the knee. 
B)  lower the leg. 
C)  dorsiflex the foot. 
D)  plantar flex the foot. 
A)  bend the knee. 
B)  lower the leg. 
C)  dorsiflex the foot. 
D)  plantar flex the foot.

Question 14

You are caring for an 82-years-old patient who fell in his home and is now complaining of pain in his left hip and leg.To determine the length of your patient's legs,you position him supine with his legs extended and measure from the

Accepted Answer

A)  anterior superior iliac spine to the medial malleolus. 
B)  posterior iliac spine to the medial malleolus. 
C)  anterior superior iliac spine to the bottom of the foot. 
D)  posterior iliac spine to the bottom of the foot. 
A)  anterior superior iliac spine to the medial malleolus. 
B)  posterior iliac spine to the medial malleolus. 
C)  anterior superior iliac spine to the bottom of the foot. 
D)  posterior iliac spine to the bottom of the foot.

Question 15

You are assessing a patient for impingement syndrome and rotator cuff tear.Which of the following steps would you include? Select all that apply.

Accepted Answer

A)  Ask the patient to lie in a supine position. 
B)  Stand next to the patient. 
C)  Stabilize the shoulder girdle by placing one hand over the scapula and trapezius of the arm to be tested. 
D)  With the other hand, the examiner grasps the patient's arm posteriorly slightly proximal to the elbow. 
E)  While holding the elbow, flex the patient's shoulder until the arm is in a flexed and abducted position with the arm at the side of the patient's head.
F) Rotate the shoulder backward. 
A)  Ask the patient to lie in a supine position. 
B)  Stand next to the patient. 
C)  Stabilize the shoulder girdle by placing one hand over the scapula and trapezius of the arm to be tested. 
D)  With the other hand, the examiner grasps the patient's arm posteriorly slightly proximal to the elbow. 
E)  While holding the elbow, flex the patient's shoulder until the arm is in a flexed and abducted position with the arm at the side of the patient's head.
F) Rotate the shoulder backward.

Question 16

Visible twitching of a group of muscle fibers that can occur when the muscle is stimulated by tapping is called

Accepted Answer

A)  fibrillation. 
B)  fasciculation. 
C)  spasm. 
D)  myoclonus. 
A)  fibrillation. 
B)  fasciculation. 
C)  spasm. 
D)  myoclonus.

Exam 19: Musculoskeletal System

The term used to describe the weight-bearing status of a patient who rests the injured foot on the floor without bearing weight is

A patient lying supine with both legs extended and raised 2 inches off the table,is able to maintain this position for only 20 seconds.You would record that the patient has a positive

The ____________________ membrane lines a movable joint.

The joint angle decreases in

Numbness and paresthesia in the palmar aspect of the hand and the first three fingers occurring after maintaining wrist flexion of 90° for 1 minute is a positive

A nursing student is about to perform ROM exercises and the nursing instructor asks the students to explain the process.Which statement by the student would indicate to the instructor that further clarification on the procedure is needed? Select all that apply.

An elementary school nurse is performing an annual screening on a child.The child is asked to bend forward from the waist and touch her toes.What disorder is characterized by lateral curvature of the spine in this position?

You note that your patient's gluteal cleft is lateral to the imaginary line you drew from her head straight down her spine.This finding indicates

A patient's inability to touch his thumb with the little finger of the same hand indicates involvement of the

Which of the following describes cartilage? Select all that apply.

Your patient has a non-weight-bearing cast on her left leg and walks with the aid of crutches.Which observation indicates a problem that requires intervention?

A patient with a stable,closed fracture of the humerus caused by trauma to the arm has a temporary splint with bulky padding applied with an elastic bandage.The nurse suspects compartment syndrome and notifies the health care provider when the patient experiences

A patient with a herniated lumbar disk who reports low back pain with straight leg raising will experience increased pain when you

You are caring for an 82-years-old patient who fell in his home and is now complaining of pain in his left hip and leg.To determine the length of your patient's legs,you position him supine with his legs extended and measure from the

You are assessing a patient for impingement syndrome and rotator cuff tear.Which of the following steps would you include? Select all that apply.

Visible twitching of a group of muscle fibers that can occur when the muscle is stimulated by tapping is called

Critical Thinking And The Nursing Process

Communication Techniques And The Patient Interview

The Complete Health History Including Documentation

Developmental Assessment

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Spiritual Assessment

Nutritional Assessment

Physical Examination Techniques

General Survey, vital Signs, and Pain

Skin, hair, and Nails

Head, neck, and Regional Lymph Nodes

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Ears, nose, mouth, and Throat

Breasts And Regional Nodes

Thorax And Lungs

Heart

Peripheral Vasculature And Lymphatic System

Abdomen

Mental Status And Neurological Techniques

Female Genitalia

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Anus, rectum, and Prostate

The Pregnant Patient

The Pediatric Patient

The Older Adult Patient

The Complete Health History And Physical Examination

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