Question 1

The nurse is changing the position of a person with flaccid paralysis.Which action is most important?

Accepted Answer

A)  Change the patient's joint position frequently. 
B)  Refrain from footboard usage. 
C)  Only move the patient from side to side, not supine. 
D)  Refrain from using pillows to keep the patient in place. 
A)  Change the patient's joint position frequently. 
B)  Refrain from footboard usage. 
C)  Only move the patient from side to side, not supine. 
D)  Refrain from using pillows to keep the patient in place. A

Question 2

Arrange the instructions for a person on crutches to sit down.

-Step 3

Accepted Answer

A) Transfer both crutches to the side of injury. 
B) With weight on good leg, reach back, and grasp chair arm. 
C) Sit back in chair. 
D) Turn slowly and touch backs of legs to seat of chair. 
E) Using crutch and chair arm for support, slowly sit on chair. 
A) Transfer both crutches to the side of injury. 
B) With weight on good leg, reach back, and grasp chair arm. 
C) Sit back in chair. 
D) Turn slowly and touch backs of legs to seat of chair. 
E) Using crutch and chair arm for support, slowly sit on chair. B

Question 3

Arrange the instructions for a person on crutches to sit down.

-Step 5

Accepted Answer

A) Transfer both crutches to the side of injury. 
B) With weight on good leg, reach back, and grasp chair arm. 
C) Sit back in chair. 
D) Turn slowly and touch backs of legs to seat of chair. 
E) Using crutch and chair arm for support, slowly sit on chair. 
A) Transfer both crutches to the side of injury. 
B) With weight on good leg, reach back, and grasp chair arm. 
C) Sit back in chair. 
D) Turn slowly and touch backs of legs to seat of chair. 
E) Using crutch and chair arm for support, slowly sit on chair. C

Question 4

The nurse is assessing the patient's crutches.Which observation confirms that the crutches are sized correctly?

Accepted Answer

A)  The crutches are the same height as the patient's shoulders. 
B)  The crutches are approximately 12 inches shorter than the patient's shoulders. 
C)  The crutches are approximately 16 inches shorter than the patient's height. 
D)  The crutches are tall enough to allow the patient's arms to be fully extended when walking. 
A)  The crutches are the same height as the patient's shoulders. 
B)  The crutches are approximately 12 inches shorter than the patient's shoulders. 
C)  The crutches are approximately 16 inches shorter than the patient's height. 
D)  The crutches are tall enough to allow the patient's arms to be fully extended when walking.

Question 5

Arrange the instructions for a person on crutches to sit down.

-Step 2

Accepted Answer

A) Transfer both crutches to the side of injury. 
B) With weight on good leg, reach back, and grasp chair arm. 
C) Sit back in chair. 
D) Turn slowly and touch backs of legs to seat of chair. 
E) Using crutch and chair arm for support, slowly sit on chair. 
A) Transfer both crutches to the side of injury. 
B) With weight on good leg, reach back, and grasp chair arm. 
C) Sit back in chair. 
D) Turn slowly and touch backs of legs to seat of chair. 
E) Using crutch and chair arm for support, slowly sit on chair.

Question 6

The canal system that runs through the bone and contains the blood and lymph vessels is called the ____________.

Accepted Answer

haversian system
The haversian

Question 7

Arrange the instructions for a person on crutches to sit down.

-Step 1

Accepted Answer

A) Transfer both crutches to the side of injury. 
B) With weight on good leg, reach back, and grasp chair arm. 
C) Sit back in chair. 
D) Turn slowly and touch backs of legs to seat of chair. 
E) Using crutch and chair arm for support, slowly sit on chair. 
A) Transfer both crutches to the side of injury. 
B) With weight on good leg, reach back, and grasp chair arm. 
C) Sit back in chair. 
D) Turn slowly and touch backs of legs to seat of chair. 
E) Using crutch and chair arm for support, slowly sit on chair.

Question 8

When preparing a patient for electromyography (EMG),which instructions should the nurse include?

Accepted Answer

A)  Cease smoking for 12 hours before the test. 
B)  Refrain from caffeine drinks for 3 hours before the test. 
C)  Take muscle relaxants before the test. 
D)  Prepare for a lengthy testing time (usually about 2 hours). 
A)  Cease smoking for 12 hours before the test. 
B)  Refrain from caffeine drinks for 3 hours before the test. 
C)  Take muscle relaxants before the test. 
D)  Prepare for a lengthy testing time (usually about 2 hours).

Question 9

The nurse is discussing actions that can be taken to best prevent osteoporosis with a patient.Which information should the nurse include?

Accepted Answer

A)  Take an extra calcium supplement. 
B)  Eat a balanced diet. 
C)  Exercise throughout life. 
D)  Increase daily intake of milk products. 
A)  Take an extra calcium supplement. 
B)  Eat a balanced diet. 
C)  Exercise throughout life. 
D)  Increase daily intake of milk products.

Question 10

When the patient returns to the unit from having had an arthrogram,which intervention should the nurse perform first?

Accepted Answer

A)  Ambulate the patient in the room. 
B)  Apply ice packs to the knee. 
C)  Perform passive range-of-motion (ROM) exercises. 
D)  Wrap the knee in an elastic bandage. 
A)  Ambulate the patient in the room. 
B)  Apply ice packs to the knee. 
C)  Perform passive range-of-motion (ROM) exercises. 
D)  Wrap the knee in an elastic bandage.

Question 11

When a joint is obliterated by bony overgrowth,the joint is said to be _________.

Accepted Answer

ankylosed
Ankylosis

Question 12

Which age-related change(s)occur(s)in the musculoskeletal system?

Accepted Answer

A)  Increased bone density 
B)  Increased brittleness and fragility of bones 
C)  Decreased healing times 
D)  Decreased muscle mass 
E)  Tendon sclerosis 
A)  Increased bone density 
B)  Increased brittleness and fragility of bones 
C)  Decreased healing times 
D)  Decreased muscle mass 
E)  Tendon sclerosis

Question 13

Arrange the instructions for a person on crutches to sit down.

-Step 4

Accepted Answer

A) Transfer both crutches to the side of injury. 
B) With weight on good leg, reach back, and grasp chair arm. 
C) Sit back in chair. 
D) Turn slowly and touch backs of legs to seat of chair. 
E) Using crutch and chair arm for support, slowly sit on chair. 
A) Transfer both crutches to the side of injury. 
B) With weight on good leg, reach back, and grasp chair arm. 
C) Sit back in chair. 
D) Turn slowly and touch backs of legs to seat of chair. 
E) Using crutch and chair arm for support, slowly sit on chair.

Question 14

What does goniometry measure?

Accepted Answer

A)  Bone strength 
B)  Muscle density 
C)  Muscle strength 
D)  Range-of-motion (ROM) 
A)  Bone strength 
B)  Muscle density 
C)  Muscle strength 
D)  Range-of-motion (ROM)

Question 15

What is the name for the anatomical structure that joins the bones of a joint together?

Accepted Answer

A)  A ligament 
B)  A tendon 
C)  A muscle 
D)  Cartilage 
A)  A ligament 
B)  A tendon 
C)  A muscle 
D)  Cartilage

Question 16

The patient's plan of care includes using the continuous passive motion (CPM)machine.Which statement indicates the patient needs for further teaching?

Accepted Answer

A)  "I marched in the Marines for 20 years, and now I'm marching flat on my back!" 
B)  "My new knee will be glad to rest at night." 
C)  "I can make my new knee stronger if I reset this thing to go faster and flex my knee more." 
D)  "I almost wish this CPM ran at night. The motor noise is soothing." 
A)  "I marched in the Marines for 20 years, and now I'm marching flat on my back!" 
B)  "My new knee will be glad to rest at night." 
C)  "I can make my new knee stronger if I reset this thing to go faster and flex my knee more." 
D)  "I almost wish this CPM ran at night. The motor noise is soothing."

Question 17

The nurse encourages the patient to use the four-point crutch gait technique.Which statement indicates that the patient accurately understands the nurse's teaching?

Accepted Answer

A)  "This way of walking takes weight off of one leg." 
B)  "This way of walking is the most stable gait." 
C)  "This way of walking mimics normal walking pattern." 
D)  "This way of walking allows the most rapid pace." 
A)  "This way of walking takes weight off of one leg." 
B)  "This way of walking is the most stable gait." 
C)  "This way of walking mimics normal walking pattern." 
D)  "This way of walking allows the most rapid pace."

Question 18

The nurse is caring for a patient who has had an arthrocentesis.The nurse has completed discharge instructions.Which statement indicates the patient needs further instruction?

Accepted Answer

A)  "I should avoid moving my knee for at least 2 weeks." 
B)  "The steroids prescribed by my physician will reduce the inflammation in my knee." 
C)  "Some pain is anticipated." 
D)  "My elastic bandage will be worn for 2 to 3 days." 
A)  "I should avoid moving my knee for at least 2 weeks." 
B)  "The steroids prescribed by my physician will reduce the inflammation in my knee." 
C)  "Some pain is anticipated." 
D)  "My elastic bandage will be worn for 2 to 3 days."

Question 19

Positioning and range-of-motion (ROM)exercises most help the immobilized patient to prevent which complication?

Accepted Answer

A)  Increased pain 
B)  Contractures 
C)  Pressure ulcers 
D)  Compromised circulation 
A)  Increased pain 
B)  Contractures 
C)  Pressure ulcers 
D)  Compromised circulation

Question 20

If muscles are not regularly stretched and contracted,how will the muscles be effected?

Accepted Answer

A)  Muscles will become longer and flexed. 
B)  Muscles will become fibrosed and spastic. 
C)  Muscles will become shorter and less elastic. 
D)  Muscles will become shorter and painful. 
A)  Muscles will become longer and flexed. 
B)  Muscles will become fibrosed and spastic. 
C)  Muscles will become shorter and less elastic. 
D)  Muscles will become shorter and painful.

Exam 31: The Musculoskeletal System

The nurse is changing the position of a person with flaccid paralysis.Which action is most important?

Arrange the instructions for a person on crutches to sit down. -Step 3

Arrange the instructions for a person on crutches to sit down. -Step 5

The nurse is assessing the patient's crutches.Which observation confirms that the crutches are sized correctly?

Arrange the instructions for a person on crutches to sit down. -Step 2

The canal system that runs through the bone and contains the blood and lymph vessels is called the ____________.

Arrange the instructions for a person on crutches to sit down. -Step 1

When preparing a patient for electromyography (EMG),which instructions should the nurse include?

The nurse is discussing actions that can be taken to best prevent osteoporosis with a patient.Which information should the nurse include?

When the patient returns to the unit from having had an arthrogram,which intervention should the nurse perform first?

When a joint is obliterated by bony overgrowth,the joint is said to be _________.

Which age-related change(s)occur(s)in the musculoskeletal system?

Arrange the instructions for a person on crutches to sit down. -Step 4

What does goniometry measure?

What is the name for the anatomical structure that joins the bones of a joint together?

The patient's plan of care includes using the continuous passive motion (CPM)machine.Which statement indicates the patient needs for further teaching?

The nurse encourages the patient to use the four-point crutch gait technique.Which statement indicates that the patient accurately understands the nurse's teaching?

The nurse is caring for a patient who has had an arthrocentesis.The nurse has completed discharge instructions.Which statement indicates the patient needs further instruction?

Positioning and range-of-motion (ROM)exercises most help the immobilized patient to prevent which complication?

If muscles are not regularly stretched and contracted,how will the muscles be effected?

Caring for Medical-Surgical Patients

Critical Thinking and the Nursing Process

Fluid, Electrolytes, Acid-Base Balance, and Intravenous Therapy

Care of Preoperative and Intraoperative Surgical Patients

Care of Postoperative Patients

Infection Prevention and Control

Care of Patients with Pain

Care of Patients with Cancer

Chronic Illness and Rehabilitation

The Immune and Lymphatic System

Care of Patients with Immune and Lymphatic Disorders (with HIV and AIDS)

The Respiratory System

Care of Patients with Disorders of the Upper Respiratory System

Care of Patients with Disorders of the Lower Respiratory System

The Hematologic System

Care of Patients with Hematologic Disorders

The Cardiovascular System

Care of Patients with Hypertension and Peripheral Vascular Disease

Care of Patients with Cardiac Disorders

Care of Patients with Coronary Artery Disease and Cardiac Surgery

The Neurologic System

Care of Patients with Head and Spinal Cord Injuries

Care of Patients with Disorders of the Brain

Care of Patients with Peripheral Nerve and Degenerative Diseases

The Sensory System: Eye and Ear

Care of Patients with Disorders of the Eyes and Ears

The Gastrointestinal System

Care of Patients with Disorders of the Upper Gastrointestinal System

Care of Patients with Disorders of the Lower Gastrointestinal System

Care of Patients with Disorders of the Liver, Gallbladder, and Pancreas

Care of Patients with Musculoskeletal and Connective Tissue Disorders

The Urinary System

Care of Patients with Disorders of the Urinary System

The Endocrine System

Care of Patients with Pituitary, Thyroid, Parathyroid, and Adrenal Disorders

Care of Patients with Diabetes and Hypoglycemia

Care of Women with Reproductive Disorders

Care of Men with Reproductive Disorders

Care of Patients with Sexually Transmitted Infections

The Integumentary System

Care of Patents with Integumentary Disorders and Burns

Care of Patients in Disasters or Bioterrorism Attack

Care of Patients with Emergencies, Trauma, and Shock

Care of Patients with Anxiety, Mood, and Eating Disorders

Care of Patients with Substance Abuse Disorders

Care of Patients with Cognitive Disorders

Care of Patients with Thought and Personality Disorders

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