Question 1

A 42-year-old male patient complains of shoulder pain when the nurse moves his arm behind the back.Which question should the nurse ask?

Accepted Answer

A)  "Are you able to feed yourself without difficulty?" 
B)  "Do you have difficulty when you are putting on a shirt?" 
C)  "Are you able to sleep through the night without waking?" 
D)  "Do you ever have trouble lowering yourself to the toilet?" 
A)  "Are you able to feed yourself without difficulty?" 
B)  "Do you have difficulty when you are putting on a shirt?" 
C)  "Are you able to sleep through the night without waking?" 
D)  "Do you ever have trouble lowering yourself to the toilet?" B

Question 2

Which information obtained during the nurse's assessment of a 30-year-old patient's nutritional-metabolic pattern may indicate the risk for musculoskeletal problems?

Accepted Answer

A)  The patient takes a multivitamin daily. 
B)  The patient dislikes fruits and vegetables. 
C)  The patient is 5 ft 2 in and weighs 180 lb. 
D)  The patient prefers whole milk to nonfat milk. 
A)  The patient takes a multivitamin daily. 
B)  The patient dislikes fruits and vegetables. 
C)  The patient is 5 ft 2 in and weighs 180 lb. 
D)  The patient prefers whole milk to nonfat milk. C

Question 3

Which part of the musculoskeletal assessment is the nurse doing in the video? HYPERLINK "http://static.us.elsevierhealth.com/lewis_9e/ch62_video_hips.mp4" Click here to view the video clip

Accepted Answer

A)  Passive hip range of motion 
B)  Inspection of the legs and feet 
C)  Internal and external hip rotation 
D)  Adduction and abduction of the hip 
A)  Passive hip range of motion 
B)  Inspection of the legs and feet 
C)  Internal and external hip rotation 
D)  Adduction and abduction of the hip D

Question 4

Which medication information will the nurse identify as a concern for a patient's musculoskeletal status?

Accepted Answer

A)  The patient takes a daily multivitamin and calcium supplement. 
B)  The patient takes hormone therapy (HT) to prevent "hot flashes." 
C)  The patient has severe asthma and requires frequent therapy with oral corticosteroids. 
D)  The patient has migraine headaches treated with nonsteroidal antiinflammatory drugs (NSAIDs). 
A)  The patient takes a daily multivitamin and calcium supplement. 
B)  The patient takes hormone therapy (HT) to prevent "hot flashes." 
C)  The patient has severe asthma and requires frequent therapy with oral corticosteroids. 
D)  The patient has migraine headaches treated with nonsteroidal antiinflammatory drugs (NSAIDs).

Question 5

The nurse who notes that a 59-year-old female patient has lost 1 inch in height over the past 2 years will plan to teach the patient about

Accepted Answer

A)  discography studies. 
B)  myelographic testing. 
C)  magnetic resonance imaging (MRI). 
D)  dual-energy x-ray absorptiometry (DX
A) . 
A)  discography studies. 
B)  myelographic testing. 
C)  magnetic resonance imaging (MRI). 
D)  dual-energy x-ray absorptiometry (DX
A) .

Question 6

After completing the health history,the nurse assessing the musculoskeletal system will begin by

Accepted Answer

A)  having the patient move the extremities against resistance. 
B)  feeling for the presence of crepitus during joint movement. 
C)  observing the patient's body build and muscle configuration. 
D)  checking active and passive range of motion for the extremities. 
A)  having the patient move the extremities against resistance. 
B)  feeling for the presence of crepitus during joint movement. 
C)  observing the patient's body build and muscle configuration. 
D)  checking active and passive range of motion for the extremities.

Question 7

Which finding is of highest priority when the nurse is planning care for a 77-year-old patient seen in the outpatient clinic?

Accepted Answer

A)  Symmetric joint swelling of fingers 
B)  Decreased right knee range of motion 
C)  Report of left hip aching when jogging 
D)  History of recent loss of balance and fall 
A)  Symmetric joint swelling of fingers 
B)  Decreased right knee range of motion 
C)  Report of left hip aching when jogging 
D)  History of recent loss of balance and fall

Question 8

Which action can the nurse delegate to unlicensed assistive personnel (UAP)who are working in the orthopedic clinic?

Accepted Answer

A)  Grade leg muscle strength for a patient with back pain. 
B)  Obtain blood sample for uric acid from a patient with gout. 
C)  Perform straight-leg-raise testing for a patient with sciatica. 
D)  Check for knee joint crepitation before arthroscopic surgery. 
A)  Grade leg muscle strength for a patient with back pain. 
B)  Obtain blood sample for uric acid from a patient with gout. 
C)  Perform straight-leg-raise testing for a patient with sciatica. 
D)  Check for knee joint crepitation before arthroscopic surgery.

Question 9

Which information in a 67-year-old woman's health history will alert the nurse to the need for a more focused assessment of the musculoskeletal system?

Accepted Answer

A)  The patient sprained her ankle at age 13. 
B)  The patient's mother became shorter with aging. 
C)  The patient takes ibuprofen (Advil) for occasional headaches. 
D)  The patient's father died of complications of miliary tuberculosis. 
A)  The patient sprained her ankle at age 13. 
B)  The patient's mother became shorter with aging. 
C)  The patient takes ibuprofen (Advil) for occasional headaches. 
D)  The patient's father died of complications of miliary tuberculosis.

Question 10

Which nursing action is correct when performing the straight-leg raising test for an ambulatory patient with back pain?

Accepted Answer

A)  Raise the patient's legs to a 60-degree angle from the bed. 
B)  Place the patient initially in the prone position on the exam table. 
C)  Have the patient dangle both legs over the edge of the exam table. 
D)  Instruct the patient to elevate the legs and tense the abdominal muscles. 
A)  Raise the patient's legs to a 60-degree angle from the bed. 
B)  Place the patient initially in the prone position on the exam table. 
C)  Have the patient dangle both legs over the edge of the exam table. 
D)  Instruct the patient to elevate the legs and tense the abdominal muscles.

Question 11

A patient with left knee pain is diagnosed with bursitis.The nurse will explain that bursitis is an inflammation of

Accepted Answer

A)  the synovial membrane that lines the joint. 
B)  a small, fluid-filled sac found at some joints. 
C)  the fibrocartilage that acts as a shock absorber in the knee joint. 
D)  any connective tissue that is found supporting the joints of the body. 
A)  the synovial membrane that lines the joint. 
B)  a small, fluid-filled sac found at some joints. 
C)  the fibrocartilage that acts as a shock absorber in the knee joint. 
D)  any connective tissue that is found supporting the joints of the body.

Question 12

The nurse finds that a patient can flex the arms when no resistance is applied but is unable to flex when the nurse applies light resistance.The nurse should document the patient's muscle strength as level

Accepted Answer

A)  0. 
B)  1. 
C)  2. 
D)  3. 
A)  0. 
B)  1. 
C)  2. 
D)  3.

Question 13

Which finding from a patient's right knee arthrocentesis will be of concern to the nurse?

Accepted Answer

A)  Cloudy fluid 
B)  Scant thin fluid 
C)  Pale yellow fluid 
D)  Straw-colored fluid 
A)  Cloudy fluid 
B)  Scant thin fluid 
C)  Pale yellow fluid 
D)  Straw-colored fluid

Question 14

A 72-year-old patient with kyphosis is scheduled for dual-energy x-ray absorptiometry (DXA)testing.The nurse will plan to

Accepted Answer

A)  explain the procedure. 
B)  start an IV line for contrast medium injection. 
C)  give an oral sedative 60 to 90 minutes before the procedure. 
D)  screen the patient for allergies to shellfish or iodine products. 
A)  explain the procedure. 
B)  start an IV line for contrast medium injection. 
C)  give an oral sedative 60 to 90 minutes before the procedure. 
D)  screen the patient for allergies to shellfish or iodine products.

Question 15

A patient has a new order for magnetic resonance imaging (MRI)to evaluate for left femur osteomyelitis after a hip replacement surgery.Which information indicates that the nurse should consult with the health care provider before scheduling the MRI?

Accepted Answer

A)  The patient has a pacemaker. 
B)  The patient is claustrophobic. 
C)  The patient wears a hearing aid. 
D)  The patient is allergic to shellfish. 
A)  The patient has a pacemaker. 
B)  The patient is claustrophobic. 
C)  The patient wears a hearing aid. 
D)  The patient is allergic to shellfish.

Question 16

The nurse notes crackling sounds and a grating sensation with palpation of an older patient's elbow.How will this finding be documented?

Accepted Answer

A)  Torticollis 
B)  Crepitation 
C)  Subluxation 
D)  Epicondylitis 
A)  Torticollis 
B)  Crepitation 
C)  Subluxation 
D)  Epicondylitis

Exam 58: Nursing Assessment: Musculoskeletal System

A 42-year-old male patient complains of shoulder pain when the nurse moves his arm behind the back.Which question should the nurse ask?

Which information obtained during the nurse's assessment of a 30-year-old patient's nutritional-metabolic pattern may indicate the risk for musculoskeletal problems?

Which part of the musculoskeletal assessment is the nurse doing in the video? HYPERLINK "http://static.us.elsevierhealth.com/lewis_9e/ch62_video_hips.mp4" Click here to view the video clip

Which medication information will the nurse identify as a concern for a patient's musculoskeletal status?

The nurse who notes that a 59-year-old female patient has lost 1 inch in height over the past 2 years will plan to teach the patient about

After completing the health history,the nurse assessing the musculoskeletal system will begin by

Which finding is of highest priority when the nurse is planning care for a 77-year-old patient seen in the outpatient clinic?

Which action can the nurse delegate to unlicensed assistive personnel (UAP)who are working in the orthopedic clinic?

Which information in a 67-year-old woman's health history will alert the nurse to the need for a more focused assessment of the musculoskeletal system?

Which nursing action is correct when performing the straight-leg raising test for an ambulatory patient with back pain?

A patient with left knee pain is diagnosed with bursitis.The nurse will explain that bursitis is an inflammation of

The nurse finds that a patient can flex the arms when no resistance is applied but is unable to flex when the nurse applies light resistance.The nurse should document the patient's muscle strength as level

Which finding from a patient's right knee arthrocentesis will be of concern to the nurse?

A 72-year-old patient with kyphosis is scheduled for dual-energy x-ray absorptiometry (DXA)testing.The nurse will plan to

A patient has a new order for magnetic resonance imaging (MRI)to evaluate for left femur osteomyelitis after a hip replacement surgery.Which information indicates that the nurse should consult with the health care provider before scheduling the MRI?

The nurse notes crackling sounds and a grating sensation with palpation of an older patient's elbow.How will this finding be documented?

The Importance of Nursing

Health Disparities and Cultural Care

Pain Management

Palliative Care

Substance Use and Dependency

Nursing Management: Inflammation and Wound Healing

Genetics and Genomics

Altered Immune Responses and Transplantation

Nursing Management: Infection and Human Immunodeficiency Virus Infection

Cancer

Nursing Management: Fluid,electrolyte and Acidbase Imbalances

Nursing Management: Preoperative Care

Nursing Management: Intraoperative Care

Nursing Management: Postoperative Care

Nursing Assessment: Visual and Auditory Systems

Nursing Management: Visual and Auditory Problems

Nursing Assessment: Integumentary System

Nursing Management: Integumentary Problems

Nursing Management: Burns

Nursing Assessment: Respiratory System

Nursing Management: Upper Respiratory Problems

Nursing Management: Lower Respiratory Problems

Nursing Management: Obstructive Pulmonary Diseases

Nursing Assessment: Haematological System

Nursing Management: Haematological Problems

Nursing Assessment: Cardiovascular System

Nursing Management: Hypertension

Nursing Management: Coronary Artery Disease and Acute Coronary Syndrome

Nursing Management: Heart Failure

Nursing Management: Ecg Monitoring and Arrhythmias

Nursing Management: Inflammatory and Structural Heart Disorders

Nursing Management: Vascular Disorders

Nursing Assessment: Gastrointestinal System

Nursing Management: Nutritional Problems

Nursing Management: Obesity

Nursing Management: Upper Gastrointestinal Problems

Nursing Management: Lower Gastrointestinal Problems

Nursing Management: Liver,pancreas and Biliary Tract Problems

Nursing Assessment: Urinary System

Nursing Management: Renal and Urological Problems

Nursing Management: Acute Kidney Injury and Chronic Kidney Disease

Nursing Assessment: Endocrine System

Nursing Management: Diabetes Mellitus

Nursing Management: Endocrine Problems

Nursing Assessment: Reproductive System

Nursing Management: Breast Disorders

Nursing Management: Sexually Transmitted Infections

Nursing Management: Female Reproductive Problems

Nursing Management: Male Reproductive Problems

Nursing Assessment: Nervous System

Nursing Management: Acute Intracranial Problems

Nursing Management: the Patient With a Stroke

Nursing Management: Chronic Neurological Problems

Nursing Management: Delirium,depression and Dementia

Nursing Management: Peripheral Nerve and Spinal Cord Problems

Nursing Management: Musculoskeletal Trauma and Orthopaedic Surgery

Nursing Management: Musculoskeletal Problems

Nursing Management: Arthritis and Connective Tissue Diseases

Nursing Management: Critical Care Environment

Nursing Management: Shock,systemic Inflammatory Response Syndrome and Multiple Organ Dysfunction Syndrome

Nursing Management: Respiratory Failure and Acute Respiratory Distress Syndrome

Nursing Management: Emergency Care Situations

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