Question 1

The nurse plans to use a goniometer during the physical assessment. Which is assessed using this tool?

Accepted Answer

A)   Extremity length
B)   Muscle strength
C)   Muscle tension
D)   Range of motion (ROM)  D

Question 2

The nurse is assessing an adolescent for scoliosis. Which action is appropriate?

Accepted Answer

A)   Asking the patient to bend forward at the waist with the arms hanging and relaxed
B)   Asking the patient to stand straight and twist to the right, then the left
C)   Asking the patient to flatten the back against the wall
D)   All of the above A

Question 3

Which variation in gait is normal for a toddler-age patient?

Accepted Answer

A)   Shuffling gait
B)   Increased stride length
C)   Wide support base
D)   Toeing in C

Question 4

An adolescent patient is brought to the emergency department (ED) after injuring a knee during a basketball game. Assessment reveals a positive McMurray test. What does this finding suggest?

Accepted Answer

A)   Torn cartilage
B)   Effusion in the joint
C)   Bruised patella
D)   Joint instability

Question 5

Where does lengthening of the long bones occur?

Accepted Answer

A)   Epiphyses
B)   Shaft
C)   Cartilage
D)   Osteoclasts

Question 6

The nurse detects a difference in the patient's leg lengths. Which is considered abnormal?

Accepted Answer

A)   No difference
B)   1 cm
C)   0.8 cm
D)   2 cm

Question 7

Which technique would best assess for a herniated disc?

Accepted Answer

A)   Tinel test
B)   Apley test
C)   herniated disc test
D)   McMurray test on each leg

Question 8

Which cultural group is at an increased risk for systemic lupus erythematosus (SLE) from hyperplasia of connective tissue?

Accepted Answer

A)   African Americans
B)   Egyptian Americans
C)   Chinese Americans
D)   Filipino Americans

Question 9

In assessing a pediatric patient, which variation would be considered abnormal?

Accepted Answer

A)   Genu valgum
B)   Genu varum
C)   Scoliosis
D)   Lordosis

Question 10

The nurse is providing care to an older adult patient who is a retired farmer. The patient reports hip pain that worsens as the day progresses. Which diagnosis does the nurse anticipate based on this data?

Accepted Answer

A)   Rheumatoid arthritis (R
A)  
B)   Osteoarthritis
C)   Tendinitis
D)   Acute infection

Question 11

The nurse is assessing for a herniated nucleus pulposus. Which action is appropriate?

Accepted Answer

A)   Asking the patient to flex hands back to back at a 90-degree angle
B)   Asking the patient to raise the affected leg and dorsiflex the foot
C)   Asking the patient to elevate both arms over the head for 20 to 30 seconds
D)   Percussing lightly over the median nerve

Question 12

The nurse is providing care to an older adult patient with congestive heart failure. The patient reports fatigue when trying to get up and walk. The patient is prescribed digoxin and Lasix (furosemide). Which is the most likely cause for the patient's current problem?

Accepted Answer

A)   Diminished blood flow to the brain
B)   Diminished blood flow to the extremities
C)   Hypokalemia
D)   Hyperkalemia

Question 13

Which is the nurse evaluating when conducting the Romberg test?

Accepted Answer

A)   Coordination
B)   Cerebral function
C)   Cerebellar function
D)   Gait

Question 14

Which process of aging is responsible for loss in height?

Accepted Answer

A)   Thinning of intervertebral discs
B)   Decreased subcutaneous fat
C)   Muscle atrophy
D)   Arthritis

Question 15

Which is not involved with a coordinated gait?

Accepted Answer

A)   Heel strike, foot flat, midstance, push off.
B)   Arms swing in same direction as feet.
C)   Arms swing in opposition of feet.
D)   Base of support 2 to 4 inches.

Question 16

Which individual is at the least risk for developing osteoporosis?

Accepted Answer

A)   65-year-old Asian female
B)   72-year-old African American male
C)   75-year-old French male
D)   62-year-old Hispanic female

Question 17

Which structure connects bones to one another?

Accepted Answer

A)   Fasciculi
B)   Tendons
C)   Ligaments
D)   Cartilage

Question 18

Which landmarks does the nurse use to measure true leg length?

Accepted Answer

A)   Anterior superior iliac crest to the medial malleolus
B)   Sternal notch to the medial malleolus
C)   Umbilicus to the medial malleolus
D)   Umbilicus to the tibia

Question 19

Which is an example of a ball-and-socket joint?

Accepted Answer

A)   Thumb
B)   Elbow
C)   Wrist
D)   Shoulder

Question 20

Which is a function of the musculoskeletal system?

Accepted Answer

A)   Potassium storage
B)   Hematopoiesis
C)   Vitamin D storage
D)   Digestion

Exam 12: Assessing the Motor-Musculoskeletal System