Question 1

The school nurse is performing spinal assessments. In what two positions should the nurse inspect the spine?

Accepted Answer

A)  Sitting up and standing straight 
B)  Lying supine and in a lateral recumbent position 
C)  Standing straight and lying supine 
D)  Standing straight and bending forward from the waist

Question 2

The nurse assesses the ROM of the spine. Besides flexion, hyperextension, and lateral bending, spinal ROM includes which other movement?

Accepted Answer

A)  Rotation 
B)  Circumduction 
C)  Inversion 
D)  Protraction

Question 3

The nurse uses the Phalen test to assessment for which item?

Accepted Answer

A)  ROM of shoulder 
B)  ROM of hip 
C)  Hemiparesis 
D)  Carpal tunnel syndrome

Question 4

Which test would best assess for fluid in the knee joint?

Accepted Answer

A)  Bulge test 
B)  Thomas test 
C)  Apley test 
D)  Trendelenburg test

Question 5

Which term is used to describe quivering-like contractions of small muscle fiber bundles?

Accepted Answer

A)  Lordosis 
B)  Scoliosis 
C)  Neologism 
D)  Fasciculation

Question 6

Where should the nurse measure apparent leg length?

Accepted Answer

A)  From the posterior superior iliac spine to the medial tibialis 
B)  From the posterior superior iliac spine to the medial malleolus 
C)  From the anterior superior iliac spine to the medial tibialis 
D)  From the umbilicus to the medial malleolus

Question 7

The nurse is assessing an adult patient who reports painful joints. Upon further assessment the nurse notes a bull's-eye rash on the patient's thigh. Based on this data which diagnosis does the nurse suspect?

Accepted Answer

A)  Lyme disease 
B)  Myasthenia gravis 
C)  Rheumatoid arthritis (R
A)  
D)  Systemic lupus erythematosus (SL
E)

Question 8

Which changes during pregnancy account for the waddling gait?

Accepted Answer

A)  Lordosis compensating for enlarging fetus 
B)  Kyphosis compensating for lordosis 
C)  Increased mobility in the sacroiliac, sacrococcygeal, and symphysis pubis joints 
D)  Pressure on the ulnar and median nerves creating aching, numbness, and weakness

Question 9

Which grade for muscle strength is documented for a patient with active motion against full resistance?

Accepted Answer

A)  + 2 
B)  + 3 
C)  + 4 
D)  + 5

Question 10

A patient who is able to elevate his or her arm, but not against resistance, should be given which rating?

Accepted Answer

A)  1 
B)  2 
C)  3 
D)  4

Question 11

Which is an expected assessment finding during infancy?

Accepted Answer

A)  C-shaped spine 
B)  Slow growth 
C)  Pot belly appearance 
D)  Scoliosis

Question 12

The nurse is assessing a patient who is prescribed Phenytoin for a seizure condition. Which adverse reaction will the nurse monitor the patient for during the motor-musculoskeletal assessment?

Accepted Answer

A)  Osteoporosis 
B)  Ataxia 
C)  Muscle pain 
D)  Myopathy

Question 13

Which disease process is associated with the aging process?

Accepted Answer

A)  Rheumatoid arthritis (R
A)  
B)  Lyme disease 
C)  Systemic lupus erythematosus (SL
E)  
D)  Degenerative joint disease (DJ
D)

Question 14

The nurse is assessing a toddler-age patient during a scheduled examination. When assessing the spine, which normal developmental change may be noted?

Accepted Answer

A)  Kyphosis 
B)  Lordosis 
C)  Scoliosis 
D)  Kyphoscoliosis

Question 15

Which occurs when a patient exhibits a negative Romberg test?

Accepted Answer

A)  Ringing in the ears 
B)  Minimal swaying 
C)  Confusion 
D)  Vomiting

Question 16

Which term is used to describe involuntary muscle contractions occurring during or after voluntary movements?

Accepted Answer

A)  Tremor 
B)  Scissor gain 
C)  Genu valgum 
D)  Genu varum

Question 17

The nurse is assessing a patient's limb measurements. Where should the nurse measure arm length?

Accepted Answer

A)  From the humerus to the tip of the middle finger 
B)  From the humerus to the wrist 
C)  From the acromion process to the tip of the middle finger 
D)  From the acromion process to the wrist

Exam 12: Assessing the Motor-Musculoskeletal System