Question 1

The nurse is preparing to interview a client with osteoporosis. Which question related to symptoms should the nurse include?

Accepted Answer

A)   "Do you have difficulty breathing?"
B)   "Have you had any recent weight gain or loss?"
C)   "Are you currently taking any medications?"
D)   "Do you feel you get adequate sleep at night?" A

Question 2

The nurse assessing a client experiencing pain in their right foot observes swelling and inflammation of the foot and deviation of the big toe from the midline associated with crowding of the remaining toes. Which condition does the nurse suspect?

Accepted Answer

A)   Flat foot.
B)   Gouty arthritis.
C)   Hammertoe.
D)   Bunion. D

Question 3

The nurse is assessing a client with suspected rheumatoid arthritis (RA). Which musculoskeletal changes would contribute to a positive diagnosis of RA? Select all that apply.

Accepted Answer

A)   Ulnar deviation.
B)   Bouchard nodes.
C)   Heberden's nodes.
D)   Swan-neck deformity.
E)   Symmetrical loss of function in extremities. A,D,E

Question 4

The nurse notes swelling and tenderness of the olecranon process during the palpation. Which condition should the nurse suspect?

Accepted Answer

A)   Arthritis.
B)   Bursitis.
C)   Epicondylitis.
D)   Crepitus.

Question 5

A client tells the nurse they have just lost 75 pounds after gastric bypass surgery. Which condition should the nurse recognize the client is at risk for?

Accepted Answer

A)   Protein deficiency.
B)   Vitamin D deficiency.
C)   Osteoporosis.
D)   Osteoarthritis.

Question 6

Which instructions should the nurse provide a client to assess the lateral flexion? Select all that apply.

Accepted Answer

A)   "Tilt your head back and look at the ceiling."
B)   "Lean your head to the side and attempt to touch your ear to your shoulder."
C)   "Bend sideways to the right and to the left while I stabilize your pelvis."
D)   "Attempt to raise your shoulders up toward your ears."
E)   "Attempt to rotate your head in a circular manner."

Question 7

A client comes to the emergency department (ED)complaining of a painful injury to the right knee received while playing basketball. Which examination techniques will the nurse include during the physical assessment of this client? Select all that apply.

Accepted Answer

A)   Inspection.
B)   Palpation.
C)   Bulge sign testing.
D)   Auscultation.
E)   Percussion.

Question 8

The nurse is discharging a client with osteoarthritis. Which information should the nurse include in this client's discharge teaching? Select all that apply.

Accepted Answer

A)   Obesity increases the risks of bone, muscle, and joint disorders.
B)   Musculoskeletal health is influenced by the diet.
C)   Exercise is important in the prevention of osteoarthritis.
D)   Smoking and alcohol contribute to the development of osteoarthritis.
E)   As the condition progresses, the hands may develop contractures that resemble swan necks.

Question 9

A client expresses discomfort when attempting to flex their wrist against resistance. Which should the nurse suspect the client is experiencing?

Accepted Answer

A)   Tendonitis.
B)   Subluxation.
C)   Medial epicondylitis.
D)   Lateral epicondylitis.

Question 10

The client is recovering from the surgical repaid of a fractured arm. When discussing the effects of the fracture with the client, which skeletal bone functions should the nurse include in the teaching? Select all that apply.

Accepted Answer

A)   Provide a body framework.
B)   Provide movement.
C)   Maintain posture.
D)   Generate heat.
E)   Calcium storage.

Question 11

The nurse is assessing a client with the inability to move their fourth and fifth fingers. The nurse notes severe flexion in both of the affected fingers but no complaints of pain during palpation. Based on this data, which diagnosis should the nurse suspect?

Accepted Answer

A)   Dupuytren contracture.
B)   Carpal tunnel syndrome.
C)   Bursitis.
D)   Osteoarthritis.

Question 12

The nurse notes there is a grating sound in a client's joint when they bend and straighten it. Which terminology should the nurse use when documenting this finding?

Accepted Answer

A)   Subluxation.
B)   Grinding.
C)   Crepitation.
D)   Joint dislocation.

Question 13

The nurse is caring for a client with a right femur fracture. Which category of bone should the nurse identify the femur as when discussing the fracture with the client?

Accepted Answer

A)   Short.
B)   Long.
C)   Flat.
D)   Irregular.

Question 14

The nurse is evaluating a client's ability to bend the elbow by bringing the forearm forward and touching the fingers to the shoulder. Which degree of flexion should the nurse anticipate?

Accepted Answer

A)   90°.
B)   160°.
C)   180°.
D)   200°.

Question 15

The nurse notes asymmetry of the iliac crests and gluteal folds while inspecting the spine of a client. The spine has a slight curvature to the right but the client denies complaints of pain. Which term should the nurse use when documenting this finding?

Accepted Answer

A)   Kyphosis.
B)   Scoliosis.
C)   Spinal list.
D)   Lordosis.

Question 16

The nurse is preparing to assess a client with a suspected tear of the rotator cuff. Which range of motion will the client be unable to perform without lifting or shrugging their shoulders?

Accepted Answer

A)   Flex the elbow.
B)   Adduct the shoulder.
C)   Abduct the shoulder
D)   Supinate or pronate the hands

Question 17

The nurse asks the client to point their toes up towards their nose during an examination of the lower extremities. Which type of movement is the nurse assessing?

Accepted Answer

A)   Inversion.
B)   Plantar flexion.
C)   Eversion.
D)   Dorsiflexion.

Question 18

The school nurse is assessing adolescent females for scoliosis. Which area of the spine does the nurse plan to assess?

Accepted Answer

A)   Thoracic.
B)   Lumbar.
C)   Cervical.
D)   Sacral.

Question 19

The nurse is preparing to assess the posterior spine of a client. Which landmark should the nurse use to determine symmetry?

Accepted Answer

A)   Iliac crests.
B)   Twelfth thoracic vertebrae.
C)   Posterior superior iliac spine.
D)   Paravertebral muscles.

Question 20

A client expresses discomfort during a Durkan's test. Which condition should the nurse suspect?

Accepted Answer

A)   Ganglion.
B)   Osteoarthritis.
C)   Carpal tunnel syndrome.
D)   Epicondylitis.

Exam 23: Musculoskeletal System