Deck 23: Musculoskeletal System

Question 1

The nurse is caring for a client with a right femur fracture.The nurse would correctly identify the femur as which of the following bone types?
1)Short
2)Long
3)Flat
4)Irregular

Answer 1

2

Question 2

The nurse notes an exaggerated lumbar curve while inspecting the spine of a client.The nurse would correctly document which of the following choices?
1)Lordosis
2)Scoliosis
3)Kyphosis
4)Flattened curve

Answer 2

1

Question 3

The client is recovering from orthopedic surgery on a fractured arm.The nurse realizes that skeletal muscles provide which of the following functions?
1)Provide a body framework
2)Provide movement
3)Maintain posture
4)Generate heat
5)Calcium storage

Answer 3

2,3,4

Question 4

The nurse is performing the bulge test on a client's left knee.Circle the area in which the nurse will need to assess for bulges when applying pressure.

Question 5

The nurse is preparing to assess a client's spine for abnormalities.The nurse would ask the client to do which of the following steps to gather the most information with this assessment?
1)Sit down,then stand as the nurse looks from the front of the client.
2)Stand,bend back slowly,then to the right and left while the nurse looks from the back.
3)Bend over,stand tall,and stretch arms over the head.
4)Sit down,then lean forward and dangle the arms at the sides of the body.

Question 6

The nurse notes swelling and tenderness of the olecranon process during palpation.The client's chief complaint is pain upon movement of the forearm and wrist.The nurse would correctly suspect which of the following conditions in this situation?
1)Arthritis
2)Bursitis
3)Epicondylitis
4)Crepitus

Question 7

The nurse is caring for a client with a knee injury.The nurse would correctly identify the knee as which of the following joint types?
1)Saddle
2)Hinge
3)Pivot
4)Plane

Question 8

A young adult is seen in the clinic complaining of a lump the left wrist,but states it is not painful.The nurse notes a round mass on the back of the wrist.The nurse would suspect which of the following?
1)Rheumatoid arthritis
2)Osteoarthritis
3)Ganglion
4)Carpal tunnel syndrome

Question 9

The nurse asks the client to pull the toes up towards the nose during an examination of the lower extremities.The nurse is assessing which of the following movements?
1)Inversion
2)Plantar flexion
3)Eversion
4)Dorsiflexion

Question 10

The nurse notes full range of motion against gravity with moderate resistance when assessing muscle strength of the upper extremities in a client.The nurse would correctly document which of the following choices?
1)Poor
2)Normal
3)Fair
4)Good

Question 11

The nurse assesses a client and finds that a grating sound is present when a joint is bent and straightened.The nurse would correctly document this finding as which of the following?
1)Subluxation
2)Grinding
3)Crepitation
4)Joint dislocation

Question 12

The school nurse is providing an educational meeting with a group of teenaged girls.The nurse is discussing the assessment for scoliosis.Use the diagram below to shade the area of the spine that will be assessed for the condition.

Question 13

The client's chief complaint is inability to move the fourth and fifth fingers during the nurse's interview.The nurse notes severe flexion in both of the affected fingers and upon palpation,but there are no complaints of pain from the client.The nurse would suspect which of the following conditions in this situation?
1)Dupuytren's contracture
2)Carpal tunnel syndrome
3)Bursitis
4)Osteoarthritis

Question 14

The client's chief complaint is tenderness and stiffness in the wrist and elbow when interviewed by the nurse.The client reports the discomfort is worsened with activity.The nurse would suspect which of the following conditions in this situation?
1)Carpal tunnel syndrome
2)Osteoarthritis
3)Crepitus of the wrists
4)Dupuytren's contracture

Question 15

The nurse is caring for a client with an injury to the arm.To check the client ability to move the nurse directs the client to pronate the hand.Indicate the side of the table that arm should be rotated towards.

Question 16

The client's chief complaint is numbness and tingling in the hands when interviewed by the nurse.The client complains of numbness and tingling in the arms when bending the wrist downward and pressing the backs of the hands together.The nurse would suspect which of the following conditions in this situation?
1)Arthritis of the wrists
2)Carpal tunnel syndrome
3)Crepitus of the wrists
4)Dupuytren's contracture

Question 17

A client comes to the emergency department complaining of a painful injury to the right knee received while playing basketball.The nurse would include which of the following in the examination of this client?
1)Inspection
2)Palpation
3)Bulge sign testing
4)Ballottement
5)Percussion

Question 18

The student nurse is assessing the client's lateral flexion.Which of the following instructions by the student to the client indicates the need for further instruction?
1)"Tilt your head back and look at the ceiling."
2)"Lean your head to the side and attempt to touch your ear to your shoulder."
3)"Touch your chin to your chest."
4)"Attempt to raise your shoulders up toward your ears."
5)"Attempt to rotate your head in a circular manner."

Question 19

The client's chief complaint is pain in the foot.The nurse notes a deviation of the great toe from the midline and crowding of the remaining toes.There is enlargement and inflammation noted in the area.The nurse would suspect which of the following conditions in this situation?
1)Flat foot
2)Gouty arthritis
3)Hammertoe
4)Bunion

Question 20

The nurse notes asymmetry of the iliac crests and gluteal folds while inspecting the spine of a client.The client's spine has a slight curvature to the right,but denies complaints of pain.The nurse would correctly document which of the following choices?
1)Kyphosis
2)Scoliosis
3)Spinal list
4)Lordosis

Question 21

The nurse is caring for an elderly client.The nurse would expect which of the following in the musculoskeletal system of an older adult?
1)Difficulty with dexterity
2)Increased bone production
3)Risk for fractures
4)Pain when ambulating

Question 22

A 38-week pregnant client is complaining of lower back pain.The nurse notes a slight lordosis and waddling gait in the client.The nurse would correctly choose which of the following actions in this situation?
1)Suggest the client begin bed rest.
2)Notify the healthcare provider of the findings.
3)Document the findings as normal.
4)Ask the client if she has been lifting.

Question 23

The nurse is assessing a client with suspected rheumatoid arthritis.Which of the following musculoskeletal changes would contribute to a positive diagnosis?
1)Ulnar deviation
2)Bouchard's nodes
3)Heberden's nodes
4)Swan-neck deformity
5)Symmetrical loss of function in extremities

Question 24

The nursing student is planning to observe the registered nurse complete a focused interview on a client being admitted to the facility with complaints of leg pain.Which of the following statements by the student nurse indicates the need for further education?
1)"The focused interview will be guided by the physical assessment that was completed by the healthcare provider prior to admission."
2)"Subjective information is contained in the focused assessment."
3)"The age,gender,and past medical history of the client are used to guide the questions in the focused assessment."
4)"A focus interview on the musculoskeletal system is individualized for each client."

Question 25

The nurse is assessing a client with a suspected femur fracture.Which of the following findings would most support this diagnosis?
1)External rotation of the lower leg and foot
2)Internal rotation of the lower leg and foot
3)Limited hip internal rotation
4)Limited hip external rotation

Question 26

The nurse is caring for an elderly client.The nurse would expect which of the following bone to occur with aging?
1)No bone changes are associated with aging
2)Increased osteoblastic activity
3)Decreased calcium absorption
4)Increase in bone density

Question 27

The nurse is planning a program to promote Healthy People 2020 focus areas relating to osteoporosis.Which of the following would appropriately serve as a primary prevention program?
1)The development of a program to address available medication therapies for the individual with osteoporosis.
2)Community screening programs to identify individuals who have early onset osteoporosis.
3)Community education programs to discuss methods that can be implemented to reduce the chance of developing osteoporosis.
4)The development of community support programs for individuals who have been diagnosed with osteoporosis.

Question 28

The nurse is admitting a client with a shoulder dislocation.The client tells the nurse that the healthcare provider has told her she has a dislocated shoulder.The client asks the nurse what this diagnosis means.The nurse would respond with which of the following statements?
1)"I cannot tell you without your healthcare provider's permission."
2)"You have a muscle tear at the shoulder."
3)"Your shoulder bone has come apart from the shoulder joint."
4)"Your shoulder is fractured and separated from the joint."

Question 29

The nurse is discharging a client with osteoarthritis.Which of the following would the nurse include in the teaching plan?
1)Obesity increases the risks of bone,muscle,and joint disorders.
2)Musculoskeletal health is influenced by the diet.
3)Exercise is important in the prevention of osteoarthritis.
4)Smoking and alcohol contribute to the development of osteoarthritis.
5)As the condition progresses the hands may develop contractures that resemble swan necks

Question 30

The nurse notes a child sitting in reverse tailor position during a well-child examination.The nurse would correctly choose which of the following actions in this situation?
1)Notify the healthcare provider so that X-rays can be obtained.
2)Explain to the parent that this can cause joint stress.
3)Continue with the examination.
4)Assess the child for back problems.

Question 31

The nurse is examining a client with a chief complaint of pain in the right great toe.The nurse notes hardened nodules on the lateral aspect of the toe,as well as redness and swelling.The nurse would suspect which of the following?
1)Bunion
2)Synovitis
3)Hammertoe
4)Gout