Musculoskeletal-finals 316
Musculoskeletal System Mastery Quiz
Test your knowledge and understanding of the musculoskeletal system with our comprehensive quiz! Designed for nursing students and healthcare professionals, this quiz covers essential concepts, patient care practices, and diagnostic procedures related to musculoskeletal health.
Whether you are preparing for exams or simply want to refresh your knowledge, this quiz is perfect for you!
- 56 engaging questions
- Multiple-choice and checkbox formats
- Immediate feedback on answers
The bone cells that function in the resorption of bone tissue are called
A. osteoids.
B. osteocytes.
C. osteoclasts.
D. osteoblasts.
While performing passive range of motion for a patient, the nurse puts the ankle joint through the movements of (select all that apply)
A. Flexion and extension.
B. Inversion and eversion.
C. Pronation and supination
D. flexion, extension, abduction, and adduction.
E. pronation, supination, rotation, and circumduction.
To prevent muscle atrophy, the nurse teaches the patient with a leg immobilized in traction to perform
A. Flexion contractions.
B. Tetanic contractions.
C. Isotonic contractions.
D. Isometric contractions.
E. Extension contractions.
A patient with tendonitis asks what the tendon does. The nurse's response is based on the knowledge that tendons
A. Connect bone to muscle.
B. Provide strength to muscle.
C. Lubricate joints with synovial fluid.
D. Relieve friction between moving parts.
The increased risk for falls in the older adult is most likely due to
A. Changes in balance
B. Decrease in bone mass.
C. Loss of ligament elasticity.
D. Erosion of articular cartilage.
While obtaining subjective assessment data related to the musculoskeletal system, it is particularly important to ask a patient about other medical problems such as
A. hypertension.
B. Thyroid problems.
C. Diabetes mellitus.
D. Chronic bronchitis.
When grading muscle strength, the nurse records a score of 3, which indicates
A. No detection of muscular contraction.
B. A barely detectable flicker of contraction.
C. Active movement against full resistance without fatigue.
D. Active movement against gravity but not against resistance.
A normal assessment finding of the musculoskeletal system is
A. No deformity or crepitation.
B. Muscle and bone strength of 4.
C. Ulnar deviation and subluxation.
D. Angulation of bone toward midline.
A patient is scheduled for an electromyogram (EMG). The nurse explains that this diagnostic test involves
A. Incision or puncture of the joint capsule.
B. Insertion of small needles into certain muscles.
C. Administration of a radioisotope before the procedure.
D. Placement of skin electrodes to record muscle activity.
A 54-year-old patient admitted with cellulitis and probable osteomyelitis received an injection of radioisotope at 9:00 AM before a bone scan. The nurse should plan to send the patient for the bone scan at what time?
A. 9:30 PM
B. 10:00 AM
C. 11:00 AM
D. 1:00 PM
A 54-year-old patient is about to have a bone scan. In teaching the patient about this procedure, the nurse should include what information?
A. Two additional follow-up scans will be required.
B. There will be only mild pain associated with the procedure.
C. The procedure takes approximately 15 to 30 minutes to complete.
D. The patient will be asked to drink increased fluids after the procedure.
Musculoskeletal assessment is an important component of care for patients on what type of long-term therapy?
A. Corticosteroids
B. β-Adrenergic blockers
C. Antiplatelet aggregators
D. Calcium-channel blockers
A female patient with a long-standing history of rheumatoid arthritis has sought care because of increasing stiffness in her right knee that has culminated in complete fixation of the joint. The nurse would document the presence of which problem?
A. Atrophy
B. Ankylosis
C. Crepitation
D. Contracture
The nurse is performing a musculoskeletal assessment of an 81-year-old female patient whose mobility has been progressively decreasing in recent months. How should the nurse best assess the patient's range of motion (ROM) in the affected leg?
A. Observe the patient's unassisted ROM in the affected leg.
B. Perform passive ROM, asking the patient to report any pain.
C. Ask the patient to lift progressive weights with the affected leg.
D. Move both of the patient's legs from a supine position to full flexion.
In reviewing bone remodeling, what should the nurse know about the involvement of bone cells?
A. Osteoclasts add canaliculi.
B. Osteoblasts deposit new bone.
C. Osteocytes are mature bone cells.
D. Osteons create a dense bone structure.
When working with patients, the nurse knows that patients have the most difficulties with diarthrodial joints. Which joints are included in this group of joints (select all that apply)?
A. Hinge joint of the knee
B. Ligaments joining the vertebrae
C. Fibrous connective tissue of the skull
D. Ball and socket joint of the shoulder or hip
E. Cartilaginous connective tissue of the pubis joint
An 82-year-old patient is frustrated by her flabby belly and rigid hips. What should the nurse tell the patient about these frustrations?
A. "You should go on a diet and exercise more to feel better about yourself."
B. "Something must be wrong with you because you should not have these problems."
C. "You have arthritis and need to go on nonsteroidal antiinflammatory drugs (NSAIDs)."
D. "Decreased muscle mass and strength and increased hip rigidity are normal changes of aging."
A 50-year-old patient is reporting a sore shoulder after raking the yard. The nurse should suspect which problem?
A. Bursitis
B. Fasciitis
C. Sprained ligament
D. Achilles tendonitis
A 63-year-old woman has been taking prednisone (Deltasone) daily for several years after a kidney transplant to prevent organ rejection. What is most important for the nurse to assess?
A. Staggering gait
B. Ruptured tendon
C. Back or neck pain
D. Tardive dyskinesia
The home care nurse visits an 84-year-old woman with pneumonia after her discharge from the hospital. Which assessment finding would the nurse expect because of age-related changes in the musculoskeletal system?
A. Positive straight-leg-raising test
B. Muscle strength is scale grade 3/5
C. Lateral S-shaped curvature of the spine
D. Fingers drift to the ulnar side of the forearm
The nurse admits a 55-year-old female with multiple sclerosis to a long-term care facility. Which finding is of most immediate concern to the nurse?
A. Ataxic gait
B. Radicular pain
C. Severe fatigue
D. Urinary retention
A 57-year-old postmenopausal woman is scheduled for dual-energy x-ray absorptiometry (DXA). Which statement, if made by the patient to the nurse, indicates understanding of the procedure?
A. "The bone density in my heel will be measured."
B. "This procedure will not cause any pain or discomfort."
C. "I will not be exposed to any radiation during the procedure."
D. "I will need to remove my hearing aids before the procedure.
A 42-year-old man who is scheduled for an arthrocentesis arrives at the outpatient surgery unit and states, "I do not want this procedure done today." Which response by the nurse is most appropriate?
A. "When would you like to reschedule the procedure?"
B. "Tell me what your concerns are about this procedure."
C. "The procedure is safe, so why should you be worried?"
D. "The procedure is not painful because an anesthetic is used."
The nurse is caring for a patient who has experienced a stroke. The nurse has implemented range-of-motion exercises. The nurse recognizes that contractures may begin within what time period?
A. 1 week
B. 1 month
C. 2 weeks
D. 24 hours
A patient on bed rest has been instructed on performing quadriceps setting exercises. What statement by the patient indicates the need for further instruction?
A. "I should hold the muscle in contraction for at least a minute."
B. "I should release the muscle and count to five before contracting again."
C."The exercises will benefit me most if I perform them three to four times a day."
D. "These exercises are good to recondition my muscles in preparation for getting out of bed."
The nurse is assisting the patient to use the 4-point gait with crutches. Which behavior by the patient demonstrates understanding?
A. The patient initially advances the left foot.
B.The patient initially advances the right foot.
C. The patient initially advances the left crutch.
D. The patient initially advances the right crutch.
For the patient who needs the support of a crutch while walking, the type of crutch selected will depend on which assessment?
A. The gait the patient will use
B. What is most comfortable for the patient
C.The availability of insurance reimbursement
D. The extent of the patient's disability or paralysis
Which nursing action is most appropriate for monitoring a patient with a casted lower extremity for infection?
A. Assess vital signs every hour while the patient is awake.
B. Remove the cast weekly to check the wound for signs of infection.
C. Remove the cast bi-weekly to check the wound for signs of infection.
D. Assess temperature trends and sniff around the cast for signs of foul odor.
The nurse is educating the patient with osteoporosis on the best diet choices to improve bone density. The patient would demonstrate an understanding of the teaching by selecting which food choice that has the highest calcium content?
A. 1 cup spinach
B. 1 cup chopped kale
C. 1 cup low-fat yogurt
D. 1 ounce sliced carrots
The patient presents to the clinic with symptoms indicative of osteoporosis. The nurse anticipates which study will be performed in order to confirm the diagnosis?
A. Chest x-ray
B. Nuclear scan
C. Bone density
D. Computed tomography (CT) scan
The nurse is assessing injuries on a patient admitted to the unit who had fallen at home several hours ago. When looking at the patient's history, the nurse notices that he has smoked at least four packs of cigarettes per day for the past 60 years. What impact does smoking have on the musculoskeletal health of a patient?
A. Smoking increases the risk of more falls in the elderly.
B. Smoking increases the risk of developing osteoporosis.
C. Smoking decreases the risk of developing osteoporosis.
D. Smoking decreases the risk of a hip fracture as you age
The nurse is participating in a patient care conference to plan the care for a patient with osteoporosis. Which issues should be discussed for inclusion in this patient's care plan? (Select all that apply.)
A. Pain
B. Difficulty breathing
C. Potential for excessive fluid
D. Difficulty providing own hygiene
E. Difficulty moving about the house and/or work setting(s)
The nurse is providing education to a middle-aged female about her changing health needs. The nurse should be sure to include information on which age-related changes? (Select all that apply.)
A. Loss of bone mass
B. Decrease in height
C. Increased circulation
D. Decreased muscle mass
E. Increased mineral exchange
The nurse is caring for a patient who has had a knee replacement. Within 2 to 3 days, the LPN/LVN can likely anticipate which change in the plan of care?
A. Walker training
B. Enemas until clear
C. Quadriceps setting exercises
D. Cessation of pain medication
LPNs/LVNs can do much to decrease the incidence of osteoporosis by teaching all female patients that preventive measures include sufficient calcium intake and which other intervention?
A. Sufficient fluid intake
B. Supplemental B vitamins
C. Weight-bearing exercises
D. Total avoidance of alcohol
When assigned to care for a patient who has gout, the LPN/LVN should assess for which condition?
A. Evidence of unilateral joint deformity
B. Decreased range-of-motion of most joints
C. Swelling and pain in the big toe or other joint
D. Signs of compression of the spine from collapsed vertebrae
The LPN/LVN is caring for a patient who has had a total hip replacement. Which intervention should be implemented for this patient to help prevent dislocation?
A. Adjust the patient's chair so that the hips are flexed in a normal position.
B. Ensure the surgical bone cement remains firmly bonded with the prosthesis.
C. Assist the patient to bear weight on the operative side within the first 24 hours.
D. Secure the abduction wedge between the legs until the surgeon requests removal.
The appearance of a petechial rash and respiratory distress 2 to 3 days after a fracture should be reported promptly because they may be symptomatic of which life-threatening complication?
A. Infection
B. Fat embolism
C. Nerve damage
D. Vitamin deficiency
The nurse is preparing to care for a patient who requires skeletal traction. The nurse knows which statement is true regarding skeletal traction?
A. It has a high risk of infection.
B. It is used for only fractures of the lower extremity bones.
C. It uses a series of removable pins, ropes, and weights to realign bones.
D. It requires nurses to frequently assess and modify the amount of weight applied
The patient presents to the emergency department after a soccer game. The patient reports that she made a sharp turn and heard and felt a large pop from her knee. The patient reports, "Now, when I'm walking, it feels like my knee just gives out, and I almost fall. Plus, it's twice the size of my other knee, and I can't straighten it all the way." The nurse recognizes that these symptoms correspond with which injury?
A. Torn meniscus
B. Dislocated patella
C. Torn quadriceps muscle
D. Torn anterior cruciate ligament injury
The patient in the outpatient surgery center has just returned from surgery to decompress the medial nerve as treatment for carpal tunnel syndrome. Which assessment finding immediately after surgery would alert the nurse to a possible complication?
A. Nail beds that are pink
B. Numbness of the fingertips
C. 5-second nail bed capillary refill
D. Fingertips that are warm to the touch
The patient presents to the clinic after falling from her bike and is diagnosed with a Grade II ankle sprain. The nurse should make which statements to the patient regarding the treatment of her sprained ankle? (Select all that apply.)
A. "Rest your ankle as much as possible."
B. "Prop your ankle on pillows while resting."
C. "You should wrap your ankle with an elastic bandage."
D. "Take stimulant laxatives with your narcotic pain medication."
E. "Place an ice pack on your ankle for 30 minutes every 4 hours."
F. "Begin walking on your injured ankle after 24 hours, and increase your ambulation as tolerated."
The patient presents to the clinic with a compound fracture of the right leg. The nurse anticipates the administration of which classes of medications? (Select all that apply.)
A. Aspirin
B. Tetanus booster
C. Hepatitis B vaccine
D. Intravenous (IV) morphine
E. IV antibiotics
The nurse is one of several people who witnesses a vehicle hit pedestrian at a fairly low speed on a small street. The individual is dazed and tired to get up and the leg appears fractured. The nurse should plan to preform which action ?
A. Try to manually reduce the fracture
B. Assist the person to get up and walk to the sidewalk
C. Leave the person for a few moments to call an ambulance
D. Stay with the person and encourage the person to remain still
A client with a hip fracture asks the nurse why Buck's extension traction is being applied before surgery. The nurse's response is based on the understanding that Buck's extension fraction has which primary function?
A. Allows bony healing to being before surgery
B. Provides rigid immobilization of the fracture site
C. Lengthens the fractured leg to prevent severing of the blood vessels
D. Provides comfort by reducing muscle spasms and provides fracture immobilization
The nurse is evaluating the pin sites of a client in skeletal traction. The nurse would be atleast concerned with which finding?
A. inflammation
B. Serious drainage
C. Pain at pin site
D. Purulent drainage
The nurse is caring for the client who has had skeletal traction applied to the left leg. The client is complaining of severe left leg pain. Which action should the nurse take first?
A. Provide pin care
B. Call the health care provider
C. Check the clients alignment in bed
D. Medicate the client with an analgesic
The nurse has provided instructions regarding specific leg exercises for the client immobilized in the right skeletal lower leg traction. The nurse determines that the client needs further teaching if the nurse observes the client doing what activity?
A. Pulling up on the trapeze
B. Flexing and extending the feet
C. Doing quadriceps-setting and gluteal-setting exercises
D. Preforming active range of motion to the right ankle and knee
The nurse is checking the casted extremity of a client. The nurse should check for which sign indicative of infection?
A. Dependent edema
B. Diminished distal pulse
C. Presence of a hot spot on the cast
D. Coolness and pallor of extremity
A client has sustained a closed fracture and has just has a cast applied to the affected arm. The client is complaining of intense pain. The nurse has elevated the limb applied an ice bag, and administered an analgesic, which was ineffective in relieving the pain. The nurse interprets that this pain may be caused by what condition?
A. Infection under the cast
B. The anxiety of the client
C. Impaired tissue perfusion
D. The newness of the fracture
The nurse is assigned to care for a client with multiple traumas who is admitted to the hospital. The client has a leg fracture, and a plaster cast has been applied. In positioning the casted leg, the nurse should preform which intervention?
A. Keep the leg in a level position
B. Elevate the leg for 3 hours, and put it flat for 1 hour
C. Keep the leg level for 3 hours, and elevate it for one hour
D. Elevate the leg on pillows continuously for 24-48 hours
The nurse is preparing a list of cast care instructions for a client who just had a plaster cast applied to his right forearm. Which instructions should the nurse include on the list? (select all that apply)
A. Keep the cast and extremity elevated
B. The cast needs to be kept clean and dry
C. Allow the wet cast 24 to 72 hours to dry
D. Expect tingling and numbness in the extremity
E. Use a hair dryer set on a warm to hot setting to dry the cast
F. Use a soft padded object that will fit under the cast to scratch the skin under the cast
The nurse is planning to reinforce instructions to the client about how to stand on crutches. In the instructions the nurse should plan to tell the client to place the crutches in which position?
A. 3 inches to the front and side of the clients toes
B. 8 inches to the front and side of the clients toes
C. 15 inches to the front and side of the clients toes
D. 20 inches to the front and side of the clients toes
The nurse is caring for a client with fresh application of a plaster leg cast. The nurse should plan to prevent the development of compartment syndrome by which action?
A. Elevating the limb and applying ice to the affected leg
B. Elevating the limb and covering the limb with bath blankets
C. Keeping the leg horizontal and applying ice to the affected leg
D. Placing the leg in a slightly depended position and applying ice
A client is being discharged home after application of a plaster leg cast. The nurse determines that the client understands proper care of the cast if the client makes which statement?
A. I need to avoid getting the cast wet
B. I will use my fingertips to lift and move the leg
C. I need to cover the casted leg with warm blankets
D. I can use a padded coat hanger end to scratch under the cast
A client is complaining of skin irritation from the edges of a cast applied the previous day. The nurse should plan for which intervention?
A. Massaging the skin at the rim of the cast
B. Petaling the cast edges with adhesive tape
C. Using a rough file to smooth the cast edges
D. Applying lotion to the skin at the rim of the cast
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