Ch 23: Musculoskeletal system

when inspecting the spine, the nurse would consider which characteristics to be abnormal? select all that apply. A. gibbus B. kyphosis C. lordosis D. bony enlargement E. symmetry among body parts

A, B, C, D

how does the musculoskeletal examination of an adolescent differ from that of an adult? A. it does not differ B. a parent must be present C. the adolescent should be sitting for the examination D. the nurse should assess passive movement but not active

A

which maneuvers are necessary to assess range of motion? select all that apply. A. active movement of a joint by the patient B. passive movement of a joint by the nurse C. passive movement of a joint by the patient D. active movement of a joint by the nurse E. pushing of the patient's hands against the nurse's hand

A, B

how should the patient be positioned while the nurse inspects the feet and ankles? select all that apply. A. standing B. sitting C. walking D. with legs crossed E. with legs raised

A, B, C

which elements of an infant's feet should be assessed as part of the musculoskeletal examination? select all that apply. A. flexibility B. number of toes C. midline of the foot D. long bones for fractures E. palmar and phalangeal creases

A, B, C

when testing the range of motion for each joint, the nurse would consider which findings to be abnormal? select all that apply. A. pain B. crepitus C. tenderness D. equal range of contralateral joints E. active range of motion exceeding passive range of motion by 5 degrees

A, B, C, E

a patient presents with a dull leg pain that " started abruptly" and progressed over the last week. on assessment, the nurse notes edema at the site of the pain. during palpation, the nurse finds the site to be warm and nontender to touch. which information would the nurse document as objective data? select all that apply. A. edema B. warmth C. dull leg pain D. tenderness to touch E. abrupt start to leg pain

A, B, D

during assessment of range of motion, which parts of the musculoskeletal system should be assessed? select all that apply. A. biceps B. cervical spine C. abdominal muscles D. temporomandibular joint E. metacarpophalangeal joint

A, B, D, E

what are the functions of the skull? select all that apply. A. protects ears B. protects brain C. protects nose D. protects teeth E. protects eyes

A, B, D, E

a patient present with joint pain and stiffness and reports nonspecific symptoms, including fatigue, unintended weight loss, and fever. on examination, the nurse notes that the patient has soft tissue swelling and effusions. which information would the nurse document as history of present illness? select all that apply. A. joint pain B. joint stiffness C. effusions D. fatigue E. soft tissue swelling F. weight loss

A, B, D, F

in which ways can the nurse evaluate hip muscle strength? select all that apply. A. apply resistance during abduction and adduction B. apply resistance as the patient uncrosses the legs while seated C. ask the patient to swing the straightened leg behind the body D. ask the patient to lie supine and swing the leg laterally and medially with the knee straight E. apply resistance while patient maintains flexion of the hip with knee flexed, then extended

A, B, E

for which common lower leg deformities should the nurse assess during the musculoskeletal assessment of a child? select all that apply. A. genu varum B. fractures clavicle C. genu valgum D. tailor sitting position E. popliteal creases

A, C

the patient presents with pain on only one side of the face that is made worse by moving the jaw. on assessment, the nurse notes clicking and crepitus of the jaw when it is moved. which findings would the nurse note as objective data? select all that apply. A. clickling B. pain C. crepitus D. worsening of pain on jaw movement E. unilateral nature of pain

A, C

when inspecting the feet and ankles, the nurse would consider which characteristics to be abnormal? select all that apply. A. hammer toe B. prominent heels C. flexion of proximal joint D. smooth and rounded malleolar prominence E. prominent metatarsophalangeal joints

A, C

which types of play and recreation activities are evaluated as part of a child's musculoskeletal system assessment? select all that apply. A. ability to pick up toys B. ability to sit still C. movement around the room D. ability to sit and creep E. ability to life heavy objects

A, C, D

a patient presents with knee pain that is worse during exercise. on examination, the nurse notes that the patient has limited range of knee motion and that the site is red and warm. which history of present illness data would the nurse document? select all that apply. A. knee pain B. redness C. warmth D. pain worsening with exercise E. limited range of knee motion

A, D

the nurse should assess range of motion in the hand and wrist by asking the patient to perform which movements? select all that apply. A. touch thumb to eat fingertip B. tightly grip two of the nurse's fingers C. lift the arms laterally up over the head D. bend the hand up and down at the writs E. spread fingers apart, then touch them together

A, D, E

when palpating a patient's bones, joints, and surrounding muscles, which characteristics would the nurse assess? select all that apply. A. tone B. crepitus C. symmetry D. temperature E. resistance to pressure

A,B, D, E

as part of a history of present illness related to joint pain, which question should the nurse ask to gain more information about events associated with the joint pain? A. " do you participate in a lot of sports?" B. " do certain activities cause the joint pain?" C. "did you experience this pain when you were younger?" D. " did either of your parents have this pain when they were younger?"

B

which condition is considered normal for a 12-month-old ambulatory, weight-bearing child? A. clubfoot B. inward pronation C. metatarsus adductus D. midline of the foot bearing majority of weight

B

which question should the nurse ask about the patient's medical/surgical history related to the musculoskeletal system? A. " do you have any GI disorders?" B. " do you have a history of arthritis?" C. " do you have diabetes?" D. "do you have high blood pressure?"

B

which question should the nurse ask as part of the medical/surgical history related to the musculoskeletal system? A. " have you had your tonsils out?' B. " have you ever broken a bone?" C. " have you ever had breast cancer?" D? " are you experiencing any bone pain right now?"

B

which type of movement defines a grade 3 range of motion? A. trace of movement B. full range of movement against gravity, but not resistance C. full passive range of motion D. full range of motion against gravity with full resistance

B

a patient reports numbness in the hands that worsens at night and pain that radiates to the arms. on assessment, the patient exhibits weakness of the thumb. the nurse notes that the symptoms can be elicited with provocation of the tinel maneuver. which information does the nurse not as history of present illness? select all that apply. A. thumb weakness B. numbness in the hands C. pain radiating to the arms D. numbness worsening at night E. symptoms elicited with tinel maneuver

B, C, D

which bones form the knee joint? select all that apply. A. talus B. tibia C. femur D. patella E. fibula

B, C, D

which findings are normal on inspection of spinal alignment? select all that apply. A. lordosis B. straight vertebrae C. head over gluteal cleft D. convex thoracic spine curve E. concave cervical spine curve

B, C, D, E

which muscle characteristics should the nurse inspect as part of a thorough musculoskeletal examination? select all that apply. A. tone B. atrophy C. symmetry D. hypertrophy E. fasciculations

B, C, D, E

which lower extremity joints are hinge joints? select all that apply. A. hip joint B. tarsometatarsal joint C. tibiotalar joint D. talocalcaneal joint E. knee joint

B, C, E

the nurse can examine the elbow's range of motion by asking the patient to perform which movements? select all that apply. A. turn each hand to the right and left B. bend and straighten the elbow C. bend each hand at the wrist up and down D. turn the hand from palm side down to palm side up E. lift both arms laterally over the head

B, D

when assessing an infant's feet, the nurse would consider which findings to be normal? select all that apply. A. clubfoot B. tibial torsion C. metatarsus adductus D. forefoot adduction E. flat-footedness

B, D, E

as part of a personal/social history, which question should the nurse ask to learn more about how the patient's current musculoskeletal status affects functional abilities? A. " do you eat a well-balanced diet?" B. " what type of shoes do you wear to exercise?" C. " are you able to perform your own personal care?" D. " did have problems exercising when you were younger?"

C

which question will obtain details about the patient's exercise habits to promote musculoskeletal health as part of the personal/social history? A. " can you climb stairs?" B. " do you enjoy exercising?" C. " how often do you exercise?" D. " have you experienced pain with exercise?"

C

which type of movement defines a grade 2 range of motion? A. trace of movement B. no evidence of movement C. full passive range of motion D. full range of motion against gravity with full resistance

C

when inspecting the musculoskeletal system, which elements of the patient's posture would the nurse assess? select all that apply. A. build B. height C. erectness D. symmetry E. alignment

C, D, E

which question will provide information about the patient's medical history as part of the medical/surgical history related to the musculoskeletal system? select all that apply. A. " have you ever been in a fight?" B. " do you currently have joint pain?" C. " have you ever broken a bone?" D. " have you ever sprained a ligament?" E. " have you experienced any nerve damage?"

C, D, E

when testing muscle strength, the nurse should compare the bilateral muscles using which elements? select all that apply. A. tenderness B. tone C. resistance D. temperature E. symmetry

C, E

a patient present with pain and swelling of the left leg 2 days after hearing a pop while playing basketball. the patient is concerned because his father had similar symptoms and was diagnosed with osteogenesis imperfecta. the nurse observes edema and paresthesia on evaluation. which information should the nurse document as family history? A. pain B. swelling C. paresthesia D. father's osteogenesis imperfecta

D

how would the nurse ask about temporal factors related to the joint pain? A. " does strenuous activity aggravate the joint pain?" B. " does the joint pain interfere with daily activities?" C. "does physical therapy help the joint pain?" D. "does the joint pain change in frequency throughout the day?"

D

the nurse holds an infant in vertical suspension with hands under the axillae to assess which element of the musculoskeletal system? A. range of motion B. muscle pain C. hip dislocation D. general muscle strength

D

the nurse should assess which aspect of an infant's musculoskeletal system during every examination for the first year of life? A. genu varum B. tibial torsion C. arch of the foot D. hip dislocation or subluxation

D

which finding is considered normal when muscle groups are tested for strength? A. gross hypertrophy on opposition B. partial range of motion C. grade 3 muscle strength D. full resistance to opposition

D

which information is important for the nurse to document when taking a personal/social history related to the musculoskeletal system? A. onset of pain or symptoms B. what time of day the patient exercises C. whether the patient's parents drink in excess D. warmup/cooldown routines during exercise

D

which question about the workplace should the nurse ask a patient with wrist pain as part of the personal/social history? A. " do you walk to work?" B. " when did the pain start?" C. " do you find work stressful?" D. " do you use a computer regularly at work?"

D

which question regarding the character of joint pain should the nurse ask as part of the history of present illness related to the musculoskeletal system? A. "have you experienced this joint pain in the past?'' B. " is the joint pain caused by any surgeries you have had?" C. " do you engage in high- impact exercise?" D. " is the pain in your joint constant?"

D

which statement describes the function of the elbow? A. adduction and abduction B. rotational movement C. protrusion and retraction D. flexion and extension

D

a male patient reports pain in the left leg after a long run. on evaluation, the nurse notes muscle weakness and spasms. when asked about his exercise routine, the patient indicated that he drinks plenty of water and allows 10 minutes for warmup and cooldown before and after a run, respectively. which information should the nurse document as part of the personal/social history related to the musculoskeletal system? select all that apply. A. muscle pain B. muscle spasms C. muscle weakness D. patient's consumption of water E. patient's warmup/cooldown routines

D, E