MSK Prep U

A client is brought to the health care facility with a sudden loss of movement on the right side of the body. Upon assessment, the nurse finds that the client has a slight flicker of contraction in the muscles on the right side. What should the nurse document as the muscle strength rating? 4 3 2 1

1

Assessment reveals that a client has slight weakness with active range of motion against some resistance. The nurse would document this as which of the following? 2/5 3/5 4/5 5/5

4/5

x Moving a part of the body away from the midline is called? Abduction Adduction Rotation Extension

Abduction

A client visits the health care facility with reports of lumbar back pain that radiates down the back. The nurse performs the straight leg test to determine the origin of the pain. Which techniques should the nurse use to perform this test? Ask the client to raise the leg to the point of pain and then dorsiflex the foot Instruct the client to bend forward and touch the toes Instruct the client to touch the chin to the chest Palpate the spinous processes and the paravertebral muscles

Ask the client to raise the leg to the point of pain and then dorsiflex the foot

When assessing a client's strength, it is necessary to Compare one side to the other Assess the extremities at the same time Compare upper and lower extremities Assess upper and lower extremities at the same time

Compare one side to the other

A client comes to the clinic and reports a sore knee. The nurse notes popping and cracking noises when the client attempts to bend the knee. The client exhibits signs of pain by facial expression. The nurse knows that the popping and cracking noises should be charted as what? Crepitus Grating noise Tactile emphysema Popping and cracking noises

Crepitus

The nurse is examining an older adult client. During the physical assessment, the client appears to be getting fatigued. What can the nurse do to help the client finish the assessment? Divide the assessment into portions Rush through each activity to finish more quickly Omit tests Halt the assessment, and finish when the client has enough strength

Divide the assessment into portions

A college age athlete presents to the clinic with pain in the tibiotalar joint. It is a hinge joint limited to flexion and extension. The terms used to describe these movements are what? Adducting and abducting Dorsiflexion and plantar flexion Supination and pronation Rotation and supination

Dorsiflexion and plantar flexion

Which movement should the nurse instruct the client to perform to assess range of motion for the knee? Flexion Circumduction Rotation Abduction

Flexion

While assessing the knee joint of a client, a nurse also explains about the typical motions associated with that joint. What would the nurse include? Circumduction Flexion Abduction Internal rotation

Flexion

A nurse inspects a child's legs with the child standing and notices that the knees turn inward. How should this finding be documented in the medical record? Genu varum Genu valgum Bowed legs Ballottement

Genu valgum

A client presents to the health care clinic with reports of a swollen, tender, reddened joint in the left big toe. The nurse recognizes this finding as an indication of what inflammatory process? Rheumatoid arthritis Verruca vulgaris (warts) Degenerative joint disease Gouty arthritis

Gouty arthritis

During the physical exam, the nurse notes a very tender and painful, reddened, hot, and swollen metatarsophalangeal joint of the client's great toe. What would the nurse suspect? Gouty arthritis Rheumatoid arthritis Degenerative joint disease Plantar fasciitis

Gouty arthritis

Which finding in an elderly client requires additional assessment by a nurse when inspecting the musculoskeletal system? Symmetrical atrophy of the biceps muscles Inability to button the jacket due to swollen finger joints Slow and steady gait with a wide base of support An exaggerated thoracic curve (kyphosis)

Inability to button the jacket due to swollen finger joints

Increased lumbar curvature, which compensates for the enlarging uterus in pregnant women, is called what? Lordosis Kyphosis Scoliosis Keracytosis

Lordosis

A client expresses to the nurse that he has a "giving in" or "locking" sensation in the knee. Which test should the nurse perform to elicit related findings of a possible tear in the meniscus of the client's knee? Ballottement McMurray's Bulge Phalen's

McMurray's

After assessing a client's musculoskeletal system, the nurse is preparing to document the data gathered. Which of the following would the nurse document as objective data? Denies pain in hips or legs Complains of burning in lower back Neck rotation limited to 50 degrees History of osteoporosis

Neck rotation limited to 50 degrees

What would the nurse interpret as a positive response to the Phalen test for a client suspected of having carpal tunnel syndrome? Numbness Atrophy of the thenar prominence No tingling Hard, painless Bouchard nodes

Numbness

Loss of bone density that occurs with greatest frequency in postmenopausal women is called? Osteoporosis Scoliosis Kyphosis Lordosis

Osteoporosis

Which action by a nurse is a correct method for performing the Tinel's test to determine the presence of carpel tunnel syndrome? Percuss lightly on the inner aspect of the wrist. Palpate the hollow area on the back of the wrist. Ask the client to bend the wrist down and back. Perform wrist movements against resistance.

Percuss lightly on the inner aspect of the wrist.

The nurse is assessing a client's gait. Which finding would alert the nurse to the need for a referral for further evaluation. Weight evenly distributed Shuffling of feet Stands on heels and toes Arms swinging in opposition

Shuffling of feet

The nurse is assessing a client's ability to shrug her shoulders against resistance. The nurse is assessing which cranial nerve? III V VII XI

XI

Which joint movement is a nurse testing when asking a client to move an extremity towards the body? Flexion Extension Adduction Abduction

adduction

Inspection of a client's knee reveals swelling, and the nurse suspects that there is significant fluid in the knee. What test would the nurse perform to confirm the suspicion? Phalen's test Tinel's test Ballottement test Lasegue's test

ballottement test

A new client is admitted to a long term care facility. The nurse assesses the client with an unsteady gait and incontinence. Which problem should the nurse address when planning care for this client? Falls Osteoporosis Low back pain Neck pain

falls

Which of the following tools would a nurse practitioner be more likely than a registered nurse to use during the performance of a musculoskeletal assessment on a client? Flashlight Gradiometer Scale Goniometer

goniometer

A nurse is preparing a program on osteoporosis for a local women's group. Which of the following would the nurse include as a modifiable risk factor? Small-boned, thin frame Personal history of fractures Low estrogen levels Age

low estrogen levels

A nurse performs inspection and palpation of a client's knee and detects swelling. What is the appropriate test the nurse should perform next to determine the location of the swelling? Ballotment McMurray's Range of motion Bulge

mcmurry's

When inspecting a client's feet, the nurse observes that the toes point inward. The nurse documents this finding as which of the following? Hallus valgus Pes varus Verruca vulgaris Pes cavus

pes varus

The nurse is testing a client for carpal tunnel syndrome. The client flexes the wrists at an angle of 90° and holds the backs of the hands to each other for 60 seconds. The client tells the nurse that he is experiencing a burning pain as a result. Which test is the nurse performing on this patient? Phalen's Tinel's Ballottement McMurray's

phalen's

When assessing the elbow, a nurse asks a client to hold the arm out and turn the palm down. The nurse is testing which of the following? Pronation Flexion Rotation Supination

pronation