ATI Health Assess 2.0 Musculoskeletal/Neuro Learning Module Test

A nurse is taking a health history from a client. Which of the following statements by the client requires further questioning by the nurse? "The bruise on my leg is from running into the base of a chair." "I'm sleeping better since I gave up caffeine in the afternoon." "For some reason I have been experiencing falls." "I no longer have back pain since I started walking 2 miles every day."

"For some reason I have been experiencing falls." This statement by the client is an unexpected finding and requires further questioning. Frequent falling can indicate that the client is experiencing a musculoskeletal or neurological disorder that needs to be investigated.

A nurse is preparing to perform palpation on a client's knees. In which order should the nurse perform the following steps? (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.) Assist the client to a sitting position with the legs dangling at the edge of the examination table. Follow the lower edge of the patella and locate the tibiofemoral joint. Palpate the hollows on either side of the patella with the thumbs. Palpate the tibiofemoral joint where the femur and tibia meet. Palpate the quadriceps muscle above the knee.

Assist the client to a sitting position with the legs dangling at the edge of the examination table is the first step. The nurse should first assist the client to a sitting position with the legs dangling at the edge of the examination table. Palpate the quadriceps muscle above the knee is the second step. The nurse should then palpate the quadriceps muscle above the knee. The tissue should feel consistent in this area. Palpate the hollows on either side of the patella with the thumbs is the third step. The nurse should then palpate the hollows on either side of the patella with the thumbs. Follow the lower edge of the patella and locate the tibiofemoral joint is the fourth step. The nurse should then use their thumbs and follow the lower edge of the patella and locate the tibiofemoral joint. Palpate the tibiofemoral joint where the femur and tibia meet is the fifth step. The nurse should then palpate the tibiofemorla joint where the femur and tibia meet. The ara should feel rounded and smooth.

A nurse is preparing to perform palpation of a client's shoulder. In what order should the nurse perform the following steps? (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.) Face the client and palpate along the clavicle. From the back, palpate the greater tubercle of the humerus. From the back, palpate the scapula. Face the client and palpate the acromioclavicular joint.

Face the client and palpate along the clavicle is the first step. The nurse should face the client and palpate along the clavicle. Face the client and palpate the acromioclavicular joint is the second step. The nurse should continue facing the client and palpate the acromioclavicular joint. From the back, palpate the scapula is the third step. The nurse should then move to the back of the client and palpate the scapula. From the back, palpate the greater tubercle of the humerus is the fourth step. The nurse should continue facing the back of the client and then palpate the greater tubercle of the humerus.

A nurse is assessing flexion of a client's elbows. The nurse should provide which of the following instructions to the client? "Start with your arms straight out in front of you with palms facing the floor then twist at your elbows so your palms are facing up toward the ceiling." "Start with your arms straight out in front of you then bend your elbows up and bring your fingers toward your shoulders." "Start with your arms straight out in front of you with palms facing the ceiling then twist at your elbows so your palms are facing down toward the floor." "Start with your elbows bent and fingers at your shoulders then straighten your arms out in front of you."

"Start with your arms straight out in front of you then bend your elbows up and bring your fingers toward your shoulders." To test flexion, the nurse should instruct the client to bend their elbows in front of them.

A nurse is performing range-of-motion exercises on a client's feet. The nurse should provide which of the following instructions to the client to assess plantar flexion of the feet? "Point your toes toward the floor." "Turn the soles of your feet out, away from the body." "Point your toes up toward your nose." "Turn the bottoms of your feet in, toward the midline."

"Point your toes toward the floor." To assess plantar flexion, the nurse should instruct the client to point their toes toward the floor.

A nurse is assessing the range of motion of a client's hands. The nurse should provide which of the following instructions to assess abduction and adduction of the client's fingers? "Bend the thumb in toward the palm of the hand and then move it back out." "Make a fist and then straighten the fingers." "Spread the fingers apart and then move them back together." "Bend the thumb to touch the tip of each finger."

"Spread the fingers apart and then move them back together." To assess abduction and adduction of the fingers, the nurse should instruct the client to spread the fingers apart (abduction) then move them back together (adduction).

A nurse is providing teaching to a client who has osteoporosis about the adequate intake of calcium. Which of the following intake amounts should the nurse recommend? 500 to 1,000 mg daily 1,000 to 1,200 mg daily 1,500 to 2,000 mg daily 2,000 to 2,200 mg daily

1,000 to 1,200 mg daily The nurse should recommend that the client consume 1,000 to 1,200 mg of calcium daily. This amount can decrease the risk for bone loss and protect bones against fractures.

A nurse is providing teaching about adequate daily intake of vitamin D to a client. Which of the following intake amounts should the nurse recommend? 500 IU daily 800 IU daily 1,500 IU daily 1,800 IU daily

800 IU daily The nurse should recommend that the client consume 600 to 800 IU of vitamin D daily. Vitamin D protects bones by assisting with the absorption of calcium. Sources of vitamin D include egg yoks, fatty fish, and fortified foods. Exposure to sunlight triggers vitamin D synthesis.

A nurse is caring for a client who has a traumatic injury to a lower extremity. Which of the following actions should the nurse take? Apply heat therapy after the first 24 hr following the injury. Place an ice pack directly on the injured area. Apply compression to the injured area of the extremity. Encourage the client to use the extremity as much as possible.

Apply compression to the injured area of the extremity. The nurse should apply prescribed compression to the injured area to limit edema, provide support, and ease discomfort.

A nurse is preparing a community program about injury prevention for a group of adults. Which of the following information should the nurse include? (Select all that apply.) Do not text and drive. Maintain spinal alignment when working at a desk. Remove loose rugs from the home. Use the back muscles when lifting objects. Wear a helmet when riding a bicycle.

Do not text and drive is correct. The nurse should instruct the adults to avoid texting and driving. Maintain spinal alignment when working at a desk is correct.The nurse should instruct the adults to be aware of their posture while working on a computer or sitting at a desk. Proper spinal alignment can prevent injury. Remove loose rugs from the home is correct.The nurse should instruct the adults to remove fall hazards such as loose rugs or electrical cords. Wear a helmet when riding a bicyle is correct. The nurse should instruct the adults to wear a helmet and other protective gear when riding a bicycle or motorcycle.

A nurse is performing range-of-motion exercises on a client's hips. The nurse is assessing which of the following motions by instructing the client to bend the knee and bring it up toward the chest? External rotation of the hip Adduction of the hip Flexion of the hip Hyperextension of the hip

Flexion of the hip To test flexion of the hip, the nurse should instruct the client to bend their knee and bring it up toward their chest.

Musculoskeletal and Neurological Test CLOSE Question 17 loaded Question: 17 of 19 Time Elapsed: 00:36:10 FLAG A nurse is assessing a client's spinal range of motion. Which of the following motions is the nurse assessing by asking the client to bend backward as far as they can go? Flexion Rotation Lateral flexion Hyperextension

Hyperextension To assess hyperextension, the nurse should ask the client to bend backwards as far as they can go.

A nurse is assessing an older adult client while they walk. Which of the following findings should the nurse report to the provider? The client walks with small steps. The client walks with their legs spread out. The client walks with a shuffling gait. The client walks with a forward-bent posture.

The client walks with a shuffling gait. It is an unexpected finding for an older adult client to walk with a shuffling gait. This finding could indicate a musculoskeletal or neurological disorder and should be reported to the provider.

A nurse is assessing the spinal curvature of a client who has a diagnosis of kyphosis. Which of the following images should the nurse identify as kyphosis?

The nurse should recognize this image as kyphosis, an exaggerated posterior curvature of the thoracic spine. Kyphosis is associated with aging.

A nurse is assessing a client's head and neck. Which of the following findings should the nurse report to the provider? C-7 is the most prominent vertebrae. Clicking is noted in the temporomandibular joint. The muscles of the neck are firm. There is locking of the jaw joint.

There is locking of the jaw joint. It is an unexpected finding for the temporomandibular joint, or jaw, to have decreased range of motion or lock during assessment. This finding should be reported to the provider

A nurse is assessing the range of motion of a client's head and neck. The nurse should provide which of the following instructions to assess hyperextension? Turn the head from side to side and look back over the shoulders. Bend the neck to the side and bring the ear close to the shoulder. Lower the chin to the chest and raise it back up. Tilt the head back and look up at the ceiling.

Tilt the head back and look up at the ceiling. To assess for hyperextension of the head, the nurse should instruct the client to tilt the head back and look up at the ceiling.

A nurse is performing a musculoskeletal and neurological assessment. Which of the following actions should the nurse take? Perform the assessment from the toes to the head. Assess the extremities from distal to proximal. Perform passive range of motion before active range-of-motion movements. Inspect for symmetry on both sides of the body.

Inspect for symmetry on both sides of the body. The nurse should inspect the client for symmetry of range of motion, gait, muscle tone, and strength.

A nurse is recommending sources of food with high calcium content to a client. Which of the following foods should the nurse recommend? (Select all that apply.) Milk Apples Mustard greens Corn Legumes

Milk is correct.The nurse should recommend milk as a source of high calcium. Milk has 199 mg of calcium per 1 cup serving. Mustard greens is correct. The nurse should recommend mustard greens as a source of high calcium. Freshly cooked mustard greens have 172 mg of calcium per 1 cup serving. Legumes is correct. The nurse should recommend legumes as a source of high calcium. Cooked legumes have 229 mg of calcium per serving.

A nurse is assessing a client's wrist and hands. Which of the following findings indicates the client might have arthritis? (Select all that apply.) Uneven skin tone Slight extension of the wrist Nodules on the joints A large mound below the thumb Fingers deviate toward the ulnar

Nodules on the joints is correct. Nodules on the joints is an indication of arthritis. Fingers deviate toward the ulnar is correct. Ulnar deviation, in which the fingers are not in alignment with the wrist and forearm but instead deviate toward the ulnar side of the arm, is an indication of arthritis.