N317- Musculoskeletal System Practice Questions

Which of the following are components of a Functional Health Assessment for Activities of Daily Living? Select all that apply: A. Bathing B. Dressing C. Navigating sidewalks in a neighborhood D. Toileting/incontinence E. Caring for pets F. Affect G. Feeding/eating H. Muscle strength bilaterally

A. Bathing B. Dressing D.Toileting/incontinence G. Feeding/eating

A nurse is assessing a client who has a cast in place for a fractured tibia. Which of the following actions should the nurse take first? A. Checking capillary refill B. Discussing cast care C. Managing pain D. Performing range of motion

A. Checking capillary refill others are important, but can't do anything about the other ones if you don't have blood flow. Need to check blood flow first!

Which of the following statements is true regarding falls in the elderly? A.Medication use may contribute to increased fall risk B.Hip fractures are not the most frequent type of fall related fractures C.A patient should not use a walker to ambulate if their motor strength is intact D.A motorized scooter is a better option to prevent falls in the elderly

A. Medication use may contribute to increased fall risk

A nurse is teaching a client about risk factors for Osteoporosis (OP). Which of the following factors should the nurse include in the teaching?(Select all that apply.) A.Sedentary lifestyle B.Obesity C.Aging D.Second-hand smoke E.Caffeine intake

A.Sedentary lifestyle C.Aging D.Second-hand smoke

What are expected adaptive findings for gait in the aging population? Select all that apply. A. Limping related to hip pain B. A widened base of support C. Toeing inward D. Watching feet while walking

B. A widened base of support D. Watching feet while walking

A nurse is preparing a presentation at a community center about Osteoarthritis (OA). The nurse should plan to include which of the following information? (Select all that apply.) A. Affects bilateral symmetrical joints B. Crepitus can occur in affected joints C. Causes joint stiffness—particularly in morning upon rising D. Causes joint pain—particularly in evening after day of use E. Affects weight-bearing joints

B. Crepitus can occur in affected joints D. Causes joint pain—particularly in evening after day of use E. Affects weight-bearing joints

A nurse is assessing a client following the application of a leg cast for the treatment of a fracture. If the cast is too tight, which of the following findings should the nurse expect to observe first? A. Change in temperature of the toes B. Pallor of the toes C. Edema of the toes D. Inability to move the toes

B. Pallor of the toes cutting off circulation- no blood flow.

What shoulder motion allows a person to swim the "backstroke?" A. Inversion B. Protraction C. Circumduction D. Supination

C. Circumduction

What does the "Get Up and Go" method of fall risk assessment involve? A.Evaluating a patient's dexterity and balance with placing a small object into a box from ground level B. Accompanying the patient to the home environment, to assess safety hazards C. Evaluating the time a patient takes to rise out of a chair, walk 10 feet, turn around, walk back, and sit back down D. Assessment of Functional Health as it relates to gait and stride length

C. Evaluating the time a patient takes to rise out of a chair, walk 10 feet, turn around, walk back, and sit back down

A nurse is assessing a client who has a herniated cervical intervertebral disc. Which of the following findings should the nurse expect? A. Referred midscapular pain B. Scoliosis C. Muscle spasms of the lower back D. A stiff neck

D. A stiff neck

An elderly female patient presents to the clinic with muscle weakness and pain in her right arm. In completing a focused musculoskeletal physical exam, the nurse knows to: A. Schedule a bone density exam B. Assess for clubbing of the right arm C. Assess for bulge sign D. Assess muscle strength bilaterally

D. Assess muscle strength bilaterally

During the assessment of a client who has a cast on his right leg, a nurse locates an area on the cast that feels warm to the touch. Which of the following complications should the nurse suspect? A. Poor circulation B. Pressure from the cast C. Uneven cast drying D. Infection

D. Infection

A home health nurse is assessing an older adult client in the home who has decreased vision due to a history of glaucoma. Which of the following findings should the nurse identify as a safety risk? A. Electrical cords are placed along the walls B. Uses a microwave for cooking C. Handrails are present in the bathroom D. Scatter rugs are present in the kitchen

D. Scatter rugs are present in the kitchen