ATI Musculoskeletal Problems Practice Questions

A nurse is educating coworkers about how to minimize back strain and avoid repeated episodes of low back pain. Which of the following strategies should the nurse include? Select all that apply. a. Avoid prolonged sitting. b. Apply heat for 10 min every hour. c. Sleep in a side-lying position with flexed knees. d. Sleep on a soft mattress. e. Try padded shoe insoles.

a. Avoid prolonged sitting. c. Sleep in a side-lying position with flexed knees. e. Try padded shoe insoles.

A nurse is assessing a client who has Paget's disease of the bone. Which of the following findings should the nurse expect. Select all that apply. a. Cranial enlargement b. Skeletal pain c. Waddling gait d. Cold extremities e. Vision deficits

a. Cranial enlargement b. Skeletal pain c. Waddling gait

A nurse is caring for a client who is postoperative following a laminectomy with spinal fusion. Which of the following actions should the nurse take? a. Monitor sensory perception of the lower extremities. b. Assist the client into a knee-chest position to manage postoperative discomfort. c. Maintain strict bed rest for the first 48 hours postoperative. d. Position the client in a high-Fowler's position if clear drainage is noted on the dressing.

a. Monitor sensory perception of the lower extremities.

A nurse is reinforcing discharge instructions with a client following a laminectomy. Which of the following instructions should the nurse include? a. "Sit in straight-back chairs." b. "Sleep on a soft mattress." c. "Walk around at least every 3 hours when sitting for long periods of time." d. "Bend at the waist when lifting objects."

a. "Sit in straight-back chairs."

A nurse is caring for a client who has acute osteomyelitis. Which of the following interventions is the nurse's priority? a. Provide the client with antipyretic therapy. b. Administer antibiotics to the client. c. Increase the client's protein intake. d. Teach relaxation breathing to reduce the client's pain.

b. Administer antibiotics to the client.

A nurse in a clinic is assessing a client. Which of the following findings should the nurse identify as a risk factor for osteoporosis? a. Drinks one alcoholic beverage per day b. Smokes 1 pack of cigarettes per day c. Large body stature d. History of bone fracture during childhood

b. Smokes 1 pack of cigarettes per day

A nurse is caring for an adolescent who has metastatic osteosarcoma. While the parents are away, the adolescent asks the nurse if she is going to die. Which of the following responses should the nurse make? a. "Your doctor can tell you about your prognosis." b. "You should discuss this with your parents when they return." c. "Tell me more about what you are thinking." d. "You should just focus on getting better."

c. "Tell me more about what you are thinking."

A nurse is assessing an older adult client who has osteoporosis. Which of the following spinal deformities should the nurse expect to find in this client? a. Lordosis b. Ankylosis c. Kyphosis d. Scoliosis

c. Kyphosis

A nurse is caring for a client who reports low back pain and asks the nurse for specific exercise recommendations. Which of the following activities should the nurse suggest? a. Tennis b. Canoeing c. Swimming d. Rowing

c. Swimming

A nurse is teaching a client who is perimenopausal and has recurrent lower back pain. Which of the following client statements indicates an understanding of the teaching? a. "I can wear heels up to 2.5 inches in height." b. "I should sleep lying flat with my legs extended straight." c. "I should increase high potassium foods in my diet." d. "I should keep my weight within 10 percent of my ideal weight."

d. "I should keep my weight within 10 percent of my ideal weight."