Exam 3 Test Bank: Assessment of Musculoskeletal Function

A client is exhibiting diminished ROM, loss of flexibility, stiffness, and loss of height. The history and physical findings are associated w/ age-related changes of which area? A) joints B) muscles C) ligaments D) bones

A

An example of a flat bone is? A) sternum B) metacarpals C) femur D) vertebra

A

What is the term for a lateral curving of the spine? A) scoliosis B) epiphysis C) lordosis D) diaphysis

A

The nurse is assessing the muscle tone of a client with cerebral palsy. Which description does the nurse determine to be an expected assessment of this client's muscle tone? A) atonic B) flaccid C) hypertonic D) atrophied

C

Skull sutures are an example of which type of joint? A) amphiarthrosis B) aponeuroses C) diarthrosis D) synarthrosis

D

Which is a circulatory indicator of peripheral neurovascular dysfunction? A) paralysis B) paresthesia C) weakness D) cool skin

D

Fracture healing occurs in 4 areas, including the... A) external soft tissue B) bursae C) fascia D) cartilage

A

The homecare nurse is evaluating the musculoskeletal system of a geriatric client whose previous assessment was within normal limits. The nurse initiates a call to the HCP and/or emergency services when which change is found? A) decreased right sided muscle strength B) decreased agility C) increased joint stiffness D) decreased flexibility

A

The nurse is conducting a musculoskeletal assessment on a client documented to have RA. Which would the nurse anticipate finding when inspecting the client's fingers? A) soft, subcutaneous nodules along the tendons B) hard nodules adjacent to the joints C) hard nodules of bony overgrowth D) soft nodules along the palmar surface

A

Which hormone inhibits bone resorption and increases the deposit of calcium in the bone? A) calcitonin B) vitamin D C) growth hormone D) sex hormones

A

Which statement describes paresthesia? A) abnormal sensations B) absence of muscle movement suggesting nerve damage C) absence of muscle tone D) involuntary twitch of muscle fibers

A

Which statement reflects the progress of bone healing? A) serial XR are used to monitor the progress of bone healing B) the age of the client influences the rate of fracture healing C) adequate immobilization is essential until US shows evidence of bone formation w/ ossification D) all fracture healing takes place at the same rate no matter the type of bone fractured

A

Which term refers to moving away from midline? A) abduction B) eversion C) adduction D) inversion

A

During which stage or phase of bone healing after fracture does callus formation occur? A) remodeling B) reparative C) revascularization D) inflammation

B

The nurse is conducting a community education program on hip fracture risk. The nurse evaluates that the participants understand the program when the participants determine the client at highest risk for a hip fracture is a(n)? A) toddler just starting to walk B) 80 y/o man recently widowed C) high school athlete D) 30 y/o pregnant woman

B

The nurse is performing a musculoskeletal assessment of a client in a nursing home who had a stroke 2 years ago and who has right-sided hemiplegia. The nurse notes that the girth of the client's right calf is 2 inches less in diameter than the left calf. The nurse attributes the decreased girth to? A) increased use of left calf muscle B) edema in left lower extremity C) atrophy of right calf muscle D) bruising in right lower extremity

C

Which body movement involves moving toward the midline? A) eversion B) abduction C) adduction D) pronation

C

Which nerve is being assessed when the nurse asks the client to dorsiflex the ankle and extend the toes? A) median B) radial C) peroneal D) ulnar

C

The nurse is caring for a client scheduled to have an MRI. The nurse contact the HCP to cancel the MRI when the nurse reads which element in the client's medical history? A) tumor removal B) skin graft C) colostomy D) cochlear implant

D

The nurse is reading the admission note for a client w/ a bone fracture that requires surgery. The note indicates the presence of crepitus. The nurse interprets this as being? A) a closed fracture B) bleeding C) ecchymosis D) a crackling sound

D

Which term refers to mature compact bone structures that form concentric rings of bone matrix? A) trabecula B) cancellous bone C) endosteum D) lamelle

D

Which term refers to a grating or crackling sound or sensation? A) fasciculation B) callus C) crepitus D) clonus

C

What is the term for a rhythmic contraction of a muscle? A) atrophy B) crepitus C) hypertrophy D) clonus

D

Which description refers to an osteon? A) bone resorption cell B) bone-forming cell C) mature bone cell D) microscopic functional bone unit

D

Which is useful in identifying acute or chronic tears of the joint capsule or supporting ligaments of the knee, shoulder, ankle, hip, or wrist? A) meniscography B) bone densitometry C) EMG D) arthrography

D

After a fracture, during which stage of bone healing is devitalized tissue removed and new bone reorganized into its former structural arrangement? A) remodeling B) revasuclarizaiton C) reparative D) inflammation

A

Which is a neurovascular problem caused by pressure within a muscle area that increases to such an extent that microcirculation diminishes? A) fasciculation B) compartment syndrome C) remodeling D) hypertrophy

B

The nurse is creating a teaching plan about preventing osteoporosis for a 65 y/o client. The nurse should include which topics in the teaching plan? SATA A) daily intake of 800 mg of calcium B) increased consumption of fish C) increased consumption of low-fat milk D) daily intake of 1,000 IU vitamin D

B, C, D

Which is an indicator of neurovascular compromise? A) diminished pain B) pain upon active stretch C) capillary refill of more than 3 seconds D) warm skin temperature

C

Which laboratory study indicates the rate of bone turnover? A) urine calcium B) sternum phosphorus C) serum osteocalcin D) serum calcium

C

Which nerve is assessed when the nurse asks the client to spread all fingers? A) peroneal B) radial C) ulnar D) median

C

Which term refers to muscle tension being unchanged w/ muscle shortening and joint motion? A) isometric contraction B) contracture C) fasciculation D) isotonic contraction

D

Which term refers to the shaft of the long bone? A) scoliosis B) epiphysis C) diaphysis D) lordosis

C