Jarvis: Physical Examination and Health Assessment, 5th edition
Chapter 22: Musculoskeletal System
Test Bank
MULTIPLE CHOICE
1. A patient is being assessed for range of joint movement. The nurse asks him to move his arm in
toward the center of his body. This movement is called:
1. flexion.
2. abduction.
3. adduction.
4. extension.
ANS: 3
Moving a limb toward the midline of the body is called adduction; abduction is moving a
limb away from the midline of the body.
DIF: Application REF: Page: 599
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
2. A patient tells the nurse that she is having a hard time bringing her hand to her mouth when she
eats or tries to brush her teeth. The nurse knows that for her to move her hand to her mouth, she
must perform the following movement:
1. flexion.
2. abduction.
3. adduction.
4. extension.
ANS: 1
Flexion, or bending a limb at a joint, would be required to move your hand to your mouth.
DIF: Application REF: Page: 599
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
3. The functional units of the musculoskeletal system are the:
1. joints.
2. bones.
3. muscles.
4. tendons.
ANS: 1
, 22-2
Joints are the functional units of the musculoskeletal system because they permit the
mobility needed for activities of daily living.
DIF: Knowledge REF: Page: 598 MSC: NCLEX: General
4. Hematopoiesis takes place in the:
1. liver.
2. spleen.
3. kidneys.
4. bone marrow.
ANS: 4
The musculoskeletal system functions to encase and protect inner vital organs, support the
body, produce red blood cells in the bone marrow, and store minerals.
DIF: Application REF: Page: 598 MSC: NCLEX: General
5. Fibrous bands running directly from one bone to another that strengthen the joint and help
prevent movement in undesirable directions are called:
1. bursa.
2. tendons.
3. cartilage.
4. ligaments.
ANS: 4
Fibrous bands running directly from one bone to another that strengthen the joint and help
prevent movement in undesirable directions are called ligaments.
DIF: Knowledge REF: Page: 598 MSC: NCLEX: General
6. The nurse notices that a woman in an exercise class is unable to jump rope. The nurse knows that
to jump rope, one’s shoulder has to be capable of:
1. inversion.
2. supination.
3. protraction.
4. circumduction.
ANS: 4
Circumduction is defined as moving the arm in a circle around the shoulder.
DIF: Application REF: Page: 599
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
, 22-3
7.The articulation of the mandible and the temporal bone is known as the:
1. intervertebral foramen.
2. condyle of the mandible.
3. temporomandibular joint.
4. zygomatic arch of the temporal bone.
ANS: 3
The articulation of the mandible and the temporal bone is the temporomandibular joint.
DIF: Knowledge REF: Page: 600 MSC: NCLEX: General
8. To palpate the temporomandibular joint, the nurse’s fingers should be placed in the depression:
1. distal to the helix of the ear.
2. proximal to the helix of the ear.
3. anterior to the tragus of the ear.
4. posterior to the tragus of the ear.
ANS: 3
The temporomandibular joint can be felt in the depression anterior to the tragus of the ear.
DIF: Application REF: Page: 600 MSC: NCLEX: General
9. Of the 33 vertebrae in the spinal column, there are:
1. 5 lumbar.
2. 5 thoracic.
3. 7 sacral.
4. 12 cervical.
ANS: 1
There are 7 cervical, 12 thoracic, 5 lumbar, 5 sacral, and 3 to 4 coccygeal vertebrae.
DIF: Comprehension REF: Page: 600 MSC: NCLEX: General
10. An imaginary line connecting the highest point on each iliac crest would cross:
1. the first sacral vertebra.
2. the fourth lumbar vertebra.
3. the seventh cervical vertebra.
4. the twelfth thoracic vertebra.
ANS: 2
An imaginary line connecting the highest point on each iliac crest crosses the fourth lumbar
vertebra.
DIF: Comprehension REF: Page: 600 MSC: NCLEX: General
11. The nurse is explaining to a patient that there are “shock absorbers” in his back to cushion the
spine and to help it move. The nurse is referring to his:
1. costal facets.
Chapter 22: Musculoskeletal System
Test Bank
MULTIPLE CHOICE
1. A patient is being assessed for range of joint movement. The nurse asks him to move his arm in
toward the center of his body. This movement is called:
1. flexion.
2. abduction.
3. adduction.
4. extension.
ANS: 3
Moving a limb toward the midline of the body is called adduction; abduction is moving a
limb away from the midline of the body.
DIF: Application REF: Page: 599
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
2. A patient tells the nurse that she is having a hard time bringing her hand to her mouth when she
eats or tries to brush her teeth. The nurse knows that for her to move her hand to her mouth, she
must perform the following movement:
1. flexion.
2. abduction.
3. adduction.
4. extension.
ANS: 1
Flexion, or bending a limb at a joint, would be required to move your hand to your mouth.
DIF: Application REF: Page: 599
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
3. The functional units of the musculoskeletal system are the:
1. joints.
2. bones.
3. muscles.
4. tendons.
ANS: 1
, 22-2
Joints are the functional units of the musculoskeletal system because they permit the
mobility needed for activities of daily living.
DIF: Knowledge REF: Page: 598 MSC: NCLEX: General
4. Hematopoiesis takes place in the:
1. liver.
2. spleen.
3. kidneys.
4. bone marrow.
ANS: 4
The musculoskeletal system functions to encase and protect inner vital organs, support the
body, produce red blood cells in the bone marrow, and store minerals.
DIF: Application REF: Page: 598 MSC: NCLEX: General
5. Fibrous bands running directly from one bone to another that strengthen the joint and help
prevent movement in undesirable directions are called:
1. bursa.
2. tendons.
3. cartilage.
4. ligaments.
ANS: 4
Fibrous bands running directly from one bone to another that strengthen the joint and help
prevent movement in undesirable directions are called ligaments.
DIF: Knowledge REF: Page: 598 MSC: NCLEX: General
6. The nurse notices that a woman in an exercise class is unable to jump rope. The nurse knows that
to jump rope, one’s shoulder has to be capable of:
1. inversion.
2. supination.
3. protraction.
4. circumduction.
ANS: 4
Circumduction is defined as moving the arm in a circle around the shoulder.
DIF: Application REF: Page: 599
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
, 22-3
7.The articulation of the mandible and the temporal bone is known as the:
1. intervertebral foramen.
2. condyle of the mandible.
3. temporomandibular joint.
4. zygomatic arch of the temporal bone.
ANS: 3
The articulation of the mandible and the temporal bone is the temporomandibular joint.
DIF: Knowledge REF: Page: 600 MSC: NCLEX: General
8. To palpate the temporomandibular joint, the nurse’s fingers should be placed in the depression:
1. distal to the helix of the ear.
2. proximal to the helix of the ear.
3. anterior to the tragus of the ear.
4. posterior to the tragus of the ear.
ANS: 3
The temporomandibular joint can be felt in the depression anterior to the tragus of the ear.
DIF: Application REF: Page: 600 MSC: NCLEX: General
9. Of the 33 vertebrae in the spinal column, there are:
1. 5 lumbar.
2. 5 thoracic.
3. 7 sacral.
4. 12 cervical.
ANS: 1
There are 7 cervical, 12 thoracic, 5 lumbar, 5 sacral, and 3 to 4 coccygeal vertebrae.
DIF: Comprehension REF: Page: 600 MSC: NCLEX: General
10. An imaginary line connecting the highest point on each iliac crest would cross:
1. the first sacral vertebra.
2. the fourth lumbar vertebra.
3. the seventh cervical vertebra.
4. the twelfth thoracic vertebra.
ANS: 2
An imaginary line connecting the highest point on each iliac crest crosses the fourth lumbar
vertebra.
DIF: Comprehension REF: Page: 600 MSC: NCLEX: General
11. The nurse is explaining to a patient that there are “shock absorbers” in his back to cushion the
spine and to help it move. The nurse is referring to his:
1. costal facets.
