1
Chapter 04: Care of the Patient
with a Musculoskeletal Disorder
Cooper: Adult Health Nursing, 8th
Edition LATEST DOCUMENT
MULTIPLE CHOICE
1. What is the movement of an extremity away from the midline of the body called?
a. Abduction
b. Adduction
c. Flexion
d. Extension
ANS: A
Abduction is movement of an extremity away from the midline of the body.
DIF: Cognitive Level: Knowledge REF: 112 OBJ: 6
TOP: Movements KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity
2. What is the large, fan-shaped muscle that covers the anterior chest from the sternum to the
proximal end of the humerus and acts on the joint of the shoulder to flex, adduct, and rotate?
a. Serratus anterior
b. Intercostal
c. Transversus abdominis
d. Pectoralis major
ANS: D
NURSINGTB.COM
Pectoralis major is the large, fan-shaped muscle that covers the anterior chest and is an
adductor muscle, which will cause the shoulder to flex.
DIF: Cognitive Level: Knowledge REF: 110 OBJ: 4
TOP: Muscle functions KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity
3. What should the nurse instruct the patient before a magnetic resonance imaging
(MRI) procedure?
a. Void to completely empty the bladder.
b. Omit all citrus food for 12 hours before the procedure.
c. Remove all metal, such as jewelry, glasses, and hair clips.
d. Wear only cotton garments for the procedure.
ANS: C
MRI procedures require that the patient remove all metal because it will become
magnetized.
Page 1 of 18
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DIF: Cognitive Level: Application REF: 113
TOP: Diagnostic examinations KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity
Page 2 of 18
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4. The nurse instructs the patient who is to have a unicompartmental knee replacement that
a major advantage of this partial knee replacement is that:
a. the patient will be up and walking 2 to 3 hours after the operation.
b. the kneecap is completely removed.
c. the procedure is especially helpful in the treatment of rheumatoid arthritis.
d. a small titanium disk replaces the worn cartilage.
ANS: A
Unicompartmental knee arthroplasty is also referred to as partial knee replacement in which
the worn cartilage is replaced with a plastic disk. It is not as invasive as a full knee
replacement and does not disturb the kneecap so that the patient can be up and walking in 2
to 3 hours after surgery. It is not recommended for RA patients.
DIF: Cognitive Level: Comprehension REF: 132
TOP: Unicompartmental knee replacement
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity
5. A patient who has had a right below the knee amputation continues to complain of
unpleasant sensation in the right foot. What can the nurse explain about this “phantom
pain”?
a. It only exists in the mind.
b. It is a complication following an amputation and can be clarified by the surgeon.
c. It is related to the severed nerves that are still sending messages to the brain.
d. It occurs when the person becomes focused on the loss of the limb.
ANS: C
NURSINGTB.COM
Phantom pain (pain felt in the missing extremity as if it were still present) may occur and be
frightening to the patient. Phantom pain occurs because the nerve tracts that register pain in
the amputated area continue to send a message to the brain (this is normal).
DIF: Cognitive Level: Analysis REF: 165 TOP: Phantom pain
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity
6. The patient that has a bipolar hip replacement following an intracapsular fracture has an
order to be turned every 2 hours. The nurse understands that the correct nursing intervention
is to keep the legs:
a. together so they do not separate while turning.
b. flexed to stabilize the prosthesis.
c. abducted so the prosthesis does not become dislocated.
d. adducted to prevent additional pain for the patient with turning.
ANS: C
Nursing interventions also involve postoperative maintenance of leg abduction by using an
abduction splint for 7 to 10 days to prevent dislocation of the prosthesis.
DIF: Cognitive Level: Application REF: 139 OBJ: 14
TOP: Maintaining abduction KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity
Page 3 of 18
Chapter 04: Care of the Patient
with a Musculoskeletal Disorder
Cooper: Adult Health Nursing, 8th
Edition LATEST DOCUMENT
MULTIPLE CHOICE
1. What is the movement of an extremity away from the midline of the body called?
a. Abduction
b. Adduction
c. Flexion
d. Extension
ANS: A
Abduction is movement of an extremity away from the midline of the body.
DIF: Cognitive Level: Knowledge REF: 112 OBJ: 6
TOP: Movements KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity
2. What is the large, fan-shaped muscle that covers the anterior chest from the sternum to the
proximal end of the humerus and acts on the joint of the shoulder to flex, adduct, and rotate?
a. Serratus anterior
b. Intercostal
c. Transversus abdominis
d. Pectoralis major
ANS: D
NURSINGTB.COM
Pectoralis major is the large, fan-shaped muscle that covers the anterior chest and is an
adductor muscle, which will cause the shoulder to flex.
DIF: Cognitive Level: Knowledge REF: 110 OBJ: 4
TOP: Muscle functions KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity
3. What should the nurse instruct the patient before a magnetic resonance imaging
(MRI) procedure?
a. Void to completely empty the bladder.
b. Omit all citrus food for 12 hours before the procedure.
c. Remove all metal, such as jewelry, glasses, and hair clips.
d. Wear only cotton garments for the procedure.
ANS: C
MRI procedures require that the patient remove all metal because it will become
magnetized.
Page 1 of 18
,1
DIF: Cognitive Level: Application REF: 113
TOP: Diagnostic examinations KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity
Page 2 of 18
, 1
4. The nurse instructs the patient who is to have a unicompartmental knee replacement that
a major advantage of this partial knee replacement is that:
a. the patient will be up and walking 2 to 3 hours after the operation.
b. the kneecap is completely removed.
c. the procedure is especially helpful in the treatment of rheumatoid arthritis.
d. a small titanium disk replaces the worn cartilage.
ANS: A
Unicompartmental knee arthroplasty is also referred to as partial knee replacement in which
the worn cartilage is replaced with a plastic disk. It is not as invasive as a full knee
replacement and does not disturb the kneecap so that the patient can be up and walking in 2
to 3 hours after surgery. It is not recommended for RA patients.
DIF: Cognitive Level: Comprehension REF: 132
TOP: Unicompartmental knee replacement
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity
5. A patient who has had a right below the knee amputation continues to complain of
unpleasant sensation in the right foot. What can the nurse explain about this “phantom
pain”?
a. It only exists in the mind.
b. It is a complication following an amputation and can be clarified by the surgeon.
c. It is related to the severed nerves that are still sending messages to the brain.
d. It occurs when the person becomes focused on the loss of the limb.
ANS: C
NURSINGTB.COM
Phantom pain (pain felt in the missing extremity as if it were still present) may occur and be
frightening to the patient. Phantom pain occurs because the nerve tracts that register pain in
the amputated area continue to send a message to the brain (this is normal).
DIF: Cognitive Level: Analysis REF: 165 TOP: Phantom pain
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity
6. The patient that has a bipolar hip replacement following an intracapsular fracture has an
order to be turned every 2 hours. The nurse understands that the correct nursing intervention
is to keep the legs:
a. together so they do not separate while turning.
b. flexed to stabilize the prosthesis.
c. abducted so the prosthesis does not become dislocated.
d. adducted to prevent additional pain for the patient with turning.
ANS: C
Nursing interventions also involve postoperative maintenance of leg abduction by using an
abduction splint for 7 to 10 days to prevent dislocation of the prosthesis.
DIF: Cognitive Level: Application REF: 139 OBJ: 14
TOP: Maintaining abduction KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity
Page 3 of 18
