RN Musculoskeletal system EAQ 2022
While performing the McMurray test on a patient who has swelling at the knee joint,
the examiner feels a click. Which condition does the examiner suspect in the
patient? - ANSWER: Torn meniscus
An obese patient reports continuous throbbing pain in the foot. On assessment, the
examiner finds that the patient has swelling, redness, and tender pain around the
metatarsal-phalangeal joint. On reviewing the laboratory reports, the examiner finds
the patient also has increased uric acid levels in the blood and urate crystals in the
joint fluids. What does the examiner infer from the findings? - ANSWER: The patient
has acute gout
Which condition involves the accumulation of monosodium urate crystals in the joint
space? - ANSWER: Tophi with chronic gout
The examiner is caring for a patient who has rheumatoid arthritis. While performing
a musculoskeletal assessment, the examiner hears a grating sound that accompanies
movement of the joints. Which term will the examiner use to describe this finding? -
ANSWER: Crepitus
The examiner asks a patient to move his or her arm away from the midline of the
body. What is this angular motion called? - ANSWER: Abduction
Which complication may occur due to a decrease in the blood supply to the femoral
epiphysis? - ANSWER: Legg-Calve-Perthes syndrome
During the assessment of a patient, the examiner finds that the distal part of the
great toe is directed away from the body's midline. Which complication is present in
the patient? - ANSWER: Hallux valgus
The examiner is assessing the integrity of the spinal accessory nerve (cranial nerve
XI). What should the examiner ask the patient to do? - ANSWER: Shrug the shoulders
The nursing instructor is teaching a class on the types of joints. Which statement by
the student examiner about synovial joints indicates effective learning? - ANSWER:
Synovial joints are freely movable and lined with synovial membranes
Which disease conditions are associated with hard, nontender Heberden and
Bouchard nodules? - ANSWER: Osteoarthritis
Which assessment finding in an older female patient would indicate possible
osteoporosis? - ANSWER: Loss of height
The examiner is caring for an adolescent who reports severe pain below the knees
while playing soccer. After reviewing the diagnostic reports, the examiner finds that
, the patient has swelling of the tibial tubercle. Which is the best nursing intervention
in this situation? - ANSWER: Instruct the adolescent to take a break from soccer for a
while
Which characteristic feature indicates a positive Allis sign? - ANSWER: Presence of
one knee lower than the other
While assessing a patient with wrist dislocation, the examiner finds swan-neck
deformity and ulnar deviation for the fingers in the patient. Which disease condition
does the examiner expect in the patient? - ANSWER: Chronic rheumatoid arthritis
Which findings does the examiner expect in a patient who has tophi with chronic
gout? - ANSWER: Presence of swollen toe joints with shiny, red skin
A parent explains, "My daughter doesn't stand properly because of a difference in
the height of her shoulders." The examiner suspect structural scoliosis. Which finding
supports the examiner's suspicion? - ANSWER: Humping of the ribs on one side while
bending
An elderly patient complains of stiffness in the knee joints and severe pain with
motion. On further assessment, the examiner learns that the patient has joints with
a hard bony protuberance on the joint. What can the examiner suspect from the
findings? - ANSWER: Osteoarthritis
While assessing a child with Down syndrome, the examiner finds webbing between
the adjacent fingers of the palm. Which other findings would the examiner observe
in the child? - ANSWER: Simian crease
Which deformity involves stiffness of the joints? - ANSWER: Arthritis
The examiner is assessing the spine of an obese patient. What change may the
examiner observe in the spine of the patient? - ANSWER: Lordosis
An elderly patient reports pain and swelling at the base of the thumb. After assessing
the patient, the examiner suspect carpel tunnel syndrome. Which finding enabled
the examiner to reach this conclusion? - ANSWER: Presence of positive Tinel sign
While performing a head-to-toe assessment on a patient, the examiner instructs the
patient to rest in a supine position. The examiner tells the patient, "Lay with your
legs straight. Now, pull your right leg to your chest while keeping your left leg flat on
the bed." What is the examiner focusing on in this part of the assessment? -
ANSWER: The hips
During an assessment, the examiner finds that a child has genu varum. Which finding
in the patient enabled the examiner to make such a conclusion? - ANSWER: A
distance of 3 cm between the knees when the medial malleoli are together
While performing the McMurray test on a patient who has swelling at the knee joint,
the examiner feels a click. Which condition does the examiner suspect in the
patient? - ANSWER: Torn meniscus
An obese patient reports continuous throbbing pain in the foot. On assessment, the
examiner finds that the patient has swelling, redness, and tender pain around the
metatarsal-phalangeal joint. On reviewing the laboratory reports, the examiner finds
the patient also has increased uric acid levels in the blood and urate crystals in the
joint fluids. What does the examiner infer from the findings? - ANSWER: The patient
has acute gout
Which condition involves the accumulation of monosodium urate crystals in the joint
space? - ANSWER: Tophi with chronic gout
The examiner is caring for a patient who has rheumatoid arthritis. While performing
a musculoskeletal assessment, the examiner hears a grating sound that accompanies
movement of the joints. Which term will the examiner use to describe this finding? -
ANSWER: Crepitus
The examiner asks a patient to move his or her arm away from the midline of the
body. What is this angular motion called? - ANSWER: Abduction
Which complication may occur due to a decrease in the blood supply to the femoral
epiphysis? - ANSWER: Legg-Calve-Perthes syndrome
During the assessment of a patient, the examiner finds that the distal part of the
great toe is directed away from the body's midline. Which complication is present in
the patient? - ANSWER: Hallux valgus
The examiner is assessing the integrity of the spinal accessory nerve (cranial nerve
XI). What should the examiner ask the patient to do? - ANSWER: Shrug the shoulders
The nursing instructor is teaching a class on the types of joints. Which statement by
the student examiner about synovial joints indicates effective learning? - ANSWER:
Synovial joints are freely movable and lined with synovial membranes
Which disease conditions are associated with hard, nontender Heberden and
Bouchard nodules? - ANSWER: Osteoarthritis
Which assessment finding in an older female patient would indicate possible
osteoporosis? - ANSWER: Loss of height
The examiner is caring for an adolescent who reports severe pain below the knees
while playing soccer. After reviewing the diagnostic reports, the examiner finds that
, the patient has swelling of the tibial tubercle. Which is the best nursing intervention
in this situation? - ANSWER: Instruct the adolescent to take a break from soccer for a
while
Which characteristic feature indicates a positive Allis sign? - ANSWER: Presence of
one knee lower than the other
While assessing a patient with wrist dislocation, the examiner finds swan-neck
deformity and ulnar deviation for the fingers in the patient. Which disease condition
does the examiner expect in the patient? - ANSWER: Chronic rheumatoid arthritis
Which findings does the examiner expect in a patient who has tophi with chronic
gout? - ANSWER: Presence of swollen toe joints with shiny, red skin
A parent explains, "My daughter doesn't stand properly because of a difference in
the height of her shoulders." The examiner suspect structural scoliosis. Which finding
supports the examiner's suspicion? - ANSWER: Humping of the ribs on one side while
bending
An elderly patient complains of stiffness in the knee joints and severe pain with
motion. On further assessment, the examiner learns that the patient has joints with
a hard bony protuberance on the joint. What can the examiner suspect from the
findings? - ANSWER: Osteoarthritis
While assessing a child with Down syndrome, the examiner finds webbing between
the adjacent fingers of the palm. Which other findings would the examiner observe
in the child? - ANSWER: Simian crease
Which deformity involves stiffness of the joints? - ANSWER: Arthritis
The examiner is assessing the spine of an obese patient. What change may the
examiner observe in the spine of the patient? - ANSWER: Lordosis
An elderly patient reports pain and swelling at the base of the thumb. After assessing
the patient, the examiner suspect carpel tunnel syndrome. Which finding enabled
the examiner to reach this conclusion? - ANSWER: Presence of positive Tinel sign
While performing a head-to-toe assessment on a patient, the examiner instructs the
patient to rest in a supine position. The examiner tells the patient, "Lay with your
legs straight. Now, pull your right leg to your chest while keeping your left leg flat on
the bed." What is the examiner focusing on in this part of the assessment? -
ANSWER: The hips
During an assessment, the examiner finds that a child has genu varum. Which finding
in the patient enabled the examiner to make such a conclusion? - ANSWER: A
distance of 3 cm between the knees when the medial malleoli are together
