Musculoskeletal Test Bank Exam With Co b b b b b
mplete Solution b
Ab42-year-
oldbmalebpatientbcomplainsbofbshoulderbpainbwhenbthebnursebmovesbhisbarmbbehindbthebback.bWhichbque
stionbshouldbthebnursebask?
a.bArebyoubablebtobfeedbyourselfbwithoutbdifficulty?
b.bDobyoubhavebdifficultybwhenbyoubarebputtingbonbabshirt?
c.bArebyoubablebtobsleepbthroughbthebnightbwithoutbwaking?
d.bDobyoubeverbhavebtroublebloweringbyourselfbtobthebtoilet?b-
bcorrectbanswerbb.bDobyoubhavebdifficultybwhenbyoubarebputtingbonbabshirt?
Thebpatientsbpainbwillbmakebitbmorebdifficultbtobaccomplishbtasksblikebputtingbonbabshirtborbjacket.bThisbpain
bshouldbnotbaffectbthebpatientsbabilitybtobfeedbhimselfborbusebthebtoiletbbecausebthesebtasksbdobnotbinvolve
bmovingbthebarmbbehindbthebpatient.bThebarmbwillbnotbusuallybbebpositionedbbehindbthebpatientbduringbsle
eping.
Abpatientbwithbleftbkneebpainbisbdiagnosedbwithbbursitis.bThebnursebwillbexplainbthatbbursitisbisbanbinflamm
ationbof
a.bthebsynovialbmembranebthatblinesbthebjoint.
b.babsmall,bfluid-filledbsacbfoundbatbsomebjoints.
c.bthebfibrocartilagebthatbactsbasbabshockbabsorberbinbthebkneebjoint.
d.banybconnectivebtissuebthatbisbfoundbsupportingbthebjointsbofbthebbody.b-bcorrectbanswerbb.babsmall,bfluid-
filledbsacbfoundbatbsomebjoints.
Bursaebarebfluid-
filledbsacsbthatbcushionbjointsbandbbonybprominences.bFibrocartilagebisbabsolidbtissuebthatbcushionsbsomebj
oints.bBursaebarebabspecificbtypebofbconnectivebtissue.bThebsynovialbmembraneblinesbmanybjointsbbutbisbnot
babbursa.
Thebnursebwhobnotesbthatbab59-year-
oldbfemalebpatientbhasblostb1binchbinbheightboverbthebpastb2byearsbwillbplanbtobteachbthebpatientbabout
a.bdiscographybstudies.
,b.bmyelographicbtesting.
c.bmagneticbresonancebimagingb(MRI).
d.bdual-energybx-raybabsorptiometryb(DXA).b-bcorrectbanswerbd.bdual-energybx-raybabsorptiometryb(DXA).
Thebdecreasedbheightbandbthebpatientsbagebsuggestbthatbthebpatientbmaybhavebosteoporosisbandbthatbbon
ebdensitybtestingbisbneeded.bDiscography,bMRI,bandbmyelographybarebtypicallybdonebforbpatientsbwithbcurr
entbsymptomsbcausedbbybmusculoskeletalbdysfunctionbandbarebnotbthebinitialbdiagnosticbtestsbforbosteopo
rosis.
Whichbinformationbinbab67-year-
oldbwomansbhealthbhistorybwillbalertbthebnursebtobthebneedbforbabmorebfocusedbassessmentbofbthebmuscul
oskeletalbsystem?
a.bThebpatientbsprainedbherbanklebatbageb13.
b.bThebpatientsbmotherbbecamebshorterbwithbaging.
c.bThebpatientbtakesbibuprofenb(Advil)bforboccasionalbheadaches.
d.bThebpatientsbfatherbdiedbofbcomplicationsbofbmiliarybtuberculosis.b-
bcorrectbanswerbb.bThebpatientsbmotherbbecamebshorterbwithbaging.
Abfamilybhistorybofbheightblossbwithbagingbmaybindicatebosteoporosis,bandbthebnursebshouldbperformbabmo
rebthoroughbassessmentbofbthebpatientsbcurrentbheightbandbotherbriskbfactorsbforbosteoporosis.bAbsprained
banklebduringbadolescencebdoesbnotbplacebthebpatientbatbincreasedbcurrentbriskbforbmusculoskeletalbprobl
ems.bAbfamilybhistorybofbtuberculosisbisbnotbabriskbfactor.bOccasionalbnonsteroidalbantiinflammatorybdrugb(
NSAID)busebdoesbnotbindicatebanybincreasedbmusculoskeletalbrisk.
Whichbinformationbobtainedbduringbthebnursesbassessmentbofbab30-year-oldbpatientsbnutritional-
metabolicbpatternbmaybindicatebthebriskbforbmusculoskeletalbproblems?
a.bThebpatientbtakesbabmultivitaminbdaily.
b.bThebpatientbdislikesbfruitsbandbvegetables.
c.bThebpatientbisb5bftb2binbandbweighsb180blb.
d.bThebpatientbprefersbwholebmilkbtobnonfatbmilk.b-
bcorrectbanswerbc.bThebpatientbisb5bftb2binbandbweighsb180blb.
,Thebpatientsbheightbandbweightbindicatebobesity,bwhichbplacesbstressbonbweight-
bearingbjoints.bThebusebofbwholebmilk,bavoidingbfruitsbandbvegetables,bandbusebofbabdailybmultivitaminbareb
notbriskbfactorsbforbmusculoskeletalbproblems.
Whichbmedicationbinformationbwillbthebnursebidentifybasbabconcernbforbabpatientsbmusculoskeletalbstatus?
a.bThebpatientbtakesbabdailybmultivitaminbandbcalciumbsupplement.
b.bThebpatientbtakesbhormonebtherapyb(HT)btobpreventbhotbflashes.
c.bThebpatientbhasbseverebasthmabandbrequiresbfrequentbtherapybwithboralbcorticosteroids.
d.bThebpatientbhasbmigrainebheadachesbtreatedbwithbnonsteroidalbantiinflammatorybdrugsb(NSAIDs).b-
bcorrectbanswerbc.bThebpatientbhasbseverebasthmabandbrequiresbfrequentbtherapybwithboralbcorticosteroids
.
Frequentborbchronicbcorticosteroidbusebmaybleadbtobskeletalbproblemsbsuchbasbavascularbnecrosisbandboste
oporosis.bThebusebofbHTbandbcalciumbsupplementsbwillbhelpbpreventbosteoporosis.bNSAIDbusebdoesbnotbinc
reasebthebriskbforbmusculoskeletalbproblems.
Thebnursebfindsbthatbabpatientbcanbflexbthebarmsbwhenbnobresistancebisbappliedbbutbisbunablebtobflexbwhenb
thebnursebappliesblightbresistance.bThebnursebshouldbdocumentbthebpatientsbmusclebstrengthbasblevel
a.b0.
b.b1.
c.b2.
d.b3.b-bcorrectbanswerbd.b3.
Ablevelb3bindicatesbthatbthebpatientbisbunablebtobmovebagainstbresistancebbutbcanbmovebagainstbgravity.bLev
elb1bindicatesbminimalbmusclebcontraction,blevelb2bindicatesbthatbthebarmbcanbmovebwhenbgravitybisbelimin
ated,bandblevelb4bindicatesbactivebmovementbwithbsomebresistance.
Afterbcompletingbthebhealthbhistory,bthebnursebassessingbthebmusculoskeletalbsystembwillbbeginbby
a.bhavingbthebpatientbmovebthebextremitiesbagainstbresistance.
b.bfeelingbforbthebpresencebofbcrepitusbduringbjointbmovement.
c.bobservingbthebpatientsbbodybbuildbandbmusclebconfiguration.
, d.bcheckingbactivebandbpassivebrangebofbmotionbforbthebextremities.b-
bcorrectbanswerbc.bobservingbthebpatientsbbodybbuildbandbmusclebconfiguration.
Thebusualbtechniquebinbthebphysicalbassessmentbisbtobbeginbwithbinspection.bAbnormalitiesbinbmusclebmas
sborbconfigurationbwillballowbthebnursebtobperformbabmorebfocusedbassessmentbofbabnormalbareas.bThebot
herbassessmentsbarebalsobincludedbinbthebassessmentbbutbarebusuallybdonebafterbinspection.
Whichbnursingbactionbisbcorrectbwhenbperformingbthebstraight-
legbraisingbtestbforbanbambulatorybpatientbwithbbackbpain?
a.bRaisebthebpatientsblegsbtobab60-degreebanglebfrombthebbed.
b.bPlacebthebpatientbinitiallybinbthebpronebpositionbonbthebexambtable.
c.bHavebthebpatientbdanglebbothblegsboverbthebedgebofbthebexambtable.
d.bInstructbthebpatientbtobelevatebtheblegsbandbtensebthebabdominalbmuscles.b-
bcorrectbanswerba.bRaisebthebpatientsblegsbtobab60-degreebanglebfrombthebbed.
Whenbperformingbthebstraightbleg-
raisingbtest,bthebpatientbisbinbthebsupinebpositionbandbthebnursebpassivelybliftsbthebpatientsblegsbtobab60-
degreebangle.bThebotherbactionsbwouldbnotbbebcorrectbforbthisbtest.
Ab72-year-oldbpatientbwithbkyphosisbisbscheduledbforbdual-energybx-
raybabsorptiometryb(DXA)btesting.bThebnursebwillbplanbto
a.bexplainbthebprocedure.
b.bstartbanbIVblinebforbcontrastbmediumbinjection.
c.bgivebanboralbsedativeb60btob90bminutesbbeforebthebprocedure.
d.bscreenbthebpatientbforballergiesbtobshellfishborbiodinebproducts.b-
bcorrectbanswerba.bexplainbthebprocedure.
DXAbtestingbisbpainlessbandbnoninvasive.bNobIVbaccessbisbnecessary.bContrastbmediumbisbnotbused.bBecause
bthebprocedurebisbpainless,bnobantianxietybmedicationsbarebrequired.
Abpatientbhasbabnewborderbforbmagneticbresonancebimagingb(MRI)btobevaluatebforbleftbfemurbosteomyelitis
bafterbabhipbreplacementbsurgery.bWhichbinformationbindicatesbthatbthebnursebshouldbconsultbwithbthebhea
lthbcarebproviderbbeforebschedulingbthebMRI?
a.bThebpatientbhasbabpacemaker.
mplete Solution b
Ab42-year-
oldbmalebpatientbcomplainsbofbshoulderbpainbwhenbthebnursebmovesbhisbarmbbehindbthebback.bWhichbque
stionbshouldbthebnursebask?
a.bArebyoubablebtobfeedbyourselfbwithoutbdifficulty?
b.bDobyoubhavebdifficultybwhenbyoubarebputtingbonbabshirt?
c.bArebyoubablebtobsleepbthroughbthebnightbwithoutbwaking?
d.bDobyoubeverbhavebtroublebloweringbyourselfbtobthebtoilet?b-
bcorrectbanswerbb.bDobyoubhavebdifficultybwhenbyoubarebputtingbonbabshirt?
Thebpatientsbpainbwillbmakebitbmorebdifficultbtobaccomplishbtasksblikebputtingbonbabshirtborbjacket.bThisbpain
bshouldbnotbaffectbthebpatientsbabilitybtobfeedbhimselfborbusebthebtoiletbbecausebthesebtasksbdobnotbinvolve
bmovingbthebarmbbehindbthebpatient.bThebarmbwillbnotbusuallybbebpositionedbbehindbthebpatientbduringbsle
eping.
Abpatientbwithbleftbkneebpainbisbdiagnosedbwithbbursitis.bThebnursebwillbexplainbthatbbursitisbisbanbinflamm
ationbof
a.bthebsynovialbmembranebthatblinesbthebjoint.
b.babsmall,bfluid-filledbsacbfoundbatbsomebjoints.
c.bthebfibrocartilagebthatbactsbasbabshockbabsorberbinbthebkneebjoint.
d.banybconnectivebtissuebthatbisbfoundbsupportingbthebjointsbofbthebbody.b-bcorrectbanswerbb.babsmall,bfluid-
filledbsacbfoundbatbsomebjoints.
Bursaebarebfluid-
filledbsacsbthatbcushionbjointsbandbbonybprominences.bFibrocartilagebisbabsolidbtissuebthatbcushionsbsomebj
oints.bBursaebarebabspecificbtypebofbconnectivebtissue.bThebsynovialbmembraneblinesbmanybjointsbbutbisbnot
babbursa.
Thebnursebwhobnotesbthatbab59-year-
oldbfemalebpatientbhasblostb1binchbinbheightboverbthebpastb2byearsbwillbplanbtobteachbthebpatientbabout
a.bdiscographybstudies.
,b.bmyelographicbtesting.
c.bmagneticbresonancebimagingb(MRI).
d.bdual-energybx-raybabsorptiometryb(DXA).b-bcorrectbanswerbd.bdual-energybx-raybabsorptiometryb(DXA).
Thebdecreasedbheightbandbthebpatientsbagebsuggestbthatbthebpatientbmaybhavebosteoporosisbandbthatbbon
ebdensitybtestingbisbneeded.bDiscography,bMRI,bandbmyelographybarebtypicallybdonebforbpatientsbwithbcurr
entbsymptomsbcausedbbybmusculoskeletalbdysfunctionbandbarebnotbthebinitialbdiagnosticbtestsbforbosteopo
rosis.
Whichbinformationbinbab67-year-
oldbwomansbhealthbhistorybwillbalertbthebnursebtobthebneedbforbabmorebfocusedbassessmentbofbthebmuscul
oskeletalbsystem?
a.bThebpatientbsprainedbherbanklebatbageb13.
b.bThebpatientsbmotherbbecamebshorterbwithbaging.
c.bThebpatientbtakesbibuprofenb(Advil)bforboccasionalbheadaches.
d.bThebpatientsbfatherbdiedbofbcomplicationsbofbmiliarybtuberculosis.b-
bcorrectbanswerbb.bThebpatientsbmotherbbecamebshorterbwithbaging.
Abfamilybhistorybofbheightblossbwithbagingbmaybindicatebosteoporosis,bandbthebnursebshouldbperformbabmo
rebthoroughbassessmentbofbthebpatientsbcurrentbheightbandbotherbriskbfactorsbforbosteoporosis.bAbsprained
banklebduringbadolescencebdoesbnotbplacebthebpatientbatbincreasedbcurrentbriskbforbmusculoskeletalbprobl
ems.bAbfamilybhistorybofbtuberculosisbisbnotbabriskbfactor.bOccasionalbnonsteroidalbantiinflammatorybdrugb(
NSAID)busebdoesbnotbindicatebanybincreasedbmusculoskeletalbrisk.
Whichbinformationbobtainedbduringbthebnursesbassessmentbofbab30-year-oldbpatientsbnutritional-
metabolicbpatternbmaybindicatebthebriskbforbmusculoskeletalbproblems?
a.bThebpatientbtakesbabmultivitaminbdaily.
b.bThebpatientbdislikesbfruitsbandbvegetables.
c.bThebpatientbisb5bftb2binbandbweighsb180blb.
d.bThebpatientbprefersbwholebmilkbtobnonfatbmilk.b-
bcorrectbanswerbc.bThebpatientbisb5bftb2binbandbweighsb180blb.
,Thebpatientsbheightbandbweightbindicatebobesity,bwhichbplacesbstressbonbweight-
bearingbjoints.bThebusebofbwholebmilk,bavoidingbfruitsbandbvegetables,bandbusebofbabdailybmultivitaminbareb
notbriskbfactorsbforbmusculoskeletalbproblems.
Whichbmedicationbinformationbwillbthebnursebidentifybasbabconcernbforbabpatientsbmusculoskeletalbstatus?
a.bThebpatientbtakesbabdailybmultivitaminbandbcalciumbsupplement.
b.bThebpatientbtakesbhormonebtherapyb(HT)btobpreventbhotbflashes.
c.bThebpatientbhasbseverebasthmabandbrequiresbfrequentbtherapybwithboralbcorticosteroids.
d.bThebpatientbhasbmigrainebheadachesbtreatedbwithbnonsteroidalbantiinflammatorybdrugsb(NSAIDs).b-
bcorrectbanswerbc.bThebpatientbhasbseverebasthmabandbrequiresbfrequentbtherapybwithboralbcorticosteroids
.
Frequentborbchronicbcorticosteroidbusebmaybleadbtobskeletalbproblemsbsuchbasbavascularbnecrosisbandboste
oporosis.bThebusebofbHTbandbcalciumbsupplementsbwillbhelpbpreventbosteoporosis.bNSAIDbusebdoesbnotbinc
reasebthebriskbforbmusculoskeletalbproblems.
Thebnursebfindsbthatbabpatientbcanbflexbthebarmsbwhenbnobresistancebisbappliedbbutbisbunablebtobflexbwhenb
thebnursebappliesblightbresistance.bThebnursebshouldbdocumentbthebpatientsbmusclebstrengthbasblevel
a.b0.
b.b1.
c.b2.
d.b3.b-bcorrectbanswerbd.b3.
Ablevelb3bindicatesbthatbthebpatientbisbunablebtobmovebagainstbresistancebbutbcanbmovebagainstbgravity.bLev
elb1bindicatesbminimalbmusclebcontraction,blevelb2bindicatesbthatbthebarmbcanbmovebwhenbgravitybisbelimin
ated,bandblevelb4bindicatesbactivebmovementbwithbsomebresistance.
Afterbcompletingbthebhealthbhistory,bthebnursebassessingbthebmusculoskeletalbsystembwillbbeginbby
a.bhavingbthebpatientbmovebthebextremitiesbagainstbresistance.
b.bfeelingbforbthebpresencebofbcrepitusbduringbjointbmovement.
c.bobservingbthebpatientsbbodybbuildbandbmusclebconfiguration.
, d.bcheckingbactivebandbpassivebrangebofbmotionbforbthebextremities.b-
bcorrectbanswerbc.bobservingbthebpatientsbbodybbuildbandbmusclebconfiguration.
Thebusualbtechniquebinbthebphysicalbassessmentbisbtobbeginbwithbinspection.bAbnormalitiesbinbmusclebmas
sborbconfigurationbwillballowbthebnursebtobperformbabmorebfocusedbassessmentbofbabnormalbareas.bThebot
herbassessmentsbarebalsobincludedbinbthebassessmentbbutbarebusuallybdonebafterbinspection.
Whichbnursingbactionbisbcorrectbwhenbperformingbthebstraight-
legbraisingbtestbforbanbambulatorybpatientbwithbbackbpain?
a.bRaisebthebpatientsblegsbtobab60-degreebanglebfrombthebbed.
b.bPlacebthebpatientbinitiallybinbthebpronebpositionbonbthebexambtable.
c.bHavebthebpatientbdanglebbothblegsboverbthebedgebofbthebexambtable.
d.bInstructbthebpatientbtobelevatebtheblegsbandbtensebthebabdominalbmuscles.b-
bcorrectbanswerba.bRaisebthebpatientsblegsbtobab60-degreebanglebfrombthebbed.
Whenbperformingbthebstraightbleg-
raisingbtest,bthebpatientbisbinbthebsupinebpositionbandbthebnursebpassivelybliftsbthebpatientsblegsbtobab60-
degreebangle.bThebotherbactionsbwouldbnotbbebcorrectbforbthisbtest.
Ab72-year-oldbpatientbwithbkyphosisbisbscheduledbforbdual-energybx-
raybabsorptiometryb(DXA)btesting.bThebnursebwillbplanbto
a.bexplainbthebprocedure.
b.bstartbanbIVblinebforbcontrastbmediumbinjection.
c.bgivebanboralbsedativeb60btob90bminutesbbeforebthebprocedure.
d.bscreenbthebpatientbforballergiesbtobshellfishborbiodinebproducts.b-
bcorrectbanswerba.bexplainbthebprocedure.
DXAbtestingbisbpainlessbandbnoninvasive.bNobIVbaccessbisbnecessary.bContrastbmediumbisbnotbused.bBecause
bthebprocedurebisbpainless,bnobantianxietybmedicationsbarebrequired.
Abpatientbhasbabnewborderbforbmagneticbresonancebimagingb(MRI)btobevaluatebforbleftbfemurbosteomyelitis
bafterbabhipbreplacementbsurgery.bWhichbinformationbindicatesbthatbthebnursebshouldbconsultbwithbthebhea
lthbcarebproviderbbeforebschedulingbthebMRI?
a.bThebpatientbhasbabpacemaker.
