C HAPTER 16 T HE M USCULOSKELETAL S YSTEM
MULTIPLE CHOICE
1. The nurse is checking the range of motion in a patients knee and knows
that the knee is capable of which movement(s)?
a. Flexion and extension
b. Supination and pronation
c. Circumduction
d. Inversion and eversion
ANS: A
The knee is a hinge joint, permitting flexion and extension of the lower
leg on a single plane. The knee is not capable of the other movements
listed.
DIF: Cognitive Level: Understanding (Comprehension) REF: p. 583
MSC: Client Needs: Physiologic Integrit y: Physiologic
Adaptation
2. A patient is visiting the clinic for an evaluation of a swollen, painful
knuckle. The nurse notices that the knuckle above his ring on the left hand
is swollen and that he is unable to remove his wedding ring. This joint is
called the ________ joint.
a. Interphalangeal
b. Tarsometatarsal
c. Metacarpophalangeal
, d. Tibiotalar
ANS: C
The joint located just above the ring on the finger is the
metacarpophalangeal joint. The interphalangeal joint is located distal
to the metacarpophalangeal joint. The tarsometatarsal a nd tibiotalar
joints are found in the foot and ankle. (See Figure 22 -10 for a diagram
of the bones and joints of the hand and fingers.)
DIF: Cognitive Level: Understanding (Comprehension) REF: p. 582
MSC: Client Needs: Physiologic Integrit y: Physiologic
Adaptation
3. The nurse is assessing a patients ischial tuberosit y. To palpate the ischial
tuberosit y, the nurse knows that it is best to have the patient:
a. Standing.
b. Flexing the hip.
c. Flexing the knee.
d. Lying in the supine position.
ANS: B
The ischial tuberosity lies under the gluteus maximus muscle and is
palpable when the hip is flexed. The other options are not correct.
DIF: Cognitive Level: Understanding (Comprehension) REF: p. 582
MSC: Client Needs: Safe and Effective Care Environment:
Management o f Care
, 4. The nurse is examining the hip area of a patient and palpates a flat
depression on the upper, lateral side of the thigh when the patient is
standing. The nurse interprets this finding as the:
a. Ischial tuberosit y.
b. Greater trochanter.
c. Iliac crest.
d. Gluteus maximus muscle.
ANS: B
The greater trochanter of the femur is palpated when the person is
standing, and it appears as a flat depression on the upper lateral side of
the thigh. The iliac crest is the upper part of the hip bone; the ischial
tuberosit y lies under the gluteus maximus muscle and is palpable when
the hip is flexed; and the gluteus muscle is part of the buttocks.
DIF: Cognitive Level: Understanding (Comprehension) REF: p. 582
MSC: Client Needs: Physiologic Integrit y: Physiologic
Adaptation
5. The ankle joint is the articulation of the tibia, fibula, and:
a. Talus.
b. Cuboid.
c. Calcaneus.
d. Cuneiform bones.
ANS: A
MULTIPLE CHOICE
1. The nurse is checking the range of motion in a patients knee and knows
that the knee is capable of which movement(s)?
a. Flexion and extension
b. Supination and pronation
c. Circumduction
d. Inversion and eversion
ANS: A
The knee is a hinge joint, permitting flexion and extension of the lower
leg on a single plane. The knee is not capable of the other movements
listed.
DIF: Cognitive Level: Understanding (Comprehension) REF: p. 583
MSC: Client Needs: Physiologic Integrit y: Physiologic
Adaptation
2. A patient is visiting the clinic for an evaluation of a swollen, painful
knuckle. The nurse notices that the knuckle above his ring on the left hand
is swollen and that he is unable to remove his wedding ring. This joint is
called the ________ joint.
a. Interphalangeal
b. Tarsometatarsal
c. Metacarpophalangeal
, d. Tibiotalar
ANS: C
The joint located just above the ring on the finger is the
metacarpophalangeal joint. The interphalangeal joint is located distal
to the metacarpophalangeal joint. The tarsometatarsal a nd tibiotalar
joints are found in the foot and ankle. (See Figure 22 -10 for a diagram
of the bones and joints of the hand and fingers.)
DIF: Cognitive Level: Understanding (Comprehension) REF: p. 582
MSC: Client Needs: Physiologic Integrit y: Physiologic
Adaptation
3. The nurse is assessing a patients ischial tuberosit y. To palpate the ischial
tuberosit y, the nurse knows that it is best to have the patient:
a. Standing.
b. Flexing the hip.
c. Flexing the knee.
d. Lying in the supine position.
ANS: B
The ischial tuberosity lies under the gluteus maximus muscle and is
palpable when the hip is flexed. The other options are not correct.
DIF: Cognitive Level: Understanding (Comprehension) REF: p. 582
MSC: Client Needs: Safe and Effective Care Environment:
Management o f Care
, 4. The nurse is examining the hip area of a patient and palpates a flat
depression on the upper, lateral side of the thigh when the patient is
standing. The nurse interprets this finding as the:
a. Ischial tuberosit y.
b. Greater trochanter.
c. Iliac crest.
d. Gluteus maximus muscle.
ANS: B
The greater trochanter of the femur is palpated when the person is
standing, and it appears as a flat depression on the upper lateral side of
the thigh. The iliac crest is the upper part of the hip bone; the ischial
tuberosit y lies under the gluteus maximus muscle and is palpable when
the hip is flexed; and the gluteus muscle is part of the buttocks.
DIF: Cognitive Level: Understanding (Comprehension) REF: p. 582
MSC: Client Needs: Physiologic Integrit y: Physiologic
Adaptation
5. The ankle joint is the articulation of the tibia, fibula, and:
a. Talus.
b. Cuboid.
c. Calcaneus.
d. Cuneiform bones.
ANS: A
