NU272 HESI Prep: Med-surg Musculoskeletal Test Questions and
Answers Rated A
Which joint helps in the gliding movement of the nurse reinforce with a client who has arthritis? -
wrist? - ANSWER -Biaxial joint ANSWER -Foods from a variety of food
- The biaxial joint helps in the gliding movement groups
of the wrist. Pivot joints permit rotation in the - There is no special diet for arthritis. A balanced
radioulnar area. Hinge joints allow for flexion and diet, consisting of foods from all groups of the
extension. Ball and socket joints permit MyPlate dietary guidelines, is essential in
movement in the shoulders and hips. maintaining nutrition. Limiting the diet to
particular foods does not provide all the essential
nutrients. If nutritional intake is adequate, large
Which element would the nurse focus on when doses of multivitamins are unnecessary and are
teaching crutch-walking to a client who has a dangerous.
casted leg fracture? - ANSWER -Modifying
the home environment to prevent accidents
- Modifications in the home may be needed to Which tissue connects the client's tibia to the
permit safe use of crutches. Pain medications femur at the knee joint? - ANSWER -
should not be required on a regular basis. The Ligaments
client may vary the schedule of activities based - A ligament is a dense, fibrous connective tissue
on abilities and responses to activities. The client that connects bone to bone, such as the tibia to
does not have to be sedentary; crutches are the femur at the knee joint. Ligaments provide
used for ambulation. stability while permitting controlled movement at
the joint. Fascia is a connective tissue that can
withstand limited stretching; it provides strength
After signing a legal consent for hip replacement to muscle tissues. Bursae are small sacs of
surgery and within hours before the surgery, the connective tissue lined with synovial membrane
client states, "I decided not to go through with the and synovial fluid that are located at bony
surgery." Which response would the nurse use prominences and joints to relieve pressure. A
initially? - ANSWER -"Let's talk about your tendon is a dense, fibrous connective tissue that
concerns regarding the procedure." attaches muscle to bone.
- The response, "Let's talk about your concerns
regarding the procedure," attempts to explore
why the client is refusing the procedure and Which foot disorder is caused by continual
promotes communication. The response, "Then pressure over bony prominences? -
you shouldn't have signed the consent," is ANSWER -Corn
accusatory; the client has the right to withdraw - A corn is a foot disorder caused by continual
consent at any time. The response, "I can pressure over bony prominences. A plantar wart
understand why you changed your mind," draws is a foot disorder caused by a virus. Hammertoe
a conclusion without adequate data; also, the is a foot disorder caused by flexion and deformity
statement may increase the client's anxiety level. in the joints. Hallux rigidus is caused by
The response, "Tell me why you decided to osteoarthritis.
refuse the operation," may be too direct and
authoritative; also the statement may put the
client on the defensive. Which action by a 70-year-old female client
would best limit further progression of
osteoporosis? - ANSWER -Taking
Which daily diet recommendation would the supplemental calcium and vitamin D
1/5
, NU272 HESI Prep: Med-surg Musculoskeletal Test Questions and
Answers Rated A
- Research demonstrates that women past postmenopausal women by increasing bone
menopause need at least 1500 mg of calcium a mineral density, reducing bone desorption, and
day, which is almost impossible to obtain through reducing incidences of osteoporotic vertebral
dietary sources because the average daily fractures. Denosumab is a monoclonal antibody
consumption of calcium is 300 to 500 mg. used to treat osteoporosis when other
Vitamin D promotes the deposition of calcium medications are not effective. Alendronate and
into the bone. Consumption of eggs and cheese zoledronic acid are commonly used for the
does not contain adequate calcium to meet prevention and treatment of osteoporosis.
requirements to prevent osteoporosis; these
foods do not contain vitamin D unless fortified. If
large amounts of magnesium are present, Goniometer - ANSWER -The goniometer, a
calcium absorption is impeded because device used to measure the angle of a joint (as
magnesium and calcium absorption are shown in the image), is used to assess range of
competitive; vitamin E is unrelated to motion. An arthroscope is a small fiberoptic tube
osteoporosis. Milk and milk products may not be that can be inserted into a joint for visualization.
consumed in quantities adequate to meet Splints and orthoses (braces) are used to
requirements to prevent osteoporosis. immobilize joints after fracture. External fixators
are used to stabilize bone injuries.
Which nursing interventions would the nurse
implement when providing postoperative care for Which synovial joint movement is described as
a client who had a below-the-knee amputation? - turning the sole away from the midline of the
ANSWER -Elevate residual leg slightly body? - ANSWER -Eversion
while keeping the knee joint straight for first 24 - Eversion is a synovial joint movement that
hours. describes turning the sole outward away from the
- Elevation of the residual limb helps prevent midline of the body. Pronation is a synovial joint
edema; however, slight elevation during the first movement that describes turning the palm
24 hours as continued elevation may lead to hip downward. Adduction is a synovial joint
contractures. The knee joint is kept extended, movement that describes movement toward
not flexed during this time. The client usually is midline of the body. Supination is a synovial joint
out of bed on the second postoperative day. movement that describes turning the palm
Hemorrhage and infection are the two most upward.
common complications. The dressing usually is a
pressure dressing, and the surgeon does not
change the pressure dressing this soon The registered nurse (RN) is giving home care
postoperatively. Sometimes the pressure instructions to a client who was treated for
dressing has a cast in place to shape the injuries due to a fall. Which statement made by
residual leg for a prosthesis. the client indicates a need for additional
instruction? - ANSWER -"I should walk on
soft scatter rugs at home."
Which estrogen antagonist would the health care - A client with injuries due to a fall must avoid
provider prescribe a client for the prevention and having throw or scattered rugs at home to reduce
treatment of osteoporosis in postmenopausal the incidence of falls. The registered nurse (RN)
women? - ANSWER -Raloxifene would encourage the client to drink 3000 mL of
- Raloxifene prevents and treats osteoporosis in water per day to promote optimal bladder and
2/5
Answers Rated A
Which joint helps in the gliding movement of the nurse reinforce with a client who has arthritis? -
wrist? - ANSWER -Biaxial joint ANSWER -Foods from a variety of food
- The biaxial joint helps in the gliding movement groups
of the wrist. Pivot joints permit rotation in the - There is no special diet for arthritis. A balanced
radioulnar area. Hinge joints allow for flexion and diet, consisting of foods from all groups of the
extension. Ball and socket joints permit MyPlate dietary guidelines, is essential in
movement in the shoulders and hips. maintaining nutrition. Limiting the diet to
particular foods does not provide all the essential
nutrients. If nutritional intake is adequate, large
Which element would the nurse focus on when doses of multivitamins are unnecessary and are
teaching crutch-walking to a client who has a dangerous.
casted leg fracture? - ANSWER -Modifying
the home environment to prevent accidents
- Modifications in the home may be needed to Which tissue connects the client's tibia to the
permit safe use of crutches. Pain medications femur at the knee joint? - ANSWER -
should not be required on a regular basis. The Ligaments
client may vary the schedule of activities based - A ligament is a dense, fibrous connective tissue
on abilities and responses to activities. The client that connects bone to bone, such as the tibia to
does not have to be sedentary; crutches are the femur at the knee joint. Ligaments provide
used for ambulation. stability while permitting controlled movement at
the joint. Fascia is a connective tissue that can
withstand limited stretching; it provides strength
After signing a legal consent for hip replacement to muscle tissues. Bursae are small sacs of
surgery and within hours before the surgery, the connective tissue lined with synovial membrane
client states, "I decided not to go through with the and synovial fluid that are located at bony
surgery." Which response would the nurse use prominences and joints to relieve pressure. A
initially? - ANSWER -"Let's talk about your tendon is a dense, fibrous connective tissue that
concerns regarding the procedure." attaches muscle to bone.
- The response, "Let's talk about your concerns
regarding the procedure," attempts to explore
why the client is refusing the procedure and Which foot disorder is caused by continual
promotes communication. The response, "Then pressure over bony prominences? -
you shouldn't have signed the consent," is ANSWER -Corn
accusatory; the client has the right to withdraw - A corn is a foot disorder caused by continual
consent at any time. The response, "I can pressure over bony prominences. A plantar wart
understand why you changed your mind," draws is a foot disorder caused by a virus. Hammertoe
a conclusion without adequate data; also, the is a foot disorder caused by flexion and deformity
statement may increase the client's anxiety level. in the joints. Hallux rigidus is caused by
The response, "Tell me why you decided to osteoarthritis.
refuse the operation," may be too direct and
authoritative; also the statement may put the
client on the defensive. Which action by a 70-year-old female client
would best limit further progression of
osteoporosis? - ANSWER -Taking
Which daily diet recommendation would the supplemental calcium and vitamin D
1/5
, NU272 HESI Prep: Med-surg Musculoskeletal Test Questions and
Answers Rated A
- Research demonstrates that women past postmenopausal women by increasing bone
menopause need at least 1500 mg of calcium a mineral density, reducing bone desorption, and
day, which is almost impossible to obtain through reducing incidences of osteoporotic vertebral
dietary sources because the average daily fractures. Denosumab is a monoclonal antibody
consumption of calcium is 300 to 500 mg. used to treat osteoporosis when other
Vitamin D promotes the deposition of calcium medications are not effective. Alendronate and
into the bone. Consumption of eggs and cheese zoledronic acid are commonly used for the
does not contain adequate calcium to meet prevention and treatment of osteoporosis.
requirements to prevent osteoporosis; these
foods do not contain vitamin D unless fortified. If
large amounts of magnesium are present, Goniometer - ANSWER -The goniometer, a
calcium absorption is impeded because device used to measure the angle of a joint (as
magnesium and calcium absorption are shown in the image), is used to assess range of
competitive; vitamin E is unrelated to motion. An arthroscope is a small fiberoptic tube
osteoporosis. Milk and milk products may not be that can be inserted into a joint for visualization.
consumed in quantities adequate to meet Splints and orthoses (braces) are used to
requirements to prevent osteoporosis. immobilize joints after fracture. External fixators
are used to stabilize bone injuries.
Which nursing interventions would the nurse
implement when providing postoperative care for Which synovial joint movement is described as
a client who had a below-the-knee amputation? - turning the sole away from the midline of the
ANSWER -Elevate residual leg slightly body? - ANSWER -Eversion
while keeping the knee joint straight for first 24 - Eversion is a synovial joint movement that
hours. describes turning the sole outward away from the
- Elevation of the residual limb helps prevent midline of the body. Pronation is a synovial joint
edema; however, slight elevation during the first movement that describes turning the palm
24 hours as continued elevation may lead to hip downward. Adduction is a synovial joint
contractures. The knee joint is kept extended, movement that describes movement toward
not flexed during this time. The client usually is midline of the body. Supination is a synovial joint
out of bed on the second postoperative day. movement that describes turning the palm
Hemorrhage and infection are the two most upward.
common complications. The dressing usually is a
pressure dressing, and the surgeon does not
change the pressure dressing this soon The registered nurse (RN) is giving home care
postoperatively. Sometimes the pressure instructions to a client who was treated for
dressing has a cast in place to shape the injuries due to a fall. Which statement made by
residual leg for a prosthesis. the client indicates a need for additional
instruction? - ANSWER -"I should walk on
soft scatter rugs at home."
Which estrogen antagonist would the health care - A client with injuries due to a fall must avoid
provider prescribe a client for the prevention and having throw or scattered rugs at home to reduce
treatment of osteoporosis in postmenopausal the incidence of falls. The registered nurse (RN)
women? - ANSWER -Raloxifene would encourage the client to drink 3000 mL of
- Raloxifene prevents and treats osteoporosis in water per day to promote optimal bladder and
2/5
