Chapter 45. Musculoskeletal Function and Assessment
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____1.The nurse is caring for a patient who had a bone biopsy on the right leg. Which activity should the nurse implement?
a.Ambulate twice daily.
b.Perform active range of motion every 2 hours.
c.Immobilize right leg for 8 to 12 hours.
d.Perform hourly passive range of motion.
____2.The nurse is caring for a patient 1 hour after a diagnostic arthroscopy of the right knee. Which activity would
the nurse implement?
a.Strict bedrest
b.No weight-bearing on right leg for 3 days
c.Partial weight-bearing on left leg for 1 week
d.Straight-leg raises
____3.The nurse, who is inspecting the knee of a patient who fell and reports stiffnes s, hears a grating sound with knee movement. Which of these actions is appropriate for the nurse to take?
a.Continue inspecting the knee with movement.
b.Encourage active range of motion of the knee.
c.Immobilize the knee.
d.Bend knee rapidly until grating stops.
____4.The nurse is gathering functional data on a patient with rheumatoid arthritis. Which of these areas would be
included?
a.Muscular build
b.Height and weight
c.Movement of joints
d.Ability to dress
____5.A patient has had a biopsy of the left leg and has pain unrelieved by morphine 5 mg intramuscularly given 1.5 hours ago. The morphine is ordered every 3 hours. What should the nurse do?
a.Elevate the extremity.
b.Administer morphine in 30 minutes.
c.Repeat morphine now.
d.Notify the registered nurse.
____6.The nurse is caring for a patient who has a suspected bone tumor. Which serum laboratory result would be indicative of this?
a.Increased magnesium
b.Elevated alkaline phosphatase
c.Increased creatine kinase
d.Decreased calcium
____7.An older adult visiting a wellness clinic reports joint stiffness in the morning. Which of the following statements, by the nurse, is best?
a.“As we age, the cartilage in joints gets rough, causing stiffness.”
b.“The stiffness is due to decreased moisture in joint bones.”
c.“The body makes extra synovial fluid as we age, and that makes joints stiff.” d.“The fluid in your joints gets thinner as you age, so your joints get stiff.”
____8.The nurse is collecting data for a patient who is reporting pain in the hand joints. W hat question would the nurse ask to determine the quality of the pain?
a.“Did an event cause the pain?”
b.“Does the pain move?”
c.“How would you rate the pain?”
d.“How does the pain feel?”
____9.The nurse is collecting data for a patient who is reporting pain in the right hip. Which question addresses the
severity of the pain?
a.“Is the pain throbbing?”
b.“Does the pain radiate or move around?”
c.“What number rating would you give your pain on a scale from 0 to 10?”
d.“Is the pain burning?”
____10.The nurse is collecting data for a patient who is reporting pain in the left kne e. What question would address the radiation of the pain?
a.“Is the pain burning?”
b.“Does the pain move?”
c.“Is the pain intense?”
d.“How would you describe the pain?”
____11.The nurse is collecting data for a patient who is reporting pain in the left wrist. What question would address
the region of the pain?
a.“Where is the pain?”
b.“Does the pain move?”
c.“Is the pain mild?”
d.“How does the pain feel?”
____12.The nurse is caring for a patient who is undergoing an arthrography. What should the nurse tell the patient about pain expectations during the procedure?
a.“There is no pain during the procedure.”
b.“The procedure will be uncomfortable until it is completed.”
c.“There is temporary pain during dye injection.”
d.“There is pain while the x-ray is taken.”
____13.The nurse is reinforcing teaching for a patient who has severe arthritis and is having an x-ray. Which of the following statements by the p atient would indicate a correct understanding of the teaching?
a.“A soft mattress covers the table.”
b.“I may lie in a position of comfort.”
c.“I may move during the x-ray.”
d.“The table is hard and cold.”
____14.The nurse is collecting data for a patient who had a crushing injury to the lower extremities.
Which serum creatine kinase (CK) result should the nurse review and report to the physician?
a.CK-MB
b.CK-MM
c.CK-BB
d.CK1
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____1.The nurse is caring for a patient who had a bone biopsy on the right leg. Which activity should the nurse implement?
a.Ambulate twice daily.
b.Perform active range of motion every 2 hours.
c.Immobilize right leg for 8 to 12 hours.
d.Perform hourly passive range of motion.
____2.The nurse is caring for a patient 1 hour after a diagnostic arthroscopy of the right knee. Which activity would
the nurse implement?
a.Strict bedrest
b.No weight-bearing on right leg for 3 days
c.Partial weight-bearing on left leg for 1 week
d.Straight-leg raises
____3.The nurse, who is inspecting the knee of a patient who fell and reports stiffnes s, hears a grating sound with knee movement. Which of these actions is appropriate for the nurse to take?
a.Continue inspecting the knee with movement.
b.Encourage active range of motion of the knee.
c.Immobilize the knee.
d.Bend knee rapidly until grating stops.
____4.The nurse is gathering functional data on a patient with rheumatoid arthritis. Which of these areas would be
included?
a.Muscular build
b.Height and weight
c.Movement of joints
d.Ability to dress
____5.A patient has had a biopsy of the left leg and has pain unrelieved by morphine 5 mg intramuscularly given 1.5 hours ago. The morphine is ordered every 3 hours. What should the nurse do?
a.Elevate the extremity.
b.Administer morphine in 30 minutes.
c.Repeat morphine now.
d.Notify the registered nurse.
____6.The nurse is caring for a patient who has a suspected bone tumor. Which serum laboratory result would be indicative of this?
a.Increased magnesium
b.Elevated alkaline phosphatase
c.Increased creatine kinase
d.Decreased calcium
____7.An older adult visiting a wellness clinic reports joint stiffness in the morning. Which of the following statements, by the nurse, is best?
a.“As we age, the cartilage in joints gets rough, causing stiffness.”
b.“The stiffness is due to decreased moisture in joint bones.”
c.“The body makes extra synovial fluid as we age, and that makes joints stiff.” d.“The fluid in your joints gets thinner as you age, so your joints get stiff.”
____8.The nurse is collecting data for a patient who is reporting pain in the hand joints. W hat question would the nurse ask to determine the quality of the pain?
a.“Did an event cause the pain?”
b.“Does the pain move?”
c.“How would you rate the pain?”
d.“How does the pain feel?”
____9.The nurse is collecting data for a patient who is reporting pain in the right hip. Which question addresses the
severity of the pain?
a.“Is the pain throbbing?”
b.“Does the pain radiate or move around?”
c.“What number rating would you give your pain on a scale from 0 to 10?”
d.“Is the pain burning?”
____10.The nurse is collecting data for a patient who is reporting pain in the left kne e. What question would address the radiation of the pain?
a.“Is the pain burning?”
b.“Does the pain move?”
c.“Is the pain intense?”
d.“How would you describe the pain?”
____11.The nurse is collecting data for a patient who is reporting pain in the left wrist. What question would address
the region of the pain?
a.“Where is the pain?”
b.“Does the pain move?”
c.“Is the pain mild?”
d.“How does the pain feel?”
____12.The nurse is caring for a patient who is undergoing an arthrography. What should the nurse tell the patient about pain expectations during the procedure?
a.“There is no pain during the procedure.”
b.“The procedure will be uncomfortable until it is completed.”
c.“There is temporary pain during dye injection.”
d.“There is pain while the x-ray is taken.”
____13.The nurse is reinforcing teaching for a patient who has severe arthritis and is having an x-ray. Which of the following statements by the p atient would indicate a correct understanding of the teaching?
a.“A soft mattress covers the table.”
b.“I may lie in a position of comfort.”
c.“I may move during the x-ray.”
d.“The table is hard and cold.”
____14.The nurse is collecting data for a patient who had a crushing injury to the lower extremities.
Which serum creatine kinase (CK) result should the nurse review and report to the physician?
a.CK-MB
b.CK-MM
c.CK-BB
d.CK1
