Page 1 of 186
“MUSCULOSKELETAL TEST BANK EXAM”LATEST
EXAM SOLVED QUESTIONS & ANSWERS
VERIFIED 100% GRADED A+ (LATEST VERSION)
WELL REVISED 100% GUARANTEE PASS
Exam Musculoskeletal Test Bank
A patient has a new order for magnetic resonance imaging (MRI) to evaluate
for left femur osteomyelitis after a hip replacement surgery. Which information
indicates that the nurse should consult with the health care provider before
scheduling the MRI?
a. The patient has a pacemaker.
b. The patient is claustrophobic.
c. The patient wears a hearing aid.
d. The patient is allergic to shellfish.
a. The patient has a pacemaker.
Patients with permanent pacemakers cannot have MRI because of the force exerted
by the magnetic field on metal objects. An open MRI will not cause claustrophobia.
The patient will need to be instructed to remove the hearing aid before the MRI, but
this does not require consultation with the health care provider. Because contrast
medium will not be used, shellfish allergy is not a contraindication to MRI.
The nurse notes crackling sounds and a grating sensation with palpation of an
older patients elbow. How will this finding be documented?
a. Torticollis
, Page 2 of 186
b. Crepitation
c. Subluxation
d. Epicondylitis
b. Crepitation
Crackling sounds and a grating sensation that accompany movement are described
as crepitus or crepitation. Torticollis is a twisting of the neck to one side, subluxation
is a partial dislocation of the joint, and epicondylitis is an inflammation of the elbow
that causes a dull ache that increases with movement.
Which finding is of highest priority when the nurse is planning care for a 77-
year-old patient seen in the outpatient clinic?
a. Symmetric joint swelling of fingers
b. Decreased right knee range of motion
c. Report of left hip aching when jogging
d. History of recent loss of balance and fall
d. History of recent loss of balance and fall
A history of falls requires further assessment and development of fall prevention
strategies. The other changes are more typical of bone and joint changes associated
with normal aging.
Which finding from a patients right knee arthrocentesis will be of concern to
the nurse?
a. Cloudy fluid
b. Scant thin fluid
c. Pale yellow fluid
d. Straw-colored fluid
a. Cloudy fluid
The presence of purulent fluid suggests a possible joint infection. Normal synovial
fluid is scant in amount and pale yellow/straw-colored.
Which action can the nurse delegate to unlicensed assistive personnel (UAP)
who are working in the orthopedic clinic?
a. Grade leg muscle strength for a patient with back pain.
b. Obtain blood sample for uric acid from a patient with gout.
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c. Perform straight-leg-raise testing for a patient with sciatica.
d. Check for knee joint crepitation before arthroscopic surgery.
b. Obtain blood sample for uric acid from a patient with gout.
Drawing blood specimens is a common skill performed by UAP in clinic settings. The
other actions are assessments and require registered nurse (RN)level judgment and
critical thinking.
When teaching seniors at a community recreation center, which information
will the nurse include about ways to prevent fractures?
a. Tack down scatter rugs in the home.
b. Most falls happen outside the home.
c. Buy shoes that provide good support and are comfortable to wear.
d. Range-of-motion exercises should be taught by a physical therapist.
c. Buy shoes that provide good support and are comfortable to wear.
Comfortable shoes with good support will help decrease the risk for falls. Scatter
rugs should be eliminated, not just tacked down. Activities of daily living provide
range of motion exercise; these do not need to be taught by a physical therapist.
Falls inside the home are responsible for many injuries.
A factory line worker has repetitive strain syndrome in the left elbow. The
nurse will plan to teach the patient about
a. surgical options.
b. elbow injections.
c. wearing a left wrist splint.
d. modifying arm movements.
d. modifying arm movements.
Treatment for repetitive strain syndrome includes changing the ergonomics of the
activity. Elbow injections and surgery are not initial options for this type of injury. A
wrist splint might be used for hand or wrist pain.
The occupational health nurse will teach the patient whose job involves many
hours of typing about the need to
a. obtain a keyboard pad to support the wrist.
b. do stretching exercises before starting work.
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c. wrap the wrists with compression bandages every morning.
d. avoid using nonsteroidal antiinflammatory drugs (NSAIDs) for pain.
a. obtain a keyboard pad to support the wrist.
Repetitive strain injuries caused by prolonged times working at a keyboard can be
prevented by the use of a pad that will keep the wrists in a straight position.
Stretching exercises during the day may be helpful, but these would not be needed
before starting. Use of a compression bandage is not needed, although a splint may
be used for carpal tunnel syndrome. NSAIDs are appropriate to use to decrease
swelling.
Which discharge instruction will the emergency department nurse include for
a patient with a sprained ankle?
a. Keep the ankle loosely wrapped with gauze.
b. Apply a heating pad to reduce muscle spasms.
c. Use pillows to elevate the ankle above the heart.
d. Gently move the ankle through the range of motion.
c. Use pillows to elevate the ankle above the heart.
Elevation of the leg will reduce the amount of swelling and pain. Compression
bandages are used to decrease swelling. For the first 24 to 48 hours, cold packs are
used to reduce swelling. The ankle should be rested and kept immobile to prevent
further swelling or injury.
A 22-year-old tennis player has an arthroscopic repair of a rotator cuff injury
performed in same-day surgery. When the nurse plans postoperative teaching
for the patient, which information will be included?
a. You will not be able to serve a tennis ball again.
b. You will work with a physical therapist tomorrow.
c. The doctor will use the drop-arm test to determine the success of surgery.
d. Leave the shoulder immobilizer on for the first 4 days to minimize pain.
b. You will work with a physical therapist tomorrow.
Physical therapy after a rotator cuff repair begins on the first postoperative day to
prevent frozen shoulder. A shoulder immobilizer is used immediately after the
surgery, but leaving the arm immobilized for several days would lead to loss of range
“MUSCULOSKELETAL TEST BANK EXAM”LATEST
EXAM SOLVED QUESTIONS & ANSWERS
VERIFIED 100% GRADED A+ (LATEST VERSION)
WELL REVISED 100% GUARANTEE PASS
Exam Musculoskeletal Test Bank
A patient has a new order for magnetic resonance imaging (MRI) to evaluate
for left femur osteomyelitis after a hip replacement surgery. Which information
indicates that the nurse should consult with the health care provider before
scheduling the MRI?
a. The patient has a pacemaker.
b. The patient is claustrophobic.
c. The patient wears a hearing aid.
d. The patient is allergic to shellfish.
a. The patient has a pacemaker.
Patients with permanent pacemakers cannot have MRI because of the force exerted
by the magnetic field on metal objects. An open MRI will not cause claustrophobia.
The patient will need to be instructed to remove the hearing aid before the MRI, but
this does not require consultation with the health care provider. Because contrast
medium will not be used, shellfish allergy is not a contraindication to MRI.
The nurse notes crackling sounds and a grating sensation with palpation of an
older patients elbow. How will this finding be documented?
a. Torticollis
, Page 2 of 186
b. Crepitation
c. Subluxation
d. Epicondylitis
b. Crepitation
Crackling sounds and a grating sensation that accompany movement are described
as crepitus or crepitation. Torticollis is a twisting of the neck to one side, subluxation
is a partial dislocation of the joint, and epicondylitis is an inflammation of the elbow
that causes a dull ache that increases with movement.
Which finding is of highest priority when the nurse is planning care for a 77-
year-old patient seen in the outpatient clinic?
a. Symmetric joint swelling of fingers
b. Decreased right knee range of motion
c. Report of left hip aching when jogging
d. History of recent loss of balance and fall
d. History of recent loss of balance and fall
A history of falls requires further assessment and development of fall prevention
strategies. The other changes are more typical of bone and joint changes associated
with normal aging.
Which finding from a patients right knee arthrocentesis will be of concern to
the nurse?
a. Cloudy fluid
b. Scant thin fluid
c. Pale yellow fluid
d. Straw-colored fluid
a. Cloudy fluid
The presence of purulent fluid suggests a possible joint infection. Normal synovial
fluid is scant in amount and pale yellow/straw-colored.
Which action can the nurse delegate to unlicensed assistive personnel (UAP)
who are working in the orthopedic clinic?
a. Grade leg muscle strength for a patient with back pain.
b. Obtain blood sample for uric acid from a patient with gout.
, Page 3 of 186
c. Perform straight-leg-raise testing for a patient with sciatica.
d. Check for knee joint crepitation before arthroscopic surgery.
b. Obtain blood sample for uric acid from a patient with gout.
Drawing blood specimens is a common skill performed by UAP in clinic settings. The
other actions are assessments and require registered nurse (RN)level judgment and
critical thinking.
When teaching seniors at a community recreation center, which information
will the nurse include about ways to prevent fractures?
a. Tack down scatter rugs in the home.
b. Most falls happen outside the home.
c. Buy shoes that provide good support and are comfortable to wear.
d. Range-of-motion exercises should be taught by a physical therapist.
c. Buy shoes that provide good support and are comfortable to wear.
Comfortable shoes with good support will help decrease the risk for falls. Scatter
rugs should be eliminated, not just tacked down. Activities of daily living provide
range of motion exercise; these do not need to be taught by a physical therapist.
Falls inside the home are responsible for many injuries.
A factory line worker has repetitive strain syndrome in the left elbow. The
nurse will plan to teach the patient about
a. surgical options.
b. elbow injections.
c. wearing a left wrist splint.
d. modifying arm movements.
d. modifying arm movements.
Treatment for repetitive strain syndrome includes changing the ergonomics of the
activity. Elbow injections and surgery are not initial options for this type of injury. A
wrist splint might be used for hand or wrist pain.
The occupational health nurse will teach the patient whose job involves many
hours of typing about the need to
a. obtain a keyboard pad to support the wrist.
b. do stretching exercises before starting work.
, Page 4 of 186
c. wrap the wrists with compression bandages every morning.
d. avoid using nonsteroidal antiinflammatory drugs (NSAIDs) for pain.
a. obtain a keyboard pad to support the wrist.
Repetitive strain injuries caused by prolonged times working at a keyboard can be
prevented by the use of a pad that will keep the wrists in a straight position.
Stretching exercises during the day may be helpful, but these would not be needed
before starting. Use of a compression bandage is not needed, although a splint may
be used for carpal tunnel syndrome. NSAIDs are appropriate to use to decrease
swelling.
Which discharge instruction will the emergency department nurse include for
a patient with a sprained ankle?
a. Keep the ankle loosely wrapped with gauze.
b. Apply a heating pad to reduce muscle spasms.
c. Use pillows to elevate the ankle above the heart.
d. Gently move the ankle through the range of motion.
c. Use pillows to elevate the ankle above the heart.
Elevation of the leg will reduce the amount of swelling and pain. Compression
bandages are used to decrease swelling. For the first 24 to 48 hours, cold packs are
used to reduce swelling. The ankle should be rested and kept immobile to prevent
further swelling or injury.
A 22-year-old tennis player has an arthroscopic repair of a rotator cuff injury
performed in same-day surgery. When the nurse plans postoperative teaching
for the patient, which information will be included?
a. You will not be able to serve a tennis ball again.
b. You will work with a physical therapist tomorrow.
c. The doctor will use the drop-arm test to determine the success of surgery.
d. Leave the shoulder immobilizer on for the first 4 days to minimize pain.
b. You will work with a physical therapist tomorrow.
Physical therapy after a rotator cuff repair begins on the first postoperative day to
prevent frozen shoulder. A shoulder immobilizer is used immediately after the
surgery, but leaving the arm immobilized for several days would lead to loss of range
