Musculoskeletal Trauma Surgeries and
Disorders, Connective Tissue, and
Arthritis questions and answers
A client comes to the outpatient department with suspected carpal tunnel
syndrome. When assessing the affected area, the nurse expects to find which
abnormality that's typically associated with this syndrome?
1. Positive Tinel's sign
2. Negative Phalen's sign
3. Positive Chvostek's sign
4. Negative Trousseau's sign - ANSWER>>1. Positive Tinel's sign
Which nursing diagnosis is most appropriate for an elderly client with
osteoarthritis?
1. Risk for injury related to altered mobility
2. Impaired urinary elimination related to effects of aging
3. Ineffective breathing pattern related to immobility
4. Imbalanced nutrition: Less than body requirements related to effects of aging -
ANSWER>>1. Risk for injury related to altered mobility
A client is admitted with severe pain in the knees. Which form of arthritis is
characterized by urate deposits and joint pain, usually in the feet and legs, and
occurs primarily in men over age 30?
1. Septic arthritis
2. Traumatic arthritis
3. Intermittent arthritis
4. Gouty arthritis - ANSWER>>4. Gouty arthritis
,The nurse is assisting a client with range-of-motion exercises. The nurse moves
the client's leg out and away from the midline of the body. What movement does
the nurse document?
1. Pronation
2. Adduction
3. Abduction
4. Supination - ANSWER>>3. Abduction
A 69-year-old client asks the nurse what the difference is between osteoarthritis
(OA) and rheumatoid arthritis (RA). Which response is correct?
1. "OA is a noninflammatory joint disease. RA is characterized by inflamed,
swollen joints."
2. "OA and RA are very similar. OA affects the smaller joints and RA affects the
larger, weight-bearing joints."
3. "OA affects joints on both sides of the body. RA is usually unilateral."
4. "OA is more common in women. RA is more common in men." - ANSWER>>1.
"OA is a noninflammatory joint disease. RA is characterized by inflamed, swollen
joints."
A client is diagnosed with osteoporosis. Which statements should the nurse
include when teaching the client about the disease? (Select all that apply)
1. "It's common in females after menopause."
2. "It's a degenerative disease characterized by a decrease in bone density."
3. "It's a congenital disease caused by poor dietary intake of milk products."
4. "It can cause pain and injury."
5. "Passive range-of-motion exercises can promote bone growth."
6. "Weight-bearing exercise should be avoided." - ANSWER>>1. "It's common in
females after menopause."
2. "It's a degenerative disease characterized by a decrease in bone density."
4. "It can cause pain and injury."
,A 78-year-old client has a history of osteoarthritis. Which signs and symptoms
would the nurse expect to find on physical assessment?
1. Joint pain, crepitus, Heberden's nodes
2. Hot, inflamed joints; crepitus; joint pain
3. Tophi, enlarged joints, Bouchard's nodes
4. Swelling, joint pain, and tenderness on palpation - ANSWER>>1. Joint pain,
crepitus, Heberden's nodes
A 72-year-old female client reports that she has lost an inch in height since
menopause. The nurse explains to the client that she has a musculoskeletal
disorder. What's this disorder called?
1. Osteoarthritis (OA)
2. Rheumatoid arthritis (RA)
3. Paget's disease
4. Osteoporosis - ANSWER>>4. Osteoporosis
A client with osteoarthritis tells the nurse she is concerned that the disease will
prevent her from doing her chores. Which suggestion should the nurse offer?
1. "Do all your chores in the morning, when pain and stiffness are least
pronounced."
2. "Do all your chores after performing morning exercises to loosen up."
3. "Pace yourself and rest frequently, especially after activities."
4. "Do all your chores in the evening, when pain and stiffness are least
pronounced." - ANSWER>>3. "Pace yourself and rest frequently, especially after
activities."
A client seeks care for low back pain of 2 weeks' duration. Which assessment
finding suggests a herniated intervertebral disk?
1. Pain radiating down the posterior thigh
2. Back pain when the knees are flexed
3. Atrophy of the lower leg muscles
4. Homans' sign - ANSWER>>1. Pain radiating down the posterior thigh
, During a scoliosis screening in a college heath center, a student asks the public
health nurse about the consequences of untreated scoliosis. The nurse would be
accurate by identifying one of the direct complications as:
1. osteoporosis of the vertebra.
2. impingement on pulmonary function.
3. spontaneous spinal cord injury.
4. pituitary hyposecretion. - ANSWER>>2. impingement on pulmonary function
During a senior citizen health screening, the nurse observes a 75-year-old female
with a severely increased thoracic curve, or "humpback". What is this condition
called?
1. Lordosis
2. Kyphosis
3. Scoliosis
4. Genus varum - ANSWER>>2. Kyphosis
While the client is waiting for the ankle to be x-rayed, which nursing measure is
most helpful for relieving the soft-tissue swelling? - ANSWER>>Apply ice to the
ankle
A patient's ankle is severely sprained the dr directs the nurse to wrap the patients
lower extremity with an elastic bandage. Where should the nurse begin applying
the bandage? - ANSWER>>At the metatarsals
What is the best technique for a nurse applying an elastic bandage to a client's
lower extremity sprain? - ANSWER>>Making figure-eight turns with the bandage
Upon discharge, the nurse advises the client on the need for maintenance of the
elastic bandage. When should the nurse advise the client with a sprained ankle to
rewrap the elastic bandage? - ANSWER>>when the toes look swollen
What is manipulation? - ANSWER>>repositions the bone ends manually for a
dislocation
Disorders, Connective Tissue, and
Arthritis questions and answers
A client comes to the outpatient department with suspected carpal tunnel
syndrome. When assessing the affected area, the nurse expects to find which
abnormality that's typically associated with this syndrome?
1. Positive Tinel's sign
2. Negative Phalen's sign
3. Positive Chvostek's sign
4. Negative Trousseau's sign - ANSWER>>1. Positive Tinel's sign
Which nursing diagnosis is most appropriate for an elderly client with
osteoarthritis?
1. Risk for injury related to altered mobility
2. Impaired urinary elimination related to effects of aging
3. Ineffective breathing pattern related to immobility
4. Imbalanced nutrition: Less than body requirements related to effects of aging -
ANSWER>>1. Risk for injury related to altered mobility
A client is admitted with severe pain in the knees. Which form of arthritis is
characterized by urate deposits and joint pain, usually in the feet and legs, and
occurs primarily in men over age 30?
1. Septic arthritis
2. Traumatic arthritis
3. Intermittent arthritis
4. Gouty arthritis - ANSWER>>4. Gouty arthritis
,The nurse is assisting a client with range-of-motion exercises. The nurse moves
the client's leg out and away from the midline of the body. What movement does
the nurse document?
1. Pronation
2. Adduction
3. Abduction
4. Supination - ANSWER>>3. Abduction
A 69-year-old client asks the nurse what the difference is between osteoarthritis
(OA) and rheumatoid arthritis (RA). Which response is correct?
1. "OA is a noninflammatory joint disease. RA is characterized by inflamed,
swollen joints."
2. "OA and RA are very similar. OA affects the smaller joints and RA affects the
larger, weight-bearing joints."
3. "OA affects joints on both sides of the body. RA is usually unilateral."
4. "OA is more common in women. RA is more common in men." - ANSWER>>1.
"OA is a noninflammatory joint disease. RA is characterized by inflamed, swollen
joints."
A client is diagnosed with osteoporosis. Which statements should the nurse
include when teaching the client about the disease? (Select all that apply)
1. "It's common in females after menopause."
2. "It's a degenerative disease characterized by a decrease in bone density."
3. "It's a congenital disease caused by poor dietary intake of milk products."
4. "It can cause pain and injury."
5. "Passive range-of-motion exercises can promote bone growth."
6. "Weight-bearing exercise should be avoided." - ANSWER>>1. "It's common in
females after menopause."
2. "It's a degenerative disease characterized by a decrease in bone density."
4. "It can cause pain and injury."
,A 78-year-old client has a history of osteoarthritis. Which signs and symptoms
would the nurse expect to find on physical assessment?
1. Joint pain, crepitus, Heberden's nodes
2. Hot, inflamed joints; crepitus; joint pain
3. Tophi, enlarged joints, Bouchard's nodes
4. Swelling, joint pain, and tenderness on palpation - ANSWER>>1. Joint pain,
crepitus, Heberden's nodes
A 72-year-old female client reports that she has lost an inch in height since
menopause. The nurse explains to the client that she has a musculoskeletal
disorder. What's this disorder called?
1. Osteoarthritis (OA)
2. Rheumatoid arthritis (RA)
3. Paget's disease
4. Osteoporosis - ANSWER>>4. Osteoporosis
A client with osteoarthritis tells the nurse she is concerned that the disease will
prevent her from doing her chores. Which suggestion should the nurse offer?
1. "Do all your chores in the morning, when pain and stiffness are least
pronounced."
2. "Do all your chores after performing morning exercises to loosen up."
3. "Pace yourself and rest frequently, especially after activities."
4. "Do all your chores in the evening, when pain and stiffness are least
pronounced." - ANSWER>>3. "Pace yourself and rest frequently, especially after
activities."
A client seeks care for low back pain of 2 weeks' duration. Which assessment
finding suggests a herniated intervertebral disk?
1. Pain radiating down the posterior thigh
2. Back pain when the knees are flexed
3. Atrophy of the lower leg muscles
4. Homans' sign - ANSWER>>1. Pain radiating down the posterior thigh
, During a scoliosis screening in a college heath center, a student asks the public
health nurse about the consequences of untreated scoliosis. The nurse would be
accurate by identifying one of the direct complications as:
1. osteoporosis of the vertebra.
2. impingement on pulmonary function.
3. spontaneous spinal cord injury.
4. pituitary hyposecretion. - ANSWER>>2. impingement on pulmonary function
During a senior citizen health screening, the nurse observes a 75-year-old female
with a severely increased thoracic curve, or "humpback". What is this condition
called?
1. Lordosis
2. Kyphosis
3. Scoliosis
4. Genus varum - ANSWER>>2. Kyphosis
While the client is waiting for the ankle to be x-rayed, which nursing measure is
most helpful for relieving the soft-tissue swelling? - ANSWER>>Apply ice to the
ankle
A patient's ankle is severely sprained the dr directs the nurse to wrap the patients
lower extremity with an elastic bandage. Where should the nurse begin applying
the bandage? - ANSWER>>At the metatarsals
What is the best technique for a nurse applying an elastic bandage to a client's
lower extremity sprain? - ANSWER>>Making figure-eight turns with the bandage
Upon discharge, the nurse advises the client on the need for maintenance of the
elastic bandage. When should the nurse advise the client with a sprained ankle to
rewrap the elastic bandage? - ANSWER>>when the toes look swollen
What is manipulation? - ANSWER>>repositions the bone ends manually for a
dislocation
