RN Musculoskeletal system EAQ 2022.

Musculoskeletal Test Bank 2024 b b b




Ab42-year-
oldbmalebpatientbcomplainsbofbshoulderbpainbwhenbthebnursebmovesbhisbarmbbehindbthebback.b
Whichbquestionbshouldbthebnursebask?
a. Arebyoubablebtobfeedbyourselfbwithoutbdifficulty?
b. Dobyoubhavebdifficultybwhenbyoubarebputtingbonbabshirt?
c. Arebyoubablebtobsleepbthroughbthebnightbwithoutbwaking?
d. Dobyoubeverbhavebtroublebloweringbyourselfbtobthebtoilet?b-
bb.bDobyoubhavebdifficultybwhenbyoubarebputtingbonbabshirt?




Thebpatientsbpainbwillbmakebitbmorebdifficultbtobaccomplishbtasksblikebputtingbonbabshirtborbjacket
.bThisbpainbshouldbnotbaffectbthebpatientsbabilitybtobfeedbhimselfborbusebthebtoiletbbecausebthese
btasksbdobnotbinvolvebmovingbthebarmbbehindbthebpatient.bThebarmbwillbnotbusuallybbebpositione

dbbehindbthebpatientbduringbsleeping.

Abpatientbwithbleftbkneebpainbisbdiagnosedbwithbbursitis.bThebnursebwillbexplainbthatbbursitis
bisbanbinflammationbof

a. thebsynovialbmembranebthatblinesbthebjoint.
b. absmall,bfluid-filledbsacbfoundbatbsomebjoints.
c. thebfibrocartilagebthatbactsbasbabshockbabsorberbinbthebkneebjoint.
d. anybconnectivebtissuebthatbisbfoundbsupportingbthebjointsbofbthebbody.b-
bb.babsmall,bfluid-filledbsacbfoundbatbsomebjoints.




Bursaebarebfluid-
filledbsacsbthatbcushionbjointsbandbbonybprominences.bFibrocartilagebisbabsolidbtissuebthatbcushi
onsbsomebjoints.bBursaebarebabspecificbtypebofbconnectivebtissue.
Thebsynovialbmembraneblinesbmanybjointsbbutbisbnotbabbursa.

Thebnursebwhobnotesbthatbab59-year-
oldbfemalebpatientbhasblostb1binchbinbheightboverbthebpastb2byearsbwillbplanbtobteachbthebpati
entbabout
a. discographybstudies.
b. myelographicbtesting.
c. magneticbresonancebimagingb(MRI).
d. dual-energybx-raybabsorptiometryb(DXA).b-bd.bdual-energybx-
raybabsorptiometryb(DXA).

Thebdecreasedbheightbandbthebpatientsbagebsuggestbthatbthebpatientbmaybhavebosteoporo
sisbandbthatbbonebdensitybtestingbisbneeded.bDiscography,bMRI,bandbmyelographybarebtyp
icallybdonebforbpatientsbwithbcurrentbsymptomsbcausedbbybmusculoskeletalbdysfunctionba
ndbarebnotbthebinitialbdiagnosticbtestsbforbosteoporosis.

Whichbinformationbinbab67-year-
oldbwomansbhealthbhistorybwillbalertbthebnursebtobthebneedbforbabmorebfocusedbassessmen
tbofbthebmusculoskeletalbsystem?
a. Thebpatientbsprainedbherbanklebatbageb13.
b. Thebpatientsbmotherbbecamebshorterbwithbaging.
c. Thebpatientbtakesbibuprofenb(Advil)bforboccasionalbheadaches.

,d. Thebpatientsbfatherbdiedbofbcomplicationsbofbmiliarybtuberculosis.b-
bb.bThebpatientsbmotherbbecamebshorterbwithbaging.




Abfamilybhistorybofbheightblossbwithbagingbmaybindicatebosteoporosis,bandbthebnursebshould
bperformbabmorebthoroughbassessmentbofbthebpatientsbcurrentbheightbandbotherbriskbfactor

sbforbosteoporosis.bAbsprainedbanklebduringbadolescencebdoesbnotbplacebthebpatientbatbinc
reasedbcurrentbriskbforbmusculoskeletalbproblems.bAbfamilybhistorybofbtuberculosisbisbnotbab
riskbfactor.bOccasionalbnonsteroidalbantiinflammatorybdrugb(NSAID)busebdoesbnotbindicateb
anybincreasedbmusculoskeletalbrisk.

Whichbinformationbobtainedbduringbthebnursesbassessmentbofbab30-year-
oldbpatientsbnutritional-
metabolicbpatternbmaybindicatebthebriskbforbmusculoskeletalbproblems?
a. Thebpatientbtakesbabmultivitaminbdaily.
b. Thebpatientbdislikesbfruitsbandbvegetables.
c. Thebpatientbisb5bftb2binbandbweighsb180blb.
d. Thebpatientbprefersbwholebmilkbtobnonfatbmilk.b-
bc.bThebpatientbisb5bftb2binbandbweighsb180blb.




Thebpatientsbheightbandbweightbindicatebobesity,bwhichbplacesbstressbonbweight-
bearingbjoints.bThebusebofbwholebmilk,bavoidingbfruitsbandbvegetables,bandbusebofbabdailyb
multivitaminbarebnotbriskbfactorsbforbmusculoskeletalbproblems.

Whichbmedicationbinformationbwillbthebnursebidentifybasbabconcernbforbabpatientsbmusculoskele
talbstatus?
a. Thebpatientbtakesbabdailybmultivitaminbandbcalciumbsupplement.
b. Thebpatientbtakesbhormonebtherapyb(HT)btobpreventbhotbflashes.
c. Thebpatientbhasbseverebasthmabandbrequiresbfrequentbtherapybwithboralb
corticosteroids.
d. Thebpatientbhasbmigrainebheadachesbtreatedbwithbnonsteroidalbantiinflammatorybdrugsb(
NSAIDs).b-
bc.bThebpatientbhasbseverebasthmabandbrequiresbfrequentbtherapybwithboralbcorticosteroids.




Frequentborbchronicbcorticosteroidbusebmaybleadbtobskeletalbproblemsbsuchbasbavascularbn
ecrosisbandbosteoporosis.bThebusebofbHTbandbcalciumbsupplementsbwillbhelpbpreventboste
oporosis.bNSAIDbusebdoesbnotbincreasebthebriskbforbmusculoskeletalbproblems.

Thebnursebfindsbthatbabpatientbcanbflexbthebarmsbwhenbnobresistancebisbappliedbbutbisbuna
blebtobflexbwhenbthebnursebappliesblightbresistance.bThebnursebshouldbdocumentbthebpatie
ntsbmusclebstrengthbasblevel
a. 0.
b. 1.
c. 2.
d. 3.b-bd.b3.

Ablevelb3bindicatesbthatbthebpatientbisbunablebtobmovebagainstbresistancebbutbcanbmovebag
ainstbgravity.bLevelb1bindicatesbminimalbmusclebcontraction,blevelb2bindicatesbthatbthe

,armbcanbmovebwhenbgravitybisbeliminated,bandblevelb4bindicatesbactivebmovementbwithbso
mebresistance.

Afterbcompletingbthebhealthbhistory,bthebnursebassessingbthebmusculoskeletalbsystembwillbbegi
nbby
a. havingbthebpatientbmovebthebextremitiesbagainstbresistance.
b. feelingbforbthebpresencebofbcrepitusbduringbjointbmovement.
c. observingbthebpatientsbbodybbuildbandbmusclebconfiguration.
d. checkingbactivebandbpassivebrangebofbmotionbforbthebextremities.b-
bc.bobservingbthebpatientsbbodybbuildbandbmusclebconfiguration.




Thebusualbtechniquebinbthebphysicalbassessmentbisbtobbeginbwithbinspection.bAbnormalities
binbmusclebmassborbconfigurationbwillballowbthebnursebtobperformbabmorebfocusedbassessm

entbofbabnormalbareas.bThebotherbassessmentsbarebalsobincludedbinbthebassessmentbbutbar
ebusuallybdonebafterbinspection.

Whichbnursingbactionbisbcorrectbwhenbperformingbthebstraight-
legbraisingbtestbforbanbambulatorybpatientbwithbbackbpain?
a. Raisebthebpatientsblegsbtobab60-degreebanglebfrombthebbed.
b. Placebthebpatientbinitiallybinbthebpronebpositionbonbthebexambtable.
c. Havebthebpatientbdanglebbothblegsboverbthebedgebofbthebexambtable.
d. Instructbthebpatientbtobelevatebtheblegsbandbtensebthebabdominalbmuscles.b-
ba.bRaisebthebpatientsblegsbtobab60-degreebanglebfrombthebbed.

Whenbperformingbthebstraightbleg-
raisingbtest,bthebpatientbisbinbthebsupinebpositionbandbthebnursebpassivelybliftsbthebpatientsbl
egsbtobab60-degreebangle.bThebotherbactionsbwouldbnotbbebcorrectbforbthisbtest.

Ab72-year-oldbpatientbwithbkyphosisbisbscheduledbforbdual-energybx-
raybabsorptiometryb(DXA)btesting.bThebnursebwillbplanbto
a. explainbthebprocedure.
b. startbanbIVblinebforbcontrastbmediumbinjection.
c. givebanboralbsedativeb60btob90bminutesbbeforebthebprocedure.
d. screenbthebpatientbforballergiesbtobshellfishborbiodinebproducts.b-
ba.bexplainbthebprocedure.




DXAbtestingbisbpainlessbandbnoninvasive.bNobIVbaccessbisbnecessary.bContrastbmediumbisb
notbused.bBecausebthebprocedurebisbpainless,bnobantianxietybmedicationsbarebrequired.

Abpatientbhasbabnewborderbforbmagneticbresonancebimagingb(MRI)btobevaluatebforbleftbfem
urbosteomyelitisbafterbabhipbreplacementbsurgery.bWhichbinformationbindicatesbthatbthebnur
sebshouldbconsultbwithbthebhealthbcarebproviderbbeforebschedulingbthebMRI?
a. Thebpatientbhasbabpacemaker.
b. Thebpatientbisbclaustrophobic.
c. Thebpatientbwearsbabhearingbaid.
d. Thebpatientbisballergicbtobshellfish.b-ba.bThebpatientbhasbabpacemaker.

, PatientsbwithbpermanentbpacemakersbcannotbhavebMRIbbecausebofbthebforcebexertedbbybt
hebmagneticbfieldbonbmetalbobjects.bAnbopenbMRIbwillbnotbcausebclaustrophobia.bThebpatie
ntbwillbneedbtobbebinstructedbtobremovebthebhearingbaidbbeforebthebMRI,bbutbthisbdoesbnotbr
equirebconsultationbwithbthebhealthbcarebprovider.bBecausebcontrastbmediumbwillbnotbbebu
sed,bshellfishballergybisbnotbabcontraindicationbtobMRI.

Thebnursebnotesbcracklingbsoundsbandbabgratingbsensationbwithbpalpationbofbanbolderbpati
entsbelbow.bHowbwillbthisbfindingbbebdocumented?
a. Torticollis
b. Crepitation
c. Subluxation
d. Epicondylitisb-bb.bCrepitation

Cracklingbsoundsbandbabgratingbsensationbthatbaccompanybmovementbarebdescribedbasbc
repitusborbcrepitation.bTorticollisbisbabtwistingbofbthebneckbtobonebside,bsubluxationbisbabparti
albdislocationbofbthebjoint,bandbepicondylitisbisbanbinflammationbofbthebelbowbthatbcausesbab
dullbachebthatbincreasesbwithbmovement.

Whichbfindingbisbofbhighestbprioritybwhenbthebnursebisbplanningbcarebforbab77-year-
oldbpatientbseenbinbtheboutpatientbclinic?
a. Symmetricbjointbswellingbofbfingers
b. Decreasedbrightbkneebrangebofbmotion
c. Reportbofbleftbhipbachingbwhenbjogging
d. Historybofbrecentblossbofbbalancebandbfallb-bd.bHistorybofbrecentblossbofbbalancebandbfall

Abhistorybofbfallsbrequiresbfurtherbassessmentbandbdevelopmentbofbfallbpreventionbstrategi
es.bThebotherbchangesbarebmorebtypicalbofbbonebandbjointbchangesbassociatedbwithbnorma
lbaging.

Whichbfindingbfrombabpatientsbrightbkneebarthrocentesisbwillbbebofbconcernbtobthebnurse?
a. Cloudybfluid
b. Scantbthinbfluid
c. Palebyellowbfluid
d. Straw-coloredbfluidb-ba.bCloudybfluid

Thebpresencebofbpurulentbfluidbsuggestsbabpossiblebjointbinfection.bNormalbsynovialbfluidbis
bscantbinbamountbandbpalebyellow/straw-colored.




Whichbactionbcanbthebnursebdelegatebtobunlicensedbassistivebpersonnelb(UAP)bwhobarebworkin
gbinbtheborthopedicbclinic?
a. Gradeblegbmusclebstrengthbforbabpatientbwithbbackbpain.
b. Obtainbbloodbsamplebforburicbacidbfrombabpatientbwithbgout.
c. Performbstraight-leg-raisebtestingbforbabpatientbwithbsciatica.
d. Checkbforbkneebjointbcrepitationbbeforebarthroscopicbsurgery.b-
bb.bObtainbbloodbsamplebforburicbacidbfrombabpatientbwithbgout.