NUR 376 EXAM 3 EXAM QUESTIONS WITH COMPLETE
SOLUTION
Why is a dual energy x-ray absorptiometry scan used for a client with
a musculoskeletal disorder?
1. It detects soft tissue abnormalities.
2. It identifies stress fractures and bony metastases.
3. It determines mechanical derangement of the knee.
4. It visualizes the bone mineral density of the hip and lumbar
vertebrae.
It visualizes the bone mineral density of the hip and lumbar vertebrae.
The purpose of dual energy x-ray absorptiometry scan is to visualize the
bone mineral density (BMD) of the hip and lumbar vertebrae and then
compare that to the BMD of a 20-year-old.
While assessing a client with a musculoskeletal disorder, the nurse
abducts the client's arm to 90 degrees and places anteriorly directed
force on the posterior humeral head from behind. Which test is the
nurse performing?
1. Hawkins test
2. Relocation test
3. Apprehension test
4. Neer impingement test
Apprehension test
When performing the apprehension test, the nurse abducts the arm to 90
degrees and places anteriorly directed force on the posterior humeral head
from behind to assess chronic anterior instability.
While teaching a group of student nurses about different types of
fractures, the nursing instructor says, "This fracture is characterized
by the crushing of cancellous bone." Which type of fracture is the
nursing instructor describing?
1. Complete
2. Transverse
,3. Comminuted
4. Compression
Compression
Compression fracture is a type of fracture characterized by the crushing of
cancellous bone.
When assessing a client's muscle strength using the Lovett scale, the
nurse finds that the client has no joint motion with palpable
contraction of the muscle. What grade does the nurse assign to the
client based on this finding?
1. Fair
2. Poor
3. Good
4. Trace
Trace
According to Lovett's scale of muscle strength, a client is assigned the
grade of trace if there is no joint motion with palpable contraction of the
muscles.
Which cervical root is associated with forearm pronation and
supination?
1. C5
2. C6
3. C7
4. C8
C6
The cervical root C6 is associated with elbow flexion, forearm pronation
and supination, and some wrist extension.
Which musculoskeletal disorder is also called adhesive capsulitis?
1. Bursitis
2. Plantar fasciitis
3. Frozen shoulder
4. Carpel tunnel syndrome
Frozen shoulder
,Decreased active and passive range of motion (ROM) suggests the onset
of frozen shoulder, also known as adhesive capsulitis.
The nurse is performing a physical examination on a client with a
suspected musculoskeletal disorder. What is the first nursing
intervention during the examination?
1. Testing sensation using perception
2. Measuring muscle girth for symmetry
3. Evaluating peripheral vascular integrity
4. Assessing general appearance, contour, and symmetry
Assessing general appearance, contour, and symmetry
While performing a physical examination in a client with a musculoskeletal
disorder, the nurse should first note the general appearance, body build,
contours, alignment, and symmetry.
A client complains of pain and immobility of the wrist. On
assessment, the nurse finds decreased range of motion (ROM),
edema, and ecchymosis of the distal radius. The primary health-care
provider recommends a neurovascular exam for confirmation. What
does the nurse infer from these findings?
1. The client has a Smith fracture.
2. The client has a Colles fracture.
3. The client has a clavicle fracture.
4. The client has a green stick fracture.
The client has a Smith fracture.
Symptoms such as pain and immobility of the wrist, decreased range of
motion (ROM), edema, and ecchymosis of the distal radius indicate that the
client has a Smith fracture. This condition is confirmed by the
neurovascular exam.
When obtaining the health history of a client with a suspected
musculoskeletal disorder, why does the nurse ask the client about
travel destinations within the past year?
1. To check if the client has osteoporosis
2. To check if the client has recent allergies
3. To identify the loading forces involved
4. To evaluate for exposure to Lyme disease
, To evaluate for exposure to Lyme disease
The nurse asks the client about the travel destinations within the past year
to evaluate exposure to specific diseases such as Lyme disease.
A client presents with a swollen left thigh and a lower extremity that
appears shortened. The primary care provider orders an arteriogram.
What is the client's most likely condition?
1. Ulnar nerve injury
2. Femur shaft fracture
3. Tibia/fibula fracture
4. Brachial plexus injury
Femur shaft fracture
Swelling of the thigh and a shortened extremity indicates a femur shaft
fracture. An arteriogram is often needed for a client with this condition.
When assessing a client with a musculoskeletal disorder, the nurse
finds lack of sensation in the dermatome areas of the lower extremity
L5. The nurse suspects lumbar sprain /strain. What does the nurse
expect the primary care provider to order in this situation?
1. Anticoagulant therapy
2. Intravenous injection of muscle relaxants
3. X-ray and dual energy x-ray absorptiometry scan of the spine
4. CBC with erythrocyte sedimentation rate and C-reactive protein
CBC with erythrocyte sedimentation rate and C-reactive protein
A client with a lumbar sprain/strain lacks sensation in the dermatome areas
of the lower extremity. The primary health-care provider orders a complete
blood count with an erythrocyte sedimentation rate and a C-reactive protein
to confirm the diagnosis.
The nurse is evaluating the performance of a student nurse while
caring for a client with an ankle sprain. Which intervention of the
student nurse does the nursing instructor correct while providing
care to the client?
1. Administering analgesics
2. Checking dorsalis pedis pulse
3. Checking posterior tibial pulse
4. Keeping the ankle below the heart
SOLUTION
Why is a dual energy x-ray absorptiometry scan used for a client with
a musculoskeletal disorder?
1. It detects soft tissue abnormalities.
2. It identifies stress fractures and bony metastases.
3. It determines mechanical derangement of the knee.
4. It visualizes the bone mineral density of the hip and lumbar
vertebrae.
It visualizes the bone mineral density of the hip and lumbar vertebrae.
The purpose of dual energy x-ray absorptiometry scan is to visualize the
bone mineral density (BMD) of the hip and lumbar vertebrae and then
compare that to the BMD of a 20-year-old.
While assessing a client with a musculoskeletal disorder, the nurse
abducts the client's arm to 90 degrees and places anteriorly directed
force on the posterior humeral head from behind. Which test is the
nurse performing?
1. Hawkins test
2. Relocation test
3. Apprehension test
4. Neer impingement test
Apprehension test
When performing the apprehension test, the nurse abducts the arm to 90
degrees and places anteriorly directed force on the posterior humeral head
from behind to assess chronic anterior instability.
While teaching a group of student nurses about different types of
fractures, the nursing instructor says, "This fracture is characterized
by the crushing of cancellous bone." Which type of fracture is the
nursing instructor describing?
1. Complete
2. Transverse
,3. Comminuted
4. Compression
Compression
Compression fracture is a type of fracture characterized by the crushing of
cancellous bone.
When assessing a client's muscle strength using the Lovett scale, the
nurse finds that the client has no joint motion with palpable
contraction of the muscle. What grade does the nurse assign to the
client based on this finding?
1. Fair
2. Poor
3. Good
4. Trace
Trace
According to Lovett's scale of muscle strength, a client is assigned the
grade of trace if there is no joint motion with palpable contraction of the
muscles.
Which cervical root is associated with forearm pronation and
supination?
1. C5
2. C6
3. C7
4. C8
C6
The cervical root C6 is associated with elbow flexion, forearm pronation
and supination, and some wrist extension.
Which musculoskeletal disorder is also called adhesive capsulitis?
1. Bursitis
2. Plantar fasciitis
3. Frozen shoulder
4. Carpel tunnel syndrome
Frozen shoulder
,Decreased active and passive range of motion (ROM) suggests the onset
of frozen shoulder, also known as adhesive capsulitis.
The nurse is performing a physical examination on a client with a
suspected musculoskeletal disorder. What is the first nursing
intervention during the examination?
1. Testing sensation using perception
2. Measuring muscle girth for symmetry
3. Evaluating peripheral vascular integrity
4. Assessing general appearance, contour, and symmetry
Assessing general appearance, contour, and symmetry
While performing a physical examination in a client with a musculoskeletal
disorder, the nurse should first note the general appearance, body build,
contours, alignment, and symmetry.
A client complains of pain and immobility of the wrist. On
assessment, the nurse finds decreased range of motion (ROM),
edema, and ecchymosis of the distal radius. The primary health-care
provider recommends a neurovascular exam for confirmation. What
does the nurse infer from these findings?
1. The client has a Smith fracture.
2. The client has a Colles fracture.
3. The client has a clavicle fracture.
4. The client has a green stick fracture.
The client has a Smith fracture.
Symptoms such as pain and immobility of the wrist, decreased range of
motion (ROM), edema, and ecchymosis of the distal radius indicate that the
client has a Smith fracture. This condition is confirmed by the
neurovascular exam.
When obtaining the health history of a client with a suspected
musculoskeletal disorder, why does the nurse ask the client about
travel destinations within the past year?
1. To check if the client has osteoporosis
2. To check if the client has recent allergies
3. To identify the loading forces involved
4. To evaluate for exposure to Lyme disease
, To evaluate for exposure to Lyme disease
The nurse asks the client about the travel destinations within the past year
to evaluate exposure to specific diseases such as Lyme disease.
A client presents with a swollen left thigh and a lower extremity that
appears shortened. The primary care provider orders an arteriogram.
What is the client's most likely condition?
1. Ulnar nerve injury
2. Femur shaft fracture
3. Tibia/fibula fracture
4. Brachial plexus injury
Femur shaft fracture
Swelling of the thigh and a shortened extremity indicates a femur shaft
fracture. An arteriogram is often needed for a client with this condition.
When assessing a client with a musculoskeletal disorder, the nurse
finds lack of sensation in the dermatome areas of the lower extremity
L5. The nurse suspects lumbar sprain /strain. What does the nurse
expect the primary care provider to order in this situation?
1. Anticoagulant therapy
2. Intravenous injection of muscle relaxants
3. X-ray and dual energy x-ray absorptiometry scan of the spine
4. CBC with erythrocyte sedimentation rate and C-reactive protein
CBC with erythrocyte sedimentation rate and C-reactive protein
A client with a lumbar sprain/strain lacks sensation in the dermatome areas
of the lower extremity. The primary health-care provider orders a complete
blood count with an erythrocyte sedimentation rate and a C-reactive protein
to confirm the diagnosis.
The nurse is evaluating the performance of a student nurse while
caring for a client with an ankle sprain. Which intervention of the
student nurse does the nursing instructor correct while providing
care to the client?
1. Administering analgesics
2. Checking dorsalis pedis pulse
3. Checking posterior tibial pulse
4. Keeping the ankle below the heart
