Musculoskeletal Function Final Exam
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1. A clinic nurse is caring for a patient with a history of osteoporosis. Which of the
following diagnostic tests best allows the care team to assess the patients risk of
fracture?
A) Arthrography
B) Bone scan
C) Bone densitometry
D) Arthroscopy - ANSWER ✓ C
2. A nurse is performing a musculoskeletal assessment of a patient with arthritis. During
passive range-of- motion exercises, the nurse hears an audible grating sound. The nurse
should document the presence of which of the following?
A) Fasciculations
B) Clonus
C) Effusion
D) Crepitus - ANSWER ✓ D
3. A patients fracture is healing and callus is being deposited in the bone matrix. This
process characterizes what phase of the bone healing process?
A) The reparative phase
B) The reactive phase
C) The remodeling phase
D) The revascularization phase - ANSWER ✓ A
4. A child is growing at a rate appropriate for his age. What cells are responsible for the
secretion of bone matrix that eventually results in bone growth?
A) Osteoblasts
B) Osteocytes
C) Osteoclasts
D) Lamellae - ANSWER ✓ A
, 5. A nurse is caring for a patient who has an MRI scheduled. What is the priority safety
action prior to this diagnostic procedure?
A) Assessing the patient for signs and symptoms of active infection
B) Ensuring that the patient can remain immobile for up to 3 hours
C) Assessing the patient for a history of nut allergies
D) Ensuring that there are no metal objects on or in the patient - ANSWER ✓ D
6. A nurse is taking a health history on a patient with musculoskeletal dysfunction. What is
the primary focus of this phase of the nurses assessment?
A) Evaluating the effects of the musculoskeletal disorder on the patients function
B) Evaluating the patients adherence to the existing treatment regimen
C) Evaluating the presence of genetic risk factors for further musculoskeletal
disorders
D) Evaluating the patients active and passive range of motion - ANSWER ✓ A
7. A patient is scheduled for a bone scan to rule out osteosarcoma of the pelvic bones.
What would be most important for the nurse to assess before the patients scan?
A) That the patient completed the bowel cleansing regimen
B) That the patient emptied the bladder
C) That the patient is not allergic to penicillins
D) That the patient has fasted for at least 8 hours - ANSWER ✓ B
8. A nurse is explaining a patients decreasing bone density in terms of the balance
between bone resorption and formation. What dietary nutrients and hormones play a
role in the resorption and formation of adult bones? Select all that apply.
A) Thyroid hormone
B) Growth hormone
C) Estrogen
D) Vitamin B12
E) Luteinizing hormone - ANSWER ✓ A, B, C
9. Diagnostic tests show that a patients bone density has decreased over the past several
years. The patient asks the nurse what factors contribute to bone density decreasing.
What would be the nurses best response?
A) For many people, lack of nutrition can cause a loss of bone density.
B) Progressive loss of bone density is mostly related to your genes.
C) Stress is known to have many unhealthy effects, including reduced bone density.
D) Bone density decreases with age, but scientists are not exactly sure why this is
the case. - ANSWER ✓ A
10. A bone biopsy has just been completed on a patient with suspected bone metastases.
What assessment should the nurse prioritize in the immediate recovery period?