NURS 623 Exam 4 Questions With Correct Answers.

NURS 623 Exam 4 Questions With Correct
Answers
1. |One |of |the |initial |steps |in |assessing |patients |with |musculoskeletal |complaints |is |to |
determine |whether |the |complaint |is |articular |or |nonarticular |in |origin. |Which |of |the |following |
is |an |example |of |an |articular |structure?

a. |Bone

b. |Synovium

c. |Tendons

d. |Fascia |- |CORRECT |ANSWER✔✔-b. |Synovium



2. |You |have |detected |the |presence |of |crepitus |on |examination |of |a |patient |with |a |
musculoskeletal |complaint. |Additionally, |there |is |limited |range |of |motion |(ROM) |with |both |
active |and |passive |movement. |These |findings |suggest |that |the |origin |of |the |musculoskeletal |
complaint |is:

a. |Articular

b. |Inflammatory

c. |Nonarticular

d. |A |and |B |- |CORRECT |ANSWER✔✔-a. |Articular



3. |Which |of |the |following |signs |or |symptoms |indicate |an |inflammatory |etiology |to |
musculoskeletal |pain?

a. |Decreased |C-reactive |protein

b. |Hyperalbuminemia

c. |Morning |stiffness

d. |Weight |gain |- |CORRECT |ANSWER✔✔-c. |Morning |stiffness



4. |Which |of |the |following |statements |concerning |the |musculoskeletal |examination |is |true?

,a. |The |uninvolved |side |should |be |examined |initially |and |then |compared |to |the |involved |side.

b. |The |part |of |the |body |that |is |causing |the |patient |pain |should |be |examined |first.

c. |When |possible, |the |patient |should |not |be |asked |to |perform |active |range-of-motion |(ROM) |
exercises |to |avoid |causing |pain.

d. |Radiographs |should |always |be |obtained |prior |to |examination |so |as |not |to |cause |further |
injury |to |the |patient. |- |CORRECT |ANSWER✔✔-a. |The |uninvolved |side |should |be |examined |
initially |and |then |compared |to |the |involved |side.



5. |You |are |performing |muscle |strength |testing |on |a |patient |presenting |with |musculoskeletal |
pain |and |find |that |the |patient |has |complete |ROM |with |gravity |eliminated. |Which |numeric |
grade |of |muscle |strength |would |you |give |this |patient?

a. |1

b. |2

c. |3

d. |4

e. |5 |- |CORRECT |ANSWER✔✔-b. |2



6. |Mrs. |Gray |is |a |55-year-old |woman |who |presents |with |tightness, |pain, |and |limited |
movement |in |her |right |shoulder. |She |denies |any |history |of |trauma. |Her |examination |reveals |a |
75% |reduction |in |both |active |and |passive |ROM |of |the |right |shoulder. |Mrs. |Gray |also |is |
experiencing |tenderness |with |motion |and |pain |at |the |deltoid |insertion. |Her |medical |history |is |
significant |for |type |1 |diabetes |mellitus |and |hypertension. |Her |social |history |reveals |that |she |is |
a |secretary |and |that |she |is |right-handed. |Based |on |her |examination |and |medical |history, |you |
suspect |adhesive |capsulitis, |or |"frozen |shoulder." |Which |clue |in |Mrs. |Gray's |history |supports |
this |diagnosis?

a. |History |of |hypertension

b. |Her |affected |shoulder |is |also |her |dominant |arm.

c. |Her |history |of |diabetes |mellitus

d. |Her |work |as |a |secretary |predisposes |her |to |repetitive |motions. |- |CORRECT |ANSWER✔✔-c. |
Her |history |of |diabetes |mellitus

, Mrs. |Anderson |is |a |35-year-old |woman |who |has |been |recently |diagnosed |with |carpal |tunnel |
syndrome. |She |has |two |young |children |and |asks |the |clinician |what |the |chances |are |that |they |
also |will |develop |carpal |tunnel |syndrome. |Which |of |the |following |responses |would |be |correct |
regarding |the |risk |of |developing |carpal |tunnel |syndrome?

a. |Carpal |tunnel |syndrome |commonly |occurs |in |families. |Genetic |factors |are |thought |to |
account |for |about |one-half |the |risk |of |developing |carpal |tunnel.

b. |Only |people |with |occupations |that |require |repeated |flexion |extension |of |the |wrist, |use |of |
hand |tools |that |require |forceful |gripping, |or |use |of |hand |tools |that |vibrate |are |at |risk |for |
developing |carpal |tunnel.

c. |An |underlying |musculoskeletal |disorder |must |be |present |for |a |person |to |develop |carpal |
tunnel.

d. |Carpal |tunnel |syndrome |only |occurs |in |the |presence |of |a |hormonal |imbalance. |- |CORRECT |
ANSWER✔✔-a. |Carpal |tunnel |syndrome |commonly |occurs |in |families. |Genetic |factors |are |
thought |to |account |for |about |one-half |the |risk |of |developing |carpal |tunnel.



Which |of |the |following |statements |is |true |regarding |the |treatment |of |carpal |tunnel |syndrome?

a. |The |goal |of |treatment |is |to |prevent |flexion |and |extension |movements |of |the |wrist.

b. |Splints |are |used |in |carpal |tunnel |syndrome, |because |they |allow |for |free |movement |of |the |
fingers |and |thumb |while |maintaining |the |wrist |in |a |neutral |position.

c. |Corticosteroid |injections |are |discouraged |in |the |treatment |of |carpal |tunnel |syndrome |
because |of |the |risks |for |median |nerve |damage, |scarring, |and |infection.

d. |All |of |the |above |- |CORRECT |ANSWER✔✔-d. |All |of |the |above



Sam |is |a |25-year-old |who |has |been |diagnosed |with |low |back |strain |based |on |his |history |of |
localized |low |back |pain |and |muscle |spasm |along |with |a |normal |neurological |examination. |As |
the |clinician, |you |explain |to |Sam |that |low |back |pain |is |a |diagnosis |of |exclusion. |Which |of |the |
following |symptoms |would |alert |the |clinician |to |the |more |serious |finding |of |a |herniated |
nucleus |pulposus |or |ruptured |disc?

a. |Morning |stiffness |and |limited |mobility |of |the |lumbar |spine