ANSWERS (GRADED A+)
To test flexion and extension of the biceps and triceps muscle at the elbow, the nurse
tells the patient to - ANSWER-pull and push against the examiner's hand
A client visits the health care facility with reports of lumbar back pain that radiates down
the back. The nurse performs the straight leg test to determine the origin of the pain.
Which techniques should the nurse use to perform this test? - ANSWER-Ask the client
to raise the leg to the point of pain and then dorsiflex the foot
What finding should a nurse expect when performing Phalen's test on a client with
suspected carpal tunnel syndrome? - ANSWER-Reports of tingling, numbness, and
pain in the involved wrist
A client presents to the health care clinic with reports of onset of neck pain 3 days ago.
The nurse recognizes that the most common cause of neck pain is what condition? -
ANSWER-Cervical strain
Assessment reveals that an older adult client has osteomalacia. What would be most
important to include in the client's teaching plan? - ANSWER-Practice risk prevention for
fractures.
The nurse is assessing an adolescent client and notes 45-degree flexion of the cervical
spine. What is the nurse's most appropriate action? - ANSWER-Continue the exam
because this curve is normal.
The nurse is conducting a musculoskeletal assessment of an older adult client. What
aspect of the client's medical history requires the nurse to alter the usual sequence or
content of this assessment? - ANSWER-The client had a total hip replacement 2 years
ago.
The nurse is assessing the range of motion (ROM) of a patient's joints. What would the
nurse use to assess flexion and extension of a joint if the patient complains of pain on
examination? - ANSWER-Goniometer
When providing teaching to clients in the community, a nurse is accurate in stating that
the musculoskeletal system is most closely aligned with which other body system? -
ANSWER-neurological system
A client has uneven height of the shoulders and hips. What should the nurse suspect
this client is demonstrating? - ANSWER-scoliosis
, During the physical exam, the nurse notes a very tender and painful, reddened, hot, and
swollen metatarsophalangeal joint of the client's great toe. What would the nurse
suspect? - ANSWER-Gouty arthritis
Which medications should a nurse ask a client if they are taking when assessing the
risk for osteoporosis? - ANSWER-Corticosteroids & thyroid replacement drugs
What is an appropriate question by the nurse to ask a client about the presence of
temporomandibular joint dysfunction? - ANSWER-"Have you noticed a popping or
grating sound when you chew?"
The nurse is assessing an elderly client and finds an exaggerated thoracic curve. This
would be documented as what? - ANSWER-Kyphosis
A client has osteoarthritis of the elbow. Which assessment approach should the nurse
expect to be impacted by this health problem? - ANSWER-flexion
The husband of a 65-year-old female tells the nurse, "My wife is having trouble
navigating the steps in our home and needs my help to step down off a curb." What part
of the nervous system should the nurse assess for a potential source of the problem? -
ANSWER-Cerebellum
A nurse is preparing to assess the cranial nerves of a client. The nurse is about to test
CN I. What would the nurse do? - ANSWER-Ask a client to identify scents.
The nurse is assessing the neurologic system of an adult client. To test the client's
motor function of the facial nerve, the nurse should - ANSWER-ask the client to purse
the lips
While the client is sitting quietly, the thumb and index finger of the left hand are moving
in a circular motion. The nurse identifies this finding as which of the following problems?
- ANSWER-A resting tremor
A nurse is preparing to assess a client's cerebellar function. Which of the following
would the nurse expect to test? - ANSWER-Balance
When evaluating a client's risk for cerebrovascular accident, which client would the
nurse identify as being at highest risk? - ANSWER-68-year-old African American with
hypertension
The brain is a network of interconnecting neurons that control and integrate the body's
activities. What components make up these neurons? - ANSWER-Cell body
Dendrite
Axon