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NU 327 Exam 6: Musculoskeletal & Endocrine Pathophysiology – High-Yield Test Bank with Clinical Rationales

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This NU 327 Exam 6 Test Bank is a focused, clinically relevant resource tailored for nursing students studying Pathophysiological Basis of Nursing Practice. It covers key concepts related to musculoskeletal disorders, hormonal imbalances, and diabetes, aligning with the University of South Alabama’s curriculum. Each question is designed to reinforce critical thinking, diagnostic reasoning, and clinical decision-making in real-world scenarios. Topics include bone physiology, osteoblast and osteoclast function, common injuries (fractures, dislocations, torn meniscus), and degenerative conditions like osteoporosis and osteoarthritis. The endocrine section explores hormonal regulation, thyroid and adrenal disorders, insulin resistance, and diabetes pathophysiology. Questions also address systemic effects, lab interpretation, pharmacologic interventions, and patient education strategies. Each item includes a detailed rationale to clarify the correct answer and strengthen understanding of disease mechanisms and nursing priorities. This test bank is ideal for exam prep, clinical simulations, and NCLEX-style practice, helping students build confidence and competence in managing complex pathophysiological conditions

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Uploaded on
November 7, 2025
Number of pages
78
Written in
2025/2026
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Exam (elaborations)
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NU 327 EXAM 6




NU 327 Exam 6: Musculoskeletal & Endocrine
Pathophysiology – High-Yield Test Bank with Clinical
Rationales


Functions of the skeletal system - Answer- Protection of internal organs



Provide bony attachments for muscles and ligaments



Present rigid levers to allow functional movement of the body and its separate parts



Store mineral and marrow elements for forming new blood cells



organic matrix of bone - Answer- Collagen Fibers (strength and flexibility)



Ground substance (surrounds bone cells) Osteoblasts



Osteocytes



Osteoblasts



Inorganic mineral content - Answer- Mineral salts (calcium and phosphate)



Hard, rigid structure




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, NU 327 EXAM 6

Reservoir for calcium and phosphorus



Osteon (Haversian system) - Answer- Basic unit of bone



Haversian canals allow nutrients from blood vessels to reach the osteocytes



Osteoblasts - Answer- Lay down bone



Responsible for bone growth and repair



Estrogen secretion helps regulate



Osteoclasts - Answer- Bone resorption



Tearing down the old or excess bone



Cancellous bone (trabecular) - Answer- Spongy



Thin plates



Laid down in response to stress



Accommodates loads



Compact bone (cortical) - Answer- Resistant to compression



Dense in structure



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, NU 327 EXAM 6

Periosteum - Answer- Vascular



Inner layer contains

osteoblasts



Covers the entire bone except for the ends



long bone - Answer-



Wolff's law - Answer- Bone is laid down where it is needed and resorbed where it is not
needed



Why is this important?

Immobilized bone or persons on bedrest are not subject to stress



Bone-resorbing activity

increases (osteoclasts)



Increased risk for fractures



Increased risk for falls



Geriatric Considerations - Answer- Increased bone resorption and decreased bone
formation

-Osteoporosis



Increased bone circumference

-Pelvis widening


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, NU 327 EXAM 6



Dehydration of intravertebral disks

-Kyphosis

-Decreased height



Erosion and thinning of cartilage

-Synovial membrane fibrosis



Cartilage - Answer- Dense connective tissue



Supports, shapes, and cushions body structures



Avascular



Tendons - Answer- Attach bones to muscles



Allow movement



Ligaments - Answer- Connect bones to bones



Provide stability to joints



Bursae - Answer- Small sac synovial fluid around joints & between tendons, ligaments,
bone



Located in areas of high friction-acts as a cushion



Types of joints which determine the ROM of a joint - Answer- 1. Synarthroses

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