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Medical-Surgical Chapters 45–46 Musculoskeletal System Exam Questions & Answers 2026/2027 | Nursing Exam Prep

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Medical-Surgical Chapters 45–46 Musculoskeletal System Exam Questions & Answers 2026/2027: Comprehensive nursing review covering musculoskeletal assessment, fractures, osteoporosis, arthritis, joint disorders, connective-tissue diseases, diagnostic tests, neurovascular assessment, and orthopedic nursing care.

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Medical-Surgical Chapters 45-46 Musculoskeletal system Exam
When there is damage to the bone, then the _________ is Alkaline phosphatase
going to increase.


If calcium goes up, ___________ goes down. phosphorus


_________ is a serious condition that is related to muscle Rhabdomyolysis
destruction due to injury.


Symptoms of Rhabdomyolysis include: high fever, convulsions; happens often in older patients


___________ are released in the blood stream when the Muscle enzymes
muscle is damaged.


CK-MM is: skeletal & heart


CK-MB is: heart muscle


The strong membranes enclosing individual muscles is fasciae
called __________.


Calcium in the blood is needed for: blood clotting and for the proper functioning of nerves and muscles.




The primary function of the muscular system is to: move or stabilize the skeleton


The voluntary muscles contribute to: heat production.


Another important function of the muscular system is: to aid in the return of blood from the legs through muscular compression on
the leg veins.


_________ is a grating sound as a joint or bone moves. Crepitation


Reddened joints are palpated for: synovitis or the presence of bony nodes.


___________ is swollen synovial tissue within the joint. Synovitis


__________ is an enzyme that increases when bone is Alkaline phosphate (ALP)
damaged.


In metabolic bone diseases and bone cancer, ALP Osteoblast (bone-forming cell)
increases to reflect _________ activity.


When muscle tissue is damaged, many serum enzymes CK-MM, aldolase (ALD), Aspartate aminotransferase (AST), and lactate
are released into the bloodstream, including: dehydrogenase (LDH).

, Medical-Surgical Chapters 45-46 Musculoskeletal system Exam




__________ is a very serious, potentially fatal condition Rhabdomyolysis
associated with muscle destruction due to an injury,
high fever, convulsions, or prolonged muscle
compression.


Rhabdomyolysis commonly affects: older adults who fall and lie in one position for an extended period as they are
alone and cannot get up.


If the patient has muscle destruction, watch for: elevated creatinine kinase (CK) up to five times greater than normal,
myoglobin, and serum potassium levels to monitor for rhabdomyolysis.


Signs and symptoms of rhabdomyolysis include: dark urine, muscle weakness, and myalgia (muscle pain).


The goal of treatment for rhabdomyolysis is to: restore normal fluid and electrolyte balance


__________ is a procedure in which synovial fluid is Arthrocentesis
aspirated from a joint for analysis or to relieve pressure
(improves pain and mobility).


An ________ allows the surgeon to directly visualize a joint arthroscope
using a small tube.
(the knee and shoulder are the joints most often
evaluated)


_________ is an invasive procedure performed under local Arthroscopy
or light general anesthesia so the patient is treated in a
same-day surgery setting.


In a bone or muscle biopsy, the bone or muscle tissue cancer, damage (muscle biopsy), infection (bone biopsy), or inflammation.
can be extracted for microscopic examination to
confirm:




The neurovascular data collection includes: movement, pain, sensation, capillary refill, pulses, skin color, swelling, and
temperature.


A _________ measures bone strength. bone density test


A scan that uses a special x-ray process is ____________. the dual-energy x-ray absorptiometry (DEXXA)

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