Jarvis Chapter 23 Musculoskeletal
System Questions & Answers
A man who has had gout for several years comes to the clinic with a problem with his toe. On
examination, the nurse notices the presence of hard, painless nodules over the great toe; one
has burst open with a chalky discharge. This finding is known as:
A) a callus.
B) a plantar wart.
C) a bunion.
D) tophi. Correct Ans-D
When performing a musculoskeletal assessment, the nurse knows that the correct approach for
the examination should be:
A) proximal to distal.
B) distal to proximal.
C) posterior to anterior.
D) anterior to posterior. Correct Ans-A
The nurse is assessing the joints of a woman who has stated, "I have a long family history of
arthritis, and my joints hurt." The nurse suspects that she has osteoarthritis. Which of these are
symptoms of osteoarthritis? Select all that apply.
A. symmetric joint involvement
,B. asymmetric joint involvement
C. pain with motion of affected joints
D. affected joints are swollen with hard, bony protuberances
E. affected joint may have heat, redness, and swelling Correct Ans-B
C
D
The nurse is assessing a patient's ischial tuberosity. To palpate the ischial tuberosity, the nurse
knows that it is best to have the patient:
A. standing
B. flexing the hip
C. flexing the knee
D. Lying in the supine position Correct Ans-B
An 85-year-old patient comments during his annual physical that he seems to be getting shorter
as he ages. The nurse should explain that decreased height occurs with aging because:
A. Long bones tend to shorten with age
B. The vertebral column
C. Significant loss of subcutaneous fat occurs
D. A thickening of the intervertebral disks develops Correct Ans-B
, A patient has been diagnosed with osteoporosis and asks the nurse, "What is osteoporosis?"
The nurse explains to the patient that osteoporosis is defined as:
A. increased bone matrix
B. Loss of bone density
C. New, weaker bone growth
D. Increased phagocytic Correct Ans-B
A woman who is 8 months pregnant comments that she has noticed a change in posture and is
having lower back pain. The nurse tells her that during pregnancy women have a posture shift
to compensate for the enlarging fetus. This shift in posture is known as:
A) lordosis.
B) scoliosis.
C) ankylosis.
D) kyphosis. Correct Ans-A
A patient is being assessed for range of joint movement. The nurse asks him to move his arm in
toward the center of his body. This movement is called:
A) flexion.
B) abduction.
C) adduction.
D) extension. Correct Ans-C
System Questions & Answers
A man who has had gout for several years comes to the clinic with a problem with his toe. On
examination, the nurse notices the presence of hard, painless nodules over the great toe; one
has burst open with a chalky discharge. This finding is known as:
A) a callus.
B) a plantar wart.
C) a bunion.
D) tophi. Correct Ans-D
When performing a musculoskeletal assessment, the nurse knows that the correct approach for
the examination should be:
A) proximal to distal.
B) distal to proximal.
C) posterior to anterior.
D) anterior to posterior. Correct Ans-A
The nurse is assessing the joints of a woman who has stated, "I have a long family history of
arthritis, and my joints hurt." The nurse suspects that she has osteoarthritis. Which of these are
symptoms of osteoarthritis? Select all that apply.
A. symmetric joint involvement
,B. asymmetric joint involvement
C. pain with motion of affected joints
D. affected joints are swollen with hard, bony protuberances
E. affected joint may have heat, redness, and swelling Correct Ans-B
C
D
The nurse is assessing a patient's ischial tuberosity. To palpate the ischial tuberosity, the nurse
knows that it is best to have the patient:
A. standing
B. flexing the hip
C. flexing the knee
D. Lying in the supine position Correct Ans-B
An 85-year-old patient comments during his annual physical that he seems to be getting shorter
as he ages. The nurse should explain that decreased height occurs with aging because:
A. Long bones tend to shorten with age
B. The vertebral column
C. Significant loss of subcutaneous fat occurs
D. A thickening of the intervertebral disks develops Correct Ans-B
, A patient has been diagnosed with osteoporosis and asks the nurse, "What is osteoporosis?"
The nurse explains to the patient that osteoporosis is defined as:
A. increased bone matrix
B. Loss of bone density
C. New, weaker bone growth
D. Increased phagocytic Correct Ans-B
A woman who is 8 months pregnant comments that she has noticed a change in posture and is
having lower back pain. The nurse tells her that during pregnancy women have a posture shift
to compensate for the enlarging fetus. This shift in posture is known as:
A) lordosis.
B) scoliosis.
C) ankylosis.
D) kyphosis. Correct Ans-A
A patient is being assessed for range of joint movement. The nurse asks him to move his arm in
toward the center of his body. This movement is called:
A) flexion.
B) abduction.
C) adduction.
D) extension. Correct Ans-C
