MSK EXAM QUESTIONS WITH CORRECT
DETAILED ANSWERS WITH
EXAPLANATIONS 100% GUARANTEED
PASS
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) of the shortening of the vertebral column.
C) there is a significant loss of subcutaneous fat.
D) there is a thickening of the intervertebral disks. - Answer-ANS: B
Postural changes are evident with aging; decreased height is most noticeable and is
due to shortening of the vertebral column. Long bones do not shorten with age.
Intervertebral disks actually get thinner with age. Subcutaneous fat is not lost but is
redistributed to the abdomen and hips.
PTS: 1 DIF: Cognitive Level: Applying (Application)
REF: Pages: 573-574 MSC: Client Needs: Health Promotion and Maintenance
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 activity. - Answer-ANS: B
After age 40, loss of bone matrix (resorption) occurs more rapidly than new bone
formation. The net effect is a gradual loss of bone density, or osteoporosis. The other
options are not correct.
PTS: 1 DIF: Cognitive Level: Remembering (Knowledge)
REF: Page: 573 MSC: Client Needs: Physiological Integrity: Physiological Adaptation
The nurse is teaching a class on osteoporosis prevention to a group of postmenopausal
women. Which of these actions is the best way to prevent or delay bone loss in this
group?
A) Taking calcium and vitamin D supplements
B) Taking medications to prevent osteoporosis
,C) Performing physical activity, such as fast walking
D) Assessing bone density annually - Answer-ANS: A
Physical activity, such as fast walking, delays or prevents bone loss in perimenopausal
women. The faster the pace of walking, the higher the preventive effect on the risk of
hip fracture. The other options are not correct.
PTS: 1 DIF: Cognitive Level: Applying (Application)
REF: Pages: 573-574 MSC: Client Needs: Health Promotion and Maintenance
The nurse is teaching a class on osteoporosis prevention to a group of postmenopausal
woman. A participant shows that she needs more instruction when she states, "I will:
A) start swimming to increase my weight-bearing exercise."
B) try to stop smoking as soon as possible."
C) check with my doctor about taking calcium supplements."
D) get a bone-density test soon." - Answer-ANS: A
Weight-bearing exercises include walking, low-impact aerobics, dancing, or stationary
cycling. Swimming is not considered a weight-bearing exercise. The other responses
are correct.
PTS: 1 DIF: Cognitive Level: Understanding (Comprehension)
REF: Page: 606 MSC: Client Needs: Physiological Integrity: Reduction of Risk Potential
A teenage girl has arrived complaining of pain in her left wrist. She was playing
basketball when she fell and landed on her left hand. The nurse examines her hand and
would expect a fracture if the girl complains:
A) of a dull ache.
B) that the pain in her wrist is deep.
C) of sharp pain that increases with movement.
D) of dull throbbing pain that increases with rest. - Answer-ANS: C
A fracture causes sharp pain that increases with movement. The other pains do not
occur with a fracture.
PTS: 1 DIF: Cognitive Level: Analyzing (Analysis)
REF: Pages: 574-575
MSC: Client Needs: Physiological Integrity: Physiological Adaptation
A patient is complaining of pain in his joints that is worse in the morning, is better after
he has moved around for awhile, and then gets worse again if he sits for long periods of
time. The nurse should assess for other signs of what problem?
A) Tendinitis
B) Osteoarthritis
C) Rheumatoid arthritis
D) Intermittent claudication - Answer-ANS: C
Rheumatoid arthritis is worse in the morning when arising. Movement increases most
joint pain, except in rheumatoid arthritis, in which movement decreases pain. The other
options are not correct.
, PTS: 1 DIF: Cognitive Level: Analyzing (Analysis)
REF: Pages: 574-575
MSC: Client Needs: Physiological Integrity: Physiological Adaptation
A patient states, "I can hear a crunching or grating sound when I kneel." She also states
that "it is very difficult to get out of bed in the morning because of stiffness and pain in
my joints." The nurse should assess for signs of what problem?
A) Crepitation
B) A bone spur
C) A loose tendon
D) Fluid in the knee joint - Answer-ANS: A
Crepitation is an audible and palpable crunching or grating that accompanies movement
and occurs when articular surfaces in the joints are roughened, as with rheumatoid
arthritis. The other options are not correct.
PTS: 1 DIF: Cognitive Level: Analyzing (Analysis)
REF: Pages: 578-579
MSC: Client Needs: Physiological Integrity: Physiological Adaptation
A patient is able to flex his right arm forward without difficulty or pain but is unable to
abduct his arm because of pain and muscle spasms; the nurse should suspect:
A) crepitation.
B) rotator cuff lesions.
C) dislocated shoulder.
D) rheumatoid arthritis. - Answer-ANS: B
Rotator cuff lesions may cause limited range of motion and pain and muscle spasm
during abduction, whereas forward flexion stays fairly normal. The other options are not
correct.
PTS: 1 DIF: Cognitive Level: Analyzing (Analysis)
REF: Pages: 581-582
MSC: Client Needs: Physiological Integrity: Physiological Adaptation
A professional tennis player comes into the clinic complaining of a sore elbow. The
nurse will assess for tenderness at the:
A) olecranon bursa.
B) annular ligament.
C) base of the radius.
D) medial and lateral epicondyle. - Answer-ANS: D
The epicondyles, the head of radius, and tendons are common sites of inflammation
and local tenderness, or "tennis elbow." The other locations are not affected.
PTS: 1 DIF: Cognitive Level: Analyzing (Analysis)
REF: Pages: 582-583
MSC: Client Needs: Physiological Integrity: Physiological Adaptation
DETAILED ANSWERS WITH
EXAPLANATIONS 100% GUARANTEED
PASS
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) of the shortening of the vertebral column.
C) there is a significant loss of subcutaneous fat.
D) there is a thickening of the intervertebral disks. - Answer-ANS: B
Postural changes are evident with aging; decreased height is most noticeable and is
due to shortening of the vertebral column. Long bones do not shorten with age.
Intervertebral disks actually get thinner with age. Subcutaneous fat is not lost but is
redistributed to the abdomen and hips.
PTS: 1 DIF: Cognitive Level: Applying (Application)
REF: Pages: 573-574 MSC: Client Needs: Health Promotion and Maintenance
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 activity. - Answer-ANS: B
After age 40, loss of bone matrix (resorption) occurs more rapidly than new bone
formation. The net effect is a gradual loss of bone density, or osteoporosis. The other
options are not correct.
PTS: 1 DIF: Cognitive Level: Remembering (Knowledge)
REF: Page: 573 MSC: Client Needs: Physiological Integrity: Physiological Adaptation
The nurse is teaching a class on osteoporosis prevention to a group of postmenopausal
women. Which of these actions is the best way to prevent or delay bone loss in this
group?
A) Taking calcium and vitamin D supplements
B) Taking medications to prevent osteoporosis
,C) Performing physical activity, such as fast walking
D) Assessing bone density annually - Answer-ANS: A
Physical activity, such as fast walking, delays or prevents bone loss in perimenopausal
women. The faster the pace of walking, the higher the preventive effect on the risk of
hip fracture. The other options are not correct.
PTS: 1 DIF: Cognitive Level: Applying (Application)
REF: Pages: 573-574 MSC: Client Needs: Health Promotion and Maintenance
The nurse is teaching a class on osteoporosis prevention to a group of postmenopausal
woman. A participant shows that she needs more instruction when she states, "I will:
A) start swimming to increase my weight-bearing exercise."
B) try to stop smoking as soon as possible."
C) check with my doctor about taking calcium supplements."
D) get a bone-density test soon." - Answer-ANS: A
Weight-bearing exercises include walking, low-impact aerobics, dancing, or stationary
cycling. Swimming is not considered a weight-bearing exercise. The other responses
are correct.
PTS: 1 DIF: Cognitive Level: Understanding (Comprehension)
REF: Page: 606 MSC: Client Needs: Physiological Integrity: Reduction of Risk Potential
A teenage girl has arrived complaining of pain in her left wrist. She was playing
basketball when she fell and landed on her left hand. The nurse examines her hand and
would expect a fracture if the girl complains:
A) of a dull ache.
B) that the pain in her wrist is deep.
C) of sharp pain that increases with movement.
D) of dull throbbing pain that increases with rest. - Answer-ANS: C
A fracture causes sharp pain that increases with movement. The other pains do not
occur with a fracture.
PTS: 1 DIF: Cognitive Level: Analyzing (Analysis)
REF: Pages: 574-575
MSC: Client Needs: Physiological Integrity: Physiological Adaptation
A patient is complaining of pain in his joints that is worse in the morning, is better after
he has moved around for awhile, and then gets worse again if he sits for long periods of
time. The nurse should assess for other signs of what problem?
A) Tendinitis
B) Osteoarthritis
C) Rheumatoid arthritis
D) Intermittent claudication - Answer-ANS: C
Rheumatoid arthritis is worse in the morning when arising. Movement increases most
joint pain, except in rheumatoid arthritis, in which movement decreases pain. The other
options are not correct.
, PTS: 1 DIF: Cognitive Level: Analyzing (Analysis)
REF: Pages: 574-575
MSC: Client Needs: Physiological Integrity: Physiological Adaptation
A patient states, "I can hear a crunching or grating sound when I kneel." She also states
that "it is very difficult to get out of bed in the morning because of stiffness and pain in
my joints." The nurse should assess for signs of what problem?
A) Crepitation
B) A bone spur
C) A loose tendon
D) Fluid in the knee joint - Answer-ANS: A
Crepitation is an audible and palpable crunching or grating that accompanies movement
and occurs when articular surfaces in the joints are roughened, as with rheumatoid
arthritis. The other options are not correct.
PTS: 1 DIF: Cognitive Level: Analyzing (Analysis)
REF: Pages: 578-579
MSC: Client Needs: Physiological Integrity: Physiological Adaptation
A patient is able to flex his right arm forward without difficulty or pain but is unable to
abduct his arm because of pain and muscle spasms; the nurse should suspect:
A) crepitation.
B) rotator cuff lesions.
C) dislocated shoulder.
D) rheumatoid arthritis. - Answer-ANS: B
Rotator cuff lesions may cause limited range of motion and pain and muscle spasm
during abduction, whereas forward flexion stays fairly normal. The other options are not
correct.
PTS: 1 DIF: Cognitive Level: Analyzing (Analysis)
REF: Pages: 581-582
MSC: Client Needs: Physiological Integrity: Physiological Adaptation
A professional tennis player comes into the clinic complaining of a sore elbow. The
nurse will assess for tenderness at the:
A) olecranon bursa.
B) annular ligament.
C) base of the radius.
D) medial and lateral epicondyle. - Answer-ANS: D
The epicondyles, the head of radius, and tendons are common sites of inflammation
and local tenderness, or "tennis elbow." The other locations are not affected.
PTS: 1 DIF: Cognitive Level: Analyzing (Analysis)
REF: Pages: 582-583
MSC: Client Needs: Physiological Integrity: Physiological Adaptation
