SOLUTIONS GRADED A+
✔✔During an interview, a patient states, "I can feel this bump on the top of both of my
shoulders—it doesn't hurt but I am curious about what it might be." The nurse should tell
her:
1."That is your subacromial bursa."
2."That is your acromion process."
3."That is your glenohumeral joint."
4."That is the greater tubercle of your humerus." - ✔✔ANS:2
The bump of the scapula's acromion process is felt at the very top of the shoulder.
✔✔The nurse is checking the range of motion in a patient's knee and knows that the
knee is capable of the following movements:
1.flexion and extension.
2.supination and pronation.
3.circumduction.
4.inversion and eversion. - ✔✔ANS:1
The knee is a hinge joint, permitting flexion and extension of the lower leg on a single
plane.
✔✔A patient is visiting the clinic for an evaluation of a swollen, painful knuckle. The
nurse notices that the knuckle above his ring on the left hand is swollen and he is
unable to remove his wedding ring. This joint is called the:
1.interphalangeal joint.
2.tarsometatarsal joint.
3.metacarpophalangeal joint.
4.talocalcaneonavicular joint. - ✔✔ANS:3
✔✔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:
1.stand.
2.flex his hip.
3.flex his knee.
4.in the supine position. - ✔✔ANS:2
The ischial tuberosity lies under the gluteus maximus muscle and is palpable when the
hip is flexed.
✔✔The knee joint is the articulation of the femur, the tibia, and the:
1.fibula.
2.radius.
3.patella.
4.humerus. - ✔✔ANS:3
The knee joint is the articulation of three bones, including the femur, the tibia, and the
patella (kneecap) in one common articular cavity.
, ✔✔The ankle joint is the articulation of the tibia, the fibula, and the:
1.talus.
2.cuboid.
3.calcaneus.
4.talocalcaneonavicular joint. - ✔✔ANS:1
The ankle or tibiotalar joint is the articulation of the tibia, fibula, and talus.
✔✔The nurse is explaining the mechanism of the growth of long bones to a mother of a
toddler. The nurse knows that bones increase in width or diameter by deposition of new
bony tissue around the shafts. The nurse also knows that lengthening occurs at the:
1.bursa.
2.calcaneus.
3.epiphyses.
4.tuberosities. - ✔✔ANS:3
Long bones grow in two dimensions: first in width or diameter by deposition of new bony
tissue around the shafts. Lengthening occurs at the epiphyses, or growth plates.
✔✔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:
1.lordosis.
2.scoliosis.
3.ankylosis.
4.kyphosis. - ✔✔ANS:1
Lordosis compensates for the enlarging fetus, which would shift the center of balance
forward. This shift in balance in turn creates strain on the low back
muscles, felt as low back pain during late pregnancy by some women.
✔✔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:
1.long bones tend to shorten with age.
2.of the shortening of the vertebral column.
3.there is a significant loss of subcutaneous fat.
4.there is a thickening of the intervertebral discs. - ✔✔ANS:2
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.
✔✔A patient has been diagnosed with osteoporosis and asks the nurse, "What is
osteoporosis?" The nurse knows that osteoporosis can be defined as:
1.loss of bone matrix.
2.loss of bone density.
3.new, weaker bone growth.