1
BSN 215
BSN 215 - HESI REMEDIATION - MUSCULOSKELETAL
SYSTEM EXAM QUESTIONS WITH CORRECT VERIFIED SOLUTIONS
100% GUARANTEED PASS
1. Reduction of Risk Potential - Spinal Assessment:
The nurse begins the physical assessment and prepares to
assess the curvatures of the client's spine.
To check for scoliosis, the nurse provides which client
instruction?
A. Stand with the arms above the head in a diving position and
bend forward at the waist.
Ask the client to place the hands together above the head as if
diving into a swimming pool and slowly bend forward at the waist,
allowing assessment of thoracic rib prominence or paravertebral
muscle prominence in the lumbar spine.
BSN 215
, 2
BSN 215
B. Place the hands on the hips and lean to one side and then to
the other.This instruction helps the nurse assess the client's
range of motion but is not useful in assessing for scoliosis.
Correct instructions are to ask the client to place the hands
together above the head as if diving into a swimming pool and
slowly bend forward at the waist.
C. Twist from one side to the: A. Stand with the arms above the
head in a diving position and bend forward at the waist.
Ask the client to place the hands together above the head as if diving
into a swimming pool and slowly bend forward at the waist, allowing
assessment of thoracic rib prominence or paravertebral muscle
prominence in the lumbar spine.
2. The client has no obvious scoliosis. The nurse continues the
spinal assessment.
When observing the client from the side, the nurse notices a
slightly convex thoracic curve and a slightly concave lumbar
BSN 215
, 3
BSN 215
curve. What action should the nurse take in response to these
findings?
A. Ask the client how long they have had a dowager's hump.
The curvatures observed are not indicative of a dowager's hump,
a term sometimes used to describe a severe thoracic curvature
resulting in a hump-like appearance of the upper back.
B. Record these symptoms of osteoporosis in the client's
chart.The curvatures observed are not symptomatic of
osteoporosis.
C. Document the normal spinal curvature on the assessment
form.
The curvatures observed are normal spinal curvatures. No action
is needed other than documentation of the finding.
D. Note the client's poor posture as a possible cause of their
back pain.The curvatures observed d: C. Document the normal
spinal curvature on the assessment form.
BSN 215
, 4
BSN 215
The curvatures observed are normal spinal curvatures. No action is
needed other than documentation of the finding.
3. While assessing the spine, the nurse assesses the client's low
back pain further. Which action will help determine the cause of
the client's pain?
A. Ask the client to lie supine and raise one leg, keeping it
straight.
If sciatic pain occurs when raising a straight leg, the nurse should
suspect the presence of a herniated disc.
B. Watch the client while they stand upright and slowly squats
down.
This action is not useful in differentiating the cause of the client's
back pain. The straight leg test is helpful in identifying sciatic
pain.
C. Instruct the client to balance on one foot with their arms at
their sides.This action is not useful in differentiating the cause
BSN 215
BSN 215
BSN 215 - HESI REMEDIATION - MUSCULOSKELETAL
SYSTEM EXAM QUESTIONS WITH CORRECT VERIFIED SOLUTIONS
100% GUARANTEED PASS
1. Reduction of Risk Potential - Spinal Assessment:
The nurse begins the physical assessment and prepares to
assess the curvatures of the client's spine.
To check for scoliosis, the nurse provides which client
instruction?
A. Stand with the arms above the head in a diving position and
bend forward at the waist.
Ask the client to place the hands together above the head as if
diving into a swimming pool and slowly bend forward at the waist,
allowing assessment of thoracic rib prominence or paravertebral
muscle prominence in the lumbar spine.
BSN 215
, 2
BSN 215
B. Place the hands on the hips and lean to one side and then to
the other.This instruction helps the nurse assess the client's
range of motion but is not useful in assessing for scoliosis.
Correct instructions are to ask the client to place the hands
together above the head as if diving into a swimming pool and
slowly bend forward at the waist.
C. Twist from one side to the: A. Stand with the arms above the
head in a diving position and bend forward at the waist.
Ask the client to place the hands together above the head as if diving
into a swimming pool and slowly bend forward at the waist, allowing
assessment of thoracic rib prominence or paravertebral muscle
prominence in the lumbar spine.
2. The client has no obvious scoliosis. The nurse continues the
spinal assessment.
When observing the client from the side, the nurse notices a
slightly convex thoracic curve and a slightly concave lumbar
BSN 215
, 3
BSN 215
curve. What action should the nurse take in response to these
findings?
A. Ask the client how long they have had a dowager's hump.
The curvatures observed are not indicative of a dowager's hump,
a term sometimes used to describe a severe thoracic curvature
resulting in a hump-like appearance of the upper back.
B. Record these symptoms of osteoporosis in the client's
chart.The curvatures observed are not symptomatic of
osteoporosis.
C. Document the normal spinal curvature on the assessment
form.
The curvatures observed are normal spinal curvatures. No action
is needed other than documentation of the finding.
D. Note the client's poor posture as a possible cause of their
back pain.The curvatures observed d: C. Document the normal
spinal curvature on the assessment form.
BSN 215
, 4
BSN 215
The curvatures observed are normal spinal curvatures. No action is
needed other than documentation of the finding.
3. While assessing the spine, the nurse assesses the client's low
back pain further. Which action will help determine the cause of
the client's pain?
A. Ask the client to lie supine and raise one leg, keeping it
straight.
If sciatic pain occurs when raising a straight leg, the nurse should
suspect the presence of a herniated disc.
B. Watch the client while they stand upright and slowly squats
down.
This action is not useful in differentiating the cause of the client's
back pain. The straight leg test is helpful in identifying sciatic
pain.
C. Instruct the client to balance on one foot with their arms at
their sides.This action is not useful in differentiating the cause
BSN 215
