NSG 300 Exam 1 Foundations of Nursing
(GCU) Questions and Answers
1. Which question would the nurse ask a patient to determine
symptom-related issues with the musculoskeletal system?
a)."Do any of your family members have osteoporosis?"
b). "Have you noticed any differences in your gait?"
c)."Do you have an active lifestyle or sedentary lifestyle?"
d). "Have you ever found yourself on the floor and don't know how
you got there?"
ANS b). "Have you noticed any differences in your gait?"
2. Which patient finding is expected in a musculoskeletal assessment?
a).Morse Fall Scale score of 20
b). Asymmetry of joints
c).Slumped posture
d).Hendrich II Fall Risk Model score of 7
ANS a). Morse Fall Scale score of 20 (A Morse Fall Scale score of 20 is within the normal
and expected range of 0 to 24, indicating the patient is not a fall risk)
3. Which finding is unexpected when assessing effects of immobility?
,a).Skin nonblanches
b). Braden Scale score of 21
c).2500 mL intake and 2450 mL output
d). Fecal impaction not present
ANS a). Skin nonblanches (Skin nonblanching is unexpected because it indicates
ischemia)
4. Which cue is relevant to alterations in the musculoskeletal system?
a).Has a shoulder joint that is edematous
b). Has a low sodium level
c).Has a history of hemorrhoids
d). Has five grandchildren
ANS a). Has a shoulder joint that is edematous
5. Match the musculoskeletal system alteration to its cause.
a).Porous, brittle bone
b). Deterioration of the muscle itself
c).Tissue that is usually easy to move tightness and pulls inward
OPTIONS
,1).Amputation
2).Pathologic fracture
3).Muscle atrophy
4).Contracture
ANS a). Porous, brittle bone = 2). Pathologic fracture
b). Deterioration of the muscle itself = 3). Muscle atrophy
c).Tissue that is usually easy to move tightness and pulls inward = 4). Contracture
6. Which patient would likely be prone to reduced bone density?
a).One with muscular dystrophy
b). One with burns
c).One who has been physically abused
d). One who cannot perform weight-bearing exercises
ANS d). One who cannot perform weight-bearing exercises
7. Which cues are relevant for
weakness? Select all that apply.
a).Flaccidity
, b). Hypertonicity
c).Shuffling gait
d). Feeble handgrip
e).Score of 5 on Johns Hopkins Fall Risk Assessment Tool
ANS a). Flaccidity
c).Shuffling gait
d). Feeble handgrip
8. Which patient is prone to paralysis?
a).A patient on bed rest
b). A patient with prolonged brain ischemia
c).A patient with a fracture
d). A patient on a low-calcium diet
ANS b). A patient with prolonged brain ischemia
9. Which cues are relevant for activity
intolerance? Select all that apply.
a).Struggles to complete activities of daily living
b). Exhibits dyspnea on exertion
c).Has to sit down while doing the dishes
d). Has an inability to move
(GCU) Questions and Answers
1. Which question would the nurse ask a patient to determine
symptom-related issues with the musculoskeletal system?
a)."Do any of your family members have osteoporosis?"
b). "Have you noticed any differences in your gait?"
c)."Do you have an active lifestyle or sedentary lifestyle?"
d). "Have you ever found yourself on the floor and don't know how
you got there?"
ANS b). "Have you noticed any differences in your gait?"
2. Which patient finding is expected in a musculoskeletal assessment?
a).Morse Fall Scale score of 20
b). Asymmetry of joints
c).Slumped posture
d).Hendrich II Fall Risk Model score of 7
ANS a). Morse Fall Scale score of 20 (A Morse Fall Scale score of 20 is within the normal
and expected range of 0 to 24, indicating the patient is not a fall risk)
3. Which finding is unexpected when assessing effects of immobility?
,a).Skin nonblanches
b). Braden Scale score of 21
c).2500 mL intake and 2450 mL output
d). Fecal impaction not present
ANS a). Skin nonblanches (Skin nonblanching is unexpected because it indicates
ischemia)
4. Which cue is relevant to alterations in the musculoskeletal system?
a).Has a shoulder joint that is edematous
b). Has a low sodium level
c).Has a history of hemorrhoids
d). Has five grandchildren
ANS a). Has a shoulder joint that is edematous
5. Match the musculoskeletal system alteration to its cause.
a).Porous, brittle bone
b). Deterioration of the muscle itself
c).Tissue that is usually easy to move tightness and pulls inward
OPTIONS
,1).Amputation
2).Pathologic fracture
3).Muscle atrophy
4).Contracture
ANS a). Porous, brittle bone = 2). Pathologic fracture
b). Deterioration of the muscle itself = 3). Muscle atrophy
c).Tissue that is usually easy to move tightness and pulls inward = 4). Contracture
6. Which patient would likely be prone to reduced bone density?
a).One with muscular dystrophy
b). One with burns
c).One who has been physically abused
d). One who cannot perform weight-bearing exercises
ANS d). One who cannot perform weight-bearing exercises
7. Which cues are relevant for
weakness? Select all that apply.
a).Flaccidity
, b). Hypertonicity
c).Shuffling gait
d). Feeble handgrip
e).Score of 5 on Johns Hopkins Fall Risk Assessment Tool
ANS a). Flaccidity
c).Shuffling gait
d). Feeble handgrip
8. Which patient is prone to paralysis?
a).A patient on bed rest
b). A patient with prolonged brain ischemia
c).A patient with a fracture
d). A patient on a low-calcium diet
ANS b). A patient with prolonged brain ischemia
9. Which cues are relevant for activity
intolerance? Select all that apply.
a).Struggles to complete activities of daily living
b). Exhibits dyspnea on exertion
c).Has to sit down while doing the dishes
d). Has an inability to move
