Chapter 22: Musculoskeletal System
Ball: Seidel’s Guide to Physical Examination, 9th Edition
MULTIPLE CHOICE
1. The type of joint that has the widest range of motion in all planes is the:
a. ball-and-socket.
b. condyloid.
c. gliding.
d. saddle.
ANS: A
The ball-and-socket joint is the joint that has the widest range of motion (e.g., the hip joint). A
condyloid joint may only move in two planes. A gliding joint is only able to glide. A saddle joint
has no axial rotation.
DIF: Cognitive Level: Understanding (Comprehension)
OBJ: Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
2. Spinal vertebrae are separated from each other by:
a. bursae.
b. tendons.
c. disks.
d. ligaments.
ANS: C
Except for sacral vertebrae, the spinal vertebrae are separated from one another by disks. Spinal
movement is achieved by paraspinous muscles, tendons, and ligaments. Bursae are located in the
knee, elbow, shoulder, and hip.
DIF: Cognitive Level: Remembering (Knowledge)
OBJ: Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
3. The joint where the humerus, radius, and ulna articulate is the:
a. wrist.
b. elbow.
c. shoulder.
d. clavicle.
ANS: B
The elbow is the site where the humerus, radius, and ulna meet. The wrist is made up of the
radius and the carpal bones of the hand.
The shoulder is made up of the humerus and scapula. The clavicle connects to the scapula but not
to the humerus.
DIF: Cognitive Level: Remembering (Knowledge)
OBJ: Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
4. The articulation of the radius and carpal bones is the:
a. wrist.
b. elbow.
c. shoulder.
, d. clavicle.
ANS: A
The joint comprising the radius and carpal bones is called the wrist.
DIF: Cognitive Level: Remembering (Knowledge)
OBJ: Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
5. The tibia, fibula, and talus articulate to form the:
a. ankle.
b. knee.
c. hip.
d. pelvis.
ANS: A
The tibia, fibula, and talus (or heel) join to form the ankle.
DIF: Cognitive Level: Remembering (Knowledge)
OBJ: Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
6. Long bones in children have growth plates known as:
a. epiphyses.
b. epicondyles.
c. synovium.
d. fossae.
ANS: A
Epiphyses are the growth plates found in long bones in children.
DIF: Cognitive Level: Remembering (Knowledge)
OBJ: Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
7. The elasticity of pelvic ligaments and softening of cartilage in a pregnant woman are the result
of:
a. decreased mineral deposition.
b. increased hormone secretion.
c. uterine enlargement.
d. gait changes.
ANS: B
Increased hormone secretion during pregnancy is responsible for the elasticity of pelvic
ligaments and softening of the cartilage.
These changes help accommodate the growing fetus.
DIF: Cognitive Level: Remembering (Knowledge)
OBJ: Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
8. Skeletal changes in older adults are the result of:
a. increased bone deposition.
b. increased bone resorption.
c. decreased bone deposition.
d. decreased bone resorption.
ANS: B
With age, the skeletal system changes. One of the dramatic changes in skeletal equilibrium is
that bone resorption dominates bone deposition.
DIF: Cognitive Level: Understanding (Comprehension)
OBJ: Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
Ball: Seidel’s Guide to Physical Examination, 9th Edition
MULTIPLE CHOICE
1. The type of joint that has the widest range of motion in all planes is the:
a. ball-and-socket.
b. condyloid.
c. gliding.
d. saddle.
ANS: A
The ball-and-socket joint is the joint that has the widest range of motion (e.g., the hip joint). A
condyloid joint may only move in two planes. A gliding joint is only able to glide. A saddle joint
has no axial rotation.
DIF: Cognitive Level: Understanding (Comprehension)
OBJ: Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
2. Spinal vertebrae are separated from each other by:
a. bursae.
b. tendons.
c. disks.
d. ligaments.
ANS: C
Except for sacral vertebrae, the spinal vertebrae are separated from one another by disks. Spinal
movement is achieved by paraspinous muscles, tendons, and ligaments. Bursae are located in the
knee, elbow, shoulder, and hip.
DIF: Cognitive Level: Remembering (Knowledge)
OBJ: Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
3. The joint where the humerus, radius, and ulna articulate is the:
a. wrist.
b. elbow.
c. shoulder.
d. clavicle.
ANS: B
The elbow is the site where the humerus, radius, and ulna meet. The wrist is made up of the
radius and the carpal bones of the hand.
The shoulder is made up of the humerus and scapula. The clavicle connects to the scapula but not
to the humerus.
DIF: Cognitive Level: Remembering (Knowledge)
OBJ: Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
4. The articulation of the radius and carpal bones is the:
a. wrist.
b. elbow.
c. shoulder.
, d. clavicle.
ANS: A
The joint comprising the radius and carpal bones is called the wrist.
DIF: Cognitive Level: Remembering (Knowledge)
OBJ: Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
5. The tibia, fibula, and talus articulate to form the:
a. ankle.
b. knee.
c. hip.
d. pelvis.
ANS: A
The tibia, fibula, and talus (or heel) join to form the ankle.
DIF: Cognitive Level: Remembering (Knowledge)
OBJ: Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
6. Long bones in children have growth plates known as:
a. epiphyses.
b. epicondyles.
c. synovium.
d. fossae.
ANS: A
Epiphyses are the growth plates found in long bones in children.
DIF: Cognitive Level: Remembering (Knowledge)
OBJ: Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
7. The elasticity of pelvic ligaments and softening of cartilage in a pregnant woman are the result
of:
a. decreased mineral deposition.
b. increased hormone secretion.
c. uterine enlargement.
d. gait changes.
ANS: B
Increased hormone secretion during pregnancy is responsible for the elasticity of pelvic
ligaments and softening of the cartilage.
These changes help accommodate the growing fetus.
DIF: Cognitive Level: Remembering (Knowledge)
OBJ: Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
8. Skeletal changes in older adults are the result of:
a. increased bone deposition.
b. increased bone resorption.
c. decreased bone deposition.
d. decreased bone resorption.
ANS: B
With age, the skeletal system changes. One of the dramatic changes in skeletal equilibrium is
that bone resorption dominates bone deposition.
DIF: Cognitive Level: Understanding (Comprehension)
OBJ: Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
