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MQ4: Assessment of the Musculoskeletal System

Total questions: 25

Worksheet time: 13mins

Name
Class
Date
1.

One of the functions of a bone is to:

a)

store protein

b)

produce blood cells

c)

produce secretions

d)

store fat

2.

Bones contain yellow marrow that is composed mainly of:

a)

carbohydrates

b)

cartilage

c)

protein

d)

fat

3.

The external covering of the bone that contains osteoblasts and blood vessels is termed the

a)

periosteum

b)

synovial membrane

c)

cartilage

d)

connective tissue

4.

Skeletal muscles are attached to bones by:

a)

ligaments

b)

tendons

c)

fibrous connective tissue

d)

cartilage

5.

Joints may be classified as cartilaginous, synovial, or

a)

immobile

b)

flexible

c)

fibrous

d)

articulate

6.

Bones in synovial joints are joined together by:

a)

periosteal tissue

b)

cartilage

c)

tendons

d)

ligaments

7.

When the nurse moves the client’s arm away from the midline of the body, the nurse is performing:

a)

abduction

b)

adduction

c)

external rotation

d)

retraction

8.

When the nurse moves a client’s leg upward, the nurse is performing:

a)

internal rotation

b)

eversion

c)

supination

d)

external rotation

9.

The subacromial bursae are contained in the:

a)

wrist joint

b)

shoulder joint.

c)

temporomandibular joint

d)

elbow joint

10.

Articulation between the head of the femur and the acetabulum is in the:

a)

tibial joint

b)

knee joint

c)

hip joint

d)

ankle joint

11.

A client visits the clinic and tells the nurse that she has joint pain in her hands, especially in the morning. The nurse should assess the client further for signs and symptoms of:

a)

arthritis

b)

osteoporosis

c)

carpal tunnel syndrome

d)

a neurologic disorder

12.

A client with insulin-dependent diabetes visits the clinic and complains of painful hip joints. The nurse should assess the client carefully for signs and symptoms of:

a)

gait difficulties

b)

osteomyelitis

c)

scoliosis

d)

arthritis

13.

A female client visits the clinic and tells the nurse that she began menarche at the age of 16 years. The nurse should instruct the client that she is at a higher risk for:

a)

lordosis

b)

rheumatoid arthritis

c)

osteoporosis

d)

osteomyelitis

14.

The nurse is planning a presentation on osteoporosis to a group of high school students. Which of the following should the nurse plan to include in the presentation?

a)

Bone density rises to a peak at age 50 for both sexes

b)

Bone density in the Asian population is higher than in the white population

c)

Approximately 5 million fractures in the United States are due to osteoporosis

d)

Moderate strenuous exercise tends to increase bone density

15.

The nurse is caring for an adult client who is in a cast because of a fractured arm. To promote healing of the bone and tissue, the nurse should instruct the client to eat a diet that is high in:

a)

vitamin C

b)

vitamin B

c)

vitamin E

d)

whole grains

16.

An adult client tells the nurse that he eats sardines every day. The nurse should instruct the client that a diet high in purines can contribute to:

a)

osteomyelitis

b)

bone fractures

c)

gouty arthritis

d)

osteomalacia

17.

A client tells the nurse that his grandmother had a diagnosis of osteomalacia. The nurse should instruct the client that to decrease the risk factors for osteomalacia, the clients should have adequate amounts of:

a)

riboflavin

b)

b-carotene

c)

vitamin E

d)

vitamin D

18.

The nurse is preparing to perform a musculoskeletal examination on an adult client. The nurse has explained the examination procedure to the client. The nurse determines that the client needs further instructions when the client says:

a)

“You will be asking me to change positions often.”

b)

“You’ll continue with range of motion even if I have discomfort.”

c)

“You’ll be assessing the size and strength of my joints.”

d)

“You’ll be comparing bilateral joints.”

19.

While assessing muscle strength in an older adult client, the nurse determines that the client’s knee joint has a rating of 3 and exhibits active motion against gravity. The nurse should document the client’s muscle strength as being/having:

a)

normal

b)

slight weakness

c)

average weakness

d)

poor range of motion

20.

While assessing an adult client’s jaw, the nurse hears a clicking popping sound, and the client expresses pain in the joint. The nurse should further assess the client for:

a)

TMJ dysfunction

b)

bruxism

c)

previous fracture

d)

arthritis

21.

While examining the spine of an adult client, the nurse notes that the client has a flattened lumbar curvature. The nurse should refer the client to a physician for possible:

a)

kyphosis

b)

herniated disc

c)

cervical disc degeneration

d)

scoliosis

22.

The nurse is assessing the spine of an adult client and detects lateral curvature of the thoracic spine with an increase in convexity on the left curved side. The nurse suspects that the client is experiencing:

a)

lordosis

b)

arthritis

c)

kyphosis

d)

scoliosis

23.

A client visits the clinic and tells the nurse that he has had lower back pain for the past several days. To perform Lasègue’s test, the nurse should ask the client:

a)

bend backward toward the nurse

b)

lean forward and touch his toes

c)

lie flat and raise his leg to the point of pain

d)

twist the shoulders in both directions

24.

An older adult client visits the clinic and tells the nurse that she has had shooting pains in both of her legs. The nurse should assess the client for signs and symptoms of:

a)

herniated intervertebral disc

b)

rheumatoid arthritis

c)

osteoporosis

d)

metastases

25.

While assessing the range of motion in an adult client’s shoulders, the client expresses pain and exhibits limited abduction and muscle weakness. The nurse plans to refer the client to a physician for possible:

a)

tendonitis

b)

rotator cuff tear

c)

nerve damage

d)

cervical disc degeneration