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WorksheetsMQ4: Assessment of the Musculoskeletal System
Total questions: 25
Worksheet time: 13mins
One of the functions of a bone is to:
store protein
produce blood cells
produce secretions
store fat
Bones contain yellow marrow that is composed mainly of:
carbohydrates
cartilage
protein
fat
The external covering of the bone that contains osteoblasts and blood vessels is termed the
periosteum
synovial membrane
cartilage
connective tissue
Skeletal muscles are attached to bones by:
ligaments
tendons
fibrous connective tissue
cartilage
Joints may be classified as cartilaginous, synovial, or
immobile
flexible
fibrous
articulate
Bones in synovial joints are joined together by:
periosteal tissue
cartilage
tendons
ligaments
When the nurse moves the client’s arm away from the midline of the body, the nurse is performing:
abduction
adduction
external rotation
retraction
When the nurse moves a client’s leg upward, the nurse is performing:
internal rotation
eversion
supination
external rotation
The subacromial bursae are contained in the:
wrist joint
shoulder joint.
temporomandibular joint
elbow joint
Articulation between the head of the femur and the acetabulum is in the:
tibial joint
knee joint
hip joint
ankle joint
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:
arthritis
osteoporosis
carpal tunnel syndrome
a neurologic disorder
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:
gait difficulties
osteomyelitis
scoliosis
arthritis
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:
lordosis
rheumatoid arthritis
osteoporosis
osteomyelitis
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?
Bone density rises to a peak at age 50 for both sexes
Bone density in the Asian population is higher than in the white population
Approximately 5 million fractures in the United States are due to osteoporosis
Moderate strenuous exercise tends to increase bone density
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:
vitamin C
vitamin B
vitamin E
whole grains
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:
osteomyelitis
bone fractures
gouty arthritis
osteomalacia
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:
riboflavin
b-carotene
vitamin E
vitamin D
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:
“You will be asking me to change positions often.”
“You’ll continue with range of motion even if I have discomfort.”
“You’ll be assessing the size and strength of my joints.”
“You’ll be comparing bilateral joints.”
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:
normal
slight weakness
average weakness
poor range of motion
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:
TMJ dysfunction
bruxism
previous fracture
arthritis
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:
kyphosis
herniated disc
cervical disc degeneration
scoliosis
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:
lordosis
arthritis
kyphosis
scoliosis
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:
bend backward toward the nurse
lean forward and touch his toes
lie flat and raise his leg to the point of pain
twist the shoulders in both directions
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:
herniated intervertebral disc
rheumatoid arthritis
osteoporosis
metastases
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:
tendonitis
rotator cuff tear
nerve damage
cervical disc degeneration
