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Exam 22: Musculoskeletal System

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Question 1

Multiple Choice

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When performing a musculoskeletal assessment,the nurse knows that the correct approach for the examination should be:

A) proximal to distal.
B) distal to proximal.
C) posterior to anterior.
D) anterior to posterior.

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Question 2

Multiple Choice

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A patient is being assessed for range of joint movement.The nurse asks him to move his arm in toward the center of his body.This movement is called:

A) flexion.
B) abduction.
C) adduction.
D) extension.

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Question 3

Multiple Choice

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The nurse is examining a 6-month-old infant and places the infant's feet flat on the table and flexes his knees up.The nurse notes that the right knee is significantly lower than the left.Which of these statements is true of this finding?

A patient is able to flex his right arm forward without difficulty or pain but is unable to abduct his arm because of pain and muscle spasms;the nurse should suspect:

The nurse is assessing a 1-week-old infant and is testing his muscle strength.The nurse lifts the infant with hands under the axillae and notices that the infant starts to "slip" between the hands.The nurse should:

The nurse notices that a woman in an exercise class is unable to jump rope.The nurse knows that to jump rope,one's shoulder has to be capable of:

The nurse is examining a 2-month-old infant and notices asymmetry of the infant's gluteal folds.The nurse should assess for other signs of what disorder?

A patient tells the nurse that "all my life I've been called 'knock knees.'" The nurse knows that another term for "knock knees" is:

A 40-year-old man has come into the clinic with complaints of "extreme tenderness in my toes." The nurse notices that his toes are slightly swollen,reddened,and warm to the touch.His complaints would suggest:

A woman who has had rheumatoid arthritis for years is starting to notice that her fingers are drifting to the side.The nurse knows that this condition is commonly referred to as:

When reviewing the musculoskeletal system,the nurse recalls that hematopoiesis takes place in the:

The ankle joint is the articulation of the tibia,the fibula,and the:

The nurse is examining a 3-month-old infant.While holding the thumbs on the infant's inner mid thighs and the fingers outside on the hips,touching the greater trochanter,the nurse adducts the legs until the nurse's thumbs touch and then abducts the legs until the infant's knees touch the table.The nurse does not notice any "clunking" sounds and is confident to record a:

A woman who is 8 months pregnant comments that she has noticed a change in posture and is having lower back pain.The nurse tells her that during pregnancy women have a posture shift to compensate for the enlarging fetus.This shift in posture is known as:

A professional tennis player comes into the clinic complaining of a sore elbow.The nurse will assess for tenderness at the:

A patient has been diagnosed with osteoporosis and asks the nurse,"What is osteoporosis?" The nurse explains to the patient that osteoporosis is defined as:

During an examination,the nurse asks a patient to bend forward from the waist and notices that the patient has lateral tilting.When his leg is raised straight up,he complains of a pain going down his buttock into his leg.The nurse suspects:

The nurse is assessing a patient's ischial tuberosity.To palpate the ischial tuberosity,the nurse knows that it is best to have the patient:

A 14-year-old boy who has been diagnosed with Osgood-Schlatter disease reports painful swelling just below the knee for the past 5 months.Which response by the nurse is appropriate?

A patient tells the nurse that she is having a hard time bringing her hand to her mouth when she eats or tries to brush her teeth.The nurse knows that for her to move her hand to her mouth,she must perform which movement?