A client has suffered a suspected a rotator cuff tear. Which of the following would the nurse expect to find?
B) Limited abduction
After teaching a group of students about the bones and their functions, the instructor determines that the teaching was successful when the students state that blood cells are
produced in which of the following?
B) Red marrow
A client complains of temporomandibular joint (TMJ) pain. Which of the following would the nurse most likely assess?
B) Difficulty chewing
Assessment reveals that an older adult client has osteomalacia. Which of the following would be most important to include in the client's teaching plan?
A) Practice risk prevention for fractures.
Which of the following would the nurse expect to find when examining a client with a herniated lumbar disc?
B) Flattened lumbar curve
The nurse is assessing an adolescent client and notes 45-degree flexion of the cervical
spine. What is the nurse's most appropriate action?
C) Continue the exam because this curve is normal.
When asked to touch her ear to her shoulder, a client reports pain. Which of the following should the nurse do next?
D) Refer the client for further evaluation.
Which test would be most appropriate for the nurse to perform when a client complains of low back pain?
B) Straight leg test
A nurse asks a client to bring his hands together behind his head with his elbows flexed.The nurse is testing which of the following?
A) External rotation
Which of the following would the nurse interpret as a positive response to the Phalen test for a client suspected of having carpal tunnel syndrome?
B) Numbness
A nurse is preparing a program on osteoporosis for a local women's group. Which of thefollowing should the nurse cite as a risk factor?
D) History of smoking
Which of the following would be most appropriate when the nurse notes limitation in active range of motion of a client's right shoulder?
B) Measure range of motion with a goniometer.
When testing muscle strength, a client has difficulty moving her right arm against resistance. Which of the following should the nurse do next?
A) Ask the client to move the part against gravity
Assessment reveals that a client has slight weakness with active range of motion against some resistance. The nurse would document this as which of the following?
B) 4/5
While assessing the knee joint of a client, a nurse also explains about the typical motions associated with that joint. Which of the following would the nurse include?
A) Flexion
When testing the range of motion of the cervical spine, the nurse notes impaired range of motion and neck pain. A review of the client's history reveals fever, chills, and headache. Which of the following would the nurse suspect?
B) Meningitis
A nurse is testing the range of motion of the thoracic and lumbar spine. Which of the following would the nurse document as an abnormal finding?
D) Hyperextension of 15 degrees
The nurse is preparing to palpate the anatomic snuffbox. At which location would the nurse palpate?
C) At the back of the wrist and extended thumb
Inspection of a client's knee reveals swelling, and the nurse suspects that there is significant fluid in the knee. Which of the following would the nurse use to confirm the suspicion?
B) Ballottement test
During the physical exam, the nurse notes a very tender and painful, reddened, hot, and swollen metatarsophalangeal joint of the client's great toe. Which of the following would the nurse suspect?
C) Gouty arthritis
The nurse is conducting a focused musculoskeletal assessment of an older adult client.When analyzing assessment data, the nurse should be aware of what age-related physiological changes? Select all that apply
A) Absence of knee flexion
B) Decreased bone density
C) Decreased joint flexibility
D) Joint capsule calcification
E) Reduced muscle strength
B) Decreased bone density
C) Decreased joint flexibility
D) Joint capsule calcification
E) Reduced muscle strength
A nurse is providing health education about osteoporosis to a community group. What ethnicity is considered to be an independent risk factor for osteoporosis?
B) Caucasian
During the nursing history of a newly admitted client, the nurse is reviewing a client's current medication regimen. What medication category creates a risk for decreased bone
density?
B) Corticosteroids
The nurse is performing an assessment of a client's musculoskeletal system. The nurse should begin the assessment by examining which of the following?
C) The client's gait
The nurse has had a client place the backs of both her hands against each other while flexing her wrists 90 degrees with fingers pointed downward and wrists dangling. Thepresence of pain or tingling during this test suggests what health problem to the nurse?
B) Carpal tunnel syndrome
The nurse is conducting a musculoskeletal assessment of an older adult client. What aspect of the client's medical history requires the nurse to alter the usual sequence or content of this assessment?
D) The client had a total hip replacement 2 years ago.
The nurse is performing the bulge test during the assessment of a client's knee. This test will allow the nurse to make what determination?
A) Whether the client's swollen knee is caused by tissue swelling or by fluid
accumulation
B) Whether the size of the client's knee changes throughout the joint's range of motion
C) Whether swelling in the knee joint is a normal age-related change or a pathological
finding
D) Whether the client's knee joint is capable of adduction and abduction
A) Whether the client's swollen knee is caused by tissue swelling or by fluid
accumulation
Inspection of a client's foot reveals an enlarged, painful, inflamed bursa (bunion) on the medial side of the foot. The nurse should make a referral for what health problem?
B) Hallux valgus
The nurse is planning the care of a 77-year-old woman who has recently been diagnosedwith osteoporosis. What nursing diagnoses should the nurse address in the client's plan
of care? Select all that apply.
E) Risk for injury related to osteoporosis
C) Activity intolerance related to osteoporosis
D) Impaired physical mobility related to osteoporosis
A nurse practitioner refers clients for osteoporosis screening according to the latest U.S.Preventive Services Task Force (USPSTF) recommendations. According to these recommendations, what client should be screen for osteoporosis?
A) A 69-year-old woman with no major risk factors for osteoporosis
