Chapter 66 Assessment of Musculoskeletal Function

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Chapter 66  Assessment of Musculoskeletal Function

 

 

Complete Chapter Questions And Answers
 

Sample Questions

 

Multiple Choice

1. A nurse on the orthopedic floor is assessing her patient’s peroneal nerve. The nurse will perform this assessment by pricking what?
A) The skin centered between the great and second toe
B) The medial and lateral surface of the sole

C) The skin centered between the thumb and second finger D) The top or distal surface of the index finger

Ans: A
Chapter: 66
Client Needs: D-4
Cognitive Level: Application Difficulty: Moderate
Integrated Process: Nursing Process Objective: 3
Page and Header: 2019, Assessment

Feedback: The nurse will evaluate the sensation of the peroneal nerve by pricking the skin centered between the great and second toe. Evaluating sensation of the tibial nerve involves pricking the medial and lateral surface of the sole. Evaluating sensation of the radial nerve involves pricking the skin centered between the thumb and second finger. Evaluating sensation

of the medial nerve involves pricking the top or distal surface of the index finger.

2. The nursing instructor is discussing disability in the United States. What would the instructor tell the students is the leading cause of disability in the United States?
A) Osteoporosis
B) Arthritis

C) Hip fractures
D) Long bone fractures

Ans: B
Chapter: 66
Client Needs: D-4
Cognitive Level: Application Difficulty: Moderate
Integrated Process: Nursing Process Objective: 1
Page and Header: 2009, Introduction

Feedback: The leading cause of disability in the United States is arthritis. Therefore options A, C, and D are incorrect.

3. You are caring for a patient whose laboratory studies show that the patient is hypocalcemic. When the nurse analyzes the other laboratory studies, the nurse will expect the results to reveal what?
A) An elevated parathyroid hormone level

B) A decreased parathyroid hormone level C) An elevated potassium level
D) A decreased potassium level

Ans: A
Chapter: 66
Client Needs: D-4
Cognitive Level: Analysis
Difficulty: Moderate
Integrated Process: Nursing Process
Objective: 4
Page and Header: 2010, Anatomic and Physiologic Overview

Feedback: In the response to low calcium levels in the blood, increased levels of parathyroid hormone prompt the mobilization of calcium, the demineralization of bone, and the formation of

bone cysts. You would not expect to find that the patient has elevated or decreased potassium levels.

4. While doing an initial assessment on a patient, she tells the nurse that she has bone pain. The nurse asks the patient to describe the characteristics of the pain. Which of the following are typical characteristics of bone pain?
A) Dull, deep ache that is “boring” in nature

B) Soreness or aching that may include cramping C) Sharp and piercing; relieved by immobilization D) Spastic or sharp pain that radiates

Ans: A
Chapter: 66
Client Needs: D-4
Cognitive Level: Application Difficulty: Difficult
Integrated Process: Nursing Process Objective: 2
Page and Header: 2015, Assessment

Feedback: Bone pain is characteristically described as a dull, deep ache that is “boring” in nature, whereas muscular pain is described as soreness or aching and is referred to as “muscle cramps.” Fracture pain is sharp and piercing and is relieved by immobilization. Sharp pain may also result from bone infection with muscle spasm or pressure on a sensory nerve.

5. A nurse is doing an assessment on his patient for peripheral neurovascular dysfunction. What assessment findings may indicate to the nurse peripheral neurovascular dysfunction?
A) Pale, warm skin with a capillary refill of 1 to 2 seconds
B) Absence of feeling, capillary refill of 4 to 5 seconds and cool skin

C) Pain, increased motion, and redness of the skin
D) Jaundiced skin, weakness in motion, and capillary refill of 3 seconds

Ans: B
Chapter: 66
Client Needs: D-4
Cognitive Level: Application Difficulty: Moderate
Integrated Process: Nursing Process Objective: 3
Page and Header: 2015, Assessment

Feedback: Indicators of peripheral neurovascular dysfunction include pale, cyanotic or mottled skin with a cool temperature, capillary refill greater than 3 seconds, weakness or paralysis with motion, and paresthesia, unrelenting pain, pain on passive stretch, or absence of feeling.

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