Nursing Health Assessment 1st Edition Jensen Test Bank
ISBN-13: 978-0781780629 ISBN-10: 0781780624
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Below you will find some free nursing test bank questions from this test bank:
Chapter 23: Musculoskeletal Assessment
|1.||A 23-year-old female athlete presents at the clinic with pain in her tibiotalar joint. It is a hinge joint limited to flexion and extension. The terms used to describe these movements are what?|
|A)||Adducting and abducting||C)||Supination and pronation|
|B)||Dorsiflexion and plantar flexion||D)||Rotation and supination|
|2.||For an examination in Anatomy and Physiology, students must label a diagram using the correct medical terminology. Students are placing the joints in their correct places. Where would the students place the metacarpophalangeal joint?|
|A)||In the finger||C)||Between the hand and the finger|
|B)||In the hand||D)||In the foot|
|3.||A 12-year-old girl has been diagnosed with genu valgum. What is the other name for this disease?|
|A) Clubfoot B) Flatfeet C) Bowlegs D) Knock kneed|
|4.||On the Morse Fall Scale, a secondary diagnosis indicates an increase in the final score how many points?|
|A) 25 points B) 20 points C) 15 points D) 10 points|
|5.||A 3-month-old girl has been diagnosed with congenital hip dislocation. What is a confirmatory test for this disease?|
|A)||Trendelenburg’s test||C)||Bouchard’s test|
|B)||Heberden’s test||D)||Phalen’s test|
|6.||A patient is thought to have a balance problem. What would be an advanced method of assessing balance in this patient? (Mark all that apply.)|
|A)||Walking heel to toe|
|B)||Standing on one foot|
|E)||Hopping on one foot|
|7.||A patient comes to the clinic and reports a sore knee. The nurse notes popping and cracking noises when the patient attempts to bend the knee. The patient exhibits signs of pain facial expression. The nurse knows that the popping and cracking noises should be charted as what?|
|B)||Grating noise||D)||Popping and cracking noises|
|8.||When assessing a patient’s strength, it is necessary to|
|A)||Compare one side to the other|
|B)||Assess the extremities at the same time|
|C)||Compare upper and lower extremities|
|D)||Assess upper and lower extremities at the same time|
|9.||A patient is admitted to the unit. The nurse notes that the medical record for this patient lists a fall risk of 75% per the Morris Fall Risk scale. What would be an appropriate nursing intervention?|
|A)||Assess for orthotics|
|B)||Use environmental cues|
|C)||Use an accessory high seat on the toilet|
|D)||Encourage the patient to use canes bilaterally|
|10.||Which of the following tools would an advanced practice nurse be more likely than a registered nurse to use during the performance of a musculoskeletal assessment on a patient?|
|A) Flashlight B) Gradiometer C) Scale D) Goniometer|
|11.||A nurse has just finished assessing a patient’s spine and neck muscles. How would the nurse document normal findings?|
|A)||C8 and T1 spinous processes prominent. Paravertebral, sternocleidomastoid, and trapezius muscles fully developed, symmetrical, and nontender|
|B)||All findings within normal limits|
|C)||Neck assessment WNL|
|D)||C7 and T1 spinous processes prominent. Paravertebral, sternocleidomastoid, and trapezius muscles fully developed, symmetrical, and nontender|
|12.||The nurse is assessing the musculoskeletal system of a 14-year-old boy for participation in athletics. The nurse would expect to find that this patient’s bones are what as compared to a female of the same age?|
|A)||No difference||C)||Longer and stronger|
|B)||Larger and stronger||D)||More curved|
|13.||Many variations related to ethnicity are visible in the musculoskeletal system. Mark all that are correct.|
|A)||Caucasians have intermediate curves in their femurs|
|B)||Asian Americans have denser bones than other races|
|C)||Native Americans have an anterior curvature to their femurs|
|D)||Polynesian Americans have a posterior curvature to their femurs|
|E)||African Americans have straight femurs|
|14.||The nurse is receiving report on a patient with a nursing diagnosis of activity intolerance. What would be an appropriate nursing intervention for this patient?|
|A)||Use footwear that facilitates walking and prevents injury|
|C)||Use assistive devices|
|D)||Ask for input on habits and preferences|
|15.||The nurse is developing a plan of care for a patient found to have a strength problem. What would be an appropriate nursing diagnosis for this patient?|
|A)||Activity intolerance||C)||Impaired physical mobility|
|B)||Self-care deficit||D)||Impaired walking|
|16.||An 87-year-old patient has been admitted to the unit. This patient has problems with fine motor movement. What would be important to do for this patient?|
|A)||Open all packages and arrange the meal tray while communicating actions to the patient|
|B)||Teach the patient to call for assistance when getting up to bathroom|
|C)||Evaluate for assistance devices|
|D)||Assess gross motor function|
|17.||A 13-year-old boy is brought to the emergency department with an injury to his left ankle after a skateboard accident. Diagnostic films show a fracture across the epiphyses. The doctor explains that the patient may not have full ROM and that his left leg may be shorter than his right leg. The parents ask why one leg may be shorter than the other. What would be the nurse’s best answer?|
|A)||The epiphysis is the growth plate|
|B)||The fracture crosses the part of the bone where the bone lengthens|
|C)||Any fracture of a bone has the potential of decreasing length in the leg bone|
|D)||Bone growth in boys generally stops about this time|
|6.||C, D, E|
|13.||A, C, E|