ATI LPN
Test Bank for Medical Surgical Nursing: Concepts for Interprofessional Collaborative Care 10th Edition
Chapter 49 : Assessment of the Musculoskeletal System Questions
Question 1 of 5
A hospitalized clients strength of the upper extremities is rated at 3. What does the nurse understand about this clients ability to perform activities of daily living (ADL)?
Correct Answer: A
Rationale: This rating indicates fair muscle strength with full range of motion against gravity but not resistance. The client could complete ADLs independently unless they required lifting objects.
Question 2 of 5
A client is distressed at body changes related to kyphosis. What response by the nurse is best?
Correct Answer: A
Rationale: Assessment is the first step of the nursing process, and the nurse should begin by getting as much information about the client's feelings as possible. Explaining that the changes are irreversible discounts the client's feelings. Depending on the extent of the deformity, clothing will not hide it. While safety is more objectively important than looks, the client is worried about looks and the nurse needs to address this issue.
Question 3 of 5
The nurse knows that hematopoiesis occurs in what part of the musculoskeletal system?
Correct Answer: C
Rationale: Hematopoiesis occurs in the red marrow, which is part of the cancellous tissues containing both types of bone tissue.
Question 4 of 5
A nurse is providing community education about preventing traumatic musculoskeletal injuries related to car crashes. Which group does the nurse target as the priority for this education?
Correct Answer: A
Rationale: Young men are at highest risk for musculoskeletal injury due to trauma, especially due to motor vehicle crashes. The high school football team, with its roster of young males, is the priority group.
Question 5 of 5
A school nurse is conducting scoliosis screening. In screening the client, what technique is most appropriate?
Correct Answer: A
Rationale:
To assess for scoliosis, a spinal deformity, the student should bend forward at the hips. Standing behind the student, the nurse looks for a lateral curve in the spine. The other actions are not correct.