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
The nurse is assessing four clients with musculoskeletal disorders. The nurse should assess the client with which laboratory result first?
Correct Answer: D
Rationale: A serum phosphorus level of 2 mg/dL is below the normal range (2.5"?4.5 mg/dL), indicating a potential issue such as hypophosphatemia, which can affect bone health and requires immediate assessment. The other lab results are within normal ranges.
Question 2 of 5
A student nurse learns about changes that occur to the musculoskeletal system due to aging. Which changes clearly lead to increased safety risks?
Correct Answer: D
Rationale: Decreased muscle mass reduces strength, which increases the risk of falls and injuries in older adults. Increased bone density is not typical with aging; osteoporosis, not universal, increases fracture risk but is not guaranteed. Increased joint flexibility is not a common aging change.
Question 3 of 5
A client is having a myologgraphy. What action by the nurse is most important?
Correct Answer: B
Rationale: The diagnostic procedure is invasive and requires informed consent. The AST does not need to be assessed prior to the procedure. The client is positioned with the head of the bed elevated after the test to keep the contrast material out of the brain. The dressing should not become saturated; if it does, the nurse calls the provider.
Question 4 of 5
A client is undergoing computed tomography (CT) of a joint. What action by the nurse is most important before the test?
Correct Answer: B
Rationale: Because CT uses iodine-based contrast material, the nurse assesses the client for allergies to iodine or seafood (which often contains iodine). The other actions are not needed.
Question 5 of 5
A client had an arthroscopy 1 hour ago on the left knee. The nurse finds the left lower leg to be pale and cool, with 1+ pedal pulses. What action by the nurse is best?
Correct Answer: A
Rationale: The nurse should compare findings of the two legs as these findings may be normal for the client. If a difference is observed, the nurse notifies the provider. Documentation should occur after the nurse has all the data. Elevating the left leg will not improve perfusion if there is a problem.