ATI RN
Muscular System Test Questions Questions
Question 1 of 5
Cancer cells can be characterized as 'generic' cells that perform no specialized body function. Thus cancer cells lack
Correct Answer: A
Rationale: Cancer cells lack differentiation, remaining unspecialized and 'generic,' unlike normal cells (e.g., liver cells) with specific roles, driving uncontrolled growth. They retain reproduction , often excessively, and responsiveness to some signals, not both . Loss of differentiation, a hallmark of cancer per pathology, makes 'a' correct.
Question 2 of 5
Which disease results in muscle weakness due to a lack of neurotransmitter receptors?
Correct Answer: C
Rationale: Myasthenia gravis causes muscle weakness by reducing acetylcholine receptors at the neuromuscular junction. Autoantibodies attack these receptors, impairing signal transmission from motor neurons to skeletal muscle, leading to fatigue, especially in facial and limb muscles. Muscle dystrophy involves progressive fiber degeneration, not receptor loss. Intermittent claudication stems from vascular insufficiency, weakening muscles via oxygen deprivation, not neurotransmission. Tetanus, from bacterial toxin, causes rigid contractions, not weakness, by overstimulating neurons. Fibromyositis (likely fibromyalgia) involves pain and stiffness, not receptor deficits. In myasthenia gravis, the postsynaptic membrane's receptor scarcity confirmed by immunological and electromyographic studies disrupts voluntary movement, often relieved by acetylcholinesterase inhibitors boosting acetylcholine. This autoimmune mechanism contrasts with structural or infectious muscle disorders, highlighting a specific synaptic failure. Clinical data show receptor density dropping 70-90% in affected junctions, underscoring its unique pathophysiology among neuromuscular diseases.
Question 3 of 5
The nurse is discussing actions that can be taken to best prevent osteoporosis with a patient. The nurse s teaching should include:
Correct Answer: C
Rationale: Osteoporosis prevention relies heavily on maintaining bone density and strength over time. Regular physical activity, especially weight-bearing exercises like walking or strength training, stimulates bone formation and slows bone loss, making it a cornerstone of prevention. While a balanced diet is essential for overall health, it alone doesn't target bone health unless it specifically includes adequate calcium and vitamin D. Taking extra calcium supplements might help if dietary intake is insufficient, but it's not the most proactive or comprehensive approach without exercise. Consuming daily milk products provides calcium, but this is only one piece of the puzzle and doesn't address the mechanical stress on bones that exercise provides. Exercise throughout life stands out because it directly impacts bone remodeling and resilience, reducing the risk of fractures as one ages, unlike the other options which are either narrower in scope or less effective independently.
Question 4 of 5
The nurse is assessing the patient s cane for appropriate length. The nurse affirms that the appropriate cane has been selected when the:
Correct Answer: A
Rationale: A properly fitted cane supports posture and balance, with the hand grip ideally at hip level (greater trochanter height). This allows a natural 20-30 degree elbow bend when leaning on it, optimizing weight distribution and comfort. An elbow flexed at 45 degrees would be excessive, straining the arm. The cane tip touching outside the good foot relates to positioning during use, not length assessment. Removing the rubber tip during measurement is impractical and unsafe, as it's part of the cane's function. Hip-level grip ensures the cane aligns with the body's center of gravity, reducing fatigue and enhancing stability during ambulation, making it the standard for fitting.
Question 5 of 5
The nurse is assessing the patient s crutches. The nurse recognizes that correctly sized crutches are:
Correct Answer: C
Rationale: Crutches must fit to support posture and arm movement, typically measured as 16-18 inches below the patient's height or 2-3 finger-widths below the axilla when standing. This allows a 20-30 degree elbow bend for comfort and leverage. Shoulder height would be too tall, risking nerve damage under the arms. Twelve inches below shoulders is imprecise and often too short. Fully extended arms would overstretch, reducing control. The height-based measure ensures the crutches align with the torso and arms, providing stability and preventing strain, making it the standard for correct sizing across diverse body types.