Chapter 58--Assessment of Musculoskeletal Function

Chapter 58–Assessment of Musculoskeletal Function

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. A client is being treated for a fractured scapula. The nurse realizes that the scapula is what kind of bone type?

1.	Flat
2.	Irregular
3.	Long
4.	Short

 

 

ANS:  1

The scapula, iliac crest, and sternum are flat bone types. Metacarpals are an example of the short type. The femur is a long type bone, and the vertebra is an irregular type.

 

PTS:   1                    DIF:    Analyze         REF:   Table 58-1 Types of Bone

 

2. A school age child has sustained a fractured femur. When assessing the location of the break, the area that could cause the most concern would be the:

1.	diaphysis.
2.	epiphyseal plate.
3.	medullary cavity.
4.	metaphysis.

 

 

ANS:  2

The epiphyseal plate, or growth plate, is where active longitudinal growth occurs. If a fracture occurs in or through the epiphyseal plate, growth in that extremity may be delayed or stopped. The diaphysis is the shaft of the long bone. The medullary cavity is the bone marrow. The metaphysis is the area of transition between the diaphysis and the epiphysis.

 

PTS:   1                    DIF:    Analyze         REF:   Macroscopic Structure of Bone

 

3. A client is experiencing an increase in resorption of bone. The nurse realizes that which of the following bone cells is responsible for this function?

1.	Osteoblasts
2.	Osteoclasts
3.	Osteocytes
4.	Osteomasts

 

 

ANS:  2

Osteoclasts are responsible for resorption in the bone and work chemically through enzymatic and phagocytic action. Osteoblasts build bone. Osteocytes are mature bone cells, and osteomasts demineralize bone.

 

PTS:   1                    DIF:    Analyze         REF:   Microscopic Structure of Bone: Cell Types

 

4. A client, recovering from an extended illness, is having difficulty coordinating his movements to walk. The nurse should remind the client that skeletal muscle has which of the following normal properties?

1.	It is automatic.
2.	It is convulsive.
3.	It is involuntary.
4.	It is voluntary.

 

 

ANS:  4

Skeletal muscle is voluntary. Cardiac and smooth muscles are involuntary. Skeletal muscle is not normally convulsive in nature.

 

PTS:   1                    DIF:    Apply            REF:   Anatomy and Physiology of Skeletal Muscles

 

5. A client is experiencing unstable hip joints with ambulation. The nurse suspects that a disorder is occurring within the strong bands of connective tissue that attach bone to bone or the:

1.	bursae.
2.	cartilage.
3.	ligaments.
4.	tendons.

 

 

ANS:  3

Ligaments are strong bands of connective tissue that attach bone to bone or bone to cartilage. Ligaments help to give joints stability, guide the joint movement, and prevent excess motion within the joint. Tendons connect muscle to bone. Bursae are synovial fluid-filled sacs near joints. Cartilage covers the ends of bone to reduce friction.

 

PTS:   1                    DIF:    Analyze         REF:   Tendons, Ligaments, and Bursae