Chapter 04: Care of the Patient with a Musculoskeletal Disorder

Chapter 04: Care of the Patient with a Musculoskeletal Disorder

Complete Chapter Questions With Answers

Sample Questions Are Posted

MULTIPLE CHOICE

1. The movement of an extremity away from the midline of the body is called

ANS:   A

Abduction is movement of an extremity away from the midline of the body.

DIF:    Cognitive Level: Knowledge             REF:    Page 113, Box 4-2

OBJ:    6                      TOP:    Movements     KEY:   Nursing Process Step: Implementation

MSC:   NCLEX: Physiological Integrity

2. The large, fan-shaped muscle that covers the anterior chest from the sternum to the proximal end of the humerus and acts on the joint of the shoulder to flex, adduct, and rotate is

ANS:   D

Pectoralis major is the large, fan-shaped muscle that covers the anterior chest and is an adductor muscle, which will cause the shoulder to flex.

DIF:    Cognitive Level: Knowledge             REF:    Page 112, Table 4-1, Figure 4-5

OBJ:    5                      TOP:    Muscle functions

KEY:   Nursing Process Step: Assessment    MSC:   NCLEX: Physiological Integrity

3. Which diagnostic exam is used to find pathological abnormalities of the brain?

ANS:   C

Magnetic resonance imaging (MRI) is used to detect pathological conditions of the cerebrum and spinal cord.

DIF:    Cognitive Level: Knowledge             REF:    Page 115         OBJ:    9

TOP:    Diagnostic examinations                    KEY:   Nursing Process Step: Assessment

MSC:   NCLEX: Physiological Integrity

4. The term unicompartmental knee arthroplasty is also referred to as

ANS:   A

Unicompartmental knee arthroplasty is also referred to as partial knee replacement.

DIF:    Cognitive Level: Knowledge             REF:    Pages 133, 172

OBJ:    15                    TOP:    Knee replacement

KEY:   Nursing Process Step: Assessment    MSC:   NCLEX: Physiological Integrity

5. A patient, age 89, has had a right below-the-knee amputation. He is progressing well but continues to complain of pain in the toes on his right foot. The physician told him that he is suffering from “phantom pain” in his amputated extremity. He asks the nurse to explain phantom pain. The most appropriate response would be

ANS:   C

Phantom pain (pain felt in the missing extremity as if it were still present) may occur and be frightening to the patient. Phantom pain occurs because the nerve tracts that register pain in the amputated area continue to send a message to the brain (this is normal).

DIF:    Cognitive Level: Analysis                  REF:    Pages 168-169

OBJ:    21                    TOP:    Amputation    KEY:   Nursing Process Step: Implementation

MSC:   NCLEX: Physiological Integrity