Chapter 4: Care of the Patient with a Musculoskeletal Disorder

Chapter 4: Care of the Patient with a Musculoskeletal Disorder

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

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

ANS:  A

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

DIF:    Cognitive Level: Knowledge            REF:   Page 114, Box 4-2

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

MSC:  NCLEX: Physiological Integrity

2. What is 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?

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 116, Figure 4-4

OBJ:   4                    TOP:   Muscle functions

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

3. What should the nurse instruct the patient before a magnetic resonance imaging (MRI) procedure?

ANS:  C

MRI procedures require that the patient remove all metal because it will become magnetized.

DIF:    Cognitive Level: Application           REF:   Page 116        OBJ:   7

TOP:   Diagnostic examinations                  KEY:  Nursing Process Step: Assessment

MSC:  NCLEX: Physiological Integrity

4. The nurse instructs the patient who is to have a unicompartmental knee replacement that a major advantage of this partial knee replacement is that:

ANS:  A

Unicompartmental knee arthroplasty is also referred to as partial knee replacement in which the worn cartilage is replaced with a plastic disk. It is not as invasive as a full knee replacement and does not disturb the kneecap so that the patient can be up and walking in 2 to 3 hours after surgery. It is not recommended for RA patients.

DIF:    Cognitive Level: Comprehension     REF:   Page 136        OBJ:   13

TOP:   Unicompartmental knee replacement

KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Physiological Integrity

5. A patient who has had a right below the knee amputation continues to complain of unpleasant sensation in the right foot. What can the nurse explain about this “phantom pain”?

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:   Page 169        OBJ:   21

TOP:   Phantom pain                                  KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Physiological Integrity