When asked to touch her ear to her shoulder, a client reports pain. what would the nurse do next?

What finding should a nurse expect when performing the Phalen's test on a client with suspected carpal tunnel syndrome?
A. Inability to perform active range of motion with the involved wrist B. Stiffness in the hands and fingers after holding and releasing a tight fist C. Reports of tingling, numbness, and pain in the involved wrist D. A change in the color of the fingers from red to white (pale)

Reports of tingling, numbness, and pain in the involved wrist

A client is unable to perform abduction with the right arm and reports pain when attempting to do so. The nurse notices that the muscles surrounding the right shoulder are smaller than those on the left shoulder. The nurse recognizes this finding as the possibility of what condition?
A. Tendinitis B. Fracture C. Rotator cuff tear D. Degenerative joint disease

The nurse is conducting a musculoskeletal assessment of an older adult client. What aspect of the client's medical history requires the nurse to alter the usual sequence or content of this assessment?
A. The client has a diagnosis of type 1 diabetes. B. The client takes medications to treat hypertension. C. The client had a total hip replacement 2 years ago. D. The client suffered a fractured humerus 1 year earlier.

The client had a total hip replacement 2 years ago.

The nurse is performing the bulge test during the assessment of a client's knee. This test will allow the nurse to make what determination?
A. Whether the client's knee joint is capable of adduction and abduction B. Whether swelling in the knee joint is a normal age-related change or a pathological finding C. Whether the size of the client's knee changes throughout the joint's range of motion D. Whether the client's swollen knee is caused by tissue swelling or by fluid accumulation

Whether the client's swollen knee is caused by tissue swelling or by fluid accumulation

A client presents to the health care clinic with reports of onset of neck pain 3 days ago. The nurse recognizes that the most common cause of neck pain is what condition?
A. Cervical spinal cord compression  B. Cervical strain C. Cervical disc degenerative disease D. Compression fractures

The nurse is assessing an elderly client and finds an exaggerated thoracic curve. This would be documented as what?
A. Lordosis B. Kyphosis C. Ankylosing spondylitis D. Scoliosis

As the nurse assesses the temporomandibular joint (TMJ), an audible click is heard and palpated. What is nurse's best action?
A. Teach the client about oral surgery procedures. B. Advise the client take an anti-inflammatory. C. Suggest myofascial release therapy. D. Ask the client if painful to move jaw side to side.

Ask the client if painful to move jaw side to side.

One of the functions of a bone is to
A. store protein. B. produce blood cells. C. produce secretions. D. store fat.

A nurse is conducting a physical examination of the musculoskeletal system of a client who reports having joint pain. Which signs indicate there is inflammation in the joints? Select all that apply.
A. swelling B. subcutaneous nodules C. warmth D. redness E. tenderness

  • swelling
  • warmth
  • redness
  • tenderness

A nurse is testing the range of motion of a client's wrist for supination. Which movement will this involve?
A. Moving the tips of the fingers away from the forearm B. Turning the palm of the hand downward C. Turning the palm of the hand upward D. Moving the tips of the fingers toward the forearm

Turning the palm of the hand upward

A nurse is inspecting a client's gait. Which of the following would indicate an abnormal finding?
A. Weight is evenly distributed  B. Toes point out  C. Arms swing in opposition D. Posture is erect

When asked to touch her ear to her shoulder, a client reports pain. What would the nurse do next?
A. Palpate the paravertebral muscles for pain. B. Refer the client for further evaluation. C. Flex and then hyperextend the neck. D. Perform muscle strength against resistance.

Refer the client for further evaluation.

A nurse is preparing a program on osteoporosis for a local women's group. What would the nurse cite as a risk factor?
A. Obesity B. African-American ethnicity C. Multiparity (multiple pregnancies) D. History of smoking

A client has uneven height of the shoulders and hips. What should the nurse suspect this client is demonstrating?
A. kyphosis B. sacroiliitis C. lordosis D. scoliosis

Assessment of the musculoskeletal system usually proceeds from general to specific and from?
A. Bottom to top B. Head to toe C. Right to left D. Anterior to posterior

What range of motion is the nurse testing by asking a client to stoop to pick an object off the floor?
A. Flexion B. Abduction C. Extension D. Rotation

The nurse is preparing to perform a musculoskeletal examination on an adult client. The nurse has explained the examination procedure to the client. The nurse determines that the client needs further instructions when the client says
A. “You’ll be comparing bilateral joints.” B. “You’ll be assessing the size and strength of my joints.” C. “You will be asking me to change positions often.” D. “You’ll continue with range of motion even if I have discomfort.”

“You’ll continue with range of motion even if I have discomfort.”

When assessing muscle tone and strength, the nurse would document expected findings as
A. “upper and lower extremity muscle strength is 5/5” B. “upper extremity muscle strength is 5/5 bilaterally” C. “extremity muscle strength is 5/5 bilaterally” D. “upper and lower extremity muscle strength is 5/5 bilaterally”

“upper and lower extremity muscle strength is 5/5 bilaterally”

Skeletal muscles are attached to bones by
A. fibrous connective tissue. B. ligaments. C. cartilage. D. tendons.

Joints may be classified as cartilaginous, synovial, or
A. immobile. B. flexible. C. articulate. D. fibrous.

An adult client tells the nurse that he eats sardines every day. The nurse should instruct the client that a diet high in purines can contribute to
A. gouty arthritis. B. osteomalacia. C. osteomyelitis. D. bone fractures.

While assessing muscle strength in an older adult client, the nurse determines that the client’s knee joint has a rating of 3 and exhibits active motion against gravity. The nurse should document the client’s muscle strength as being/having
A. average weakness. B. poor range of motion. C. slight weakness. D. normal.

The nurse is assessing the range of motion (ROM) of a patient’s joints. What would the nurse use to assess flexion and extension of a joint if the patient complains of pain on examination?
A. Angulator B. Scoliometer C. Goniometer D. Calibrator

What does the nurse assess each joint for?

As you observe, palpate each joint for warmth, swelling, or tenderness. If you observe decreased active range of motion, gently attempt passive range of motion by stabilizing the joint with one hand while using the other hand to gently move the joint to its limit of movement.

Which instructions should the nurse provide a client to assess the lateral flexion?

To check for lateral flexion, ask the patient to hyperextend the spine as much as possible and then to pass the hand straight down the thigh, first on the right and then on the left, keeping the hips straight.

Which type of joint is present in the client's shoulders?

Ball and socket joints: This type of joint allows side to side, back and forth, and rotational movement. Examples of these joints are the hip or shoulder joints, where the head (ball) of one bone fits into the cavity (socket) of another. 6.

What do nurses use to assess the musculoskeletal system?

Also, a nursing health assessment of the musculoskeletal system involves palpation of the joints. Palpate the joints and assess the temperature of the skin and the muscles. Palpate for warmth, tenderness, swelling or masses. If pain or tenderness are noted, further assess to specify the joint or structure involved.