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NURS 1020 Mobility Exam 3 Questions and Answers 2024 100% Verified.
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NURS 1020 Mobility Exam 3 Questions and Answers 2024 100% Verified.
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NURS 1020 Mobility Exam 3A patient reports shoulder pain when the nurse moves the patient's arm behind the back. Which
question would the nurse ask?
a. "Are you able to feed yourself without difficulty?"
b. "Do you have difficulty when you are putting on a shirt?"
c. "Are you able to sleep through the night without waking?"
d. "Do you ever have trouble lowering yourself to the toilet?"
b. "Do you have difficulty when you are putting on a shirt?"
The patient's pain will make it more difficult to accomplish tasks such as putting on a shirt or
jacket. This pain should not affect the patient's ability to feed himself or use the toilet because
these tasks do not involve moving the arm behind the patient. The arm will not usually be
positioned behind the patient during sleeping.
A patient with left knee pain is diagnosed with bursitis. Which location would the nurse identify
as being the site of inflammation?
a. A fluid-filled sac found at the joint
b. A synovial membrane that lines the joint
c. The connective tissue fastening bones within a joint
d. The fibrocartilage that acts as a shock absorber in the joint
a. A fluid-filled sac found at the joint
Bursae are fluid-filled sacs that cushion joints and bony prominences. Fibrocartilage is a solid
tissue that cushions some joints. Ligaments are connective tissue joining bones within a joint.
The synovial membrane lines many joints but is not affected in bursitis.
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Which information in a 67-yr-old woman's health history would alert the nurse to the need for a
focused assessment of the musculoskeletal system?
a. The patient sprained an ankle at age 13.
b. The patient's father died of tuberculosis.
c. The patient's mother became shorter with aging.
d. The patient takes ibuprofen for occasional headaches.
c. The patient's mother became shorter with aging.
A family history of height loss with aging may indicate osteoporosis, and the nurse should
perform a more thorough assessment of the patient's current height and other risk factors for
osteoporosis. A sprained ankle during adolescence does not place the patient at increased
current risk for musculoskeletal problems. A family history of tuberculosis is not a risk factor.
Occasional nonsteroidal antiinflammatory drug (NSAID) use does not indicate any increased
musculoskeletal risk.
Which information obtained during the nurse's assessment may indicate a patient's increased
risk for musculoskeletal problems?
a. The patient takes a multivitamin daily.
b. The patient dislikes fruits and vegetables.
c. The patient is 5 ft, 2 in tall and weighs 180 lb.
d. The patient prefers whole milk to nonfat milk.
c. The patient is 5 ft, 2 in tall and weighs 180 lb.
The patient's height and weight indicate obesity, which places stress on weight-bearing joints
and predisposes the patient to osteoarthritis. The use of whole milk, avoidance of fruits and
vegetables, and use of a daily multivitamin are not risk factors for musculoskeletal problems.
Which medication information would the nurse identify as a potential risk to a patient's
musculoskeletal system?
a. The patient takes a daily multivitamin and calcium supplement.
b. The patient has asthma requiring frequent therapy with oral corticosteroids.
c. The patient takes hormone replacement therapy (HRT) to prevent "hot flashes."
d. The patient has headaches treated with nonsteroidal antiinflammatory drugs (NSAIDs).
b. The patient has asthma requiring frequent therapy with oral corticosteroids.
Frequent or chronic corticosteroid use may lead to skeletal problems such as avascular necrosis
and osteoporosis. The use of HRT and calcium supplements will help prevent osteoporosis.
NSAID use does not increase the risk for musculoskeletal problems.
, The nurse finds that a patient can flex the arms when no resistance is applied but is unable to
flex against light resistance. How would the nurse document the patient's muscle strength level?
a. 0
b. 1
c. 2
d. 3
d. 3
Muscle strength of 3 indicates the patient is unable to move against resistance but can move
against gravity. Level 1 indicates minimal muscle contraction, level 2 indicates the arm can
move when gravity is eliminated, and level 4 indicates active movement with some resistance.
After completing the health history, how would the nurse begin to assess the musculoskeletal
system?
a. Feel for the presence of crepitus during joint movement.
b. Have the patient move the extremities against resistance.
c. Observe the patient's body build and muscle configuration.
d. Check active and passive range of motion for the extremities.
c. Observe the patient's body build and muscle configuration.
The usual technique in the physical assessment is to begin with inspection. Abnormalities in
muscle mass or configuration will allow the nurse to perform a more focused assessment of
affected areas. The other assessments are included but are usually done after inspection.
Which action would the nurse include when performing the straight-leg raising test for an
ambulatory patient with back pain?
a. Lift the patient's leg to a 60-degree angle from the bed.
b. Place the patient in the prone position on the exam table.
c. Ask the patient to dangle both legs over the edge of the exam table.
d. Instruct the patient to elevate the legs and tense the abdominal muscles.
a. Lift the patient's leg to a 60-degree angle from the bed.
When performing the straight leg-raising test, nurse passively lifts the patient's legs to a
60-degree angle while the patient is in the supine position. The other actions would not be
correct for this test.
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A patient has a new order for magnetic resonance imaging (MRI) without contrast to evaluate
possible left femur osteomyelitis after hip arthroplasty surgery. Which information indicates the
nurse would consult with the health care provider before scheduling the MRI?
a. The patient has a pacemaker.
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