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Assessment Question and answers rated A+
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Assessment Question and answers rated A+ 1. Which description of pain from the patient makes a nurse suspect the patient's pain is originating from a muscle? a. "Crampy" b. "Dull and deep" c. "Boring and intense" d. "Sharp upon movement" - correct answer ANS: A Feedback A Muscle pain is o...

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  • August 18, 2024
  • 18
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • assessment
  • assessment question and answers rated a

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  • Musculoskeletal
  • Musculoskeletal

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Assessment: Musculoskeletal Practice
questions
1. Which description of pain from the patient makes a nurse suspect the
patient's pain is originating from a muscle?
a. "Crampy"
b. "Dull and deep"
c. "Boring and intense"
d. "Sharp upon movement" - correct answer ✔ANS: A


Feedback
A Muscle pain is often described as "crampy."
B Bone pain typically is described as "deep" and "dull."
C Bone pain typically is described as "boring" and "intense."
D Muscle pain usually remains crampy on movement.
DIF: Cognitive Level: Understand REF: 301


2. A nurse asks a patient to describe his new onset of leg pain. He slept well
through the night, but this morning he suddenly developed pain in his left
lower leg that is red and too painful to touch. Nothing relieves the pain. Based
on these data, the nurse suspects which disorder is causing this pain?
a. Rheumatoid arthritis
b. Osteoarthritis
c. Gout
d. Tendonitis - correct answer ✔ANS: C


Feedback

,A Patients with rheumatoid arthritis often have morning stiffness lasting 1 to 2
hours.
B Patients with osteoarthritis experience pain when bearing weight that is
relieved by rest.
C Sudden onset of pain and erythema in the great toe, ankle, and lower leg
suggests gout (also called gouty arthritis).
D Tendonitis may awaken the patient, especially when the patient is lying on
the affected limb.
DIF: Cognitive Level: Apply REF: 301| 332
TOP: Nursing Process: Assessment
MSC: NCLEX Patient Needs: Physiologic Integrity: Physiologic Adaptation:
Alteration in Body Systems


3. During a history, the patient reports having gout. Based on this information,
what findings does the nurse anticipate during a focused assessment?
a. Warm, tender, and deformed wrists and peripheral interphalangeal (PIP)
joints bilaterally
b. Edema, warmth, and redness of one great toe and pea-like nodules in the
ear lobes
c. Enlarged and tender PIP or distal interphalangeal (DIP) joints on one or
several fingers
d. Tenderness with pronation and supination of the elbow and point
tenderness on the lateral epicondyle - correct answer ✔ANS: B


Feedback
A This is a description of findings of a patient who has rheumatoid arthritis.
Bilateral joint involvement is common.
B This is a description of gout. The pealike nodules are tophi, collections of
uric acid in subcutaneous tissue.

, C This is a description of findings of a patient who has osteoarthritis. Enlarged
and tender PIP joints refer to Heberden nodes and DIP joints refer to
Bouchard nodes.
D This is a description of epicondylitis (tennis elbow).
DIF: Cognitive Level: Apply REF: 301| 332
TOP: Nursing Process: Assessment
MSC: NCLEX Patient Needs: Physiologic Integrity: Physiologic Adaptation:
Alteration in Body System


4. A patient reports joint pain interfering with sleep and morning joint stiffness
for the first hour after getting out of bed. Considering this report, what
abnormal findings does the nurse anticipate during the examination?
a. Abrupt onset of local tenderness, edema, and decreased range of motion of
the shoulder and hip bilaterally
b. Decreased range of motion of one hip and knee with pain on flexion and
crepitus during movement of these joints
c. Erythema in one great toe, ankle, and lower leg that is painful to the touch
d. Hot, painful, deformed, and edematous wrists and peripheral
interphalangeal joints bilaterally - correct answer ✔ANS: D


Feedback
A This examination finding is more consistent with bursitis.
B This examination finding is more consistent with osteoarthritis.
C This examination finding is more consistent with gout.
D The history and these examination findings are consistent with rheumatoid
arthritis. Joints are involved bilaterally in rheumatoid arthritis because it is a
systemic autoimmune disorder.

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