HealthAssess 3.0 Musculoskeletal and Neurological

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20 Terms

1
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A nurse is recommending sources of food rich in calcium content to a client. Which of the following foods should the nurse recommend?

✱ Milk

✱ Broccoli

✱ Legumes

2
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A nurse is assessing the spinal curvature of a client who has a diagnosis of kyphosis. Which of the following images should the nurse identify as kyphosis?

Answer choice that looks like this image.

<p>Answer choice that looks like this image.</p>
3
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A nurse is preparing to perform palpation on a client's knees. In which order should the nurse perform the following steps?

✱ Assist the client to a sitting position with the legs dangling at the edge of the examination table

✱ Palpate the quadriceps muscle above the knee

✱ Palpate the hollows on either side of the patella with the thumbs

✱ Follow the lower edge of the patella and locate the tibiofemoral joint

✱ Palpate the tibiofemoral joint where the femur and tibia meet

4
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A nurse is caring for a client who has a traumatic injury to a lower extremity. Which of the following actions should the nurse take?

Apply compression to the injured area of the extremity.

5
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The nurse is preparing to perform a neurological assessment on a client. The nurse should use a __________ and __________ when performing the assessment.

✱ Pen light

✱ Cotton Ball

6
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A nurse is assessing a client's spinal range of motion. Which of the following motions is the nurse assessing by asking the client to bend backward as far as they can go?

Hyperextension

7
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A nurse is taking a health history from a client. Which of the following statements by the client requires further questioning by the nurse?

"For some reason, I have been falling recently"

8
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A nurse is assessing the flexion of a client's elbows. The nurse should provide which of the following instructions to the client?

"Start with your arms straight out in front of you. Then bend your elbows up and bring your fingers toward your shoulders."

9
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A nurse is assessing the spine of a client. Which of the following findings requires further investigation?

The client walks with a shuffling gait

10
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A nurse is preparing a community program about injury prevention for a group of adults. Which of the following information should the nurse include?

✱ Maintain good posture when working at a desk.

✱ Remove loose rugs from the home.

✱ Wear a helmet when riding a bicycle.

✱ Do not text drive and drive.

11
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A nurse is performing range-of-motion exercises on a client's hips. The nurse assesses which of the following motions by instructing the client to bend the knee and bring it up toward the fest

Flexion of the hip

12
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A nurse is assessing the range of motion of a client's hands. Which of the following instructions should the nurse provide to assess abduction and adduction of the client's fingers?

"Spread your fingers apart and then move them back together."

13
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A nurse is assessing a client's wrist and hands. Which of the following findings indicates the client might have arthritis?

✱ Nodules on the joints

✱ Fingers deviate toward the ulnar

14
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A nurse performing a musculoskeletal and neurological assessment. Which of the following actions should the nurse take?

Inspect for symmetry on both sides of the body.

15
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A nurse is assessing a client's head and neck. Which of the following findings should the nurse report to the provider?

Locking of the jaw joint

16
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A nurse is providing teaching to a client about adequate daily intake of vitamin D. Which of the following intake amounts should the nurse recommend?

800 IU daily

17
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A nurse is providing teach to a client who has osteoporosis about the adequate intake of calcium. Which of the following intake amounts should the nurse recommend?

1,000 to 1,200 mg daily

18
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A nurse is performing range-of-motion exercises on a client's feet. The nurse should provide which of the following instructions to the client to assess plantar flexion of the feet?

"Point your toes toward the floor."

19
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A nurse is preparing to perform palpation of a client's shoulder. In what order should the nurse perform the following steps?

✱ Face client and palpate along the clavicle.

✱ Face the client and palpate the acromioclavicular joint.

✱ Palpate the scapula from the back.

✱ Palpate greater tubercle of the humerus from the back.

20
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A nurse is assessing the range of motion of a client's head and neck. Which of the following instructions should the nurse provide to assess hyperextension?

"Tilt your head back and look up at the ceiling."