1.
1. A nurse on the orthopedic floor is assessing her patient's peroneal nerve. The nurse will perform this assessment by pricking what?
A. 
A) The skin centered between the great and second toe
B. 
B) The medial and lateral surface of the sole
C. 
C) The skin centered between the thumb and second finger
D. 
D) The top or distal surface of the index finger
2.
2. The nursing instructor is discussing disability in the United States. What would the instructor tell the students is the leading cause of disability in the United States?
A. 
B. 
C. 
D. 
3.
3. You are caring for a patient whose laboratory studies show that the patient is hypocalcemic. When the nurse analyzes the other laboratory studies, the nurse will expect the results to reveal what?
A. 
A) An elevated parathyroid hormone level
B. 
B) A decreased parathyroid hormone level
C. 
C) An elevated potassium level
D. 
D) A decreased potassium level
4.
4. While doing an initial assessment on a patient, she tells the nurse that she has bone pain. The nurse asks the patient to describe the characteristics of the pain. Which of the following are typical characteristics of bone pain?
A. 
A) Dull, deep ache that is “boring” in nature
B. 
B) Soreness or aching that may include cramping
C. 
C) Sharp and piercing; relieved by immobilization
D. 
D) Spastic or sharp pain that radiates
5.
5. A nurse is doing an assessment on his patient for peripheral neurovascular dysfunction. What assessment findings may indicate to the nurse peripheral neurovascular dysfunction?
A. 
A) Pale, warm skin with a capillary refill of 1 to 2 seconds
B. 
B) Absence of feeling, capillary refill of 4 to 5 seconds and cool skin
C. 
C) Pain, increased motion, and redness of the skin
D. 
D) Jaundiced skin, weakness in motion, and capillary refill of 3 seconds
6.
6. An elderly patient has symptoms of osteoporosis and is being assessed during her annual physical examination. The assessment shows the patient will require further testing related to the symptoms of osteoporosis. The nurse informs the patient that the most accurate test for osteoporosis is what?
A. 
A) Hip bone densitometry (BMD)
B. 
C. 
C) Computed tomography (CT)
D. 
D) Magnetic resonance imaging (MRI)
7.
7. A patient injured in a motor vehicle accident has sustained damage to the diaphysis of the right femur. What is the diaphysis of the femur mainly constructed of?
A. 
B. 
C. 
D. 
8.
8. An elderly patient has come to the clinic for a regular check-up. While reviewing a patient's history, the nurse notes that the patient has an increased thoracic curvature of the spine. What is this referred to as?
A. 
B. 
C. 
D. 
9.
9. When assessing the patient's peripheral nerve function the nurse uses an instrument to prick the fat pad at the top of the small finger. This action will assess which of the following nerves?
A. 
B. 
C. 
D. 
10.
10. A patient comes to the free clinic to see the Nurse Practitioner. The Nurse Practitioner notices a spinal abnormality as she observes the patient standing. The Nurse Practitioner observes an increase in the lumbar curvature of the spine. She will document this finding on the assessment record as what?
A. 
B. 
C. 
D. 
11.
11. The human body is designed to protect its vital parts. The nurse is aware that a fracture of what type of bone may interfere with the protection of vital organs?
A. 
B. 
C. 
D. 
12.
12. A patient has just had an arthroscopy. What is a nursing intervention that is necessary for the nurse to implement following an arthroscopy?
A. 
A) Wrap the joint in compression dressing.
B. 
B) Flex and lower the joint.
C. 
C) Extend and lower the joint.
D. 
13.
13. While assessing a patient, the patient tells the nurse that she is experiencing rhythmic contractions in the ankle after kneeling down in such a way that the foot is dorsiflexed. What is this muscle contraction referred to as?
A. 
B. 
C. 
D. 
14.
14. The nurse considers when developing the patient's care plan that without proper intervention, the muscles of the patient are at risk of developing what?
A. 
B. 
C. 
D. 
15.
15. You are caring for a patient who has a bone scan scheduled. What would the nurse teach the patient about the test?
A. 
A) The test is brief and requires that you drink an IV contrast solution
B. 
B) You will not be allowed fluid for 2 hours before and 3 hours after the test
C. 
C) Fluids will be encouraged after the administration of the radioisotope injection
D. 
D) There are no contraindications for this test
16.
16. You are assessing the muscle tone of a 10-year-old admitted with muscular dystrophy. You assess with movement that the patient's muscle has a greater-than-normal tone. How will the nurse document this finding?
A. 
B. 
C. 
D. 
17.
17. Which of the following techniques will the nurse implement to assess a patient's gait?
A. 
A) Instruct the patient to walk heal to toe for 15 to 20 steps.
B. 
B) Instruct the patient to run in place for 15 to 20 seconds.
C. 
C) Instruct the patient to walk away from the nurse for a short distance.
D. 
D) Instruct the patient to balance on one foot for as long as possible.
18.
18. The clinic nurse is caring for a 70-year-old female with a history of osteoporosis. The patient has come to the clinic for her annual physical. Which of the following diagnostic tests will the nurse expect the physician to order to assess the risk of fracture for people with osteoporosis?
A. 
B. 
C. 
D. 
19.
19. You are performing a musculoskeletal assessment on a patient with arthritis. During passive range-of-motion exercises the nurse hears a grating and cracking sound. This assessment finding is correctly referred to as what?
A. 
B. 
C. 
D. 
20.
20. What is the term for the process of cartilage formation at a fracture site?
A. 
B. 
C. 
D. 
21.
21. The nursing instructor is talking about the musculoskeletal system with her students. The instructor tells her students that there are four types of bones in the human body. What would the instructor tell the students about the determination of the shape and construction of a specific bone?
A. 
A) It is determined by its position in the body.
B. 
B) It is determined by its function and the forces exerted on it.
C. 
C) It is determined by what type of bone it is made from.
D. 
D) It is determined by how far from the body core it is.
22.
22. The nurse is caring for a patient who has an MRI scheduled. What does the nurse assess the patient for prior to the study?
A. 
B. 
C. 
D. 
D) Inability to tolerate required positions
23.
23. When taking a health history on a patient with musculoskeletal dysfunction what would the nurse include?
A. 
A) Evaluation of the effects of the musculoskeletal disorder on the patient
B. 
B) Evaluation of where patient is at in treatment plan
C. 
C) Evaluation patient's abilities
D. 
D) Evaluation of patient's ability to process information
24.
24. A patient on the unit is scheduled for a bone scan to rule out osteosarcoma of the pelvic bones. What would be important for the nurse to assess before the patient's scan?
A. 
A) That the patient defecated
B. 
B) That the patient emptied their bladder
C. 
C) That the patient doesn't have a full stomach
D. 
D) That the patient has fasted for at least 8 hours
25.
25. The anatomy and physiology pre-nursing class is learning about bone growth. The students learn that in an adult several factors influence the balance between bone resorption and formation. What dietary nutrients and hormones play a role in the resorption and formation of adult bones? (Mark all that apply.)
A. 
B. 
C. 
D. 
E.