PVN 135E Musculoskeletal Nursing Care

1. PVN 135EMusculoskeletal Nursing Care REVIEW #1

2. Multiple Response (MR) • Functions of the skeletal system include: • A. Protection • B. Temperature regulation • C. Movement • D. Hematopoesis

3. Multiple Choice (MC) • The bones serve as a storage specifically for 2 minerals. These are: • A. Sodium and potassium • B. Phosphorus and calcium • C. Sodium and calcium • D. Potassium and phosphorus

4. MC • Blood cell formation takes place in the ___ of bones: • A. Shaft • B. Haversian Canals • C. Red marrow • D. Yellow marrow

5. MC • The cranium, thorax, and vertebrae make up the ___ skeleton. • A. Spongy • B. Appendicular • C. Compact • D. Axial

6. MC • The appendicular skeleton is made up of: • A. Pelvis, hips, vertebrae, and extremities • B. Vertebrae, extremities, shoulders, and hips • C. Limbs, shoulders, pelvis, and hips • D. Ribs, hips, pelvis, and legs

7. MR • There are 4 classifications of bones in the body. Which of the following are included? • A. Spongy • B. Long • C. Short • D. Flat

8. T/F • The vertebrae is an example of irregular bones.

9. Other • List 3 examples of flat bones.

10. Other • Projections are different shapes of bones that help them to connect with other bones. For each of the following, cite the name of the projection and give 1 example: • Rounded Knob

11. Other • Projections cont. • Large projection

12. Other • Projections cont. • Crest

13. Other • Projection cont. • Spine

14. Other • What action does each of the following bone cells perform? • A. Osteoblasts • B. Osteoclasts

15. Other • Complete the definitions for each of the following: • A. Foramen • B. Sinus • C. Fossa

16. T/F • Bones stop growing in length by the late teens, early 20’s.

17. Other • How many vertebrae are present in each of the following sections? • A. Cervical spine ____ • B. Thoracic spine ____ • C. Lumbar spine ____ • D. Sacral spine ____

18. MR • Which of the following are connective tissue or connective tissue structures? • A. Fascia • B. Ligaments • C. Bursa • D. Tendons

19. Match • Freely moveable ___ • Slightly moveable ___ • Immoveable ___ • A. Synarthrosis • B. Diarthrosis • C. Amphiarthrosis

20. Other • Give one example of a synarthrosis joint.

21. MR • Which of the following functions does the muscular system perform? • A. Motion • B. Protection • C. Maintenance of posture • D. Support of blood vessels and nerves • E. Heat production

22. MC • Voluntary muscles come in ____ pairs. • A. 24 • B. Agonistic • C. Antagonistic pairs • D. Involuntary pairs

23. MC • Nerve impulses pass through the _______ and _____ are released that cause the muscle to ______. • A. Axionic connection, rapid impulses, contract • B. Dendritic connection, chemicals, relax • C. Haversian canals, chemicals, cramp • D. Neuromuscular junction, chemicals, contract

24. MC • There are 2 movements of muscle in the body overall. These are: • A. Smooth, striated • B. Contraction, relaxation • C. Voluntary, involuntary • D. Upper and Lower extremities

25. MC • The muscle type that is responsible for making the walls of body organs and works in wavelike motion is called: • A. Voluntary • B. Contractile • C. Smooth • D. Striated

26. MC • The type of muscle that is self-excitatory, striated, and works involuntarily is: • A. Skeletal muscle • B. Smooth muscle • C. Axial muscle • D. Cardiac muscle

27. MR • The human body can accomplish which of the following types of body movement? • A. Flexion/extension • B. Abduction/adduction • C. Dorsi/plantar extension • D. Supination/pronation

28. MR • Which two properties of muscle are needed for a response to stimuli? • A. Excitability • B. Transportability • C. Contractility • D. Action potential

29. MC • ____ plays a significant role in the contracion and relaxation of muscle: • A. Potassium • B. Calcium • C. Magnesium • D. Sodium

30. MR • From the following, identify the benefits of exercise on the musculoskeletal system: • A. Improves circulation • B. Bones and muscles get stronger • C. Weight Loss • D. Reduction of risk for heart attack

31. Other • When the nurse was admitting Mr. H. to a long term care facility, she looked for what features in her musculoskeletal assessment of this resident? List 4.

32. MR • Structural disorders of the musculoskeletal system include which of the following? • A. Cleft palate • B. Scoliosis • C. Lung sounds • D. Flatfeet

33. MR • When assessing articular joint status, the nurse should look for: • A. Deformities • B. ROM • C. Long bone integrity • D. Skin integrity

34. MR • Following trauma, surgery, casting, splinting, & bandaging, a neurovascular assessment should be completed to check for: • A. Pulselessness • B. Parathesias • C. Pain • D. Pallor

35. T/F • Skeletal changes in aging include: loss of calcium, increased protein in bone; decreased collagen in bone, and loss of height.

36. MC • A _____ is a radiographic study that locates small cavities, foreign bodies, and lesions that are overshadowed by opaque structures. • A. Scanography • B. Xray • C. Laminography • D. Arthroscopy

37. MC • An xray study in which dye is injected into the spinal fluid and outlines the spinal cord making it visible on xray is: • A. Bone Scan • B. EMG • C. Myelogram • D. CT scan

38. MC • ____ is the most common side effect of a myelogram: • A. Infection • B. Headache • C. Meningitis • D. Seizure

39. MR • To determine the electrical potential associated with skeletal muscle contraction, a physician may order which test? • A. Myelography • B. Electromyography (EMG) • C. MRI • D. CT scan

40. MC • _____ involves the use of magnetism and radio waves to make images of cross sections of the body. • A. EMG • B. CT Scan • C. MRI • D. Scanography

41. MR • In preparing Mr. C. for his MRI, the nurse would know that he cannot have an MRI if any of the following are present: • A. Artificial heart valve • B. Orthopedic device • C. Cardiac pacemaker • D. Dental fillings

42. MC • The nurse is preparing Mr. C. for his MRI and will have him remove: • A. any metal • B. any glass • C. any plastic • D. any polyester clothing

43. T/F • A CT scanner does not produce radiation.

44. MC • Prior to a CT Scan, the nurse will check for which allergy if contract dye will be used: • A. Citrus foods • B. Nuts, wheat • C. Iodine, shellfish • D. Eggs

45. MR • Which of the following exams requires a signed consent form? • A. MRI • B. Xray • C. Myelogram • D. EMG

46. MC • For this test, a radioactive tracer substance is injected into a vein in the arm. The tracer travels through the bloodstream and into the bones. • A. Scanography • B. Bone Scan • C. Bone Mineral Density study • D. Arthroscopy

47. MC • ___ measures the bone mass of the spine and other bones. • A. Bone Scan • B. Laminography • C. Bone Mineral Density study • D. arthrocentesis

48. MC • An endoscopic exam visualizes the internal structures of the body. When this procedure is done on the knee, it is called: • A. Arthrocentesis • B. Arthroscopy • C. Arthrodesis • D. ORIF

49. Other • Pass out Lab/Diagnostic Quiz!

50. MR • Skeletal muscle relaxants are used to prevent or relieve muscle spasms by acting: • A. Directly on the neuromuscular junction • B. Indirection on the CNS • C. By blocking lactic acid production • D. By blocking calcium reuptake