Musculoskeletal Disorders: Nursing Care and Management

Question 1

Which symptom is most commonly associated with musculoskeletal disorders?

Accepted Answer

Pain

Answer

Swelling

Answer

Stiffness

Answer

Weakness

Question 2

When assessing a patient with a musculoskeletal disorder, what should be your initial priority?

Accepted Answer

Obtain a detailed patient history

Answer

Conduct a physical examination

Answer

Order diagnostic tests

Answer

Consult with a specialist

Question 3

Which of the following is a hallmark symptom of osteoarthritis?

Accepted Answer

Joint pain and stiffness

Answer

Vomiting and nausea

Answer

Itching and rash

Answer

Elevated temperature and headache

Question 4

What is the primary cause of fibromyalgia?

Accepted Answer

Unknown

Answer

Bacterial infection

Answer

Traumatic injury

Answer

Autoimmune disorder

Question 5

Which type of medication is frequently used to alleviate pain and inflammation in musculoskeletal disorders?

Accepted Answer

Nonsteroidal anti-inflammatory drugs (NSAIDs)

Answer

Antidepressants

Answer

Antihistamines

Answer

Antibiotics

Question 6

What is the initial nursing intervention for a patient suspected of having a musculoskeletal injury?

Accepted Answer

Rest, ice, compression, and elevation (RICE)

Answer

Referral to physical therapy

Answer

Neurological examination

Answer

Administration of pain medication

Question 7

What is the most common type of spinal cord injury?

Accepted Answer

Incomplete injury

Answer

Complete injury

Answer

Brown-Séquard injury

Answer

Cauda equina injury

Question 8

What is the purpose of a bone density scan?

Accepted Answer

To measure bone density and assess osteoporosis risk

Answer

To detect fractures

Answer

To diagnose arthritis

Question 9

Which of the following is an example of a congenital musculoskeletal disorder?

Accepted Answer

Spina bifida

Answer

Fibromyalgia

Answer

Carpal tunnel syndrome

Answer

Osteoarthritis

Question 10

When developing a care plan for a patient with a musculoskeletal disorder, what is the most important factor to consider?

Accepted Answer

Individual patient needs and goals

Answer

Physician orders

Answer

Established nursing protocols

Question 11

What is the underlying cause of rheumatoid arthritis?

Accepted Answer

Autoimmune dysfunction

Answer

Joint trauma

Answer

Bacterial infection

Answer

Aging

Question 12

Which type of fracture is most prevalent?

Accepted Answer

Closed fracture

Answer

Greenstick fracture

Answer

Open fracture

Answer

Comminuted fracture

Question 13

Which sign suggests the presence of a deep vein thrombosis (DVT)?

Accepted Answer

Unilateral leg pain and swelling

Answer

Superficial varicose veins

Answer

Muscle cramps

Answer

Toe cyanosis

Question 14

What is the initial recommended treatment for a sprain?

Accepted Answer

RICE (Rest, Ice, Compression, Elevation)

Answer

Surgery

Answer

Physical therapy

Answer

NSAIDs

Question 15

What is the hallmark symptom of osteoarthritis?

Accepted Answer

Joint pain, stiffness, and swelling

Answer

Muscle weakness

Answer

Numbness and tingling

Answer

Loss of range of motion

Question 16

What type of bone fracture involves a break in the bone but does not puncture the skin?

Accepted Answer

Closed fracture

Answer

Comminuted fracture

Answer

Greenstick fracture

Answer

Open fracture

Question 17

Which type of imaging study is the gold standard for diagnosing osteoporosis?

Accepted Answer

Dual-energy X-ray absorptiometry (DEXA) scan

Answer

Ultrasound

Answer

Magnetic resonance imaging (MRI)

Answer

Computed tomography (CT) scan

Question 18

Where does a stress fracture most commonly occur?

Accepted Answer

Lower extremity, particularly in the tibia

Answer

Radius

Answer

Humerus

Answer

Femur

Question 19

Which is a primary symptom experienced in rheumatoid arthritis?

Accepted Answer

Pain and stiffness in the joints

Answer

Shortness of breath

Answer

Skin rash

Answer

Nausea

Question 20

What is the primary intervention for pain management in musculoskeletal disorders?

Accepted Answer

Administering nonsteroidal anti-inflammatory medications (NSAIDs)

Answer

Providing heat therapy

Answer

Performing range of motion exercises

Answer

Encouraging bed rest

Question 21

Which musculoskeletal disorder primarily involves inflammation of the tendons?

Accepted Answer

Tendonitis

Answer

Fibromyalgia

Answer

Bursitis

Answer

Osteoarthritis

Question 22

Which approach is most effective in preventing falls among elderly patients?

Accepted Answer

Providing assistive devices and eliminating hazards from their environment

Answer

Providing daily exercise

Answer

Restricting their activities

Question 23

What is the most common cause of osteoarthritis?

Accepted Answer

Wear and tear on joints over time

Answer

Autoimmune disorders

Answer

Trauma

Answer

Infection

Question 24

Which type of musculoskeletal disorder involves inflammation of the tendons?

Accepted Answer

Tendonitis

Answer

Carpal tunnel syndrome

Answer

Myofascial pain syndrome

Answer

Bursitis

Question 25

What is the primary role of a nurse in preventing musculoskeletal disorders in the workplace?

Accepted Answer

Providing ergonomic training and education to employees

Answer

Prescribing medications for pain management

Answer

Diagnosing and treating musculoskeletal disorders

Question 26

Why is interdisciplinary collaboration essential in managing musculoskeletal disorders?

Accepted Answer

It facilitates a comprehensive approach to patient care

Answer

It reduces the overall cost of treatment

Answer

It prevents medication errors

Question 27

Which of the following is a hallmark symptom of rheumatoid arthritis?

Accepted Answer

Joint pain and swelling

Answer

Fever

Answer

Nausea

Answer

Skin rash

Question 28

What is considered the primary risk factor for developing osteoporosis?

Accepted Answer

Advanced age

Answer

Obesity

Answer

Smoking

Answer

Low calcium intake

Question 29

Which type of fracture involves the bone breaking into three or more pieces?

Accepted Answer

Comminuted fracture

Answer

Spiral fracture

Answer

Simple fracture

Answer

Greenstick fracture

Question 30

Which nursing intervention is most appropriate for a patient with a sprain?

Accepted Answer

RICE (Rest, Ice, Compression, Elevation)

Answer

Apply heat to the affected area

Answer

Immobilize the joint

Answer

Administer pain medication

Question 31

Which of the following is an indication of infection in a surgical wound?

Accepted Answer

Purulent drainage

Answer

Minimal redness

Answer

Tenderness to touch

Answer

Slight swelling

Question 32

Which type of arthritis is the most prevalent?

Accepted Answer

Osteoarthritis

Answer

Gout

Answer

Lupus

Answer

Rheumatoid arthritis

Question 33

When caring for a patient with a cast, which nursing action is the highest priority?

Accepted Answer

Monitor for neurovascular compromise

Answer

Elevate the affected limb

Answer

Provide pain medication

Answer

Change the cast weekly

Question 34

Which of the following increases the risk of developing pressure ulcers?

Accepted Answer

Immobility

Answer

Good hygiene

Answer

Healthy diet

Answer

Young age

Question 35

What is the most effective approach to pain management for a patient with a musculoskeletal injury?

Accepted Answer

A multimodal approach using various pain relievers, including non-opioid analgesics, opioids when appropriate, and adjunctive therapies like physical therapy.

Answer

Non-opioid analgesics alone, as they have fewer side effects.

Answer

Physical therapy only, as it focuses on long-term pain relief and function.

Answer

Opioid analgesics alone, as they are the strongest pain relievers.

Question 36

A patient with osteoarthritis experiences knee pain and stiffness. Which nursing intervention would be most helpful in managing their pain?

Accepted Answer

Encourage regular, low-impact exercise, such as swimming or walking, and weight management to reduce stress on the joints.

Answer

Apply heat therapy for 30 minutes at a time to reduce inflammation.

Answer

Restrict all weight-bearing activities to prevent further joint damage.

Answer

Administer opioid analgesics as needed, as they are the most effective for osteoarthritis pain.

Question 37

A patient with a fractured femur is in skeletal traction. Which nursing assessment is crucial for monitoring potential complications?

Accepted Answer

Assessing circulation and sensation in the affected limb, particularly the toes, to detect signs of nerve or vascular compromise.

Answer

Monitoring respiratory rate and oxygen saturation, as traction can affect lung function.

Answer

Checking bowel sounds and abdominal distention, as traction can lead to constipation.

Answer

Assessing temperature and white blood cell count, as infection is a potential complication.

Question 38

A patient with rheumatoid arthritis complains of fatigue and joint pain. Which nursing intervention would best promote their well-being?

Accepted Answer

Encourage energy conservation techniques, like pacing activities and prioritizing tasks, to reduce fatigue and manage pain.

Answer

Administer corticosteroids for pain relief, as they are the primary treatment for rheumatoid arthritis.

Answer

Educate the patient on the importance of joint immobilization to prevent further damage.

Question 39

Patients with osteoporosis are at an increased risk of which type of fracture?

Accepted Answer

Hip fracture, as the hip bone is particularly susceptible to weakening due to osteoporosis.

Answer

Clavicle fracture, which is typically caused by direct impact.

Answer

Skull fracture, which is usually caused by trauma.

Answer

Rib fracture, which is more common in older adults due to age-related bone loss.

Question 40

Which of the following is a common symptom of carpal tunnel syndrome?

Accepted Answer

Numbness and tingling in the thumb and fingers, especially at night, due to compression of the median nerve.

Answer

Weakness in the shoulder and arm, which is more indicative of rotator cuff injury.

Answer

Pain in the lower back and legs, which is usually associated with sciatica or herniated disc.

Answer

Stiffness in the knee and ankle, which is often seen in osteoarthritis or other joint conditions.

Question 41

To prevent contractures in a patient with a musculoskeletal disorder, which nursing intervention is most important?

Accepted Answer

Performing regular range-of-motion exercises, both active and passive, to maintain joint flexibility and prevent stiffness.

Answer

Applying heat therapy to the affected joints, which helps with pain but does not directly prevent contractures.

Answer

Administering pain medication as needed, which only addresses pain, not contracture prevention.

Answer

Encouraging the patient to remain in bed, which can actually increase the risk of contractures due to immobility.

Question 42

When administering analgesics to a patient with musculoskeletal pain, what is the most crucial factor to consider?

Accepted Answer

The patient's pain level and response to medication, ensuring appropriate pain relief and minimizing side effects.

Answer

The cost of the medication, which is less important than effectiveness and patient safety.

Answer

The patient's age and weight, which are factors to consider in dosage but not the primary consideration.

Question 43

Which of the following is a common risk factor for developing osteoporosis?

Accepted Answer

Low calcium intake, as calcium is essential for bone health, and inadequate intake can lead to bone loss.

Answer

Regular exercise, which strengthens bones and reduces the risk of osteoporosis.

Answer

Smoking cessation, which is beneficial for overall health but does not directly impact osteoporosis risk.

Answer

High protein intake, which is generally not associated with osteoporosis and can even be beneficial for bone health.

Question 44

A patient with a musculoskeletal disorder is being discharged home. What is the most important nursing intervention to ensure safe discharge planning?

Accepted Answer

Educating the patient and family on home safety measures, medication management, and follow-up appointments to facilitate a smooth transition and prevent complications.

Answer

Providing the patient with a referral to a physical therapist, which is part of the discharge plan but not the most important element.

Answer

Advising the patient to avoid all strenuous activities, which may limit their ability to participate in daily life.

Question 45

Which of the following is a common symptom of osteoarthritis?

Accepted Answer

Pain that worsens with activity

Answer

Loss of range of motion

Answer

Fever and chills

Answer

Redness and swelling of the joints

Question 46

What is the primary nursing intervention for a patient with rheumatoid arthritis?

Accepted Answer

Administering anti-inflammatory medications

Answer

Applying cold compresses to the affected joints

Answer

Encouraging the patient to exercise regularly

Answer

Massaging the patient's muscles

Question 47

Which of the following is a risk factor for developing osteoporosis?

Accepted Answer

Advanced age

Answer

Female gender

Answer

High calcium intake

Answer

Regular exercise

Question 48

What is the most common type of fracture?

Accepted Answer

Closed fracture

Answer

Open fracture

Answer

Greenstick fracture

Question 49

What is the purpose of a cast or splint?

Accepted Answer

To immobilize and support injured bones or joints

Answer

To reduce pain and inflammation

Answer

To promote healing in non-injured areas

Answer

To prevent infection

Question 50

Which of the following is a sign of infection in a wound?

Accepted Answer

Redness, swelling, and drainage

Answer

Bruising

Answer

Pain and itching

Question 51

What is the best way to prevent pressure ulcers?

Accepted Answer

Frequent repositioning and pressure relief devices

Answer

Using antibacterial soap

Answer

Massaging the skin

Answer

Applying heat to the skin

Question 52

Which of the following is a nursing intervention for a patient with gout?

Accepted Answer

Administering anti-inflammatory medications

Answer

Massaging the affected joint

Answer

Encouraging the patient to walk barefoot

Answer

Applying cold compresses to the affected joint

Question 53

What is the most common type of arthritis?

Accepted Answer

Osteoarthritis

Answer

Gout

Answer

Rheumatoid arthritis

Answer

Psoriatic arthritis