Type mcsa while assessing a patients left knee for

Question 17
Type: MCSA
While assessing a patient's left knee for range of motion, the nurse hears clicking. The patient says that at times
the knee "locks." The nurse would conduct additional assessment for which condition?
1. Rheumatoid arthritis
2. Fluid in the knee
3. Dislocation
4. Damage to the meniscus
Correct Answer:
Rationale 1 : Clicking sounds are not typically associated with rheumatoid arthritis.
Rationale 2 : Clicking sounds are not typically associated with fluid in the knee; however, the knee may “lock”
due to pain.
Rationale 3 : If the patient’s knee were dislocated, the patient would experience pain, and deformity would likely
be obvious.
4
Rationale 4 : Clicking sounds with knee movement in addition to the patient’s description of “locking” may
indicate damage to the meniscus.
Global Rationale:
Cognitive Level: Analyzing

Client Need: Health Promotion and Maintenance
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 48-3
Question 18
Type: MCSA
While assessing a patient's hands, the nurse notes that the patient is unable to fully extend the ring or fifth finger.
The nurse would suspect which condition?
1
Global Rationale:
Cognitive Level: Analyzing
Client Need: Health Promotion and Maintenance
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 48-5
Question 19
Type: MCMA
The nurse is assessing an older adult’s musculoskeletal system. The nurse would evaluate that which findings
represent normal age-related changes?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.