Maryville NURS 612 Final Exam with 100% Correct Answers 2023

Which of the Following disorders is known to be heredity? Peripheral neuropathy Meningitis Huntington Chorea Seizure disorder - Correct answer-Huntington Chorea The Examiner asks the patient to close her eyes and then place a vibrating tuning fork on the patients ankle and asks her to indicate what is felt. What is being assessed? - Correct answer-Primary sensory function Multiple sclerosis - Correct answer-Fatigue, bowel and bladder dysfunction, sexual dysfunction, sensory changes, muscle weakness Myasthenia gravis - Correct answer-An autoimmune disorder of neuromuscular junction involved with muscle activation. Whisper Test - Correct answer-CN V111 acoustic Patient sticks out tongue and moves it from side to side - Correct answer-CN X11 Hypoglossal Taste test with sugar, salt, and lemon - Correct answer-CN V11 and CN 1X Facial and glossopharyngeal Patient puffs out cheeks and shows teeth - Correct answer-CN V11 facial Patient shrugs shoulders against examiner's hands - Correct answer-CN X1 Spinal accessary Smell test with coffee, orange and cloves - Correct answer-CN 1 Olfactory Eyes constrict and dilate in response to light - Correct answer-CN 111 oculomotor patient clinches teeth (temporal muscles contracted) - Correct answer-CN V Trigeminal positive Babinski sign be considered a normal finding in what ages? - Correct answer-0- 24 months The nurse observes the gait of a client as he enters the room. He uses short steps, keeps his knees in contact, and walks with considerable effort. What term is used to describe this gait? - Correct answer-Scissors gait A nurse observes very fine, rapid, continuous twitching of a patient's finger while at rest. How should the nurse document this finding? - Correct answer-Fasciculation A fasciculation is a fine, rapid twitching that may occur with some lower motor neuron disease. Paralysis is loss of motor function. Spasticity is abnormally increased muscle tone. An intention tremor is an involuntary contraction of a muscle group occurring with voluntary movement Under what conditions should a patient be tested for clonus? - Correct answer-When deep tendon reflexes are hyperactive Clonus, repeated reflex muscle movement, is tested when a patient has hyperactive reflexes. It is found with diseases of the upper motor neuron. Nuchal rigidity, neck stiffness, is a sign of meningeal irritation. Absent reflexes are associated with lower motor neuron diseases. Decorticate positioning, a state of flexion with the arms adducted, occurs with hemispheric lesion of the cerebral cortex. The abdominal reflexes are tested to assess functioning of the nerves in which location of the spine? - Correct answer-Thoracic Which change is most commonly observed in aging patients? - Correct answerKyphosis, advanced posterior curvature of the thoracic spine, occurs commonly with age. Lordosis, scoliosis, and ankylosis are not as commonly associated with age. While palpating the patient's knee, the nurse finds effusion in the joint. What further assessment will support this finding? - Correct answer-Testing for ballottement is a test to detect fluid in the joint Which assessment finding is associated with lumbar stenosis? - Correct answer-Pain associated with prolonged standing Lumbar stenosis, narrowing of the spinal canal, causes pain associated with prolonged standing. Pain is improved by bending forward. Risk factors for osteoarthritis - Correct answer-Risk factors for osteoarthritis include obesity, aging, and a family history of osteoarthritis. overuse of joints, as with certain sport activities and occupations, is a risk factor. A patient states he injured his right ankle while walking the previous day. How should the nurse assess the ankle initially? - Correct answer-Initial assessment is inspection of the ankle and comparison with the other ankle. Palpation, performing passive range of motion, and asking the patient to walk are done after the initial inspection. Which assessment finding is consistent with carpal tunnel syndrome? - Correct answerCarpal tunnel syndrome, compression of the median nerve, causes weakness in the thumb and episodes of numbness and burning that awaken the patient from sleep. McMurray sign test for? - Correct answer-Anterior cruciate ligament injury (ACL) Neer Test - Correct answer-Shoulder rotator cuff impingement or tear Hawkins test - Correct answer-Shoulder rotator cuff impingement or tear Katz hand diagram - Correct answer-Median nerve integrity (carpel tunnel) Thumb abduction test - Correct answer-Median nerve integrity (carpel tunnel) Tinal sign - Correct answer-Median nerve integrity (carpal tunnel) Phalen test - Correct answer-Median nerve integrity (carpal tunnel) Straight leg raising - Correct answer-L4, L5, S1 nerve root irritation Femoral stretch test - Correct answer-L1, L2, L3, L4 nerve root irritation Bulge sign - Correct answer-Effusion of the knee Anterior and posterior drawer test - Correct answer-Anterior and posterior cruciate ligament integrity (ACL and PCL) Varus-valgus stress test - Correct answer-Medial or lateral collateral ligament instability of the knee (MCL) Lachman test - Correct answer-Anterior cruciate ligament integrity (ACL) Thomas test - Correct answer-Flexion contracture of hip Trendlenburg sign - Correct answer-Weak hip abductor Herberden nodes and bouchard nodes noted on the hands - Correct answerOsteoarthritis Low back pain that radiates to the buttocks and posterior thigh with tenderness over the spine - Correct answer-Lumbar disk herniation (lumbaosacral radiculopathy) Heat redness, swelling, and tenderness to the metatarsophalangeal joint - Correct answer-Gouty arthritis of the great toe Subcutaneous nodules on the forearm near the elbow - Correct answer-Rheumatoid arthritis tenderness, swelling, and boggy sensation with palpation along the grooves of the olecranon process; increased pain with pronation and supination - Correct answerEpicondylitis (tennis elbow) or tendonitis A child with muscle atrophy and symptoms of progressive muscle weakness - Correct answer-Muscular dystrophy A child complaining of pain in the elbow and wrist; will not move his or her arm; maintains arm in a flexed and pronated position - Correct answer-Radial head subluxation Chronic inflammatory disease involving the spine and sacroiliac joints - Correct answerAnkylosing spondylitis Numbness, burning, and tingling in the hands - Correct answer-Carpal tunnel syndrome Unilateral facial pain that worsens with joint movement - Correct answerTemporomandibular joint syndrome Sudden onset of hot, swollen joint(s) - Correct answer-Gout Excessive bone resorption and bone formation - Correct answer-Paget disease Painful, nonarticular musculoskeletal condition - Correct answer-Fibromyalgia Inflammation of this structure adjacent to a joint leads to limitation with motion, point tenderness, and swelling - Correct answer-Bursitis Avascular necrosis of the femoral head - Correct answer-Legg-Callve-Perthe disese The spine of a newborn infant should e palpated with the examiner noting the shape of each spinal process. If a split is noted in one of the spinal process, which problem is suspected? - Correct answer-Bifid defect What degree of knee flexion is considered a normal finding? 15 90 130 160 - Correct answer-130 Mrs. wood is a 28-year-old patient who is pregnant in her last trimester and presents to your office with complaints of numbness in her left hand. You diagnosis her with carpel tunnel syndrome most likely related to