NUR 309 Final Exam Questions With Complete Solutions
An 85-year-old patient comments during his annual physical that he seems to be getting
shorter as he ages. The nurse should explain that decreased height occurs with aging
because:
a. long bones tend to shorten with age
b. of the shortening of the vertebral column
c. there is a significant loss of subcutaneous fat
d. there is a thickening of the intervertebral disks – correct answer B
A patient who has had rheumatoid arthritis for years comes to the clinic to ask about
changes in her fingers. The nurse will assess for signs of what problems?
a. Heberden's nodes
b. Bouchard's nodules
c. Swan neck deformities
d. Dupuytren's contractures - correct answer C
,The nurse has completed the musculoskeletal examination of a patient's knee and has
found a positive bulge sign. The nurse interprets this finding to indicate
a. Irregular bony margins
b. Soft tissue swelling in the joint
c. Swelling from fluid in the epicondyle
d. Swelling from fluid in the suprapatellar pouch - correct answer D
To palpate the temporomandibular joint, the nurse's fingers should be placed in the
depression _______ of the ear
Selected Answer:
a. distal to the helix
b. proximal to the helix
c. anterior to the tragus
d. posterior to the tragus - correct answer C
,A 13-year-old boy is brought to the emergency department with an injury to his left ankle
after a skateboard accident. X-rays of the ankle show a fracture of the epiphysis in the
tibia. The major concern with this client's findings is
a. Due to the client's age there is slower healing
b. He will no longer be able to skateboard after the fracture has healed
c. The fracture is at the epiphysis
d. Tibial fractures lead to osteoarthritis - correct answer C
After a physical assessment, the nurse determines that a client has full range of motion
of the temporomandibular joint. What did the nurse assess in this client? Select all that
apply
a. Opened and closed the jaw
b. Jutted the jaw forward
c. Extended the tongue
d. Swallowed without difficulty
e. Moved the jaw sideways - correct answer A B E
, Which of the following would the nurse interpret as a positive response to the Phalen
test for a client suspected of having carpal tunnel syndrome?
a. Atrophy of the thenar prominence
b. No tingling
c. Hard, painless Bouchard nodes
d. Numbness - correct answer D
A female client presents to the office with chronic unilateral pain when chewing. She
does not have facial or scalp tenderness. Which of the following is the most likely cause
of her pain?
a. Trigeminal neuralgia
b. Temporal arteritis
c. Temporomandibular joint syndrome
d. Tumor of the mandible - correct answer C
An 85-year-old patient comments during his annual physical that he seems to be getting
shorter as he ages. The nurse should explain that decreased height occurs with aging
because:
a. long bones tend to shorten with age
b. of the shortening of the vertebral column
c. there is a significant loss of subcutaneous fat
d. there is a thickening of the intervertebral disks – correct answer B
A patient who has had rheumatoid arthritis for years comes to the clinic to ask about
changes in her fingers. The nurse will assess for signs of what problems?
a. Heberden's nodes
b. Bouchard's nodules
c. Swan neck deformities
d. Dupuytren's contractures - correct answer C
,The nurse has completed the musculoskeletal examination of a patient's knee and has
found a positive bulge sign. The nurse interprets this finding to indicate
a. Irregular bony margins
b. Soft tissue swelling in the joint
c. Swelling from fluid in the epicondyle
d. Swelling from fluid in the suprapatellar pouch - correct answer D
To palpate the temporomandibular joint, the nurse's fingers should be placed in the
depression _______ of the ear
Selected Answer:
a. distal to the helix
b. proximal to the helix
c. anterior to the tragus
d. posterior to the tragus - correct answer C
,A 13-year-old boy is brought to the emergency department with an injury to his left ankle
after a skateboard accident. X-rays of the ankle show a fracture of the epiphysis in the
tibia. The major concern with this client's findings is
a. Due to the client's age there is slower healing
b. He will no longer be able to skateboard after the fracture has healed
c. The fracture is at the epiphysis
d. Tibial fractures lead to osteoarthritis - correct answer C
After a physical assessment, the nurse determines that a client has full range of motion
of the temporomandibular joint. What did the nurse assess in this client? Select all that
apply
a. Opened and closed the jaw
b. Jutted the jaw forward
c. Extended the tongue
d. Swallowed without difficulty
e. Moved the jaw sideways - correct answer A B E
, Which of the following would the nurse interpret as a positive response to the Phalen
test for a client suspected of having carpal tunnel syndrome?
a. Atrophy of the thenar prominence
b. No tingling
c. Hard, painless Bouchard nodes
d. Numbness - correct answer D
A female client presents to the office with chronic unilateral pain when chewing. She
does not have facial or scalp tenderness. Which of the following is the most likely cause
of her pain?
a. Trigeminal neuralgia
b. Temporal arteritis
c. Temporomandibular joint syndrome
d. Tumor of the mandible - correct answer C
