UTM NURS242 Health Assessment Exam 4 200+ questions with all verified answers
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UTM NURS242
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UTM NURS242
UTM NURS242 Health Assessment Exam 4 200+ questions with all verified answers/UTM NURS242 Health Assessment Exam 4 200+ questions with all verified answers/UTM NURS242 Health Assessment Exam 4 200+ questions with all verified answers
UTM NURS242 Health Assessment Exam
4
Adolescence - correct answer Ligaments are stronger than bone until which
developmental phase?
Tanner stage 3 - correct answer During which phase of adolescence is rapid
growth expected?
35 - correct answer At what age is peak bone mass achieved?
Bone resorption is greater than deposition (decreased bone density)
Loss of fat = more apparent bony prominences
Decreased cartilage and elasticity of tendons
Decreased muscle mass - correct answer Name 4 MSK changes expected in an
older adult
Spinal malformations and arthritis - correct answer Name 2 MSK conditions that
may be familial
Lordosis - correct answer abnormal anterior curvature of the lumbar spine (sway-
back condition)
Kyphosis - correct answer excessive outward curvature of the spine, causing
hunching of the back.
Scoliosis - correct answer lateral curvature of the spine
Lordosis - correct answer
Kyphosis - correct answer
Scoliosis - correct answer
Palpate inflamed joints last - correct answer In what order would a nurse palpate
inflamed joints?
Goniometer - correct answer instrument used to measure joint angles
0-5 - correct answer What scale is used to grade muscle strength?
Masseter muscle and cranial nerve V - correct answer Clenching the teeth is used
to assess what muscle and cranial nerve?
,UTM NURS242 Health Assessment Exam
4
If a difference in length or circumference is suspected - correct answer When
might a nurse measure a patient's limbs?
From anterior superior iliac spine to medial malleolus of ankle crossing knee on
medial side - correct answer Describe how the leg is measured
Drop arm test - correct answer What test is used to assess for a torn
supraspinatus tendon?
Tinel test - correct answer Direct percussion of the median nerve at the wrist
produces no symptoms in the normal hand. If positive, percussion produces
tingling and burning along distribution. Sign of carpal tunnel syndrome
Phalen test - correct answer wrists are bent down with backs of each hand
touching; carpal tunnel sufferers feel tingling or pain within 60 seconds
Phalen and Tinel tests - correct answer What 2 tests can the nurse perform to
assess for carpal tunnel?
Tinel test - correct answer Name this test
Phalen test - correct answer Name this test
Straight leg raising test - correct answer What test can be performed to assess for
nerve root irritation or disk herniation at L4, L5, and S1?
Barlow-Ortolani maneuver - correct answer Test performed on newborns and
infants to assess for hip dislocation or subluxation
Rheumatoid arthritis - correct answer Chronic, systemic inflammatory
progressive disease of joints and surrounding connective tissue consisting of
flares and remissions; cause unknown, can occur in ages 3-80
RA antigen
ANA
ESR - correct answer What 3 diagnostic tests are used to confirm an RA
diagnosis?
, UTM NURS242 Health Assessment Exam
4
Pain is worse in the morning and improves throughout the day - correct answer
How might the daily progression of RA pain be described?
Pain worsens as the day goes on - correct answer How might the daily
progression of OA pain be described?
Swan neck and Boutonniere deformities - correct answer What two physical
deformities are distinctly indicative of RA?
Anti-inflammatory (corticosteroids, NSAIDs, acetaminophen)
Anti-rheumatoids (methotrexate)
TNF blockers (-mab and etanercept) - correct answer What 3 types of treatment
are used to treat RA?
Swan neck deformity; RA - correct answer Name this deformity and what it
indicates
Boutonniere deformity; RA - correct answer Name this deformity and what it
indicates
Gout - correct answer A form of arthritis that consists of a purine metabolism
disorder resulting in high levels of uric acid
Proximal phalanx of the great toe - correct answer What area is most commonly
affected by gout?
Tophi- indicative of gout - correct answer What is shown here and what does it
indicate?
Obesity, HTN, hyperlipidemia, and DM - correct answer What 4 conditions are
strongly associated with gout?
Men >40 yo, and post-menopausal women - correct answer What 2 population
demographic are most commonly associated with gout?
Anti-gout medications - correct answer Allopurinol and cotrisine are what type of
medications?
Gout - correct answer What condition might warrant a purine-restricted diet?
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