UTM NURS242 Health Assessment Exam
4
Adolescence - correct answer Ligaments are stronger than bone until which
developmental phase?
in two dimensions - correct answer How do infant and children long bones grow ?
they increase in width or diameter and in length - correct answer How do bones
increase in size in children and infants ?
ligaments - correct answer What is stronger than bone in children and infants
until age of adolescence?
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
(reversal of everything) - 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
,UTM NURS242 Health Assessment Exam
4
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?
If a difference in length or circumference is suspected - correct answer When
might a nurse measure a patient's limbs?
CENTIMETERS - correct answer What unit is used to measure a pts limbs?
at the same distance on each limb from a major landmark - correct answer
Describe how circumference is measured
From anterior superior iliac spine to medial malleolus of ankle crossing knee on
medial side - correct answer Describe how the leg is measured
tibias - correct answer What must the feet be aligned with ?
groove on each side of olecranon process and epicondyles of humerus - correct
answer What do we need to palpate when assessing the elbow ?
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
, UTM NURS242 Health Assessment Exam
4
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? FOR LOWER SPINE
Barlow-Ortolani maneuver - correct answer Test performed on newborns and
infants to assess for hip dislocation or subluxation
at each visit until infant is 1 year old - correct answer How often is the Barlow-
Ortolani maneuver performed ?
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
heat, redness, swelling, painful and limited motion of affected joints - correct
answer How does RA present ?
fever, maculopapular rash - correct answer How does the ONSET of RA present ?
RA antigen
ANA
ESR - correct answer What 3 diagnostic tests are used to confirm an RA
diagnosis?
Pain is worse in the morning and improves throughout the day, limited ROM, and
tender to palpation - correct answer How might the daily progression of RA pain
be described?
emotional depression and liability common, associated with fatigue and disease
activity - correct answer What mental aspect is affected by RA?
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)
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