NR509 APEA Test Ortho / NR 509 APEA Exam Ortho (Latest-2021): Advanced physical assessment: Chamberlain College of Nursing |100% Correct Q & A|
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... [Show More] APEA Test (Ortho) / NR509 APEA Exam (Ortho) (Latest): Advanced physical assessment: Chamberlain College of Nursing
NR509 APEA Test Ortho / NR 509 APEA Exam Ortho (Latest): Advanced physical assessment: Chamberlain College of Nursing
Question:
A tool for assessing risk factors for osteoporotic fractures is the:
DEXA.
FRAX.
BRCA1.
HAARM.
Question:
Anserine bursitis arises from:
excessive running.
excessive kneeling.
arthritis.
trauma
Question:
When examining the knee, which of the following symptoms could be indicative of a positive Adduction (Varus) Stress Test?
Pain in the lateral joint line
Pain in the medial joint line
Pain in the anterior joint line
A click along the medial joint line.
Question:
When assessing the knee, the examiner instructs the patient to straighten his knee. This motion would assess knee:
flexion.
extension.
internalrotation.
external rotation.
Question:
When performing an examination of a tender left finger on an adult, the surrounding tissue reveals warmth, edema, and redness. This finding could be suggestive of:
carcinoma.
muscular atrophy.
synovitis.
gouty arthritis.
Question:
An example of a fibrous joint would be the:
vertebral bodies of the spine.
skull.
shoulder.
pubic symphysis of the pelvis.
Question:
To palpate the medial meniscus, slightly internally rotate the tibia and palpate the medial soft tissue along the:
lateral joint line of the knee.
on either side of the patella.
upper edge of the tibial plateau.
top of the patella.
Question:
A patient complains of a sharp burning pain in the neck and right arm with associated paresthesias and weakness. These symptoms may be associated with:
mechanical neck pain.
mechanical neck pain with whiplash.
cervical radiculopathy.
cervical myelopathy.
Question:
A patient complains of lateral hip pain while pointing near the trochanter. This type of pain could be suggestive of:
sciatica.
radicularpain.
polyarticulararthritis.
bursitis.
Question:
The muscle of the scapulohumeral group that crosses the glenohumeral joint posteriorly and inserts on the greater tubercle is known as the:
infraspinatus muscle.
pectoralis major.
subscapularis muscle.
supraspinatus muscle.
Question:
Inspection of the hip begins with careful observation of a patient's gait. A patient's foot moves forward without bearing weight. This is known as the:
swing phase of gait.
stance phase of gait.
push off phase of gait.
heel strike phase of gait.
Question:
The axioscapular group of muscles:
pulls the shoulder backward.
rotates the shoulder laterally.
produce internal rotation of the shoulder.
draws the shoulder blade forward.
Question:
When assessing the knee, the examiner instructs the patient to sit and swing his lower leg toward midline. This motion assesses knee:
flexion.
extension.
internal rotation.
external rotation.
Question:
When performing a musculoskeletal examination, the nurse practitioner instructs the patient to move his arm in front of his body. This motion of the shoulder girdle would be an example of:
adduction.
abduction.
flexion.
extension.
Question:
Static stabilizers of the shoulder are referred to as those structures that are:
muscular structures of the shoulder girdle.
capable of movement.
bony structures of the shoulder girdle.
responsible for stabilizing the humeral head in the glenoid cavity.
Question:
To test the thumb for abduction, ask the patient to:
move his thumb across his palm and touch the base of the fifth finger.
move his thumb from the base of the fifth finger and then as far away from the palm as possible.
touch the thumb to each of the other fingertips.
place the fingers and thumbs in the neutral position with the palm up and then move the thumb anteriorly away from the palm.
Question:
Passive flexion, valgus stress, and internal rotation of the lower leg, evaluates the:
medialmeniscus.
lateral meniscus.
lateral collateral ligament (LCL).
posterior cruciate ligament (PCL).
Question:
The nurse practitioner instructs the patient to lie supine, bend his knee, and turn his lower leg and foot away from the midline. This maneuver would assess hip:
abductionextension.
external rotation.
internal rotation.
Question:
Children with Legg-Calve Perthes disease should:
maintain a diet high in protein, vitamins and minerals.
sleep on a firm mattress to prevent contractures.
avoid weight bearing on the affected extremity.
be allowed to play basketball.
Question:
The convex medial end of the clavicle that articulates with the concave hollow in the upper sternum is referred to as the:
glenohumeraljoint.s
ternoclavicular joint.
acromioclavicularjoint.
manubrium joint.
Question:
When assessing a patient with complaints consistent with carpal tunnel syndrome, which one of the following symptoms is unlikely?
Dropping objects
Inability to twist lids off jars
Tingling of the first three digits of the hand
Numbness of the last two digits of the hand
Question:
When evaluating a patient who complains of thumb pain, the nurse practitioner would test thumb movement by instructing the patient to place his thumb in the palm and then move the wrist toward the midline in ulnar deviation. This maneuver is commonly known as:
de Quervain'stest.
Finkelstein's test.
Tinel'stest.
Phalen's test.
Question:
Olecranon bursitis may be caused by all of the following except:
gout.
trauma.
frozen shoulder.
osteoarthritis.
Question:
Women who wear high-heeled shoes with narrow toe boxes are at risk of developing all of the following forefoot abnormalities except:
halluxvalgus.
metatarsalgia.
Achilles tendinitis.
Morton's neuroma.
Question:
Upon examination of the foot and ankle, the nurse practitioner notes point tenderness over the posterior aspects of the right malleolus. Additionally, the patient is unable to bear weight after 4 steps. This finding is most consistent with:
Achilles tendinitis.
an ankle fracture.
a ligamentous injury.
rheumatoid arthritis.
Question:
The small intrinsic muscles are located:
at the anterior surface of the vertebrae.
on either side of the midline of the vertebrae.
between the vertebrae.
in front of the cervical vertebrae.
Question:
The nurse practitioner instructs the patient look upward at the ceiling. This maneuver assesses cervical:
flexion.
extension.
rotation.
lateral bending.
Question:
Upon examination of the left shoulder, the patient complains of a dull, aching pain when attempting active or passive range of motion and localized tenderness with external rotation. These symptoms could be suggestive of:
a complete rotator cuff tear.
adhesive capsulitis.
rotator cuff tendinitis.
calcific tendinitis.
Question:
The area at the posterior aspect of the spine lateral to the sacroiliac joint is known as the:
posterior superior iliac spine.
ischialtuberosity.
superior ramus of pubis.
pubic symphysis.
Question:
Which nerve in the arm runs posteriorly in the ulnar groove between the medial epicondyle and the olecranon process?
Median nerve
Ulnar nerve
Radialnerve
Brachial plexus
Question:
When examining the knee, the presence of a palpable fluid wave with the returning fluid wave into the suprapatellar pouch is noted. This positive sign for effusion of the knee is known as the:
balloon sign.
bulge sign.
ballotingsign.
McMurray's sign.
Question:
Dynamic stabilizers of the shoulder are referred to as those structures that are:
incapable of movement.
capable of movement.
bony structures of the shoulder girdle.
responsible for joint stability.
Question:
A structural channel beneath the palmar surface of the wrist and proximal hand is known as the:
median nerve plexus.
carpal tunnel.
carpalsheath.
flexor retinaculum.
Question:
When describing muscle strength, the term paraplegia means:
impairedstrength.
absence of strength.
paralysis of all four extremities.
paralysis of the legs.
Question:
A patient reports sharp "catches" of pain, grating, and weakness in the right shoulder when lifting the arm overhead. These symptoms could be suggestive of:
a complete rotator cuff tear.
adhesivecapsulitis.
rotator cuff tendinitis.
calcific tendinitis.
Question:
The structure that encloses the spinal cord is known as the:
articularprocess.
spinousprocess.
articularfacets.
vertebral foramen.
Question:
When examining the patient for wrist adduction, the nurse practitioner instructs the patient with his palms down to:
point his fingers toward the ceiling.
move his fingers toward the midline.
move his fingers away from the midline.
point his fingers toward the floor.
Question:
An example of a cartilaginous joint would be the:
vertebral bodies of the spine.
skull.
shoulder.
knee.
Question:
When grading muscle strength, a five would indicate:
no muscular contraction detected.
barely detectable trace of contraction.
active movement of the body part with gravity eliminated.
active movement against full resistance without fatigue.
Question:
With the patient in the dorsal decubitus position, have him slowly extend the knee while maintaining the varus stress and external rotation. If a snap on the medial joint line is palpated, this may indicate a positive test for a:
lateral collateral ligament (LCL) tear.
medial collateral ligament (MCL) tear.
posterior cruciate ligament (PCL) tear.
medial meniscal tear.
Question:
When examining the elbow for range of motion, the nurse practitioner instructs the patient to bend his elbow. This motion is an example of:
extension.
flexion.
supination.
pronation.
Question:
The nurse practitioner instructs the patient to move his ear to his shoulder. This maneuver assesses:
cervicalflexion.
cervicalextension.
rotation.
lateral bending.
Question:
The nurse practitioner instructs the patient to move his extended fingers so that each touches its nearest finger. This motion assesses the fingers and thumbs for:
adduction.
abduction.
flexion.
extension.
Question:
The nurse practitioner would tap lightly over the median nerve in the carpal tunnel to assess:
Finkelstein's test.
Tinel's test.
Phalen's test.
thumb abduction.
Question:
Which one of the following conditions can plantar fasciitis be associated?
Achilles tendinitis
An ankle fracture
A ligamentous injury
Rheumatoid arthritis
Question:
A patient complains of shooting pains below the knee radiating into the lateral leg and calf. This type of low back pain is referred to as:
radicular low back pain.
mechanical low back pain.lumbar spinal stenosis.pseudoclaudication pain.
Question:
Where the head of the humerus articulates with the shallow glenoid fossa of the scapula is known as the:
glenohumeral joint.
sternoclavicularjoint.
acromioclavicular joint.
manubrium joint.
Question:
Which of the following symptoms would be suggestive of lumbar spinal stenosis?
Calf wasting
Thigh pain after 30 seconds of lumbar extension
Absent ankle jerk
Loss of normal lumbar lordosis
Question:
When inspecting the face, asymmetry is noted. This finding could be suggestive of:
trigeminalneuralgia.
temporomandibular joint dysfunction syndrome.
temporalarthritis.
a normal finding. [Show Less]