NURS 6512N Week 8 Quiz 2 Sets
Walden University NURS 6512N Week 8 Quiz 2 Sets – Question and Answers (Graded A).
Your examination of an infant
... [Show More] reveals a positive Allis sign. To confirm this finding, you would perform a:
startle reflex.
Barlow-Ortolani maneuver.
Trendelenburg test.
tibial torsion test.
Lachman test.
A goniometer is used to assess:
bone maturity.
joint proportions.
range of motion.
muscle strength.
body fat.
The musculoskeletal examination should begin when:
the patient enters the examination room.
during the collection of subjective data.
when height is measured.
when joint mobility is assessed.
the remainder of the physical examination is completed.
A red, hot swollen joint in a 40-year-old man should lead you to suspect:
trauma.
bursitis.
gout.
cellulitis.
tenosynovitis.
An increase in muscle tone is known as:
crepitus.
effusion.
tenosynovitis.
atrophy.
spasticity.
A tingling sensation radiating from the wrist to the hand on striking the median nerve is a positive _____ sign.
Phalen
Gower
Homan
Tinel
Allis
The strength of the trapezius muscle is evaluated by having the patient:
clench her teeth during muscle palpation.
push her head against the examiner s hand.
straighten her leg with examiner opposition.
uncross her legs with examiner resistance.
adduct the arm.
Inquiry about nocturnal muscle spasms would be most significant when taking the musculoskeletal history of:
adolescents.
infants.
older adults.
middle adulthood.
children.
Expected normal findings during inspection of spinal alignment include:
asymmetrical skinfolds at the neck.
slight right-sided scapular elevation.
convex lumbar curve.
head positioned superiorly to the gluteal cleft.
convex cervical curve.
Light skin and thin body habitus are risk factors for:
rheumatoid arthritis.
osteoarthritis.
congenital bony defects.
osteoporosis.
sports-related injuries.
The dowager hump is:
the hallmark of osteoporosis.
pathognomic of scoliosis.
indicative of tendonitis.
characteristic of rickets.
indicative of muscular dystrophy.
Arm length is measured from the acromion process through the:
olecranon joint to carpal thumb hinge.
olecranon process to distal ulnar prominence.
proximal radial prominence to distal joint.
proximal ulnar joint to middle fingertip.
olecranon process to the second fingertip.
Pain, disease of the muscle, or damage to the motor neuron may all cause:
bony hypertrophy.
muscle crepitus.
muscle hypertrophy.
muscle wasting.
claudication.
What technique is performed at every infant examination during the first year of life to detect hip dislocation?
Ballottement maneuvers
Barlow-Ortolani maneuvers
Range of motion
Thomas McMurray assessment
Trendelenburg test
Term infants normally resist:
ankle dorsiflexion.
McMurray test.
forefoot adduction.
knee extension.
elbow flexion.
A finding that is indicative of osteoarthritis is:
swan neck deformities.
Bouchard nodes.
ganglion cysts
Heberden nodes.
spindle-shaped fingers.
A 3-year-old is brought to the clinic complaining of a painful right elbow. He is holding the right arm slightly flexed and pronated and refuses to move it. The mother states that symptoms started right after his older brother had been swinging him around by his arms. This presentation supports a diagnosis of:
radial head subluxation.
femoral anteversion.
carpal tunnel syndrome.
Osgood-Schlatter disease.
osteomyelitis.
Anterior cruciate ligament integrity is assessed via the _____ test.
Lachman
straight leg raise
valgus stress
Homan
Thomas
A 7-year-old boy is brought into your office with a chief complaint of possible fracture in his left third finger. He jammed it while playing basketball 2 days ago. The mother states that she really does not think it is broken because he can move it. What is your best response?
Yes, if he can wiggle the finger, then it is not broken.
This is a common misconception, and the finger may be broken. An x-ray is indicated.
No x-ray is indicated at this time because there is a waiting period of 3 days before we can take x-rays.
Finger x-rays are never indicated.
A patient presenting for the first time with typical low back pain should receive which of the following diagnostic tests?
Lumbar x-ray
CT of the lumbar spine
MRI of the lumbar spine
None of the above. X-ray is not indicated because lumbar pain is usually of musculoskeletal etiology.
Course NURS-6512N-28,Advanced Health Assessment.2017 Fall Qtr 08/28-11/19-PT27
Test Quiz - Week 8
Started 10/17/17 9:16 PM
Submitted 10/17/17 9:33 PM
Due Date 10/23/17 1:59 AM
Status Completed
Attempt Score 40 out of 40 points
Time Elapsed 17 minutes out of 30 minutes
Instructions Click Begin to begin: Quiz - Week 8. Click Cancel to go back.
Results Displayed Feedback
• Question 1
2 out of 2 points
Your examination of an infant reveals a positive Allis sign. To confirm this finding, you would perform a:
Response Feedback: The Allis sign will show unequal upper leg lengths, suggestive of a hip dislocation. The Barlow-Ortolani maneuver can confirm results for hip dislocation.
• Question 2
2 out of 2 points
A goniometer is used to assess:
Response Feedback: The angle of a joint can be accurately measured using a goniometer. This is used when the joint range of motion is beyond the normal limits. Muscle strength, bone maturity, body fat, and joint proportions are not measured by a goniometer.
• Question 3
2 out of 2 points
The musculoskeletal examination should begin when:
Response Feedback: When the patient first walks in the room, the examiner should be observing the gait and posture as part of the musculoskeletal examination.
• Question 4
2 out of 2 points
A red, hot swollen joint in a 40-year-old man should lead you to suspect:
Response Feedback: Gout is characterized as red, hot swollen joints, especially the great toe. Gout is commonly linked to men older than 40 years.
• Question 5
2 out of 2 points
An increase in muscle tone is known as:
Response Feedback: An increase in muscle tone is referred to as spasticity. Neither crepitus, effusion, nor tenosynovitis relates to muscle, and atrophy is wasting or a decrease in muscle mass.
• Question 6
2 out of 2 points
A tingling sensation radiating from the wrist to the hand on striking the median nerve is a positive _____ sign.
Response Feedback: The Tinel sign is a test for carpal tunnel syndrome. A positive result is elicited when the median nerve is struck, producing a tingling sensation from the wrist toward the fingers.
• Question 7
2 out of 2 points
The strength of the trapezius muscle is evaluated by having the patient:
Response Feedback: Having the patient apply opposite force with differing head motions, against the examiner s hand, assesses the sternocleidomastoid and trapezius muscles.
• Question 8
2 out of 2 points
Inquiry about nocturnal muscle spasms would be most significant when taking the musculoskeletal history of:
Response Feedback: History taking of older adults should consist of symptoms of nocturnal muscle spasms. Pregnant women and older adults commonly experience nocturnal leg cramps resulting from imbalances of fluids, hormones, minerals or electrolytes, or dehydration. A particular concern with the older adults is that this may be a sign of intermittent claudication.
• Question 9
2 out of 2 points
Expected normal findings during inspection of spinal alignment include:
Response Feedback: Spinal alignment is considered within normal limits when the patient s head is positioned directly over the gluteal cleft. The skin folds should be symmetrical, the scapulae are at even heights, and both the cervical and lumbar curves are concave.
• Question 10
2 out of 2 points
Light skin and thin body habitus are risk factors for:
Response Feedback: People with light skin and a thin body frame are at greater risk for developing osteoporosis. Rheumatoid arthritis, osteoarthritis, bony defects, and sports-related injuries are not found to have a correlation with light skin and small frame.
• Question 11
2 out of 2 points
The dowager hump is:
Response Feedback: Osteoporosis leads to vertebral compression and kyphotic bowing of the spine known as dowager s hump.
• Question 12
2 out of 2 points
Arm length is measured from the acromion process through the:
Response Feedback: Total arm length is assessed by the standard measurement of the length from the shoulder (acromion process) through the elbow (olecranon process) joint to the wrist (distal ulnar prominence).
• Question 13
2 out of 2 points
Pain, disease of the muscle, or damage to the motor neuron may all cause:
Response Feedback: Muscle wasting is a consequence of pain from injury, pathology of the muscle, or injury to the motor neuron.
• Question 14
2 out of 2 points
What technique is performed at every infant examination during the first year of life to detect hip dislocation?
Response Feedback: At every examination during an infant s first year of life, the Barlow-Ortolani maneuver is performed. This test involves stabilizing the pelvis and flexing one hip and knee to 90 degrees. It detects hip dislocation and is signified by a clicking noise with the maneuver.
• Question 15
2 out of 2 points
Term infants normally resist:
Response Feedback: Along with elbows and hips, newborns tend to resist extension of the knee; however, movements should be symmetrical.
• Question 16
2 out of 2 points
A finding that is indicative of osteoarthritis is:
Response Feedback: Heberden nodes are bony overgrowths of the distal end of the fingers and are associated with osteoarthritis. When the overgrowths are concentrated in the proximal interphalangeal joint, they are known as Bouchard nodes and are associated with rheumatoid arthritis, as are swan neck deformities and spindle shaped fingers; ganglion cysts are not associated with osteoarthritis.
• Question 17
2 out of 2 points
A 3-year-old is brought to the clinic complaining of a painful right elbow. He is holding the right arm slightly flexed and pronated and refuses to move it. The mother states that symptoms started right after his older brother had been swinging him around by his arms. This presentation supports a diagnosis of:
Response Feedback: The symptoms this child is experiencing is indicative of a radial head subluxation, or nursemaid s elbow. The symptoms are not consistent with femoral anteversion, carpal tunnel syndrome, Osgood-Schlatter disease, or osteomyelitis.
• Question 18
2 out of 2 points
Anterior cruciate ligament integrity is assessed via the _____ test.
Response Feedback: The Lachman test evaluates anterior cruciate ligament integrity. The straight leg raise test assesses nerve root damage, the valgus stress test assesses instability of the lateral and medial collateral ligaments, the Homan test assesses for blood clots in the legs, the Thomas test is used to detect flexion contractures of the hips.
• Question 19
2 out of 2 points
A 7-year-old boy is brought into your office with a chief complaint of possible fracture in his left third finger. He jammed it while playing basketball 2 days ago. The mother states that she really does not think it is broken because he can move it. What is your best response?
• Question 20
2 out of 2 points
A patient presenting for the first time with typical low back pain should receive which of the following diagnostic tests? [Show Less]