exam 4 health assessment chapter 12 & 18 questions with
complete solutions
a 14-year-old boy who has been diagnosed with Osgood-
Schlatter disease reports painful swelling just below the knee for
the past 5 months. which response by the nurse is appropriate?
a. if these symptoms persist, you may need arthroscopic surgery
b. you are experiencing degeneration of your knee, which may
not resolve
c. your disease is due to repeated stress on the patellar tendon. it
is usually self-limited and your symptoms should resolve with
rest.
d. increasing your activity and performing knee strengthening
exercises will help decrease the inflammation and maintain
mobility in the knee. Correct Answers your disease is due to
repeated stress on the patellar tendon. it is usually self-limited
and your symptoms should resolve with rest.
a 40 year old man has come into the lcinic with complaints of
extreme pain in his toes. the nurse notices that his toes are
slightly swollen, reddened, and warm to the touch. his
complaints would suggest:
a. osteoporosis
b. acute gout
c. ankylosing spondylitis
d. degenerative joint disease Correct Answers acute gout
,a 68 year old women has come in for an assessment of her
rheumatoid arthritis., tand the nurse notice raised, firm,
nontender nodules at the olecranonon bursa and along the ulna.
these nodule are most commonly diagnosed as:
a. epicondylitis
b. gouty arthritis
c. olecranon brusitis
d. subcutaneous nodules Correct Answers subcutaneous nodules
A man who has had gout for several years comes to the clinic
with a problem with his toe. On examination, the nurse notices
the presence of hard, painless nodules over the great toe; one has
burst open with a chalky discharge. This finding is known as:
A) a callus.
B) a plantar wart.
C) a bunion.
D) tophi. Correct Answers tophi.
a mother brings her newborn baby boy in for a checkup; she tells
the nurse that does not seem to be moving his right arm as much
as his left and that he seems to have when she lifts him up under
the arms. the nurse suspects a fractured clavicle and would
observe for:
a. negative allis test
b. positive ortolani sign
c. limited range of motion during the moro reflex
d. limited range of motion during lasegue test Correct Answers
limited range of motion during the moro reflex
,a patient annual physical examination reveals a lateral curvature
of the thoracic and lumbar segments of his spine; however, this
curvature disappears with forward bending. the nurse knows that
this abnormality of the spine is called:
a. structural scoliosis
b. functional scoliosis
c. herniated nucleus pulposus
d. dislocated hip Correct Answers functional scoliosis
a patient has been diagnosed with osteoporosis and asks the
nurse, what is osteoporosis? the nurse explains that osteoporosis
is defined as:
a. increased bone matrix
b. loss of bone density
c. new, weaker bone growth
d. increased phagocytic activity Correct Answers loss of bone
density
a patient is able to flex his right arm forward without difficulty
or pain but is unable to abduct his arm because of pain and
muscle spasm.s the nurse should suspect:
a. crepitation
b. rotator cuff lesion
c. dislocated shoulder
d. rheumatoid arthritis Correct Answers rotator cuff lesion
, A patient is being assessed for a range of joint movements. The
nurse asks him to move his arm in toward the center of his body.
This movement is called:
a. flexion
b. abduction
c. adduction
d. extension Correct Answers adduction
a patient is complaining of pain in his joint that is worse in the
morning, better after he moves around for a while, and then gets
worse again if he sits for long periods. the nurse should assess
for other signs of what problem?
a. tendinitis
b. osteoarthritis
c. rheumatoid arthritis
d. intermittent claudication Correct Answers rheumatoid
arthritis
a patient is unable to shrug her shoulders against the nurses
resistant hands. what cranial nerve is involved with successful
shoulder shrugging?
a. VII
b. IX
c. XI
d. XII Correct Answers XI
a patient is visiting the clinic for an evaluation of a swollen,
painful knuckle. the nurse notices that the knuckle above his
complete solutions
a 14-year-old boy who has been diagnosed with Osgood-
Schlatter disease reports painful swelling just below the knee for
the past 5 months. which response by the nurse is appropriate?
a. if these symptoms persist, you may need arthroscopic surgery
b. you are experiencing degeneration of your knee, which may
not resolve
c. your disease is due to repeated stress on the patellar tendon. it
is usually self-limited and your symptoms should resolve with
rest.
d. increasing your activity and performing knee strengthening
exercises will help decrease the inflammation and maintain
mobility in the knee. Correct Answers your disease is due to
repeated stress on the patellar tendon. it is usually self-limited
and your symptoms should resolve with rest.
a 40 year old man has come into the lcinic with complaints of
extreme pain in his toes. the nurse notices that his toes are
slightly swollen, reddened, and warm to the touch. his
complaints would suggest:
a. osteoporosis
b. acute gout
c. ankylosing spondylitis
d. degenerative joint disease Correct Answers acute gout
,a 68 year old women has come in for an assessment of her
rheumatoid arthritis., tand the nurse notice raised, firm,
nontender nodules at the olecranonon bursa and along the ulna.
these nodule are most commonly diagnosed as:
a. epicondylitis
b. gouty arthritis
c. olecranon brusitis
d. subcutaneous nodules Correct Answers subcutaneous nodules
A man who has had gout for several years comes to the clinic
with a problem with his toe. On examination, the nurse notices
the presence of hard, painless nodules over the great toe; one has
burst open with a chalky discharge. This finding is known as:
A) a callus.
B) a plantar wart.
C) a bunion.
D) tophi. Correct Answers tophi.
a mother brings her newborn baby boy in for a checkup; she tells
the nurse that does not seem to be moving his right arm as much
as his left and that he seems to have when she lifts him up under
the arms. the nurse suspects a fractured clavicle and would
observe for:
a. negative allis test
b. positive ortolani sign
c. limited range of motion during the moro reflex
d. limited range of motion during lasegue test Correct Answers
limited range of motion during the moro reflex
,a patient annual physical examination reveals a lateral curvature
of the thoracic and lumbar segments of his spine; however, this
curvature disappears with forward bending. the nurse knows that
this abnormality of the spine is called:
a. structural scoliosis
b. functional scoliosis
c. herniated nucleus pulposus
d. dislocated hip Correct Answers functional scoliosis
a patient has been diagnosed with osteoporosis and asks the
nurse, what is osteoporosis? the nurse explains that osteoporosis
is defined as:
a. increased bone matrix
b. loss of bone density
c. new, weaker bone growth
d. increased phagocytic activity Correct Answers loss of bone
density
a patient is able to flex his right arm forward without difficulty
or pain but is unable to abduct his arm because of pain and
muscle spasm.s the nurse should suspect:
a. crepitation
b. rotator cuff lesion
c. dislocated shoulder
d. rheumatoid arthritis Correct Answers rotator cuff lesion
, A patient is being assessed for a range of joint movements. The
nurse asks him to move his arm in toward the center of his body.
This movement is called:
a. flexion
b. abduction
c. adduction
d. extension Correct Answers adduction
a patient is complaining of pain in his joint that is worse in the
morning, better after he moves around for a while, and then gets
worse again if he sits for long periods. the nurse should assess
for other signs of what problem?
a. tendinitis
b. osteoarthritis
c. rheumatoid arthritis
d. intermittent claudication Correct Answers rheumatoid
arthritis
a patient is unable to shrug her shoulders against the nurses
resistant hands. what cranial nerve is involved with successful
shoulder shrugging?
a. VII
b. IX
c. XI
d. XII Correct Answers XI
a patient is visiting the clinic for an evaluation of a swollen,
painful knuckle. the nurse notices that the knuckle above his
