NUR 226 Exam 4 – Nursing Leadership & Management Practice Questions and
Study Guide
What test will the nurse perform by firmly stroking the medial aspect of the knee 3 times and
tapping the lateral aspect of the knee? - correct answer ✔✔Bulge sign
-- To assess swelling in the suprapatellar pouch, the nurse will check for the bulge sign, which
confirms the presence of small amounts of fluid as the nurse tries to move the fluid from one
side of the joint to the other.
To detect large amounts of fluid in the patellar region, ___________ of the patella is used. -
correct answer ✔✔ballottement
-- left-hand helps compress the suprapatellar pouch to move any fluid into the knee joint &
right-hand helps push the patella sharply against the femur
The _________ test reproduces numbness and burning in a person with carpal tunnel syndrome
and is a disorder of the wrist. - correct answer ✔✔Phalen
-- patient holds both hands back to back while flexing the wrists 90 degrees. Acute flexion of a
normal wrist for 60 secs produces no symptoms in a normal hand.
In carpal tunnel syndrome, percussion of the median nerve produces burning and tingling along
its distribution, which is a positive ______ sign. - correct answer ✔✔Tinel
________ are collections of sodium urate crystals that appear in and around the joint & may
appear in the joints of the patient with chronic gout. - correct answer ✔✔Tophi
,_____________ ________________ refers to inflammation of the tendon sheath near the
ankle. - correct answer ✔✔Achilles tenosynovitis
______________ _________________ refers to congenital and fixed malposition of the foot. -
correct answer ✔✔Talipes equinovarus
__________________ syndrome manifests as widespread pain in the muscles. - correct answer
✔✔Fibromyalgia
rheumatoid arthritis (RA) - correct answer ✔✔- Inflammation of the synovial tissues and
hyperplasia
- Increased cytokine production in the patient with RA may lead to an increase in the basal
metabolic rate. This increases caloric needs in the patient --> patient may have fatigue and
weight loss.
- patient may have increased production of prostaglandins. Prostaglandins reset the thermostat
of the brain to a higher level, resulting in low-grade fever.
Tingling and numbness are symptoms of a ___________ _________. - correct answer
✔✔ganglion cyst
_________________ may lead to swan-neck deformity and ulnar deviation of the fingers. -
correct answer ✔✔Chronic RA
-- Swan-neck deformity refers to the flexion contracture of the metacarpophalangeal joint.
-- Stretching of the articular capsule and muscle imbalance in the patient with RA may result in
ulnar deviation of the fingers.
______________ is swelling of the elbow, which is associated with the presence of a large, soft
knob and redness resulting from inflammation of the olecranon bursa. - correct answer
✔✔Olecranon bursitis
,______________ is a bone disorder characterized by a decrease in bone mass and density,
which increases the risk of fractures. - correct answer ✔✔Osteoporosis
Cartilage serves which functions in the body? - correct answer ✔✔Cushioning the bones
Providing stability
Covering the surface of the bone
Smoothing the surface of the bone
RECEIVES nourishment from the synovial fluid during joint mvmt
________________ is characterized by hard, nontender Heberden and Bouchard nodules. -
correct answer ✔✔Osteoarthritis
-- The bony outgrowths of distal interphalangeal joints = Heberden nodes
-- bony outgrowths of proximal interphalangeal joints = Bouchard nodes
________ _________ syndrome results in pain, burning, and numbness. It occurs bc of atrophy
of the median nerve of the wrist and hand. - correct answer ✔✔Carpal tunnel
In ___________ __________ syndrome, percussion of the median nerve produces burning and
tingling along its distribution, which is a positive Tinel sign. - correct answer ✔✔carpal tunnel
Freely movable and lined with synovial membranes are __________ joints - correct answer
✔✔synovial
Foods to increase Calcium levels: - correct answer ✔✔Milk
Yogurt
Cheese
, Which structure connects the knee joint at both sides and prevents its dislocation? - correct
answer ✔✔Collateral ligaments
The __________ ___________- is a wedge-shaped cartilage that cushions the tibia and femur
and protects them from external pressures. - correct answer ✔✔lateral meniscus
The ____________ ____________ lies between the patella and the skin, prevents friction, and
thus helps the muscles and tendons glide smoothly over the bone. - correct answer
✔✔prepatellar bursa
____________ ______________ provide anterior and posterior stability and help control
rotation of the knee. - correct answer ✔✔Cruciate ligaments
Extension - correct answer ✔✔STRAIGHTENING a joint/limb
"pigeon toes" tends to walk on the... - correct answer ✔✔lateral side of the foot, and the
longitudinal arch appears higher than normal
genu varum tends to walk with a... - correct answer ✔✔waddling gait.
"flat feet"... - correct answer ✔✔takes a broad-based stance
genu valgum... - correct answer ✔✔tends to stand with ankles apart and the knees touching
Which test helps in assessing a flexion deformity of the patient's hip?
Incorrect1
Allis
Study Guide
What test will the nurse perform by firmly stroking the medial aspect of the knee 3 times and
tapping the lateral aspect of the knee? - correct answer ✔✔Bulge sign
-- To assess swelling in the suprapatellar pouch, the nurse will check for the bulge sign, which
confirms the presence of small amounts of fluid as the nurse tries to move the fluid from one
side of the joint to the other.
To detect large amounts of fluid in the patellar region, ___________ of the patella is used. -
correct answer ✔✔ballottement
-- left-hand helps compress the suprapatellar pouch to move any fluid into the knee joint &
right-hand helps push the patella sharply against the femur
The _________ test reproduces numbness and burning in a person with carpal tunnel syndrome
and is a disorder of the wrist. - correct answer ✔✔Phalen
-- patient holds both hands back to back while flexing the wrists 90 degrees. Acute flexion of a
normal wrist for 60 secs produces no symptoms in a normal hand.
In carpal tunnel syndrome, percussion of the median nerve produces burning and tingling along
its distribution, which is a positive ______ sign. - correct answer ✔✔Tinel
________ are collections of sodium urate crystals that appear in and around the joint & may
appear in the joints of the patient with chronic gout. - correct answer ✔✔Tophi
,_____________ ________________ refers to inflammation of the tendon sheath near the
ankle. - correct answer ✔✔Achilles tenosynovitis
______________ _________________ refers to congenital and fixed malposition of the foot. -
correct answer ✔✔Talipes equinovarus
__________________ syndrome manifests as widespread pain in the muscles. - correct answer
✔✔Fibromyalgia
rheumatoid arthritis (RA) - correct answer ✔✔- Inflammation of the synovial tissues and
hyperplasia
- Increased cytokine production in the patient with RA may lead to an increase in the basal
metabolic rate. This increases caloric needs in the patient --> patient may have fatigue and
weight loss.
- patient may have increased production of prostaglandins. Prostaglandins reset the thermostat
of the brain to a higher level, resulting in low-grade fever.
Tingling and numbness are symptoms of a ___________ _________. - correct answer
✔✔ganglion cyst
_________________ may lead to swan-neck deformity and ulnar deviation of the fingers. -
correct answer ✔✔Chronic RA
-- Swan-neck deformity refers to the flexion contracture of the metacarpophalangeal joint.
-- Stretching of the articular capsule and muscle imbalance in the patient with RA may result in
ulnar deviation of the fingers.
______________ is swelling of the elbow, which is associated with the presence of a large, soft
knob and redness resulting from inflammation of the olecranon bursa. - correct answer
✔✔Olecranon bursitis
,______________ is a bone disorder characterized by a decrease in bone mass and density,
which increases the risk of fractures. - correct answer ✔✔Osteoporosis
Cartilage serves which functions in the body? - correct answer ✔✔Cushioning the bones
Providing stability
Covering the surface of the bone
Smoothing the surface of the bone
RECEIVES nourishment from the synovial fluid during joint mvmt
________________ is characterized by hard, nontender Heberden and Bouchard nodules. -
correct answer ✔✔Osteoarthritis
-- The bony outgrowths of distal interphalangeal joints = Heberden nodes
-- bony outgrowths of proximal interphalangeal joints = Bouchard nodes
________ _________ syndrome results in pain, burning, and numbness. It occurs bc of atrophy
of the median nerve of the wrist and hand. - correct answer ✔✔Carpal tunnel
In ___________ __________ syndrome, percussion of the median nerve produces burning and
tingling along its distribution, which is a positive Tinel sign. - correct answer ✔✔carpal tunnel
Freely movable and lined with synovial membranes are __________ joints - correct answer
✔✔synovial
Foods to increase Calcium levels: - correct answer ✔✔Milk
Yogurt
Cheese
, Which structure connects the knee joint at both sides and prevents its dislocation? - correct
answer ✔✔Collateral ligaments
The __________ ___________- is a wedge-shaped cartilage that cushions the tibia and femur
and protects them from external pressures. - correct answer ✔✔lateral meniscus
The ____________ ____________ lies between the patella and the skin, prevents friction, and
thus helps the muscles and tendons glide smoothly over the bone. - correct answer
✔✔prepatellar bursa
____________ ______________ provide anterior and posterior stability and help control
rotation of the knee. - correct answer ✔✔Cruciate ligaments
Extension - correct answer ✔✔STRAIGHTENING a joint/limb
"pigeon toes" tends to walk on the... - correct answer ✔✔lateral side of the foot, and the
longitudinal arch appears higher than normal
genu varum tends to walk with a... - correct answer ✔✔waddling gait.
"flat feet"... - correct answer ✔✔takes a broad-based stance
genu valgum... - correct answer ✔✔tends to stand with ankles apart and the knees touching
Which test helps in assessing a flexion deformity of the patient's hip?
Incorrect1
Allis
