ADVANCED HEALTH ASSESSMENT NEWEST 2024
ACTUAL EXAM 100+ QUESTIONS AND CORRECT
DETAILED ANSWERS ALREADY GRADED A+
The nurse observes the gait of a client as he enters the room. He
uses short steps, keeps his knees in contact, and walks with
considerable effort. What term is used to describe this gait? -
ANSWER--Scissors gait
A nurse observes very fine, rapid, continuous twitching of a
patient's finger while at rest. How should the nurse document this
finding? - ANSWER--Fasciculation
A fasciculation is a fine, rapid twitching that may occur with some
lower motor neuron disease. Paralysis is loss of motor function.
Spasticity is abnormally increased muscle tone. An intention
tremor is an involuntary contraction of a muscle group occurring
with voluntary movement
Under what conditions should a patient be tested for clonus? -
ANSWER--When deep tendon reflexes are hyperactive
Clonus, repeated reflex muscle movement, is tested when a
patient has hyperactive reflexes. It is found with diseases of the
upper motor neuron. Nuchal rigidity, neck stiffness, is a sign of
meningeal irritation. Absent reflexes are associated with lower
motor neuron diseases. Decorticate positioning, a state of flexion
with the arms adducted, occurs with hemispheric lesion of the
cerebral cortex.
, NURS 612 FINAL EXAM MARYVILLE UNIVERSITY
ADVANCED HEALTH ASSESSMENT NEWEST 2024
ACTUAL EXAM 100+ QUESTIONS AND CORRECT
DETAILED ANSWERS ALREADY GRADED A+
The abdominal reflexes are tested to assess functioning of the
nerves in which location of the spine? - ANSWER--Thoracic
Which change is most commonly observed in aging patients? -
ANSWER--Kyphosis, advanced posterior curvature of the thoracic
spine, occurs commonly with age. Lordosis, scoliosis, and
ankylosis are not as commonly associated with age.
While palpating the patient's knee, the nurse finds effusion in the
joint. What further assessment will support this finding? -
ANSWER--Testing for ballottement is a test to detect fluid in the
joint
Which assessment finding is associated with lumbar stenosis? -
ANSWER--Pain associated with prolonged standing
Lumbar stenosis, narrowing of the spinal canal, causes pain
associated with prolonged standing. Pain is improved by bending
forward.
Risk factors for osteoarthritis - ANSWER--Risk factors for
osteoarthritis include obesity, aging, and a family history of
osteoarthritis. overuse of joints, as with certain sport activities and
occupations, is a risk factor.
, NURS 612 FINAL EXAM MARYVILLE UNIVERSITY
ADVANCED HEALTH ASSESSMENT NEWEST 2024
ACTUAL EXAM 100+ QUESTIONS AND CORRECT
DETAILED ANSWERS ALREADY GRADED A+
A patient states he injured his right ankle while walking the
previous day. How should the nurse assess the ankle initially? -
ANSWER--Initial assessment is inspection of the ankle and
comparison with the other ankle. Palpation, performing passive
range of motion, and asking the patient to walk are done after the
initial inspection.
Which assessment finding is consistent with carpal tunnel
syndrome? - ANSWER--Carpal tunnel syndrome, compression of
the median nerve, causes weakness in the thumb and episodes
of numbness and burning that awaken the patient from sleep.
McMurray sign test for? - ANSWER--Anterior cruciate ligament
injury (ACL)
Neer Test - ANSWER--Shoulder rotator cuff impingement or tear
Hawkins test - ANSWER--Shoulder rotator cuff impingement or
tear
Katz hand diagram - ANSWER--Median nerve integrity (carpel
tunnel)