NR304 Exam 2 Study Guide: Abdominal & Neuro Assessment (Health Assessment II)

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NR304 / NR-304 Exam 2 Concept List (Latest 2025):

Health Assessment II - Chamberlain

Active Range of Motion .....ANSWER.....full muscular range of

motion with gravity, against resistance

Passive Range of Motion .....ANSWER.....full muscular range of

motion without gravity

Ataxia .....ANSWER.....loss of full control of body movements

Crepitus .....ANSWER.....grating sound/sensation produced by

friction between bone and cartilage

Flaccid .....ANSWER.....part of body hanging limply

Flexion .....ANSWER.....bending of joint (elbow, knee, neck)

Extension .....ANSWER.....extending of joint (neck, elbow, knee)

Abduction .....ANSWER.....Movement of limb away from midline

Adduction .....ANSWER.....Movement of limb toward midline

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Supination .....ANSWER.....facing upwards (palms up or face up in

lying position)

Pronation .....ANSWER.....facing downwards (palms down or face

down in lying position)

Rotation .....ANSWER.....turning of joint (neck, hips)

Retraction .....ANSWER.....nonangular posterior movement (jaw)

Protraction .....ANSWER.....nonangular anterior movement (jaw)

Inversion .....ANSWER.....sole turns medially (foot only)

Eversion .....ANSWER.....sole turns laterally (foot only)

Dorsiflexion .....ANSWER.....toes up

Plantarflexion .....ANSWER.....toes pointed down

What are the four elements of the musculoskeletal exam?

.....ANSWER.....1. Inspection

2. Palpation

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3. RoM

4. Strength

Musculoskeletal System function .....ANSWER.....the system of

bones and skeletal muscles that support and protect the body

and permit movement

What nutrient is essential for muscles? .....ANSWER.....Protein

What nutrients are essential for bones? .....ANSWER.....Calcium

and Vitamin D

What does a 2+ rating mean in regards to muscle strength?

.....ANSWER.....full RoM w/o gravity (passive RoM)

What does a 3+ rating mean in regards to muscle strength?

.....ANSWER.....full RoM w/gravity

What does a 4+ rating mean in regards to muscle strength?

.....ANSWER.....full RoM with gravity and moderate resistance

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What does a 5+ rating mean in regards to muscle strength?

.....ANSWER.....full RoM with gravity and full resistance

What rating is considered normal Muscle Strength?

.....ANSWER.....5+

What should the nurse inspect when assessing cervical spine

RoM? .....ANSWER.....alignment of head and neck

What should the nurse palpate when assessing the cervical spine

RoM? .....ANSWER.....spinous processes and muscles

What motions should the nurse ask the patient to demonstrate to

assess cervical spine RoM? .....ANSWER.....chin to chest (flexion),

lift chin (hyperextension), each ear towards shoulder, rotate chin

to each ear

Signs and Symptoms associated with bony fracture?

.....ANSWER.....pain, swelling, ecchymosis, deformity, warm,

tender to touch