NR 226 EXAM 4 NEWEST ACTUAL EXAM
COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWER
1. 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?
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.
2. To detect large amounts of fluid in the patellar region, of the
patella is used.
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
3. The test reproduces numbness and burning in a person with
carpal tunnel syndrome and is a disorder of the wrist.
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.
4. In carpal tunnel syndrome, percussion of the median nerve produces
burn- ing and tingling along its distribution, which is a positive sign.
Answer Tinel
5. are collections of sodium urate crystals that appear in and
around the joint & may appear in the joints of the patient with chronic gout.
Answer Tophi
6. refers to inflammation of the tendon
sheath near the ankle.
Answer Achilles tenosynovitis
7. refers to congenital and fixed malpo-
sition of the foot.
Answer Talipes equinovarus
8. syndrome manifests as widespread pain in the mus-
cles.
Answer Fibromyalgia
9. rheumatoid arthritis (RA)
Answer - Inflammation of the synovial tissues and hyperpla- sia
- 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.
10. Tingling and numbness are symptoms of a .
Answer gan- glion cyst
11. may lead to swan-neck deformity and ulnar deviation
of the fingers.
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.
12. 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.
Answer Olecranon bursitis
13. is a bone disorder characterized by a decrease in bone
mass and density, which increases the risk of fractures.
, Answer Osteoporosis
14. Cartilage serves which functions in the body?
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
15. is characterized by hard, nontender Heberden and
Bouchard nodules.
Answer Osteoarthritis
-- The bony outgrowths of distal interphalangeal joints = Heberden nodes
-- bony outgrowths of proximal interphalangeal joints = Bouchard nodes
16. syndrome results in pain, burning, and numbness. It
occurs bc of atrophy of the median nerve of the wrist and hand.
Answer Carpal tunnel
17. In syndrome, percussion of the median nerve
produces burning and tingling along its distribution, which is a positive
Tinel sign.
Answer carpal tunnel
18. Freely movable and lined with synovial membranes are joints-
COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWER
1. 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?
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.
2. To detect large amounts of fluid in the patellar region, of the
patella is used.
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
3. The test reproduces numbness and burning in a person with
carpal tunnel syndrome and is a disorder of the wrist.
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.
4. In carpal tunnel syndrome, percussion of the median nerve produces
burn- ing and tingling along its distribution, which is a positive sign.
Answer Tinel
5. are collections of sodium urate crystals that appear in and
around the joint & may appear in the joints of the patient with chronic gout.
Answer Tophi
6. refers to inflammation of the tendon
sheath near the ankle.
Answer Achilles tenosynovitis
7. refers to congenital and fixed malpo-
sition of the foot.
Answer Talipes equinovarus
8. syndrome manifests as widespread pain in the mus-
cles.
Answer Fibromyalgia
9. rheumatoid arthritis (RA)
Answer - Inflammation of the synovial tissues and hyperpla- sia
- 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.
10. Tingling and numbness are symptoms of a .
Answer gan- glion cyst
11. may lead to swan-neck deformity and ulnar deviation
of the fingers.
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.
12. 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.
Answer Olecranon bursitis
13. is a bone disorder characterized by a decrease in bone
mass and density, which increases the risk of fractures.
, Answer Osteoporosis
14. Cartilage serves which functions in the body?
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
15. is characterized by hard, nontender Heberden and
Bouchard nodules.
Answer Osteoarthritis
-- The bony outgrowths of distal interphalangeal joints = Heberden nodes
-- bony outgrowths of proximal interphalangeal joints = Bouchard nodes
16. syndrome results in pain, burning, and numbness. It
occurs bc of atrophy of the median nerve of the wrist and hand.
Answer Carpal tunnel
17. In syndrome, percussion of the median nerve
produces burning and tingling along its distribution, which is a positive
Tinel sign.
Answer carpal tunnel
18. Freely movable and lined with synovial membranes are joints-
