Maryville NURS 612 Final Exam Questions and Answers Latest Updated 2024/2025 (100% Verified)

Which of the Following disorders is known to be heredity? Peripheral neuropathy Meningitis Huntington Chorea Seizure disorder correct answers Huntington Chorea The Examiner asks the patient to close her eyes and then place a vibrating tuning fork on the patients ankle and asks her to indicate what is felt. What is being assessed? correct answers Primary sensory function Multiple sclerosis correct answers Fatigue, bowel and bladder dysfunction, sexual dysfunction, sensory changes, muscle weakness Myasthenia gravis correct answers An autoimmune disorder of neuromuscular junction involved with muscle activation. Whisper Test correct answers CN V111 acoustic Patient sticks out tongue and moves it from side to side correct answers CN X11 Hypoglossal Taste test with sugar, salt, and lemon correct answers CN V11 and CN 1X Facial and glossopharyngeal Patient puffs out cheeks and shows teeth correct answers CN V11 facial Patient shrugs shoulders against examiner's hands correct answers CN X1 Spinal accessary Smell test with coffee, orange and cloves correct answers CN 1 Olfactory Eyes constrict and dilate in response to light correct answers CN 111 oculomotor patient clinches teeth (temporal muscles contracted) correct answers CN V Trigeminal positive Babinski sign be considered a normal finding in what ages? correct answers 0-24 months 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? correct answers 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? correct answers Fasciculation Maryville NURS 612 Final Exam Questions and Answers Latest Updated 2024/2025 (100% Verified) 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? correct answers 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. The abdominal reflexes are tested to assess functioning of the nerves in which location of the spine? correct answers Thoracic Which change is most commonly observed in aging patients? correct answers 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? correct answers Testing for ballottement is a test to detect fluid in the joint Which assessment finding is associated with lumbar stenosis? correct answers 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 correct answers 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. A patient states he injured his right ankle while walking the previous day. How should the nurse assess the ankle initially? correct answers 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? correct answers 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? correct answers Anterior cruciate ligament injury (ACL) Neer Test correct answers Shoulder rotator cuff impingement or tear Hawkins test correct answers Shoulder rotator cuff impingement or tear Katz hand diagram correct answers Median nerve integrity (carpel tunnel) Thumb abduction test correct answers Median nerve integrity (carpel tunnel) Tinal sign correct answers Median nerve integrity (carpal tunnel) Phalen test correct answers Median nerve integrity (carpal tunnel) Straight leg raising correct answers L4, L5, S1 nerve root irritation Femoral stretch test correct answers L1, L2, L3, L4 nerve root irritation Bulge sign correct answers Effusion of the knee Anterior and posterior drawer test correct answers Anterior and posterior cruciate ligament integrity (ACL and PCL) Varus-valgus stress test correct answers Medial or lateral collateral ligament instability of the knee (MCL) Lachman test correct answers Anterior cruciate ligament integrity (ACL) Thomas test correct answers Flexion contracture of hip Trendlenburg sign correct answers Weak hip abductor Herberden nodes and bouchard nodes noted on the hands correct answers Osteoarthritis Low back pain that radiates to the buttocks and posterior thigh with tenderness over the spine correct answers Lumbar disk herniation (lumbaosacral radiculopathy) Heat redness, swelling, and tenderness to the metatarsophalangeal joint correct answers Gouty arthritis of the great toe Subcutaneous nodules on the forearm near the elbow correct answers Rheumatoid arthritis tenderness, swelling, and boggy sensation with palpation along the grooves of the olecranon process; increased pain with pronation and supination correct answers Epicondylitis (tennis elbow) or tendonitis A child with muscle atrophy and symptoms of progressive muscle weakness correct answers Muscular dystrophy A child complaining of pain in the elbow and wrist; will not move his or her arm; maintains arm in a flexed and pronated position correct answers Radial head subluxation Chronic inflammatory disease involving the spine and sacroiliac joints correct answers Ankylosing spondylitis Numbness, burning, and tingling in the hands correct answers Carpal tunnel syndrome Unilateral facial pain that worsens with joint movement correct answers Temporomandibular joint syndrome Sudden onset of hot, swollen joint(s) correct answers Gout Excessive bone resorption and bone formation correct answers Paget disease Painful, nonarticular musculoskeletal condition correct answers Fibromyalgia Inflammation of this structure adjacent to a joint leads to limitation with motion, point tenderness, and swelling correct answers Bursitis Avascular necrosis of the femoral head correct answers Legg-Callve-Perthe disese The spine of a newborn infant should e palpated with the examiner noting the shape of each spinal process. If a split is noted in one of the spinal process, which problem is suspected? correct answers Bifid defect What degree of knee flexion is considered a normal finding? 15 90 130 160 correct answers 130