MARYVILLE NURS 612 FINAL EXAM
COMPREHENSIVE TEST PAPER QUESTIONS
AND SOLUTIONS
◉ 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.
◉ 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.
◉ 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)
◉ Thumb abduction test.
Answer: Median nerve integrity (carpel tunnel)
◉ Tinal sign.
Answer: Median nerve integrity (carpal tunnel)
COMPREHENSIVE TEST PAPER QUESTIONS
AND SOLUTIONS
◉ 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.
◉ 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.
◉ 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)
◉ Thumb abduction test.
Answer: Median nerve integrity (carpel tunnel)
◉ Tinal sign.
Answer: Median nerve integrity (carpal tunnel)
