Exam 4 Health Assessment 2026/2027 | Galen College of
Nursing | Practice Questions, Answers & Detailed Rationales
This Resource Includes
➢ NSG 3160 Exam 4 Health Assessment review
➢ Practice questions and answers
➢ Detailed rationales for answer review
, NSG 3160 Exam 4 Health Assessment
2026/2027 | Galen College of Nursing |
Practice Questions, Answers & Detailed
Rationales
1. A patient presents with immobility and stiffness due to fusion of
bones. The nurse identifies this as:
A) Contracture
B) Subluxation
C) Ankylosis
D) Dislocation
Answer: C
Rationale: Ankylosis is immobility due to fusion of bones, characterized
by stiffness with fixation. It can occur in the wrist in extreme flexion
caused by rheumatoid arthritis. Contracture is shortening or hardening
of muscle or tendons. Subluxation is slight misalignment or partial
dislocation. Dislocation is displacement of a joint.
2. Which condition is characterized by chronic inflamed vertebrae that
can lead to bony fusion of vertebral joints?
,A) Osteoarthritis
B) Ankylosing Spondylitis
C) Rheumatoid Arthritis
D) Subluxation
Answer: B
Rationale: Ankylosing spondylitis is a chronic inflammatory condition of
the vertebrae that can lead to bony fusion of vertebral joints.
Osteoarthritis is a degenerative joint disease. Rheumatoid arthritis
involves symmetrical joints. Subluxation is partial dislocation.
3. A nurse documents "shortening or hardening of muscle or
tendons." This is known as:
A) Ankylosis
B) Contracture
C) Subluxation
D) Dislocation
Answer: B
Rationale: Contracture is the condition of shortening or hardening of
muscle or tendons, which can result in limited range of motion.
Ankylosis is bone fusion. Subluxation is partial dislocation. Dislocation is
complete displacement of a joint.
, 4. A patient reports a "slight misalignment" of a joint that is not fully
dislocated. The nurse recognizes this as:
A) Dislocation
B) Contracture
C) Subluxation
D) Ankylosis
Answer: C
Rationale: Subluxation is a slight misalignment or partial dislocation
where the joint is overextended but NOT dislocated. Dislocation is
complete displacement of a joint. Contracture is muscle/tendon
shortening. Ankylosis is bone fusion.
5. Which statement accurately describes the pain pattern of
rheumatoid arthritis?
A) Pain worsens later in the day and increases with movement
B) Pain worsens in the morning upon arising and after rest, improving
with movement
C) Pain is unilateral and worsens with inactivity
D) Pain occurs only after physical activity
Answer: B
Rationale: Rheumatoid arthritis involves symmetrical joints, worsens in