Update ) Health Assessment I |
Questions & Answers | 100% Correct |
Grade A - Chamberlain
Question 1
What is a normal finding when inspecting the musculoskeletal system?
a. Asymmetrical joint alignment
b. Symmetrical muscle mass and joint alignment
c. Limited range of motion
d. Joint crepitus
Correct Answer: b
Explanation: Symmetrical muscle mass and joint alignment are normal findings, indicating
balanced musculoskeletal function. Nursing Relevance: Note asymmetry or deformities for
further evaluation.
Question 2
What is the purpose of the Thomas test?
a. To assess knee stability
b. To evaluate hip flexor contracture
c. To test shoulder range of motion
d. To measure spinal curvature
Correct Answer: b
Explanation: The Thomas test assesses hip flexor contracture by observing hip flexion when the
opposite leg is extended. Nursing Relevance: Perform with the patient supine to detect
tightness.
Question 3
What does a positive Phalen’s test indicate in a musculoskeletal assessment?
a. Carpal tunnel syndrome
b. Rheumatoid arthritis
,c. Osteoarthritis
d. Normal wrist function
Correct Answer: a
Explanation: A positive Phalen’s test (tingling in the median nerve distribution when wrists are
flexed) suggests carpal tunnel syndrome. Nursing Relevance: Refer for nerve conduction
studies.
Question 4
What is a normal finding when assessing range of motion in the knee?
a. Flexion to 90 degrees only
b. Flexion to 130–150 degrees
c. Crepitus with movement
d. Limited extension
Correct Answer: b
Explanation: Normal knee range of motion includes flexion to 130–150 degrees and full
extension to 0 degrees. Nursing Relevance: Assess bilaterally and note limitations or pain.
Question 5
What does crepitus during joint movement suggest?
a. Normal joint function
b. Joint degeneration or arthritis
c. Muscle strain
d. Ligament tear
Correct Answer: b
Explanation: Crepitus (grating sound) suggests joint degeneration, as in osteoarthritis. Nursing
Relevance: Document and refer for imaging if accompanied by pain or swelling.
Question 6
What is the purpose of the bulge sign test?
a. To assess hip joint stability
b. To detect knee effusion
c. To evaluate shoulder impingement
d. To test spinal alignment
, Correct Answer: b
Explanation: The bulge sign detects minor knee effusion by stroking fluid toward the patella.
Nursing Relevance: Perform with the knee extended and note fluid accumulation.
Question 7
What is a normal finding when palpating the spine?
a. Lateral curvature
b. Straight alignment without tenderness
c. Tenderness at C7
d. Exaggerated kyphosis
Correct Answer: b
Explanation: A straight spine without tenderness is normal, indicating no deformity or
inflammation. Nursing Relevance: Assess for scoliosis or kyphosis in abnormal findings.
Question 8
What does a positive Lachman test indicate?
a. Meniscus tear
b. Anterior cruciate ligament (ACL) injury
c. Patellar dislocation
d. Normal knee stability
Correct Answer: b
Explanation: A positive Lachman test (excessive anterior tibial movement) suggests an ACL
injury. Nursing Relevance: Refer for MRI and orthopedic evaluation.
Question 9
What is a normal finding when assessing muscle strength?
a. 3/5 strength bilaterally
b. 5/5 strength bilaterally
c. Asymmetrical strength
d. Tremors during testing
Correct Answer: b
Explanation: 5/5 strength (full resistance against force) is normal for muscle strength. Nursing
Relevance: Use a 0–5 scale and compare bilaterally.