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A patient is being assessed for range-of-joint movement. The nurse asks him to move
his arm in toward the center of his body. This movement is called:
A. Flexion.
B. Abduction.
C. Adduction.
D. Extension. - Answer: c. Adduction.
Moving a limb toward the midline of the body is called adduction; moving a limb away
from the midline of the body is called abduction. Flexion is bending a limb at a joint; and
extension is straightening a limb at a joint.
A patient tells the nurse that she is having a hard time bringing her hand to her mouth
when she eats or tries to brush her teeth. The nurse knows that for her to move her
hand to her mouth, she must perform which movement?
A. Flexion
B. Abduction
C. Adduction
D. Extension - Answer: a. Flexion
Flexion, or bending a limb at a joint, is required to move the hand to the mouth.
Extension is straightening a limb at a joint. Moving a limb toward the midline of the body
is called adduction; abduction is moving a limb away from the midline of the body.
The nurse notices that a woman in an exercise class is unable to jump rope. The nurse
is aware that to jump rope, ones shoulder has to be capable of:
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,A. Inversion.
B. Supination.
C. Protraction.
D. Circumduction. - Answer: d. Circumduction.
Circumduction is defined as moving the arm in a circle around the shoulder. The other
options are not correct.
The articulation of the mandible and the temporal bone is known as the:
A. Intervertebral foramen.
B. Condyle of the mandible.
C. Temporomandibular joint.
D. Zygomatic arch of the temporal bone. - Answer: c. Temporomandibular joint.
The articulation of the mandible and the temporal bone is the temporomandibular joint.
The other responses are not correct.
To palpate the temporomandibular joint, the nurses fingers should be placed in the
depression of the ear.
A. Distal to the helix
B. Proximal to the helix
C. Anterior to the tragus
D. Posterior to the tragus - Answer: c. Anterior to the tragus
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,The temporomandibular joint can be felt in the depression anterior to the tragus of the
ear. The other locations are not correct.
The nurse is checking the range of motion in a patients knee and knows that the knee is
capable of which movement(s)?
A. Flexion and extension
B. Supination and pronation
C. Circumduction
D. Inversion and eversion - Answer: a. Flexion and extension
The knee is a hinge joint, permitting flexion and extension of the lower leg on a single
plane. The knee is not capable of the other movements listed.
A woman who is 8 months pregnant comments that she has noticed a change in her
posture and is having lower back pain. The nurse tells her that during pregnancy,
women have a posture shift to compensate for the enlarging fetus. This shift in posture
is known as:
A. Lordosis.
B. Scoliosis.
C. Ankylosis.
D. Kyphosis. - Answer: a. Lordosis.
Lordosis compensates for the enlarging fetus, which would shift the center of balance
forward.
The nurse is teaching a class on preventing osteoporosis to a group of perimenopausal
women. Which of these actions is the best way to prevent or delay bone loss in this
group?
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, A. Taking calcium and vitamin D supplements
B. Taking medications to prevent osteoporosis
C. Performing physical activity, such as fast walking
D. Assessing bone density annually - Answer: c. Performing physical activity, such as
fast walking
Physical activity, such as fast walking, delays or prevents bone loss in perimenopausal
women. The faster the pace of walking, the higher the preventive effect is on the risk of
hip fracture. The other options are not correct
A patient states, I can hear a crunching or grating sound when I kneel. She also states
that it is very difficult to get out of bed in the morning because of stiffness and pain in my
joints. The nurse should assess for signs of what problem?
A. Crepitation
B. Bone spur
C. Loose tendon
D. Fluid in the knee joint - Answer: a. Crepitation
Crepitation is an audible and palpable crunching or grating that accompanies movement
and occurs when articular surfaces in the joints are roughened, as with rheumatoid
arthritis. The other options are not correct.
The nurse suspects that a patient has carpal tunnel syndrome and wants to perform the
Phalen test. To perform this test, the nurse should instruct the patient to:
A. Dorsiflex the foot.
B. Plantarflex the foot.
C. Hold both hands back to back while flexing the wrists 90 degrees for 60 seconds.
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