NURS 321 HEALTH ASSESSMENT EXAM 4
QUESTIONS WITH CORRECTLY ANSWERED
QUESTIONS 2025/2026 ACTUAL EXAM (SCORE
A) CSU FULLERTON
Myelomeningocele (Spina Bifida) - Definition
Congenital vertebral defect (commonly lumbar/sacral) → meningeal sac with spinal cord
protrudes
Myelomeningocele - Affected Functions
Walking, bladder control (severity-dependent)
Shaken Baby Syndrome - Definition
Brain injury from violent shaking; abuse
Shaken Baby Syndrome - Signs & Symptoms
Subdural hematoma, retinal hemorrhage, brain swelling, no other disease history
Sleep in Pregnancy - 1st Trimester
Increased sleep, often without feeling rested
Sleep in Pregnancy - 3rd Trimester
Decreased sleep, associated with somatic symptoms (leg cramps, back pain)
Pregnancy - Carpal Tunnel Syndrome
May occur due to fluid retention
Older Adults - Neurons
Decrease in number of cerebral neurons; usually no mental deterioration
Older Adults - Nerve Impulse
Decreased velocity of nerve impulse, may slow response time
What is osteoarthritis's pathophysiology?
, decreased articular cartilage → joint degeneration
What is the osteoarthritis pain pattern?
pain increases with activity and relieved by rest
OA - Joint Involvement
unilateral; affects weight-bearing joints
OA - Common Joints
weight bearing joints: hips, knees, fingers
OA - S/S
crepitus, Herberden's nodes (DIP), Bouchard's nodes (PIP), tender
OA - greatest risk factor
old age
What is is RA?
autoimmune inflammatory disease
What is the pathophysiology of RA?
chronic inflammation of connective tissue, primarily the synovium
RA - Pain Pattern
pain and stiffness worse after periods of rest
RA - Joint Involvement
bilateral, symmetric joint involvement
RA - Commonly Affected Joints
small joints: hands (MCP) and wrists
RA - Joint Appearance
edematous and erythematous
RA - Deformities
ulnar deviation, swan-neck deformities, rheumatoid nodules
RA - Systemic Sxs
malaise, fever
QUESTIONS WITH CORRECTLY ANSWERED
QUESTIONS 2025/2026 ACTUAL EXAM (SCORE
A) CSU FULLERTON
Myelomeningocele (Spina Bifida) - Definition
Congenital vertebral defect (commonly lumbar/sacral) → meningeal sac with spinal cord
protrudes
Myelomeningocele - Affected Functions
Walking, bladder control (severity-dependent)
Shaken Baby Syndrome - Definition
Brain injury from violent shaking; abuse
Shaken Baby Syndrome - Signs & Symptoms
Subdural hematoma, retinal hemorrhage, brain swelling, no other disease history
Sleep in Pregnancy - 1st Trimester
Increased sleep, often without feeling rested
Sleep in Pregnancy - 3rd Trimester
Decreased sleep, associated with somatic symptoms (leg cramps, back pain)
Pregnancy - Carpal Tunnel Syndrome
May occur due to fluid retention
Older Adults - Neurons
Decrease in number of cerebral neurons; usually no mental deterioration
Older Adults - Nerve Impulse
Decreased velocity of nerve impulse, may slow response time
What is osteoarthritis's pathophysiology?
, decreased articular cartilage → joint degeneration
What is the osteoarthritis pain pattern?
pain increases with activity and relieved by rest
OA - Joint Involvement
unilateral; affects weight-bearing joints
OA - Common Joints
weight bearing joints: hips, knees, fingers
OA - S/S
crepitus, Herberden's nodes (DIP), Bouchard's nodes (PIP), tender
OA - greatest risk factor
old age
What is is RA?
autoimmune inflammatory disease
What is the pathophysiology of RA?
chronic inflammation of connective tissue, primarily the synovium
RA - Pain Pattern
pain and stiffness worse after periods of rest
RA - Joint Involvement
bilateral, symmetric joint involvement
RA - Commonly Affected Joints
small joints: hands (MCP) and wrists
RA - Joint Appearance
edematous and erythematous
RA - Deformities
ulnar deviation, swan-neck deformities, rheumatoid nodules
RA - Systemic Sxs
malaise, fever
