Adv physical assessment exam 3
QUESTIONS AND VERIFIED CORRECT
ANSWERS GRADED A+ LATEST 100%
GUARANTEED PASS
25. A patient is complaining of pain in his joints that is worse in the morning, better after he
moves around for
a while, and then gets worse again if he sits for long periods. The nurse should assess for other
signs of what
problem?
a. Tendinitis
b. Osteoarthritis
c. Rheumatoid arthritis
d. Intermittent claudication - CORRECT ANSWER-ANS: C
Rheumatoid arthritis is worse in the morning when a person arises. Movement increases most
joint pain, except
Test Bank - Physical Examination and Health Assessment 8e (by Jarvis) 346
the pain with rheumatoid arthritis, which decreases with movement. The other options are not
correct.
27. A patient is able to flex his right arm forward without difficulty or pain but is unable to
abduct his arm
because of pain and muscle spasms. The nurse should suspect:
a. Crepitation.
b. Rotator cuff lesions.
, c. Dislocated shoulder.
d. Rheumatoid arthritis. - CORRECT ANSWER-ANS: B
Rotator cuff lesions may limit range of motion and cause pain and muscle spasms during
abduction, whereas
forward flexion remains fairly normal. The other options are not correct.
28. A professional tennis player comes into the clinic complaining of a sore elbow. The nurse will
assess for
tenderness at the:
a. Olecranon bursa.
b. Annular ligament.
c. Base of the radius.
d. Medial and lateral epicondyle. - CORRECT ANSWER-ANS: D
The epicondyles, the head of the radius, and the tendons are common sites of inflammation
and local
tenderness, commonly referred to as tennis elbow. The other locations are not affected
29. 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.
d. Hyperextend the wrists with the palmar surface of both hands touching, and wait for 60
seconds. - CORRECT ANSWER-ANS: C
For the Phalen test, the nurse should ask the person to hold both hands back to back while
flexing the wrists 90
,degrees. Acute flexion of the wrist for 60 seconds produces no symptoms in the normal hand.
The Phalen test
reproduces numbness and burning in a person with carpal tunnel syndrome. The other actions
are not correct
when testing for carpal tunnel syndrome.
31. The nurse has completed the musculoskeletal examination of a patients knee and has found
a positive bulge
sign. The nurse interprets this finding to indicate:
a. Irregular bony margins.
b. Soft-tissue swelling in the joint.
c. Swelling from fluid in the epicondyle.
d. Swelling from fluid in the suprapatellar pouch. - CORRECT ANSWER-ANS: D
A positive bulge sign confirms the presence of swelling caused by fluid in the suprapatellar
pouch. The other
options are not correct.
32. During an examination, the nurse asks a patient to bend forward from the waist and notices
that the patient
has lateral tilting. When his leg is raised straight up, the patient complains of a pain going down
his buttock
into his leg. The nurse suspects:
a. Scoliosis.
b. Meniscus tear.
c. Herniated nucleus pulposus.
d. Spasm of paravertebral muscles. - CORRECT ANSWER-ANS: C
Lateral tilting and sciatic pain with straight leg raising are findings that occur with a herniated
nucleus
, pulposus. The other options are not correct.
36. A 40-year-old man has come into the clinic with complaints of extreme pain in his toes. The
nurse notices
that his toes are slightly swollen, reddened, and warm to the touch. His complaints would
suggest:
a. Osteoporosis.
b. Acute gout.
c. Ankylosing spondylitis.
d. Degenerative joint disease. - CORRECT ANSWER-ANS: B
Clinical findings for acute gout consist of redness, swelling, heat, and extreme pain like a
continuous
throbbing. Gout is a metabolic disorder of disturbed purine metabolism, associated with
elevated serum uric
acid.
37. A young swimmer comes to the sports clinic complaining of a very sore shoulder. He was
running at the
pool, slipped on some wet concrete, and tried to catch himself with his outstretched hand. He
landed on his
outstretched hand and has not been able to move his shoulder since. The nurse suspects:
a. Joint effusion.
b. Tear of rotator cuff.
c. Adhesive capsulitis.
d. Dislocated shoulder. - CORRECT ANSWER-ANS: D
A dislocated shoulder occurs with trauma involving abduction, extension, and external rotation
(e.g., falling on
an outstretched arm or diving into a pool).
QUESTIONS AND VERIFIED CORRECT
ANSWERS GRADED A+ LATEST 100%
GUARANTEED PASS
25. A patient is complaining of pain in his joints that is worse in the morning, better after he
moves around for
a while, and then gets worse again if he sits for long periods. The nurse should assess for other
signs of what
problem?
a. Tendinitis
b. Osteoarthritis
c. Rheumatoid arthritis
d. Intermittent claudication - CORRECT ANSWER-ANS: C
Rheumatoid arthritis is worse in the morning when a person arises. Movement increases most
joint pain, except
Test Bank - Physical Examination and Health Assessment 8e (by Jarvis) 346
the pain with rheumatoid arthritis, which decreases with movement. The other options are not
correct.
27. A patient is able to flex his right arm forward without difficulty or pain but is unable to
abduct his arm
because of pain and muscle spasms. The nurse should suspect:
a. Crepitation.
b. Rotator cuff lesions.
, c. Dislocated shoulder.
d. Rheumatoid arthritis. - CORRECT ANSWER-ANS: B
Rotator cuff lesions may limit range of motion and cause pain and muscle spasms during
abduction, whereas
forward flexion remains fairly normal. The other options are not correct.
28. A professional tennis player comes into the clinic complaining of a sore elbow. The nurse will
assess for
tenderness at the:
a. Olecranon bursa.
b. Annular ligament.
c. Base of the radius.
d. Medial and lateral epicondyle. - CORRECT ANSWER-ANS: D
The epicondyles, the head of the radius, and the tendons are common sites of inflammation
and local
tenderness, commonly referred to as tennis elbow. The other locations are not affected
29. 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.
d. Hyperextend the wrists with the palmar surface of both hands touching, and wait for 60
seconds. - CORRECT ANSWER-ANS: C
For the Phalen test, the nurse should ask the person to hold both hands back to back while
flexing the wrists 90
,degrees. Acute flexion of the wrist for 60 seconds produces no symptoms in the normal hand.
The Phalen test
reproduces numbness and burning in a person with carpal tunnel syndrome. The other actions
are not correct
when testing for carpal tunnel syndrome.
31. The nurse has completed the musculoskeletal examination of a patients knee and has found
a positive bulge
sign. The nurse interprets this finding to indicate:
a. Irregular bony margins.
b. Soft-tissue swelling in the joint.
c. Swelling from fluid in the epicondyle.
d. Swelling from fluid in the suprapatellar pouch. - CORRECT ANSWER-ANS: D
A positive bulge sign confirms the presence of swelling caused by fluid in the suprapatellar
pouch. The other
options are not correct.
32. During an examination, the nurse asks a patient to bend forward from the waist and notices
that the patient
has lateral tilting. When his leg is raised straight up, the patient complains of a pain going down
his buttock
into his leg. The nurse suspects:
a. Scoliosis.
b. Meniscus tear.
c. Herniated nucleus pulposus.
d. Spasm of paravertebral muscles. - CORRECT ANSWER-ANS: C
Lateral tilting and sciatic pain with straight leg raising are findings that occur with a herniated
nucleus
, pulposus. The other options are not correct.
36. A 40-year-old man has come into the clinic with complaints of extreme pain in his toes. The
nurse notices
that his toes are slightly swollen, reddened, and warm to the touch. His complaints would
suggest:
a. Osteoporosis.
b. Acute gout.
c. Ankylosing spondylitis.
d. Degenerative joint disease. - CORRECT ANSWER-ANS: B
Clinical findings for acute gout consist of redness, swelling, heat, and extreme pain like a
continuous
throbbing. Gout is a metabolic disorder of disturbed purine metabolism, associated with
elevated serum uric
acid.
37. A young swimmer comes to the sports clinic complaining of a very sore shoulder. He was
running at the
pool, slipped on some wet concrete, and tried to catch himself with his outstretched hand. He
landed on his
outstretched hand and has not been able to move his shoulder since. The nurse suspects:
a. Joint effusion.
b. Tear of rotator cuff.
c. Adhesive capsulitis.
d. Dislocated shoulder. - CORRECT ANSWER-ANS: D
A dislocated shoulder occurs with trauma involving abduction, extension, and external rotation
(e.g., falling on
an outstretched arm or diving into a pool).
