1530 Physical assessment exam 3
QUESTIONS AND VERIFIED CORRECT
ANSWERS GRADED A+ LATEST 100%
GUARANTEED PASS
A patient reports joint pain interfering with sleep and morning joint stiffness for the first hour
after getting out of bed. Considering this report, what abnormal findings does the nurse
anticipate during the examination?
a. Abrupt onset of local tenderness, edema, and decreased range of motion of the shoulder and
hip bilaterally
b. Decreased range of motion of one hip and knee with pain on flexion and crepitus during
movement of these joints
c. Erythema in one great toe, ankle, and lower leg that is painful to the touch
d. Hot, painful, deformed, and edematous wrists and peripheral interphalangeal joints
bilaterally - CORRECT ANSWER-ANS: D
Feedback
A This examination finding is more consistent with bursitis.
B This examination finding is more consistent with osteoarthritis.
C This examination finding is more consistent with gout.
D The history and these examination findings are consistent with rheumatoid arthritis. Joints are
involved bilaterally in rheumatoid arthritis because it is a systemic autoimmune disorder.
In assessing the joint range of motion of a patient's knees, the nurse notices the flexion is less
than expected in both knees. What is the next appropriate action for the nurse?
a. Documenting this finding as expected for this patient because it occurs in both knees
b. Palpating the suprapatellar pouch on each side of the quadriceps for contour, tenderness,
and edema
,c. Using a goniometer to measure the flexion in both knees and comparing the results with
expected flexion
d. Applying opposing force to the lower leg while the patient tries to maintain flexion and
extension - CORRECT ANSWER-ANS: C
Feedback
A This is not an expected finding. Even when the finding is bilateral, when it is abnormal,
additional examination is needed.
B This is the procedure for palpating the knees, in which data are collected, but it may not have
a direct bearing on the lack of flexion of the knees.
C When a joint seems to have increased or decreased range of motion, use a goniometer to
measure the angle.
D This is the procedure for testing leg muscles for strength, in which data are collected, but it
may not have a direct bearing on the lack of flexion of the knees.
When a nurse asks a patient to place the right arm behind the head, the nurse is testing for
which range of motion?
a. Flexion of the elbow
b. Hyperextension of the shoulder
c. Internal rotation and adduction of the shoulder
d. External rotation and abduction of the shoulder - CORRECT ANSWER-ANS: D
Feedback
A Flexion of the elbow requires the patient to flex the elbow, but the elbow flexion is usually
tested by asking the patient to bend the elbow so that the fingers are touching the shoulder.
B Hyperextension of the shoulder is tested by moving the arm straight backward.
C Internal rotation and adduction of the shoulder is tested by asking the patient to place the
hand behind the back.
,Which movements does a nurse expect to find when assessing the hip range of motion of a
healthy person? Select all that apply.
a. Pronation and supination
b. Flexion and extension
c. Internal and external rotation
d. Adduction and abduction
e. Hyperextension - CORRECT ANSWER-ANS: B, C, D, E
Correct: These are all expected motions for the hip joint.
Incorrect: Pronation and supination are not expected motions for the hip joint.
Which movements does a nurse expect to find when assessing the ankle range of motion of a
healthy person? Select all that apply.
a. Inversion and eversion
b. Plantar flexion and dorsiflexion
c. Pronation and supination
d. Adduction and abduction
e. Rotation - CORRECT ANSWER-ANS: A, B, D, E
Correct: These are all expected motions for the ankle joint.
Incorrect: Pronation and supination are not expected motions for the ankle joint.
. How does a nurse document the finding from the patient shown below?
a. Kyphosis
b. Lordosis
c. Osteoporosis
d. Scoliosis - CORRECT ANSWER-ANS: D
, Feedback
A Kyphosis is a posterior curvature (convexity) of the thoracic spine.
B Lordosis is an anterior curvature (concavity) of the spine.
C Osteoporosis occurs when the bones become porous and fracture easily.
D Deviation of the spine or asymmetry of shoulder or iliac height is an abnormal finding. This
figure shows a patient who has scoliosis, a lateral curvature of the spine
During a history, the patient reports having gout. Based on this information, what findings does
the nurse anticipate during a focused assessment?
a. Warm, tender, and deformed wrists and peripheral interphalangeal (PIP) joints bilaterally
b. Edema, warmth, and redness of one great toe and pea-like nodules in the ear lobes
c. Enlarged and tender PIP or distal interphalangeal (DIP) joints on one or several fingers
d. Tenderness with pronation and supination of the elbow and point tenderness on the lateral
epicondyle - CORRECT ANSWER-ANS: B
Feedback
A This is a description of findings of a patient who has rheumatoid arthritis. Bilateral joint
involvement is common.
B This is a description of gout. The pealike nodules are tophi, collections of uric acid in
subcutaneous tissue.
C This is a description of findings of a patient who has osteoarthritis. Enlarged and tender PIP
joints refer to Heberden nodes and DIP joints refer to Bouchard nodes.
On inspection of a patient's hands, the nurse notices ulnar deviation and swan-neck deformities
bilaterally and correlates this finding with which disorder?
a. Osteoarthritis
b. Osteoporosis
c. Rheumatoid arthritis
QUESTIONS AND VERIFIED CORRECT
ANSWERS GRADED A+ LATEST 100%
GUARANTEED PASS
A patient reports joint pain interfering with sleep and morning joint stiffness for the first hour
after getting out of bed. Considering this report, what abnormal findings does the nurse
anticipate during the examination?
a. Abrupt onset of local tenderness, edema, and decreased range of motion of the shoulder and
hip bilaterally
b. Decreased range of motion of one hip and knee with pain on flexion and crepitus during
movement of these joints
c. Erythema in one great toe, ankle, and lower leg that is painful to the touch
d. Hot, painful, deformed, and edematous wrists and peripheral interphalangeal joints
bilaterally - CORRECT ANSWER-ANS: D
Feedback
A This examination finding is more consistent with bursitis.
B This examination finding is more consistent with osteoarthritis.
C This examination finding is more consistent with gout.
D The history and these examination findings are consistent with rheumatoid arthritis. Joints are
involved bilaterally in rheumatoid arthritis because it is a systemic autoimmune disorder.
In assessing the joint range of motion of a patient's knees, the nurse notices the flexion is less
than expected in both knees. What is the next appropriate action for the nurse?
a. Documenting this finding as expected for this patient because it occurs in both knees
b. Palpating the suprapatellar pouch on each side of the quadriceps for contour, tenderness,
and edema
,c. Using a goniometer to measure the flexion in both knees and comparing the results with
expected flexion
d. Applying opposing force to the lower leg while the patient tries to maintain flexion and
extension - CORRECT ANSWER-ANS: C
Feedback
A This is not an expected finding. Even when the finding is bilateral, when it is abnormal,
additional examination is needed.
B This is the procedure for palpating the knees, in which data are collected, but it may not have
a direct bearing on the lack of flexion of the knees.
C When a joint seems to have increased or decreased range of motion, use a goniometer to
measure the angle.
D This is the procedure for testing leg muscles for strength, in which data are collected, but it
may not have a direct bearing on the lack of flexion of the knees.
When a nurse asks a patient to place the right arm behind the head, the nurse is testing for
which range of motion?
a. Flexion of the elbow
b. Hyperextension of the shoulder
c. Internal rotation and adduction of the shoulder
d. External rotation and abduction of the shoulder - CORRECT ANSWER-ANS: D
Feedback
A Flexion of the elbow requires the patient to flex the elbow, but the elbow flexion is usually
tested by asking the patient to bend the elbow so that the fingers are touching the shoulder.
B Hyperextension of the shoulder is tested by moving the arm straight backward.
C Internal rotation and adduction of the shoulder is tested by asking the patient to place the
hand behind the back.
,Which movements does a nurse expect to find when assessing the hip range of motion of a
healthy person? Select all that apply.
a. Pronation and supination
b. Flexion and extension
c. Internal and external rotation
d. Adduction and abduction
e. Hyperextension - CORRECT ANSWER-ANS: B, C, D, E
Correct: These are all expected motions for the hip joint.
Incorrect: Pronation and supination are not expected motions for the hip joint.
Which movements does a nurse expect to find when assessing the ankle range of motion of a
healthy person? Select all that apply.
a. Inversion and eversion
b. Plantar flexion and dorsiflexion
c. Pronation and supination
d. Adduction and abduction
e. Rotation - CORRECT ANSWER-ANS: A, B, D, E
Correct: These are all expected motions for the ankle joint.
Incorrect: Pronation and supination are not expected motions for the ankle joint.
. How does a nurse document the finding from the patient shown below?
a. Kyphosis
b. Lordosis
c. Osteoporosis
d. Scoliosis - CORRECT ANSWER-ANS: D
, Feedback
A Kyphosis is a posterior curvature (convexity) of the thoracic spine.
B Lordosis is an anterior curvature (concavity) of the spine.
C Osteoporosis occurs when the bones become porous and fracture easily.
D Deviation of the spine or asymmetry of shoulder or iliac height is an abnormal finding. This
figure shows a patient who has scoliosis, a lateral curvature of the spine
During a history, the patient reports having gout. Based on this information, what findings does
the nurse anticipate during a focused assessment?
a. Warm, tender, and deformed wrists and peripheral interphalangeal (PIP) joints bilaterally
b. Edema, warmth, and redness of one great toe and pea-like nodules in the ear lobes
c. Enlarged and tender PIP or distal interphalangeal (DIP) joints on one or several fingers
d. Tenderness with pronation and supination of the elbow and point tenderness on the lateral
epicondyle - CORRECT ANSWER-ANS: B
Feedback
A This is a description of findings of a patient who has rheumatoid arthritis. Bilateral joint
involvement is common.
B This is a description of gout. The pealike nodules are tophi, collections of uric acid in
subcutaneous tissue.
C This is a description of findings of a patient who has osteoarthritis. Enlarged and tender PIP
joints refer to Heberden nodes and DIP joints refer to Bouchard nodes.
On inspection of a patient's hands, the nurse notices ulnar deviation and swan-neck deformities
bilaterally and correlates this finding with which disorder?
a. Osteoarthritis
b. Osteoporosis
c. Rheumatoid arthritis
