Maryville NURS 612 Final Exam Questions With 100% Correct Answers

Maryville NURS 612 Final Exam Questions With 100% Correct Answers Which of the Following disorders is known to be heredity? Peripheral neuropathy Meningitis Huntington Chorea Seizure disorder - answerHuntington Chorea The Examiner asks the patient to close her eyes and then place a vibrating tuning fork on the patients ankle and asks her to indicate what is felt. What is being assessed? - answerPrimary sensory function Multiple sclerosis - answerFatigue, bowel and bladder dysfunction, sexual dysfunction, sensory changes, muscle weakness Myasthenia gravis - answerAn autoimmune disorder of neuromuscular junction involved with muscle activation. Whisper Test - answerCN V111 acoustic Patient sticks out tongue and moves it from side to side - answerCN X11 Hypoglossal Taste test with sugar, salt, and lemon - answerCN V11 and CN 1X Facial and glossopharyngeal Patient puffs out cheeks and shows teeth - answerCN V11 facial Patient shrugs shoulders against examiner's hands - answerCN X1 Spinal accessary Smell test with coffee, orange and cloves - answerCN 1 Olfactory Eyes constrict and dilate in response to light - answerCN 111 oculomotor patient clinches teeth (temporal muscles contracted) - answerCN V Trigeminal positive Babinski sign be considered a normal finding in what ages? - answer0-24 months The nurse observes the gait of a client as he enters the room. He uses short steps, keeps his knees in contact, and walks with considerable effort. What term is used to describe this gait? - answerScissors gait A nurse observes very fine, rapid, continuous twitching of a patient's finger while at rest. How should the nurse document this finding? - answerFasciculation A fasciculation is a fine, rapid twitching that may occur with some lower motor neuron disease. Paralysis is loss of motor function. Spasticity is abnormally increased muscle tone. An intention tremor is an involuntary contraction of a muscle group occurring with voluntary movement Under what conditions should a patient be tested for clonus? - answerWhen deep tendon reflexes are hyperactive Clonus, repeated reflex muscle movement, is tested when a patient has hyperactive reflexes. It is found with diseases of the upper motor neuron. Nuchal rigidity, neck stiffness, is a sign of meningeal irritation. Absent reflexes are associated with lower motor neuron diseases. Decorticate positioning, a state of flexion with the arms adducted, occurs with hemispheric lesion of the cerebral cortex. The abdominal reflexes are tested to assess functioning of the nerves in which location of the spine? - answerThoracic Which change is most commonly observed in aging patients? - answerKyphosis, advanced posterior curvature of the thoracic spine, occurs commonly with age. Lordosis, scoliosis, and ankylosis are not as commonly associated with age. While palpating the patient's knee, the nurse finds effusion in the joint. What further assessment will support this finding? - answerTesting for ballottement is a test to detect fluid in the joint Which assessment finding is associated with lumbar stenosis? - answerPain associated with prolonged standing Lumbar stenosis, narrowing of the spinal canal, causes pain associated with prolonged standing. Pain is improved by bending forward. Risk factors for osteoarthritis - answerRisk factors for osteoarthritis include obesity, aging, and a family history of osteoarthritis. overuse of joints, as with certain sport activities and occupations, is a risk factor. A patient states he injured his right ankle while walking the previous day. How should the nurse assess the ankle initially? - answerInitial assessment is inspection of the ankle and comparison with the other ankle. Palpation, performing passive range of motion, and asking the patient to walk are done after the initial inspection.