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NUR226 - EXAM 4 QUESTIONS WITH CORRECT ANSWERS

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NUR226 - EXAM 4 QUESTIONS WITH CORRECT ANSWERS

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NUR226 - EXAM 4 QUESTIONS WITH CORRECT
ANSWERS
What test will the nurse perform by firmly stroking the medial aspect of the knee 3 times and tapping
the lateral aspect of the knee? - VERIFIED ANSWER✔✔-Bulge sign



-- To assess swelling in the suprapatellar pouch, the nurse will check for the bulge sign, which confirms
the presence of small amounts of fluid as the nurse tries to move the fluid from one side of the joint to
the other.



To detect large amounts of fluid in the patellar region, ___________ of the patella is used. - VERIFIED
ANSWER✔✔-ballottement



-- left-hand helps compress the suprapatellar pouch to move any fluid into the knee joint & right-hand
helps push the patella sharply against the femur



The _________ test reproduces numbness and burning in a person with carpal tunnel syndrome and is a
disorder of the wrist. - VERIFIED ANSWER✔✔-Phalen



-- patient holds both hands back to back while flexing the wrists 90 degrees. Acute flexion of a normal
wrist for 60 secs produces no symptoms in a normal hand.



In carpal tunnel syndrome, percussion of the median nerve produces burning and tingling along its
distribution, which is a positive ______ sign. - VERIFIED ANSWER✔✔-Tinel



________ are collections of sodium urate crystals that appear in and around the joint & may appear in
the joints of the patient with chronic gout. - VERIFIED ANSWER✔✔-Tophi



_____________ ________________ refers to inflammation of the tendon sheath near the ankle. -
VERIFIED ANSWER✔✔-Achilles tenosynovitis

,______________ _________________ refers to congenital and fixed malposition of the foot. - VERIFIED
ANSWER✔✔-Talipes equinovarus



__________________ syndrome manifests as widespread pain in the muscles. - VERIFIED ANSWER✔✔-
Fibromyalgia



rheumatoid arthritis (RA) - VERIFIED ANSWER✔✔-- Inflammation of the synovial tissues and hyperplasia

- Increased cytokine production in the patient with RA may lead to an increase in the basal metabolic
rate. This increases caloric needs in the patient --> patient may have fatigue and weight loss.

- patient may have increased production of prostaglandins. Prostaglandins reset the thermostat of the
brain to a higher level, resulting in low-grade fever.



Tingling and numbness are symptoms of a ___________ _________. - VERIFIED ANSWER✔✔-ganglion
cyst



_________________ may lead to swan-neck deformity and ulnar deviation of the fingers. - VERIFIED
ANSWER✔✔-Chronic RA



-- Swan-neck deformity refers to the flexion contracture of the metacarpophalangeal joint.

-- Stretching of the articular capsule and muscle imbalance in the patient with RA may result in ulnar
deviation of the fingers.



______________ is swelling of the elbow, which is associated with the presence of a large, soft knob and
redness resulting from inflammation of the olecranon bursa. - VERIFIED ANSWER✔✔-Olecranon bursitis



______________ is a bone disorder characterized by a decrease in bone mass and density, which
increases the risk of fractures. - VERIFIED ANSWER✔✔-Osteoporosis



Cartilage serves which functions in the body? - VERIFIED ANSWER✔✔-Cushioning the bones

Providing stability

Covering the surface of the bone

,Smoothing the surface of the bone

RECEIVES nourishment from the synovial fluid during joint mvmt



________________ is characterized by hard, nontender Heberden and Bouchard nodules. - VERIFIED
ANSWER✔✔-Osteoarthritis



-- The bony outgrowths of distal interphalangeal joints = Heberden nodes

-- bony outgrowths of proximal interphalangeal joints = Bouchard nodes



________ _________ syndrome results in pain, burning, and numbness. It occurs bc of atrophy of the
median nerve of the wrist and hand. - VERIFIED ANSWER✔✔-Carpal tunnel



In ___________ __________ syndrome, percussion of the median nerve produces burning and tingling
along its distribution, which is a positive Tinel sign. - VERIFIED ANSWER✔✔-carpal tunnel



Freely movable and lined with synovial membranes are __________ joints - VERIFIED ANSWER✔✔-
synovial



Foods to increase Calcium levels: - VERIFIED ANSWER✔✔-Milk

Yogurt

Cheese



Which structure connects the knee joint at both sides and prevents its dislocation? - VERIFIED
ANSWER✔✔-Collateral ligaments



The __________ ___________- is a wedge-shaped cartilage that cushions the tibia and femur and
protects them from external pressures. - VERIFIED ANSWER✔✔-lateral meniscus



The ____________ ____________ lies between the patella and the skin, prevents friction, and thus
helps the muscles and tendons glide smoothly over the bone. - VERIFIED ANSWER✔✔-prepatellar bursa

, ____________ ______________ provide anterior and posterior stability and help control rotation of the
knee. - VERIFIED ANSWER✔✔-Cruciate ligaments



Extension - VERIFIED ANSWER✔✔-STRAIGHTENING a joint/limb



"pigeon toes" tends to walk on the... - VERIFIED ANSWER✔✔-lateral side of the foot, and the
longitudinal arch appears higher than normal



genu varum tends to walk with a... - VERIFIED ANSWER✔✔-waddling gait.



"flat feet"... - VERIFIED ANSWER✔✔-takes a broad-based stance



genu valgum... - VERIFIED ANSWER✔✔-tends to stand with ankles apart and the knees touching



Which test helps in assessing a flexion deformity of the patient's hip?

Incorrect1

Allis

2

Phalen

Correct3

Thomas

4

McMurray

The Thomas test is a leg-raising test that involves flexion of the hip joint; therefore it helps determine
hip flexion deformity in the patient. The nurse compares leg lengths of the patient while performing the
Allis test to assess for hip dislocation. The patient holds the hands back to back while flexing the wrists
during the Phalen test; this test helps determine carpal tunnel syndrome. The nurse instructs the patient
to flex the knee joint while performing the McMurray test to determine the presence of a torn
meniscus. - VERIFIED ANSWER✔✔-



Which test helps in assessing a flexion deformity of the patient's hip? - VERIFIED ANSWER✔✔-Thomas

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