AND CORRECT ANSWERS
How would you assess internal rotation of the shoulder ANSW✅✅-Hands behind head
Which joints are not capable of hyperextension ANSW✅✅-Knees and elbows
How would you document the uncoordinated irregular gait of your client ANSW✅✅-Ataxia with
ambulation
What should be included in the subjective musculoskeletal assessment ANSW✅✅-Functional
assessment
How would you document "normal" musculoskeletal assessment findings ANSW✅✅-Normal
muscle tone, full ROM to all joints, muscle strength is 5/5
After a stoke your client experiences aphasia. What does that mean? ANSW✅✅-Unable to speak
Which cranial nerve damage would cause drooping of the corner of the mouth and eyelid
ANSW✅✅-Cranial nerve VII Facial
What does the romberg test assess ANSW✅✅Cerebellar function and balance
What is assessed when completing a glasgow coma scale ANSW✅✅-Eye opening, verbal
response, motor response
What would you document for "normal" assessment findings for cranial nerve III occulomotor
ANSW✅✅PERRLA
When would you complete a glasgow coma scale ANSW✅✅-For any client that received a head
injury
,How would you document a "normal" respiratory assessment ANSW✅✅-No adventitious lung
sounds, respirations are deep and unlaboured, no use of accessory muscles, symmetrical chest
expansion
Where would you ausculate bronchial lung sounds ANSW✅✅-Anterior trachea area
What is the purpose of "atrial kick" ANSW✅✅-Atrial contraction empties blood into the ventricle
Which assessment findings would indicate hypoxia of the extremities ANSW✅✅-Fingernail
clubbing
What is the purpose of assessing tactile fremitus ANSW✅✅-Assess for fluid or masses in the lungs
What are the symptoms pf peripheral vascular disease ANSW✅✅-Leg cramps or pain
What assessment findings would indicate a cardiovascular abnormality ANSW✅✅-Fatigue,
cyanosis or pallor, pitting edema in lower extremities and nocturia, report of chest pain or angina
Where would assess the apical pulse ANSW✅✅-5th intercostal space left midclavicular line
What is the proper procedure to assess the apical pulse ANSW✅✅-Count for a full minute after
auscultating heart sounds
Where would you hear S2 heart sounds the loudest ANSW✅✅-At the base of the heart
What causes S1 heart sounds ANSW✅✅-Closing of the atrioventricular valves
What abnormality can result in impaired circulation in the lower extremities ANSW✅✅-Deep vein
thrombosis, ineffective venous valves, varicose veins
Why is it important to perform a self breast exam monthly ANSW✅✅-Assess for changes in the
breasts
, What is the best position to inspect the breasts for self examination ANSW✅✅-Standing in front
of the mirror
When is the best time to perform self breast examination ANSW✅✅-After the menstrual cycle
has ended
Which abnormality causes the client to urinate slightly when they cough or sneeze ANSW✅✅-
Stress incontinence
What position should your client be in for a rectovaginal exam ANSW✅✅-Supine
On inspection of a males genitals what would be abnormal ANSW✅✅-Discharge from the urinary
meatus
When is the best time to perform a testicular self examination ANSW✅✅-Once a month in the
shower
What do instrumental ADL (IADL) assessment tools assess ANSW✅✅-Assess client ability to live
independently in community
The functional assessment of the older adult assesses what ANSW✅✅-Screening for elder abuse,
screen for assistance needed for ADL's assesses for caregiver burnout
An elder states that his grandson only feeds him once a day, which type of abuse is this
ANSW✅✅-Neglect
Lordosis ANSW✅✅-Pronounced lumbar curve common in obese people
Kyphosis ANSW✅✅-Enhanced thoracic curvature common with old age
Osteoporosis ANSW✅✅-Loss of bone density
-Lack of estrogen in women after menopause leads to accelerated bone loss
-Can be prevented by bone impact exercises like running or brisk walking