Maryville AHA NURS 612 Exam 3 Questions with Correct Answers 100% Verified By Experts|
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Mr. Manns is a 48-year-old who presents for the examination of his knee. On examination, you
note excessive hyperextension of his knee. This may indicate weakness in the quadriceps
muscle
What test would detect a torn meniscus? McMurray
Mr. Davids presents to the office for a follow-up because of RA. When you ask him to explain
his fatigue, his response would be it is severe with the onset 4-5 hours after rising.
Epicondylitis tendonitis Suspect epicondylitis or tendonitis when a boggy, soft, or fluctuant
swelling; point tenderness at the lateral epicondyle or along the grooves of the olecranon
process and epicondyles; and increased pain with pronation and supination of the elbow are
found
Bouchard's nodes Osteoarthritis (PIP swelling 2° to osteophytes)
Heberden's nodes Swelling of distal interphalangeal finger joints, characteristic of
osteoarthritis
Risk factors for osteoporosis Ø Race (white, Asian, native American/American Indian);
northwestern European descent
Ø Light body frame, thin
Ø Increasing age
Ø Family history of osteoporosis, previous fractures
Ø Nulliparous
Ø Amenorrhea or menopause before 45 years of age, postmenopausal
Ø Sedentary lifestyle, lack of aerobic or weight bearing exercise
,Ø Constant dieting or inadequate calcium and vitamin d intake. Excessive carbonated soft
drinks per day
Ø Scoliosis, rheumatoid arthritis, cancer, multiple sclerosis, chronic illness, previous fractures
Ø Metabolic disorders (DM, hypercortisolism, malabsorption, hypogonadism, hyperthyroidism)
Ø Drugs that decrease bone density (thyroxine, corticosteroids, heparin, lithium,
anticonvulsants, antacids with aluminum)
Ø Cigarette smoking or heavy alcohol use
McMurray Test compression of the meniscus of the knee combined with internal and
external rotation while the patient is face-up to assess the integrity of the meniscus
Cranial nerve 1 and test Olfactory (1): Smell
o Sensory: smell reception and interpretation. Assessment: Occlude one naris at a time and
have the patient breathe in and out while their eyes are closed. Use a different odor to test the
other side.
Cranial Nerve 2 and test Optic (2): Visual Acuity - distant, near, confrontation (peripheral)
o Sensory: visual acuity and visual fields. Assessment: Test distant and near vision. Perform
ophthalmoscopic examination of fundi. Test visual fields by confrontation & extinction of vision.
Cranial Nerve 3 and test Oculomotor (3): PERELLA & Extraocular movements
o Motor: raise eyelids, most extraocular movements. Parasympathetic: pupillary constriction,
change lens shape. Assessment: Inspect eyelids for drooping. Inspect pupils' size for equality
and their direct and consensual response to light and accommodation. Test extraocular eye
movements.
Cranial Nerve 4 and test Trochlear (4):
o Motor: downward, inward eye movement. Assessment: Tested with CN III
Cranial Nerve 5 and test Trigeminal (5): Jaw movement and facial sensory
, o Motor: jaw opening and clenching, chewing, and mastication. Sensory: sensation to cornea,
iris, lacrimal glands, conjunctiva, eyelids, forehead, nose, nasal and mouth mucosa, teeth,
tongue, ear, facial skin. Assessment: Observe the face for muscle atrophy, deviation of the jaw
to one side, and fasciculation. Have patient tightly clench teeth and palpate the muscles over
the jaw, evaluating tone. With eyes closed, touch each side of the face at the scalp, cheek and
chin areas, alternating using sharp and smooth edge of a broke tongue blade. Ask pt to report
the sensation. Then use a cotton wisp in the same six areas.
Cranial Nerve 6 and test Abducens (6):
o Motor: lateral eye movement. Assessment: Tested with CN III.
Cranial Nerve 7 and test Facial (7): facial movements and taste
o Motor: movement of facial expression muscles except jaw, close eyelids, labial speech sounds
(b, m, w, and rounded vowels). Sensory: taste—anterior two thirds of tongue, sensation to
pharynx. Parasympathetic: secretion of saliva and tears. Assessment: Ask pt to raise eyebrows,
squeeze the eyes shut, wrinkle the forehead, frown, smile, show the teeth, purse the lips to
whistle. And puff out the cheeks.
Cranial Nerve 8 and test Acoustic (8): Hearing: Whisper, Weber, Rhine
o Sensory: hearing and equilibrium. Assessment: Test by performing the whisper test. Also
perform the weber and Rhine test to assess bone or air conduction
Cranial Nerve 9 and test Glossopharyngeal (9): Swallow & gag
o Motor: voluntary muscles for swallowing and phonation (guttural speech sounds). Sensory:
sensation of nasopharynx, gag reflex, taste—posterior one third of tongue. Parasympathetic:
secretion of salivary glands, carotid reflex. Assessment: Assess the patient's ability to swallow
and test the gag reflex. Inspect palate and uvula for symmetry with gag reflex.
Cranial nerve 10 and test Vagus (10):
o Sensory: sensation behind ear and part of external ear canal. Parasympathetic: secretion of
digestive enzymes; peristalsis; carotid reflex; involuntary action of heart, lungs, and digestive
tract. Assessment: Tested with CN IX
Latest Update Guaranteed Success
Mr. Manns is a 48-year-old who presents for the examination of his knee. On examination, you
note excessive hyperextension of his knee. This may indicate weakness in the quadriceps
muscle
What test would detect a torn meniscus? McMurray
Mr. Davids presents to the office for a follow-up because of RA. When you ask him to explain
his fatigue, his response would be it is severe with the onset 4-5 hours after rising.
Epicondylitis tendonitis Suspect epicondylitis or tendonitis when a boggy, soft, or fluctuant
swelling; point tenderness at the lateral epicondyle or along the grooves of the olecranon
process and epicondyles; and increased pain with pronation and supination of the elbow are
found
Bouchard's nodes Osteoarthritis (PIP swelling 2° to osteophytes)
Heberden's nodes Swelling of distal interphalangeal finger joints, characteristic of
osteoarthritis
Risk factors for osteoporosis Ø Race (white, Asian, native American/American Indian);
northwestern European descent
Ø Light body frame, thin
Ø Increasing age
Ø Family history of osteoporosis, previous fractures
Ø Nulliparous
Ø Amenorrhea or menopause before 45 years of age, postmenopausal
Ø Sedentary lifestyle, lack of aerobic or weight bearing exercise
,Ø Constant dieting or inadequate calcium and vitamin d intake. Excessive carbonated soft
drinks per day
Ø Scoliosis, rheumatoid arthritis, cancer, multiple sclerosis, chronic illness, previous fractures
Ø Metabolic disorders (DM, hypercortisolism, malabsorption, hypogonadism, hyperthyroidism)
Ø Drugs that decrease bone density (thyroxine, corticosteroids, heparin, lithium,
anticonvulsants, antacids with aluminum)
Ø Cigarette smoking or heavy alcohol use
McMurray Test compression of the meniscus of the knee combined with internal and
external rotation while the patient is face-up to assess the integrity of the meniscus
Cranial nerve 1 and test Olfactory (1): Smell
o Sensory: smell reception and interpretation. Assessment: Occlude one naris at a time and
have the patient breathe in and out while their eyes are closed. Use a different odor to test the
other side.
Cranial Nerve 2 and test Optic (2): Visual Acuity - distant, near, confrontation (peripheral)
o Sensory: visual acuity and visual fields. Assessment: Test distant and near vision. Perform
ophthalmoscopic examination of fundi. Test visual fields by confrontation & extinction of vision.
Cranial Nerve 3 and test Oculomotor (3): PERELLA & Extraocular movements
o Motor: raise eyelids, most extraocular movements. Parasympathetic: pupillary constriction,
change lens shape. Assessment: Inspect eyelids for drooping. Inspect pupils' size for equality
and their direct and consensual response to light and accommodation. Test extraocular eye
movements.
Cranial Nerve 4 and test Trochlear (4):
o Motor: downward, inward eye movement. Assessment: Tested with CN III
Cranial Nerve 5 and test Trigeminal (5): Jaw movement and facial sensory
, o Motor: jaw opening and clenching, chewing, and mastication. Sensory: sensation to cornea,
iris, lacrimal glands, conjunctiva, eyelids, forehead, nose, nasal and mouth mucosa, teeth,
tongue, ear, facial skin. Assessment: Observe the face for muscle atrophy, deviation of the jaw
to one side, and fasciculation. Have patient tightly clench teeth and palpate the muscles over
the jaw, evaluating tone. With eyes closed, touch each side of the face at the scalp, cheek and
chin areas, alternating using sharp and smooth edge of a broke tongue blade. Ask pt to report
the sensation. Then use a cotton wisp in the same six areas.
Cranial Nerve 6 and test Abducens (6):
o Motor: lateral eye movement. Assessment: Tested with CN III.
Cranial Nerve 7 and test Facial (7): facial movements and taste
o Motor: movement of facial expression muscles except jaw, close eyelids, labial speech sounds
(b, m, w, and rounded vowels). Sensory: taste—anterior two thirds of tongue, sensation to
pharynx. Parasympathetic: secretion of saliva and tears. Assessment: Ask pt to raise eyebrows,
squeeze the eyes shut, wrinkle the forehead, frown, smile, show the teeth, purse the lips to
whistle. And puff out the cheeks.
Cranial Nerve 8 and test Acoustic (8): Hearing: Whisper, Weber, Rhine
o Sensory: hearing and equilibrium. Assessment: Test by performing the whisper test. Also
perform the weber and Rhine test to assess bone or air conduction
Cranial Nerve 9 and test Glossopharyngeal (9): Swallow & gag
o Motor: voluntary muscles for swallowing and phonation (guttural speech sounds). Sensory:
sensation of nasopharynx, gag reflex, taste—posterior one third of tongue. Parasympathetic:
secretion of salivary glands, carotid reflex. Assessment: Assess the patient's ability to swallow
and test the gag reflex. Inspect palate and uvula for symmetry with gag reflex.
Cranial nerve 10 and test Vagus (10):
o Sensory: sensation behind ear and part of external ear canal. Parasympathetic: secretion of
digestive enzymes; peristalsis; carotid reflex; involuntary action of heart, lungs, and digestive
tract. Assessment: Tested with CN IX
