Maryville NURS 612 Exam Rated A+
Which of the Following disorders is known to be heredity?
Peripheral neuropathy
Meningitis
Huntington Chorea
Seizure disorder - Answer- Huntington 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? -
Answer- Primary sensory function
Multiple sclerosis - Answer- Fatigue, bowel and bladder dysfunction, sexual dysfunction,
sensory changes, muscle weakness
Myasthenia gravis - Answer- An autoimmune disorder of neuromuscular junction
involved with muscle activation.
Whisper Test - Answer- CN V111 acoustic
Patient sticks out tongue and moves it from side to side - Answer- CN X11 Hypoglossal
Taste test with sugar, salt, and lemon - Answer- CN V11 and CN 1X Facial and
glossopharyngeal
Patient puffs out cheeks and shows teeth - Answer- CN V11 facial
Patient shrugs shoulders against examiner's hands - Answer- CN X1 Spinal accessary
Smell test with coffee, orange and cloves - Answer- CN 1 Olfactory
Eyes constrict and dilate in response to light - Answer- CN 111 oculomotor
patient clinches teeth (temporal muscles contracted) - Answer- CN V Trigeminal
positive Babinski sign be considered a normal finding in what ages? - Answer- 0-24
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? - Answer- Scissors gait
A nurse observes very fine, rapid, continuous twitching of a patient's finger while at rest.
How should the nurse document this finding? - Answer- Fasciculation
, 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? - Answer- When 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? - Answer- Thoracic
Which change is most commonly observed in aging patients? - Answer- Kyphosis,
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? - Answer- Testing for ballottement is a test to
detect fluid in the joint
Which assessment finding is associated with lumbar stenosis? - Answer- Pain
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 - Answer- Risk 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? - Answer- Initial 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.
Which assessment finding is consistent with carpal tunnel syndrome? - Answer- Carpal
tunnel syndrome, compression of the median nerve, causes weakness in the thumb and
episodes of numbness and burning that awaken the patient from sleep.
McMurray sign test for? - Answer- Anterior cruciate ligament injury (ACL)
Neer Test - Answer- Shoulder rotator cuff impingement or tear
Which of the Following disorders is known to be heredity?
Peripheral neuropathy
Meningitis
Huntington Chorea
Seizure disorder - Answer- Huntington 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? -
Answer- Primary sensory function
Multiple sclerosis - Answer- Fatigue, bowel and bladder dysfunction, sexual dysfunction,
sensory changes, muscle weakness
Myasthenia gravis - Answer- An autoimmune disorder of neuromuscular junction
involved with muscle activation.
Whisper Test - Answer- CN V111 acoustic
Patient sticks out tongue and moves it from side to side - Answer- CN X11 Hypoglossal
Taste test with sugar, salt, and lemon - Answer- CN V11 and CN 1X Facial and
glossopharyngeal
Patient puffs out cheeks and shows teeth - Answer- CN V11 facial
Patient shrugs shoulders against examiner's hands - Answer- CN X1 Spinal accessary
Smell test with coffee, orange and cloves - Answer- CN 1 Olfactory
Eyes constrict and dilate in response to light - Answer- CN 111 oculomotor
patient clinches teeth (temporal muscles contracted) - Answer- CN V Trigeminal
positive Babinski sign be considered a normal finding in what ages? - Answer- 0-24
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? - Answer- Scissors gait
A nurse observes very fine, rapid, continuous twitching of a patient's finger while at rest.
How should the nurse document this finding? - Answer- Fasciculation
, 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? - Answer- When 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? - Answer- Thoracic
Which change is most commonly observed in aging patients? - Answer- Kyphosis,
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? - Answer- Testing for ballottement is a test to
detect fluid in the joint
Which assessment finding is associated with lumbar stenosis? - Answer- Pain
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 - Answer- Risk 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? - Answer- Initial 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.
Which assessment finding is consistent with carpal tunnel syndrome? - Answer- Carpal
tunnel syndrome, compression of the median nerve, causes weakness in the thumb and
episodes of numbness and burning that awaken the patient from sleep.
McMurray sign test for? - Answer- Anterior cruciate ligament injury (ACL)
Neer Test - Answer- Shoulder rotator cuff impingement or tear
