NUR185 EXAM4 PRACTISE QUESTIONS CERTIFICATION TO
STUDY GUIDE
A patient is able to flex his right arm forward without difficulty or pain but is unable to abduct
his arm because of pain and muscle spasms; the nurse should suspect:
1.crepitation
2.rotator cuff lesions
3.dislocated shoulder
4.rheumatoid arthritis - answers✔✔2.rotator cuff lesions
An 85-year-old patient comments during his annual physical that he seems to be getting shorter
as he ages. The nurse should explain that decreased height occurs with aging because:
1.long bones tend to shorten with age
2.of the shortening of the vertebral column
3.there is a significant loss of subcutaneous fat.
4.there is a thickening of the intervertebral disks - answers✔✔2.of the shortening of the
vertebral column
When reviewing the musculoskeletal system, the nurse recalls that hematopoiesis takes place in
the:
1.liver
2.spleen
,3.kidneys
4.bone marrow - answers✔✔4.bone marrow
A nurse suspects that a patient has carpal tunnel syndrome and wants to perform the Phalen's
test. To perform this test, the nurse should instruct the patient to:
1.dorsiflex the foot
2.plantarflex the foot
3.hold both hands back to back while flexing the wrists 90 degrees for 60 seconds.
4.hyperextend the wrists with the palmar surface of both hands touching and wait for 60
seconds - answers✔✔3.hold both hands back to back while flexing the wrists 90 degrees for 60
seconds.
A patient is being assessed for range of joint movement. The nurse asks him to move his arm in
toward the center of his body. This movement is called:
1.flexion
2.extension
3.adduction
4.abduction - answers✔✔3.adduction
A teenage girl has arrived complaining of pain in her left wrist. She was playing basketball when
she fell and landed on her left hand. The nurse examines her hand and would expect a fracture
if the girl complains:
1.of a dull ache that started shortly after the injury
2.that the pain in her wrist is deep
3.of sharp pain that increases with movement
,4.of dull throbbing pain that increases with rest - answers✔✔3.of sharp pain that increases with
movement
The nurse is explaining to a patient that there are "shock absorbers" in his back to cushion the
spine and to help it move. The nurse is referring to the
1.vertebral column
2.nucleus pulposus
3.vertebral foramen
4.intervertebral disks - answers✔✔4.intervertebral disks
The nurse is examining the hip area of a patient and palpates a flat depression on the upper,
lateral side of the thigh when the patient is standing. The nurse interprets this finding as the:
1.ischial tuberosity
2.greater trochanter
3.iliac crest
4.gluteus maximus muscle - answers✔✔2.greater trochanter
A patient is complaining of a sharp pain along the costovertebral angles. The nurse knows that
this symptom is most often indicative of:
1.ovary infection.
2.liver enlargement.
3.kidney inflammation.
4.spleen enlargement - answers✔✔3.kidney inflammation.
, The nurse suspects that a patient has a distended bladder. How should the nurse assess for this
condition?
1.Percuss and palpate in the lumbar region.
2.Inspect and palpate in the epigastric region.
3.Auscultate and percuss in the inguinal region.
4.Percuss and palpate the midline area above the suprapubic bone - answers✔✔4.Percuss and
palpate the midline area above the suprapubic bone
A patient's abdomen is bulging and stretched in appearance. The nurse should describe this
finding as:
1.obese
2.herniated
3.scaphoid
4.protruberant - answers✔✔4.protruberant
Which is the proper sequence of examination for the abdomen?
1.Auscultation, inspection, palpation, percussion
2.Inspection, percussion, palpation, auscultation
3.Inspection, auscultation, percussion, palpation
4.Auscultation, percussion, inspection, palpation - answers✔✔3.Inspection, auscultation,
percussion, palpation
The nurse is aware that one change that may occur in the gastrointestinal system of an aging
adult is:
STUDY GUIDE
A patient is able to flex his right arm forward without difficulty or pain but is unable to abduct
his arm because of pain and muscle spasms; the nurse should suspect:
1.crepitation
2.rotator cuff lesions
3.dislocated shoulder
4.rheumatoid arthritis - answers✔✔2.rotator cuff lesions
An 85-year-old patient comments during his annual physical that he seems to be getting shorter
as he ages. The nurse should explain that decreased height occurs with aging because:
1.long bones tend to shorten with age
2.of the shortening of the vertebral column
3.there is a significant loss of subcutaneous fat.
4.there is a thickening of the intervertebral disks - answers✔✔2.of the shortening of the
vertebral column
When reviewing the musculoskeletal system, the nurse recalls that hematopoiesis takes place in
the:
1.liver
2.spleen
,3.kidneys
4.bone marrow - answers✔✔4.bone marrow
A nurse suspects that a patient has carpal tunnel syndrome and wants to perform the Phalen's
test. To perform this test, the nurse should instruct the patient to:
1.dorsiflex the foot
2.plantarflex the foot
3.hold both hands back to back while flexing the wrists 90 degrees for 60 seconds.
4.hyperextend the wrists with the palmar surface of both hands touching and wait for 60
seconds - answers✔✔3.hold both hands back to back while flexing the wrists 90 degrees for 60
seconds.
A patient is being assessed for range of joint movement. The nurse asks him to move his arm in
toward the center of his body. This movement is called:
1.flexion
2.extension
3.adduction
4.abduction - answers✔✔3.adduction
A teenage girl has arrived complaining of pain in her left wrist. She was playing basketball when
she fell and landed on her left hand. The nurse examines her hand and would expect a fracture
if the girl complains:
1.of a dull ache that started shortly after the injury
2.that the pain in her wrist is deep
3.of sharp pain that increases with movement
,4.of dull throbbing pain that increases with rest - answers✔✔3.of sharp pain that increases with
movement
The nurse is explaining to a patient that there are "shock absorbers" in his back to cushion the
spine and to help it move. The nurse is referring to the
1.vertebral column
2.nucleus pulposus
3.vertebral foramen
4.intervertebral disks - answers✔✔4.intervertebral disks
The nurse is examining the hip area of a patient and palpates a flat depression on the upper,
lateral side of the thigh when the patient is standing. The nurse interprets this finding as the:
1.ischial tuberosity
2.greater trochanter
3.iliac crest
4.gluteus maximus muscle - answers✔✔2.greater trochanter
A patient is complaining of a sharp pain along the costovertebral angles. The nurse knows that
this symptom is most often indicative of:
1.ovary infection.
2.liver enlargement.
3.kidney inflammation.
4.spleen enlargement - answers✔✔3.kidney inflammation.
, The nurse suspects that a patient has a distended bladder. How should the nurse assess for this
condition?
1.Percuss and palpate in the lumbar region.
2.Inspect and palpate in the epigastric region.
3.Auscultate and percuss in the inguinal region.
4.Percuss and palpate the midline area above the suprapubic bone - answers✔✔4.Percuss and
palpate the midline area above the suprapubic bone
A patient's abdomen is bulging and stretched in appearance. The nurse should describe this
finding as:
1.obese
2.herniated
3.scaphoid
4.protruberant - answers✔✔4.protruberant
Which is the proper sequence of examination for the abdomen?
1.Auscultation, inspection, palpation, percussion
2.Inspection, percussion, palpation, auscultation
3.Inspection, auscultation, percussion, palpation
4.Auscultation, percussion, inspection, palpation - answers✔✔3.Inspection, auscultation,
percussion, palpation
The nurse is aware that one change that may occur in the gastrointestinal system of an aging
adult is:
