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51 Cards in this Set
- Front
- Back
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The nurse is caring for an infant with unequal gluteal folds. While assessing, the nurse finds that the infant has positive Ortolani and Barlow signs. Which other findings would the nurse observe in the infant? Select all that apply.
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Limited abduction of the thighs
Difference in length of the limbs Less flexibility on the affected side |
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The nurse is caring for a patient who has numbness on one side of the spine and decreased function of the left leg. During the physical examination, the nurse observes that the patient has lateral tilting and forward bending of the spine. Which test helps the nurse assess the patient’s condition?
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Lasegue test
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A patient who has kyphosis reports constant pain and stiffness in the lower back, buttocks, and hips. The nurse, after palpating the spinous processes, observes spasms. Which condition does the nurse expect in the patient?
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Ankylosing spondylitis
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The nurse asks a patient to move his or her arm away from the midline of the body. What is this angular motion called? |
Abduction
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A patient with a history of a knee injury reports local pain in the knee. What action should the nurse take?
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Perform the McMurray test
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Which tests would the nurse perform to detect the presence of fluid inside the knee joint? Select all that apply.
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Bulge sign test
Ballottement test |
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While assessing a patient with knee pain, the nurse learns that the pain is worse in the afternoon than in the morning. Which condition does the nurse suspect?
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Osteoarthritis
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During an assessment, the nurse finds that a child has genu varum (bowlegs). Which finding in the patient enabled the nurse to make such a conclusion?
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A distance of 3 cm between the knees when the medial malleoli are together
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Which findings does the nurse expect in a patient who has tophi with chronic gout?
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Presence of swollen finger joints with white chalky discharge
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An elderly patient complains of stiffness in the knee joints and severe pain with motion. On further assessment, the nurse learns that the patient has inflamed joints with a hard bony protuberance on the joint. What can the nurse suspect from the findings?
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Osteoarthritis
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While assessing a child with Down syndrome, the nurse finds webbing between the adjacent fingers of the palm. Which other findings would the nurse observe in the child?
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Simian crease
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The nurse is caring for a 5-month-old baby who has a hip dislocation. Which physical assessments does the nurse perform to confirm the diagnosis of hip dislocation? Select all that apply.
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Allis test
Ortolani test |
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What does the nurse tell a patient with carpal tunnel syndrome when performing the Phalen test?
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"Hold your wrist in acute flexion for 60 seconds."
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A patient is lying supine with the leg relaxed. The nurse slowly raises the foot, keeping the knee straight until the patient complains of pain, and then dorsiflexes the foot. What is the reason for this assessment technique?
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To check for a herniated nucleus pulposus
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The nurse is caring for a patient with impaired hand function. During the assessment, the nurse finds chronic hyperplasia of the palmar fascia. Which complication does the nurse expect in the patient?
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Dupuytren contracture
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After an assessment, the nurse finds that a patient has fair muscle strength and the muscles are at 50% normal condition. What was the nurse’s finding?
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Full range of motion with gravity
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While performing the McMurray test on a patient who has swelling at the knee joint, the nurse feels a click. Which complication does the nurse suspect in the patient?
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Torn meniscus
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Which joint facilitates pronation and supination movements of the hand and the forearm?
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Radioulnar joint
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What does the nurse expect to observe in a patient with fibromyalgia?
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Spasms of the paraspinal muscles
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A parent explains, "My daughter doesn’t stand properly because of a difference in the height of her shoulders." The nurse suspects structural scoliosis. Which finding supports the nurse’s suspicion?
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Humping of the ribs on one side while bending
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Which structure connects the knee joint at both sides and prevents its dislocation?
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Collateral ligament
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The nurse is caring for a patient who has been experiencing axial skeletal pain for 3 months and who reports mental confusion and forgetfulness. The nurse finds that the patient also has insomnia and fatigue. Which condition does the nurse anticipate in the patient?
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Fibromyalgia syndrome
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The nurse is caring for a geriatric patient who is at risk for osteoporosis. Which interventions should the nurse include in the patient’s care plan? Select all that apply.
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Encourage the patient to walk faster.
Instruct the patient to avoid smoking. Encourage the patient to exercise regularly. |
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While assessing a patient with wrist dislocation, the nurse finds swan-neck deformity and ulnar deviation of the fingers in the patient. Which disease condition does the nurse expect in the patient?
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Chronic rheumatoid arthritis
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During an assessment, the nurse finds that a child has tibial torsion. Which findings enabled the nurse to reach this conclusion? Select all that apply.
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The lateral malleolus is anterior to the medial malleolus.
Lateral rotation of the tibia is more than 20 degrees of deviation |
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The nurse is assessing the integrity of the spinal accessory nerve (cranial nerve XI). What should the nurse ask the patient to do?
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Shrug the shoulders
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The nurse is caring for a patient who reports redness, swelling, and painful motion of the knee and ankle joints. While palpating, the nurse observes crepitation. What does the nurse infer from these findings?
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The patient may have rheumatoid arthritis.
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Which test helps in screening a child’s fine and gross motor skills?
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Denver II test
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What are signs and symptoms of rheumatoid arthritis? Select all that apply.
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Fatigue
Weight loss Low-grade fever |
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The nursing instructor is teaching a class on the types of joints. Which statement by the student nurse about synovial joints indicates effective learning?
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"Synovial joints are freely movable and lined with synovial membranes."
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While assessing a geriatric patient, the nurse is performing the get up and go test. What is the nurse trying to assess in the patient?
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Risk of fall
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An obese patient reports continuous throbbing pain in the foot. On assessment, the nurse finds that the patient has swelling, redness, and tender pain around the metatarsal-phalangeal joint. On reviewing the laboratory reports, the nurse finds the patient also has increased uric acid levels in the blood and urate crystals in the joint fluids. What does the nurse infer from the findings?
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The patient has acute gout.
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Which conditions result in the decrease in height in older people? Select all that apply.
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Loss of bone matrix
Thinning of intervertebral disks Loss of bone matrix in the vertebrae |
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The nurse is caring for a patient with swelling and tenderness at the anterior portion of the knee. The nurse observes that the affected skin is red and shiny. During examination, the nurse finds that the patient’s range of motion is normal. What does the nurse infer from these findings?
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The patient may have prepatellar bursitis.
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What characteristic feature does the nurse observe in a child with "pigeon toes?"
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The child tends to walk on the lateral side of the foot.
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Which deformity involves stiffness of the joints?
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Ankylosis
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Which condition involves the accumulation of sodium urate crystals in the joint space?
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Tophi with chronic gout
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While performing a head-to-toe assessment on a patient, the nurse instructs the patient to rest in a supine position. The nurse tells the patient, "Raise each leg and extend your knees." What is the nurse focusing on in this part of the assessment?
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The hips
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Which condition does the nurse expect in a patient who is on prolonged bed rest?
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Adhesive capsulitis
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Which food should the nurse include in the patient’s diet to increase calcium levels? Select all that apply.
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Juices
Soy milk Dairy products |
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While assessing the muscles around the wrist joint of a patient, the nurse finds full range of motion against gravity and some resistance. Which grade should the nurse document in the patient’s medical record?
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Grade 4
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During the assessment of a patient, the nurse finds that the distal part of the great toe is directed away from the body’s midline. Which complication is present in the patient?
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Hallux valgus
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The nurse suspects carpal tunnel syndrome in a patient. Which assessment technique would the nurse perform on the patient?
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Ask the patient to hold both hands back to back while flexing the wrists 90 degrees.
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Which characteristic feature indicates a positive Allis sign?
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Presence of one knee lower than the other
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While assessing a patient, the nurse firmly strokes the medial aspect of the knee two to three times and taps the lateral aspect of the knee. What does the nurse learn from this assessment technique?
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Checking for bulge sign
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Which nursing intervention helps the nurse assess the trigeminal nerve?
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Ask the patient to move the jaw forward and laterally.
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What are the different functions of cartilage? Select all that apply.
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Cushioning the bones
Providing stability Covering the surface of the bone Smoothing the surface of the bone |
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The nurse is assessing the spine of an obese patient. What change may the nurse observe in the spine of the patient?
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Lordosis
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Which complication may occur due to a decrease in the blood supply to the femoral epiphysis?
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Legg-Calve-Perthes syndrome
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Which disease conditions are associated with hard, nontender Heberden and Bouchard nodules?
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osteoarthritis |
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Which test helps in assessing a flexion deformity of the patient’s hip?
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Thomas test
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