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Central Texas College NURSING 1115 Chapter 14 1)The nurse examining a patient with normal muscle strength would document Grade                

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Central Texas College

NURSING 1115

Chapter 14

1)The nurse examining a patient with normal muscle strength would document Grade

                .

A.            0

B.            1

C.            3

D.            5

 

2.            The nurse is assessing a 72-year-old's spinal column. Which spinal finding would be considered normal for a 72-year-old patient?

A.            Meningocele

B.            Myelomeningocele

C.            Kyphosis

D.            Scoliosis

3.            The nurse is trying to assess a patient's risk of osteoporosis. The nurse knows that the following groups have the highest incidence of osteoporosis. Select all that apply:

A.            Asian females

B.            White males

C.            American Indian males

D.            African-American males

E.            Postmenopausal women

F.            Patients who had fractures in the past

 

4.            Which statement regarding the comparison of the circumference between the right and left extremities is true?

A.            Measurements between the right and left sides should be identical.

B.            Measurement differences are less than 1 cm.

C.            Measurement differences are within 2 cm.

D.            Measurement differences are within 2 inches.

 

5.            The nurse is assessing a patient's muscle strength of the trapezius muscle. The nurse will apply resisting force while the patient:

A.            Shrugs her shoulders

B.            Moves her jaw laterally

C.            Flexes her elbow

D.            Extends her knee

 

6.            The nurse is assessing a patient using a goniometer. What is this instrument used for?

A.            Range of motion

B.            Muscle strength

C.            Joint symmetry

D.            Length of extremity

 

7.            Which patient condition increases the risk of osteomyelitis?

A.            Severe gout

B.            Rheumatoid arthritis (RA)

C.            Severe osteoporosis

D.            An open fracture of the radius

 

8.            The nurse is assessing a patient's internal rotation of the shoulder joint. How should the nurse direct the patient?

A.            Place your right hand behind the left side of your head

B.            Elevate your right arm over your head."

C.            "Place your right hand against the small of your back."

D.            "Rotate the palm of your hand up and down."

 

9.            The nurse is assessing a newborn and hears a click when the Barlow-Ortolani maneuver is performed. What would this finding indicate?

A.            An indication of Erb's palsy

B.            A possible indication of spina bifida

C.            An indication of congenital hip dislocation

D.            A normal finding in the newborn

 

10.          A patient complains of pain and clicking in the jaw with movement. These symptoms are consistent with

A.            Gout in the jaw

B.            Temporomandibular joint syndrome

C.            Rheumatoid arthritis of the jaw

D.            Bursitis of the temporomandibular joint