Question 1

A patient asks, "Why is touching my toes necessary? This is a sports physical examination, not exercise class." What is the most appropriate response by the nurse?

Accepted Answer

A)  "This is the best way to check for symmetry of your arms." 
B)  "I am looking at the stretch of your hamstrings." 
C)  "This allows me to see how straight your spinal column is." 
D)  "I am assessing the flexion of your spine." 
A)  "This is the best way to check for symmetry of your arms." 
B)  "I am looking at the stretch of your hamstrings." 
C)  "This allows me to see how straight your spinal column is." 
D)  "I am assessing the flexion of your spine."

Question 2

The nurse notes that there is an audible clicking sound when the patient opens and closes the mouth. What is the appropriate response of the nurse at this time?

Accepted Answer

A)  Recording this as an abnormal finding, requiring additional assessment 
B)  Measuring the distance between each side of the mandible and the eyes 
C)  Applying resistance to the maxilla and asking the patient to repeat the motion 
D)  Documenting this finding as expected if no other signs or symptoms are found 
A)  Recording this as an abnormal finding, requiring additional assessment 
B)  Measuring the distance between each side of the mandible and the eyes 
C)  Applying resistance to the maxilla and asking the patient to repeat the motion 
D)  Documenting this finding as expected if no other signs or symptoms are found

Question 3

With the patient lying supine, a nurse raises the patient's leg to flex the hip. The patient complains of pain when the leg is raised to 40 degrees. The nurse correlates this finding with which disorder?

Accepted Answer

A)  Lumbar nerve compression 
B)  Cervical disk herniation 
C)  Osteoarthritis 
D)  Bursitis 
A)  Lumbar nerve compression 
B)  Cervical disk herniation 
C)  Osteoarthritis 
D)  Bursitis

Question 4

On inspection of a patient's hands, the nurse notices ulnar deviation and swan-neck deformities bilaterally and correlates this finding with which disorder?

Accepted Answer

A)  Osteoarthritis 
B)  Osteoporosis 
C)  Rheumatoid arthritis 
D)  Gout 
A)  Osteoarthritis 
B)  Osteoporosis 
C)  Rheumatoid arthritis 
D)  Gout

Question 5

A patient reports a history of compression of the left cranial nerve XI (spinal accessory nerve) from an old sports injury. Based on this information, what technique does the nurse include in the focused assessment?

Accepted Answer

A)  Asking the patient to rotate the head against resistance of the nurse's hand on the patient's chin 
B)  Asking the patient to flex the chin to the chest against resistance of the nurse's hand on the patient's forehead 
C)  Asking the patient to extend the head back against resistance of the nurse's hand on the back of the patient head 
D)  Asking the patient to shrug the shoulders while the nurse attempts to push them down 
A)  Asking the patient to rotate the head against resistance of the nurse's hand on the patient's chin 
B)  Asking the patient to flex the chin to the chest against resistance of the nurse's hand on the patient's forehead 
C)  Asking the patient to extend the head back against resistance of the nurse's hand on the back of the patient head 
D)  Asking the patient to shrug the shoulders while the nurse attempts to push them down

Question 6

How does a nurse assess the eversion and inversion of a patient's ankle?

Accepted Answer

A)  For eversion, ask the patient to turn the sole of the foot away from the body and for inversion turn the sole of the foot toward the midline. 
B)  For eversion, ask the patient to turn the sole of the inward toward the midline and for inversion turn the sole of the foot away from the body. 
C)  For eversion, ask the patient to walk on his toes and, for inversion, to walk on his heels. 
D)  For eversion, ask the patient to point the toes forward and, for inversion, to point the toes backward. 
A)  For eversion, ask the patient to turn the sole of the foot away from the body and for inversion turn the sole of the foot toward the midline. 
B)  For eversion, ask the patient to turn the sole of the inward toward the midline and for inversion turn the sole of the foot away from the body. 
C)  For eversion, ask the patient to walk on his toes and, for inversion, to walk on his heels. 
D)  For eversion, ask the patient to point the toes forward and, for inversion, to point the toes backward.

Question 7

When a nurse asks a patient to place the right arm behind the head, the nurse is testing for which range of motion?

Accepted Answer

A)  Flexion of the elbow 
B)  Hyperextension of the shoulder 
C)  Internal rotation and adduction of the shoulder 
D)  External rotation and abduction of the shoulder 
A)  Flexion of the elbow 
B)  Hyperextension of the shoulder 
C)  Internal rotation and adduction of the shoulder 
D)  External rotation and abduction of the shoulder

A patient asks, "Why is touching my toes necessary? This is a sports physical examination, not exercise class." What is the most appropriate response by the nurse?

The nurse notes that there is an audible clicking sound when the patient opens and closes the mouth. What is the appropriate response of the nurse at this time?

With the patient lying supine, a nurse raises the patient's leg to flex the hip. The patient complains of pain when the leg is raised to 40 degrees. The nurse correlates this finding with which disorder?

On inspection of a patient's hands, the nurse notices ulnar deviation and swan-neck deformities bilaterally and correlates this finding with which disorder?

A patient reports a history of compression of the left cranial nerve XI (spinal accessory nerve) from an old sports injury. Based on this information, what technique does the nurse include in the focused assessment?

How does a nurse assess the eversion and inversion of a patient's ankle?

When a nurse asks a patient to place the right arm behind the head, the nurse is testing for which range of motion?

Introduction to Health Assessment

Obtaining a Health History

Techniques and Equipment for Physical Assessment

General Inspection and Measurement of Vital Signs

Cultural Assessment

Pain Assessment

Mental Health Assessment

Nutritional Assessment

Skin, Hair, and Nails

Head, Eyes, Ears, Nose, and Throat

Lungs and Respiratory System

Heart and Peripheral Vascular System

Abdomen and Gastrointestinal System

Neurologic System

Breasts and Axillae

Reproductive System and the Perineum

Developmental Assessment Throughout the Life Span

Assessment of the Infant, Child, and Adolescent

Assessment of the Pregnant Patient

Assessment of the Older Adult

Conducting a Head-to-Toe Examination

Documenting the Comprehensive Health Assessment

Adapting Health Assessment to the Hospitalized Patient

Filters

Exam 14: Musculoskeletal System

A patient asks, "Why is touching my toes necessary? This is a sports physical examination, not exercise class." What is the most appropriate response by the nurse?

The nurse notes that there is an audible clicking sound when the patient opens and closes the mouth. What is the appropriate response of the nurse at this time?

With the patient lying supine, a nurse raises the patient's leg to flex the hip. The patient complains of pain when the leg is raised to 40 degrees. The nurse correlates this finding with which disorder?

On inspection of a patient's hands, the nurse notices ulnar deviation and swan-neck deformities bilaterally and correlates this finding with which disorder?

A patient reports a history of compression of the left cranial nerve XI (spinal accessory nerve) from an old sports injury. Based on this information, what technique does the nurse include in the focused assessment?

How does a nurse assess the eversion and inversion of a patient's ankle?

When a nurse asks a patient to place the right arm behind the head, the nurse is testing for which range of motion?

Introduction to Health Assessment

Obtaining a Health History

Techniques and Equipment for Physical Assessment

General Inspection and Measurement of Vital Signs

Cultural Assessment

Pain Assessment

Mental Health Assessment

Nutritional Assessment

Skin, Hair, and Nails

Head, Eyes, Ears, Nose, and Throat

Lungs and Respiratory System

Heart and Peripheral Vascular System

Abdomen and Gastrointestinal System

Neurologic System

Breasts and Axillae

Reproductive System and the Perineum

Developmental Assessment Throughout the Life Span

Assessment of the Infant, Child, and Adolescent

Assessment of the Pregnant Patient

Assessment of the Older Adult

Conducting a Head-to-Toe Examination

Documenting the Comprehensive Health Assessment

Adapting Health Assessment to the Hospitalized Patient

Filters