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NSG-316 FINAL EXAM QUESTIONS AND ANSWERS 2024
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NSG-316 FINAL EXAM QUESTIONS AND ANSWERS 2024
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NSG-316 FINAL EXAMA patient with a history of a knee injury reports local pain in the knee. Which test
would the nurse perform to further evaluate the knee?
a. Phalen
b. Thomas
c. Bulge Sign
d. McMurray - ANSWERS-Answer: d
* The McMurray test is performed when a patient has reported a history of
trauma followed by locking, giving way, or local knee pain
* If you hear a "click" = McMurray test is positive for a torn meniscus
How does the time of day affect rheumatoid arthritis, osteoarthritis, and
tendinitis? - ANSWERS-- RA pain is worse in the morning
- Osteoarthritis pain is worse later in the day
- Tendinitis is worse in the morning but improves throughout the day
The patient has been experiencing axial skeletal pain for 4 months and reports
confusion, forgetfulness, insomnia, and fatigue. The nurse suspects which
diagnosis?
a. scoliosis
,b. achilles tenosynovitis
c. fibromyalgia syndrome
d. herniated nucleus pulposus - ANSWERS-Answer: c
* Fibromyalgia may cause psychosocial distress leading to cognitive problems
such as mental confusion and forgetfulness
Genu varum - ANSWERS-bowlegs
Genu valgum - ANSWERS-knock-knees
The nurse appreciates a grating sound during joint manipulation of a patient with
rheumatoid arthritis. Which term would the nurse use to document this finding?
a. ankylosis
b. crepitation
c. dislocation
d. subluxation - ANSWERS-Answer: b
The older adult patient complains of stiffness in the right knee and severe pain
with ambulation. Upon further assessment, the nurse notes a hard, bony
protuberance on the right knee joint. The nurse suspects which diagnosis?
a. osteoarthritis
, b. gouty arthritis
c. ankylosing spondylitis
d. subcutaneous nodule - ANSWERS-Answer: a
* Osteoarthritis = noninflammatory, localized, progressive disorder involving
deterioration of articular cartilage and subchondral bone; DEGENERATIVE!!!
If you were to see a limitation such as swelling from arthritis in a patient, how
would that affect testing their range of motion? - ANSWERS-If you see a
limitation, gently attempt passive motion with the person's muscles relaxed while
you move the body part.
What conditions are caused by chronic rheumatoid arthritis? (Select all that
apply)
a. swan-neck
b. boutonniere deformities
c. ulnar deviation/drift
d. degenerative joint disease
e. osteoarthritis - ANSWERS-Answer: all of them
How do you assess for temporomandibular joint dysfunction in a patient? -
ANSWERS-TMJ → place the tips of your first two fingers in front of each ear and
ask the person to open and close their mouth; note any pain, clicking, or popping
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