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NURS 306 Exam #2 Question and answers correctly solved

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NURS 306 Exam #2 Question and answers correctly solved •What is active ROM? Passive? - correct answer active: pt is performing ROM without help passive: pt needs assistance from nurse in ROM •How do we grade muscle strength? - correct answer 0-5 The musculoskeletal assessment req...

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  • November 19, 2024
  • 111
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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NURS 306 Exam #2 Question and
answers correctly solved
•What is active ROM? Passive? - correct answer ✔active: pt is performing
ROM without help
passive: pt needs assistance from nurse in ROM


•How do we grade muscle strength? - correct answer ✔0-5


The musculoskeletal assessment requires a patient to perform multiple
exercises for identifying health status of this system. To test trapezius muscle
strength, the nurse should ask the patient to:


A.Shrug his shoulders against resistance
B.Lift his knee against resistance
C.Hyperextend his leg without resistance
D.Touch his toes from the standing position - correct answer ✔a


While testing the patient's muscle strength, the nurse finds that the patient can
flex the arms when no resistance is applied but is unable to flex when the
nurse applies light resistance. The nurse should document the patient's
muscle strength as level


A.1
B.2
C.3
D.4 - correct answer ✔c

,As the nurse assesses the patient, the following is noted. What would be the
most accurate assessment of this?


A.Boutonniere's deformity
B.Ulnar deviation
C.Bouchard's node
D.Swan-Neck deformity


Which musculoskeletal disorder is this most commonly associated with? -
correct answer ✔b
rheumatoid arthritis


The nurse is performing a musculoskeletal assessment of an older adult
patient whose mobility has been decreasing progressively in recent months.
How should the nurse best assess the patient's range of motion in the affected
leg?


A.Observe the patient's unassisted ROM in the affected leg
B.Perform passive ROM, asking the patient to report any pain
C.Ask the patient to lift progressed weights with the affected leg
D.Move both the patient's legs from a supine position to full flexion - correct
answer ✔a


A 42-year-old male patient complains of shoulder pain when the nurse moves
his arm behind the back. Which question should the nurse ask?


A."Are you able to feed yourself without difficulty?"
B."Do you have difficulty when you are putting on a shirt?"

,C."Are you able to sleep through the night without waking?"
D."Do you ever have trouble lowering yourself to the toilet?" - correct answer
✔b


A nurse is instructing a student nurse how to perform passive ROM on their
patient. Which of the following are correct techniques of passive ROM? Select
all that apply.
A.The student nurse will instruct and mirror the ROM movement before asking
the patient to perform ROM
B.Instruct patient to flex arm while the student nurse moves the patient's
shoulder in a circular motion
C.Support the patient's elbow with one hand and shoulder in another while
gently rotating the patient's shoulder
D.While patient's muscles are relaxed, the student nurse will move the
patient's joint to assess ROM - correct answer ✔c, d


•What are ADLs? Functional vs instrumental - correct answer ✔activities of
daily living
functional: dressing, walking, toileting, eating, bathing
instrumental:
driving, cooking, paying bills, grocery shopping, using phones, cleaning the
house


•What are proper body mechanics? - correct answer ✔ØEnsure client or
object that you are handling is CLOSE to your body as possible
ØKeep abd muscles contracted & lower back in normal position
ØMaintain head upright with shoulders raised up
ØBow the hips slightly and squat
ØPivot or side-step rather than twisting

, ØBend at the knees and use leg muscles when lifting; do not bend over with
back


•What is 'protective positioning'? - correct answer ✔Involves aligning the
body in a neutral position, supporting the body's natural curves, and
eliminating pressure points, hyperextension, or lateral rotation.


•How frequently do we change a patient's position in bed? - correct answer
✔every 2 hours


•What are compression socks? SCDs? - correct answer ✔promote venous
return


•What are things we need to consider before moving a patient? - correct
answer ✔determine amount of assistance required (more people, equipment
-- MAT level), client body weight & height, level of cooperation, health-related
conditions/equipment


•What is mobility assessment? Which items can be included? - correct
answer ✔ØNormal mobility status
ØAbility to sit, stand, walk
ØUse or need for assistance
ØDegree of mobility & immobility
ØCondition of skin


•What are the different types of activity orders we may see on the provider
orders? - correct answer ✔ad lib: at leisure
BR: bed rest
BRP: bed rest with bathroom privileges

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