The school nurse is performing spinal assessments. In what two positions should the nurse inspect ...

The school nurse is performing spinal assessments. In what two positions should the nurse inspect the spine
 
  1) Sitting up and standing straight
  2) Lying supine and in a lateral recumbent position
  3) Standing straight and lying supine
  4) Standing straight and bending forward from the waist

Question 2

The nurse is assessing for a herniated nucleus pulposus. Which action is appropriate?
 
  1) Asking the patient to flex hands back to back at a 90-degree angle
  2) Asking the patient to raise the affected leg and dorsiflex the foot
  3) Asking the patient to elevate both arms over the head for 20 to 30 seconds
  4) Percussing lightly over the median nerve

Question 3

Which landmarks does the nurse use to measure true leg length?
 
  1) Anterior superior iliac crest to the medial malleolus
  2) Sternal notch to the medial malleolus
  3) Umbilicus to the medial malleolus
  4) Umbilicus to the tibia

Question 4

The nurse uses the Phalen test to assessment for which item?
 
  1) ROM of shoulder
  2) ROM of hip
  3) Hemiparesis
  4) Carpal tunnel syndrome

Question 5

A patient who is able to elevate his or her arm, but not against resistance, should be given which rating?
 
  1) 1
  2) 2
  3) 3
  4) 4

Question 6

The nurse plans to use a goniometer during the physical assessment. Which is assessed using this tool?
 
  1) Extremity length
  2) Muscle strength
  3) Muscle tension
  4) Range of motion (ROM)

Question 7

The nurse is assessing an adolescent for scoliosis. Which action is appropriate?
 
  1) Asking the patient to bend forward at the waist with the arms hanging and relaxed
  2) Asking the patient to stand straight and twist to the right, then the left
  3) Asking the patient to flatten the back against the wall
  4) All of the above

Question 8

Which is the nurse evaluating when conducting the Romberg test?
 
  1) Coordination
  2) Cerebral function
  3) Cerebellar function
  4) Gait

Question 9

Which is not involved with a coordinated gait?
 
  1) Heel strike, foot flat, midstance, push off.
  2) Arms swing in same direction as feet.
  3) Arms swing in opposition of feet.
  4) Base of support 2 to 4 inches.