Exam question
A patient is being assessed for range-of-joint movement. The nurse asks him to move his arm in toward the center of his body. This movement is called:
Adduction
moving limb away from midline of body
Abduction
Full ROM against gravity; full resistance - Normal 100%
Grade 5
With this condition pain worse later in the day
Osteoarthritis
How do you perform Ortolani test?
With the infant supine, flex the knees holding your thumbs on the inner midthighs and your fingers outside on the hips touching the greater trochanters. Adduct the legs until your thumbs touch. Then gently lift and abduct, moving the knees apart and down so their lateral aspects touch the table. This normally feels smooth and has no sound.
A patient tells the nurse that she is having a hard time bringing her hand to her mouth when she eats or tries to brush her teeth. The nurse knows that for her to move her hand to her mouth, she must perform which movement?
Flexion
moving limb toward midline of body
Adduction
No contraction - Zero 0%
Grade 0
With this condition pain is worse in the morning but improves throughout day
Tendinitis
How do you perform the Barlow test?
Adduct the hip, then apply a downward pressure over the knee with your thumb. If the hip is unstable, the femoral head will slip out of the acetabulum, producing the palpable sensation of the hip dislocating. If the hip is dislocatable, then Barlow's test is positive.
The nurse notices that a woman in an exercise class is unable to jump rope. The nurse is aware that to jump rope, ones shoulder has to be capable of:
Circumduction
moving sole of foot inward at ankle
Inversion
Full ROM with gravity eliminated (passive motion) - Poor 25%
Grade 2
With this condition pain is worse in the morning and after periods of rest. They may also have bilateral swelling and tenderness.
Rheumatoid arthritis
How do you perform the McMurray Test?
Position the person supine as you stand on the affected side. Hold the heel and flex the knee and hip. Place your other hand on the knee with fingers on the medial side. Rotate the leg in and out to loosen the joint. Externally rotate the leg, and push a valgus (inward) stress on the knee. Slowly extend the knee. Normally the leg extends smoothly with no pain
The nurse is explaining to a patient that there are shock absorbers in his back to cushion the spine and to help it move. The nurse is referring to his:
Intervertebral disks.
moving sole of foot outward at ankle
Eversion
Full ROM with gravity - Fair 50%
Grade 3
A painful inflammatory arthritis characterized by excess uric acid in the blood and deposits of urate crystals in the joint space
Gout
How do you perform the phalen test?
Place the back of your hands (the dorsal side) together. Holding your hands in that position, raise arms so your elbows are at about your chest level. Hold that position for around a minute. Should not feel tingling in your fingers or along the sides of your hand.
The nurse is checking the range of motion in a patients knee and knows that the knee is capable of which movement(s)?
Flexion and extension
moving body part forward, parallel to ground
Protraction
Full ROM against gravity; some resistance - Good 75%
Grade 4
Lateral curvature of thoracic and lumbar segments of the spine, usually with some rotation of involved vertebral bodies.
Scoliosis
How do you perform the tinel test?
It involves tapping a finger along the median nerve, which can produce tingling or pain