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flexion
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extension
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flexion
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extension
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dorsiflexion
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plantar flexion
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audible and palpable crunching or grating that accompanies movement
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misalignment of two bones in a joint; partial dislocation
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loss of contact between two bones in a joint
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shortening of a muscle leading to limited ROM
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A subluxation is a misalignment of two bones in a joint; partial dislocation
Frage 8
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loss of contact between two bones in a joint
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audible and palpable crunching or grating that accompanies movement
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shortening of a muscle leading to limited ROM
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misalignment of two bones in a joint; partial dislocation
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How would a nurse document normal strength?
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On assessment, a nurse observes that the patient has active movement, but cannot resist gravity, how will she document muscle strength?
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How would a nurse document that a patient has no strength/is paralysed?
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On assessment, a nurse observes that the patient has active movement against gravity, but has no movement against resistance, how will the nurse document the patient's strength?
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A nurse asks a patient to raise his arm in order to test strength, the nurse sees that the patient is trying but can only get his arm to slightly contract, how will the nurse document the patient's strength?
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[blank_start]Lordosis[blank_end] is the inward curvature of the lumbar spine. [blank_start]Kyphosis[blank_end] is the outward curvature of the upper spine.
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[blank_start]Lordosis[blank_end] is mostly commonly seen in pregnant women. [blank_start]Kyphosis[blank_end] is common in elderly women.
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The [blank_start]plumb line posture test[blank_end] is a test for posture. It is useful in identifying lordosis and kyphosis, but is not helpful in identifying scoliosis.
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To test for [blank_start]cranial nerve XI[blank_end], we ask the patient to turn their head against resistance.
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cranial nerve XI
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cranial nerve X
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cranial nerve VII
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cranial nerve VI
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When testing muscle strength of the shoulders, we ask patients to [blank_start]shrug[blank_end], which tests the [blank_start]spinal accessory[blank_end] nerve, and [blank_start]abduct[blank_end] against resistance.
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shrug
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abduct
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spinal accessory
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If a patient has a rotator cuff injury, they cannot [blank_start]abduct[blank_end].
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During the [blank_start]Phalen test[blank_end], the patient holds their hands in forced flexion for 60 seconds.
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A positive Phalen test is when a patient has parasthesias after holding their hands in forced flexion for 60 seconds
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A negative Tinel's sign is when a patient has parasthesias when the median nerve is percussed
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Pain with a straight leg raise from the supine position indicates a [blank_start]herniated disk[blank_end]
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herniated disk
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sciatica
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appendicitis
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A [blank_start]limping gait[blank_end] is a sign of limited ROM in the knee
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[blank_start]True[blank_end] leg length is measured from the anterior iliac spine to the medial malleolus. [blank_start]Apparent[blank_end] leg length is measured from the [blank_start]umbilicus[blank_end] to the medial malleolus.
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umbilicus
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epigastrium
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pubis
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True
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Real
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Apparent
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False
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The [blank_start]bulge sign[blank_end] confirms the presence of small amounts of fluid. The [blank_start]ballottement of the patella[blank_end] confirms the presence of larger amount of fluid.
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"Use your left hand to compress the suprapatellar pouch to move any fluid into the knee joint. With your right hand push the patella sharply against the femur." This is a description of which test?
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In a rotator cuff injury, the only thing that will be normal is abduction
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Infants have what type of shape to their spine?
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S shape
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C shape
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Double S shape
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Z shape
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In an [blank_start]Ortolani's maneuver[blank_end], the infants legs are abducted. In [blank_start]Allis test[blank_end], the infants feet are flat on the table with the knees flexed.
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Ortolani's maneuver
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Allis maneuver
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In a negative Ortolani sign, when the infant's legs are abducted, you will hear a clicking noise and the infant will cry of pain.
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In a positive Allis maneuver, one knee is significantly lower than the other.
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[blank_start]Bowlegged stance[blank_end] (genu varum) is when the toddler's knees are apart. [blank_start]Knock knees[blank_end] (genu valgum) is when the toddler's knees are together.
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Bowlegged stance
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Knock knees
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During the get up and go test, if a healthy adult over the age of 60 can manage to rise from a chair, walk 10 feet, walk back and sit down under 10 second,s then they pass the test
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The following are normal MSK changes associated with older adults:
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Strength is 3/5
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Slower ROM
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Lordosis
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Decreased stature
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Kyphosis
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To assess for [blank_start]fractures[blank_end] in an infant, we test their reflexes
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In pregnant women, [blank_start]estrogen[blank_end] relaxes ligaments, which leads to joint [blank_start]instability[blank_end]
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The 6 P's of a quick and accurate CMS check are
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Poikilothermia
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Paralysis
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Petechiae
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Paresis
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Pain
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Pallor
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Paronychia
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Parasthesia
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Pulselessness
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A patient with a herniated or slipped disk will have...
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If a nurse suspects a patient to have a slipped or herniated disk, which test will she perform?
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Lasegue test
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Get Up and Go test
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Plumb line posture test
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Phalen's sign
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Osteoporosis is a normal part of aging
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Osteoporosis is caused by:
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Increased progesterone
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Decreased calcium
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Decreased Vitamin B
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Decreased Vitamin D
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Decreased estrogen
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[blank_start]Osteoporosis[blank_end] is the loss of bone density. [blank_start]Rheumatoid arthritis[blank_end] is an autoimmune disease. [blank_start]Osteoarthritis[blank_end] is the degenerative changes in articular cartilage.
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Osteoporosis
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Rheumatoid arthritis
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Osteoarthritis
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A patient with rheumatoid arthritis will have the following symptoms:
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A nurse will observe Heberden's nodes in the [blank_start]distal[blank_end] IP joints and Bouchard's nodes in the [blank_start]proximal[blank_end] IP joints in a patient with [blank_start]osteoarthritis[blank_end].
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distal
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proximal
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osteoarthritis
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Gout is the result of increased in serum [blank_start]uric acid[blank_end] levels
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[blank_start]Tophi[blank_end] are round, pea-like deposits of uric acid in ear cartilage, subcutaneous tissue, or other joints. Seen in gout patients.
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A patient is considered to be comatose if their GCS is
Frage 49
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The GCS categories are
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eye response
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reflex response
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motor response
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verbal response
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[blank_start]Decorticate[blank_end] positioning is when the patient flexes in response to pain. [blank_start]Decerebrate[blank_end] positioning is when the patient extends in response to pain.
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Unilateral anosmia is the result of which CN nerve dysfunction
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Poor vision and visual field loss is the result of which CN dysfunction
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Absense of PERRLA can occur with dysfunction of which cranial nerves
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Ptosis is the result of which CN dysfunction
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Facial asymmetry is the result of which CN dysfunction
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The Diagnostic Positions Test is used to test which CN?
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Nystagmus is a cranial nerve issue
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To check for nystagmus, a nurse would check CN III, IV, and VI using the Diagnostic Positions Test
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To check a patient's motor function, we use the heel to toe test, also known as [blank_start]tandem gait[blank_end], and the [blank_start]Romberg test[blank_end], where the patient stands with feet together, arms at their sides, with eyes closed for 20 seconds.
Frage 60
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impaired gait
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impaired coordination
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impaired motor skills
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impaired sensation
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The following are abnormal findings of muscle tone
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flaccidity
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spasticity
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rigidity
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hypetrophy
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atrophy
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Muscle tone is tested by using
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[blank_start]Paresis[blank_end] refers to muscle weakness. [blank_start]Paralysis[blank_end] refers to loss of function in muscle.
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Rapid alternating movements (RAM) test [blank_start]cerebellar[blank_end] function.
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Dysdiadochokinesia (DDK) is the inability to perform [blank_start]rapid alternating movements[blank_end]
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[blank_start]Dysmetria[blank_end] is overshoot or tremors during the finger to finger or finger to nose test
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The heel to shin test is used to test [blank_start]cerebellar function[blank_end]
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The [blank_start]monofilament test[blank_end] is used to check for diabetic (peripheral) neuropathy
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During the [blank_start]monofilament test[blank_end], a nurse will use a special strand of fiber and touch the patient's foot in 10 different areas.
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[blank_start]Stereognosis[blank_end] is the ability to identify objects with closed eyes. [blank_start]Graphesthesia[blank_end] is the ability to identify the number drawn on the hand.
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Stereognosis
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Graphesthesia
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To test for [blank_start]stereognosis[blank_end], a nurse will ask the patient to close their eyes, place an object in their hand, and ask them to identify the object.
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To test for [blank_start]graphesthesia[blank_end], a nurse will ask a patient to close their eyes, she will draw a number 5 on their hand, and ask the patient to identify what she drew.
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When testing two-point discrimination on a patient's fingertip, at what distance between the two points will the nurse expect the patient to state they feel a single point?
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When testing two-point discrimination on a patient's arm, at what distance between the two points will the nurse expect the patient to state they feel a single point?
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When testing two-point discrimination on a patient's finger, the patient reports they feel only one point at 15mm, what is the likely cause?
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When testing the bicep deep tendon reflex (DTR), the nurse expects to see
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flexion at elbow
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extension at elbow
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When testing the tricep deep tendon reflex (DTR), the nurse expects to see
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flexion at elbow
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extension at elbow
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When testing the brachioradialis deep tendon reflex (DTR), the nurse expects to see
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When testing the patellar deep tendon reflex (DTR), the nurse expects to see
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flexion at the knee
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extension at the knee
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When testing the achilles deep tendon reflex (DTR), the nurse expects to see
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plantar flexion
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dorsiflexion
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Hyporeflexia is caused by a lesion in the [blank_start]lower motor neuron[blank_end] and indicated problem with the [blank_start]central[blank_end] nervous system
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lower motor neuron
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peripheral
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Hyperreflexia is caused by a lesion in the [blank_start]upper motor neuron[blank_end] and indicates a problem with the [blank_start]peripheral[blank_end] nervous system
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upper motor neuron
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central
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When checking DTRs, a nurse elicits a normal, brisk reflex, how will she document it?
Frage 84
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When checking DTRs, an experienced nurse cannot elicit a reflex, how will she document it?
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A new nurse is struggling to elicit a reflex when checking DTRs. She is sure that the patient does not have hyporeflexia based on the patient's assessment so far. She asks a more experienced nurse for help and is told that she should try [blank_start]reinforcement[blank_end] in order to relax the muscles.
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When testing the plantar reflex in a healthy adult, the nurse expects toe curling
Frage 87
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A positive Babinski sign is normal in babies up to 24 months
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During a neuro recheck, the nurse will assesss
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GCS
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PERRLA
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motor function
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sensory function
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cranial nerves
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vital signs
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Neuro rechecks are done to assess for increased [blank_start]intracranial pressure[blank_end]. The nurse will check for [blank_start]pronator drift[blank_end] to look for hemiparesis. She will also check the pupils to evaluate for [blank_start]dilation[blank_end]. The nurse will also check the patient's HR to evaluate for [blank_start]bradycardia[blank_end], and BP to evaluate for a [blank_start]widening[blank_end] pulse pressure.
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intracranial pressure
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pronator drift
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dilation
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bradycardia
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widening
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In infants, if a reflex does not appear at the expected age or does not resolve at an expected age, that is a sign of CNS damage
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An infant's rooting reflex is visible during which time period?
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birth - 4 months
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birth - 12 months
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birth - 10 months
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birth - 24 months
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An infant's sucking reflex is visible during which time period?
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birth - 4 months
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birth - 12 months
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birth - 10 months
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birth - 24 months
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An infant's palmar grasp reflex is visible during which time period?
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1-4 months
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2-6 months
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birth - 4 months
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birth - 10 months
Frage 94
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An infant's plantar grasp reflex is visible during which time period?
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birth - 4 months
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birth - 12 months
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birth - 10 months
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birth - 24 months
Frage 95
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An infant's Babinski reflex is visible during which time period?
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birth - 4 months
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birth - 12 months
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birth - 10 months
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birth - 24 months
Frage 96
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An infant's startle reflex is visible during which time period?
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birth - 4 months
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birth - 12 months
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birth - 24 months
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birth - 10 months
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An infant's tonic neck reflex is visible during which time period?
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1-4 months
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2-6 months
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birth - 4 months
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birth - 6 months
Frage 98
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An infant's placing and stepping reflex is visible during which time period?
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4 days - walking
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1-4 months
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2-6 months
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birth - 24 months
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A nurse would expect to see the following neurologic changes in an older adult:
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A nurse would expect to see the following in a patient with Parkinson's disease
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A nurse would expect to see the following in a patient who is having a stroke
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A [blank_start]screening[blank_end] neurologic exam is for patients who appear well and have no significant subjective findings from the history. A [blank_start]complete[blank_end] neurologic exam is for patients who have neurologic concerns or history of neurologic dysfunction.
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A complete neurologic exam includes testing the following:
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mental status
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cranial nerves
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motor function
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sensory function
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reflexes