pg. 1 Nurs 5220 Exam 2 Latest Prep Test Bank 2025 with 350 Practice Questions and Correct Answers With Rationales | NURS 5220 Exam 2 Latest 2025-2026 Qs and As (new!)
Mrs. Blain is a 45-year-old patient who presents to your office. On examination, you note a positive Tinel sign. A positive Tinel sign is associated with which problem?
- Carpal tunnel syndrome
- Rheumatoid arthritis
- Osteoporosis
- Scoliosis
A: CorrectA tingling sensation radiating from the wrist to the hand in the
distribution of the median nerve is a positive Tinel sign and is suggestive of carpal tunnel syndrome.
A variation in leg alignment identified as genu varum is commonly known as:
- bow legged.
- knock kneed.
- pigeon toed.
- flat footed.
A: CorrectAssess for bowleg (genu varum) with the child standing, facing you,
knees at your eye level.Mr. Gerrard is a 56-year-old construction worker who presents to your office with a complaint of knee pain. On examination, you perform ballottement of the knee.
Ballottement of the knee is performed to determine the:
- presence of infection in the knee bursae.
- presence of fluid in the knee.
- integrity of the tendons and ligaments supporting the knee.
- strength of the knee muscles. 1 / 4
pg. 2
B: CorrectBallottement is used to determine the presence of excess fluid or an
effusion in the knee.Mr. Booker is a 47-year-old patient who presents to your office with a complaint of knee pain. When performing the drawer test, you note there is excessive movement of the knee in the anteroposterior plane. What conclusion do you draw?
- Damage to the femoral condyle is likely.
- There is a possible torn medial meniscus.
- There is possible injury to the anterior cruciate ligament.
- There is excessive fluid within the knee.
C: CorrectThe anterior and posterior drawer test is used to identify instability of the anterior and posterior cruciate ligaments.The Barlow-Ortolani maneuver is performed on the infant to detect which problem?
- Hip dislocation
- Broken clavicle
- Knee dysplasia
- Shortened femur syndrome
A: CorrectThe Barlow-Ortolani maneuver to detect hip dislocation or subluxation
should be performed each time you examine the infant during the first year of life.Mrs. Bower brings in her 8-year-old daughter for an office visit. You note proximal muscle weakness indicated by the Gower sign. Which is the best description of the Gower sign?
- The child is unable to support herself without additional support structures.
- The child rises from a sitting position by placing her hands on her legs and
pushing the trunk up.
- The child is unable to perform five pushups.
- The child uses support structures to assist in walking and maneuvering around. 2 / 4
pg. 3
B: CorrectProximal muscle weakness is indicated by the Gower sign, in which the
child rises from a sitting position by placing hands on the legs and pushing the trunk up.The FABER test is a part of the assessment of which joint?
- Shoulder
- Wrist
- Hip
- Ankle
C: CorrectExamine the range of motion of the hips by asking the patient to perform the following movements: While supine, place the lateral aspect of the foot on the knee of the other leg; move the flexed knee toward the table. This is known as the Patrick or FABER test —Flex, ABduct, and Externally Rotate.You are obtaining a history on a new patient. A family history of which disorder would be of greatest concern?
- Cardiovascular accident (CVA)
- Meningitis
- Huntington chorea
- Vertigo
C: CorrectA family history of Huntington chorea is of the greatest concern because it is a hereditary disorder and therefore the possibility of the patient being affected must be explored. Additional questions need to be asked about specific family members affected, and the patient must be carefully checked for any indications of the disease as part of the physical examination.Testing of cranial nerve ____ is not routinely performed unless a problem is suspected.
- I
- II
- V
- XI
A: CorrectOrdinarily, taste and smell are not evaluated unless a problem is
suspected. 3 / 4
pg. 4 The patient is able to touch each finger to his thumb in rapid sequence. What does this finding signify?
- The patient has intact trochlear and abducens cranial nerves.
- The patient has normal cerebellar function.
- The patient has an intact spinal accessory nerve.
- The patient has appropriate kinesthetic sensation.
B: CorrectAs an alternate procedure, have the patient touch the thumb to each
finger on the same hand, in sequence from the index finger to the little finger and back.Mr. McKnight is a 48-year-old patient who presents to your office with a complaint of dizziness. He states, "I sometimes feel as if the whole room is spinning." What type of neurologic dysfunction should the examiner suspect?
- Peripheral neuropathy dysfunction
- Increased intracranial pressure from a brain tumor
- Inner ear dysfunction affecting the acoustic nerve
- A lesion affecting the frontal lobe
C: CorrectThe acoustic nerve, or cranial nerve VIII, regulates hearing and
equilibrium.The examiner asks the patient to close her eyes, then places a vibrating tuning fork on the patient's ankle and asks her to indicate what is felt. What is being assessed?
- Peripheral nerve sensory function
- Cranial nerve sensory function
- Cortical sensory function
- Level of consciousness
A: CorrectSensory loss follows the distribution of dermatomes or peripheral
nerves.Jack is a 52-year-old obese man with a history of poorly controlled diabetes. He also smokes. Based on these data, the examiner should recognize that Jack has
several risk factors for:
- seizures.
- / 4