Maryville NURS 623 Exam 4 Latest Update 2024-
2025 150 Questions and 100% Verified Correct
Answers Actual Exam Guaranteed A+ Brand
NEW!!!!!!!
1. One of the initial steps in assessing patients with musculoskeletal complaints is to
determine whether the complaint is articular or nonarticular in origin. Which of the
following is an example of an articular structure?
a. Bone
b. Synovium
c. Tendons
d. Fascia - CORRECT ANSWER: b. Synovium
11. The clinician has instructed Sam, a 25-year-old patient with low back strain, to use
NSAIDs to manage his symptoms of pain and discomfort. Which of the following
statements would be most appropriate when teaching Sam about the use of NSAIDs?
a. "You should start with the lowest dose that is effective in managing your pain,
because long-term use of NSAIDs can result in gastrointestinal (GI) disorders such as
ulcers and hemorrhage."
b. "You should start with the lowest dose that is effective in managing your pain to avoid
developing tolerance to the medication."
c. "You should take the maximum recommended dose of NSAIDs so that you will not
need to take narcotics to control your pain."
d. "It is important to take NSAIDs on an empty stomach in order to increase absorption."
- CORRECT ANSWER: a. "You should start with the lowest dose that is effective in
managing your pain, because long-term use of NSAIDs can result in gastrointestinal
(GI) disorders such as ulcers and hemorrhage."
2. You have detected the presence of crepitus on examination of a patient with a
musculoskeletal complaint. Additionally, there is limited range of motion (ROM) with both
active and passive movement. These findings suggest that the origin of the
musculoskeletal complaint is:
,a. Articular
b. Inflammatory
c. Nonarticular
d. A and B - CORRECT ANSWER: a. Articular
3. Which of the following signs or symptoms indicate an inflammatory etiology to
musculoskeletal pain?
a. Decreased C-reactive protein
b. Hyperalbuminemia
c. Morning stiffness
d. Weight gain - CORRECT ANSWER: c. Morning stiffness
4. Which of the following statements concerning the musculoskeletal examination is
true?
a. The uninvolved side should be examined initially and then compared to the involved
side.
b. The part of the body that is causing the patient pain should be examined first.
c. When possible, the patient should not be asked to perform active range-of-motion
(ROM) exercises to avoid causing pain.
d. Radiographs should always be obtained prior to examination so as not to cause
further injury to the patient. - CORRECT ANSWER: a. The uninvolved side should be
examined initially and then compared to the involved side.
5. You are performing muscle strength testing on a patient presenting with
musculoskeletal pain and find that the patient has complete ROM with gravity
eliminated. Which numeric grade of muscle strength would you give this patient?
a. 1
b. 2
c. 3
d. 4
e. 5 - CORRECT ANSWER: b. 2
, 6. Mrs. Gray is a 55-year-old woman who presents with tightness, pain, and limited
movement in her right shoulder. She denies any history of trauma. Her examination
reveals a 75% reduction in both active and passive ROM of the right shoulder. Mrs.
Gray also is experiencing tenderness with motion and pain at the deltoid insertion. Her
medical history is significant for type 1 diabetes mellitus and hypertension. Her social
history reveals that she is a secretary and that she is right-handed. Based on her
examination and medical history, you suspect adhesive capsulitis, or "frozen shoulder."
Which clue in Mrs. Gray's history supports this diagnosis?
a. History of hypertension
b. Her affected shoulder is also her dominant arm.
c. Her history of diabetes mellitus
d. Her work as a secretary predisposes her to repetitive motions. - CORRECT
ANSWER: c. Her history of diabetes mellitus
Bell's palsy involves which CNs? - CORRECT ANSWER: CN 7
Carol, age 62, has swollen, boney proximal interphalangeal joints. You describe these
as:
a. heberdens nodes
b. bouchards nodes
c. oslers nodes
d. murphys nodes - CORRECT ANSWER: b
Clinical features of insidious onset, slow progression, and a lack of other findings to
explain the symptoms are fairly diagnostic of which condition?
a. Guillain-Barré syndrome
b. Parkinson's disease
c. Alzheimer's disease
d. Huntington's disease - CORRECT ANSWER: B
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Tutordiligent. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $20.49. You're not tied to anything after your purchase.
