NR511 Final Exam
Questions with Correct
Answers – Complete review
"Question 1. A 13-year-old obese (body mass index [BMI] above the 95th
percentile) boy reports low-grade left knee pain for the past 2 months. He denies
antecedent trauma but admits to frequent "horseplay" with his friends. The pain
has progressively worsened, and he is now unable to bear weight at all on his left
leg. His current complaints include left groin, thigh, and medial knee pain and
tenderness. His examination demonstrates negative drawer, Lachman, and
McMurray tests; left hip with decreased internal rotation and abduction; and
external hip rotation with knee flexion. Based on the above scenario, the nurse
practitioner should suspect:
1. A left meniscal tear.
2. A left anterior cruciate ligament (ACL) tear.
3. A slipped capital femoral epiphysis (SCFE).
4. Osgood-Schlatter disease. - Correct answer 3. A slipped capital femoral
epiphysis (SCFE)."
"Question 2. In assessing the skeletal muscles, the nurse practitioner turns the
patient's forearm so that the palm is up. This is called:
1. Supination.
2. Pronation.
3. Abduction.
4. Eversion. - Correct answer 1. Supination"
"Question 3. Matthew, age 52, is a chef who just severed 2 of his fingers with a
meat cutter. You would recommend that he:
1. Wrap the severed fingers tightly in a dry towel for transport to the emergency
department with him.
2. Leave the severed fingers at the scene because fingers cannot be reattached.
3. Immediately freeze the severed fingers for reattachment in the near future.
4. Wrap the fingers in a clean, damp cloth; seal them in a plastic bag; and place
the bag in an ice water bath. - Correct answer 4. Wrap the fingers in a clean,
damp cloth; seal them in a plastic bag; and place the bag in an ice water bath."
"Question 4. James, age 17, has been complaining of a painful knob below his
right knee that has prevented him from actively participating in sports. He has
recently been given a diagnosis of Osgood-Schlatter disease and asks you about
his treatment options. The nurse practitioner should tell him that the initial
treatment is:
1. Relative rest; he could benefit from the hamstring, heel cord, and quadriceps
stretching exercises.
2. Immobilization; a long-leg knee immobilizer is recommended.
3. Surgical intervention; removal of the bony fragments is necessary.
,4. Bed rest for 1 week. - Correct answer 1. Relative rest; he could benefit from
hamstring, heel cord, and quadriceps stretching exercises."
"Question 5. Marsha, age 34, presents with symptoms resembling both
fibromyalgia and chronic fatigue syndrome, which have many similarities. Which
of the following is more characteristic of fibromyalgia than of chronic fatigue
syndrome?
1. Musculoskeletal pain.
2. Difficulty sleeping.
3. Depression.
4. Fatigue. - Correct answer 1. Musculoskeletal pain"
"Question 6. Jessie, age 49, states she thinks she has rheumatoid arthritis.
Before any diagnostic tests are ordered, the nurse practitioner completes a
physical examination and makes a diagnosis of osteoarthritis rather than
rheumatoid arthritis. Which clinical manifestation ruled out rheumatoid arthritis?
1. Fatigue.
2. Affected joints are swollen, cool, and bony hard on palpation.
3. Decreased range of motion.
4. Joint stiffness. - Correct answer 2. Affected joints are swollen, cool, and bony
hard on palpation."
"Question 7. Joyce, age 87, broke her wrist after falling off a curb. She just had a
plaster cast applied to her wrist. In instructing Joyce and her family on allowing
the cast to dry properly, tell them to:
1. Continuously elevate Joyce's arm on a pillow.
2. Change the position of Joyce's arm every hour.
3. Position a fan near Joyce during the night to ensure even drying of the cast.
4. Put a blanket over the cast to absorb the dampness. - Correct answer 2.
Change the position of Joyce's arm every hour"
"Question 8. Lillian, age 70, was told that she has osteoporosis. When she asks
you what this is, you respond that osteoporosis:
1. Develops when loss of bone occurs more rapidly than new bone growth.
2. Is a degenerative joint disease characterized by loss of cartilage in certain
joints.
3. Is a chronic inflammatory disorder that affects multiple joints.
4. Is a bone disorder that has to do with inadequate mineralization of the bones.
- Correct answer 1. Develops when loss of bone occurs more rapidly than new
bone growth."
"Question 9. Mike, age 42, a golf pro, has had chronic back pain for many years.
His workup reveals that it is not the result of a degenerative disk problem. His
back "goes out" about twice per year, and he is out of work for about a week
each time. Which of the following should the nurse practitioner advise him to do?
1. Consider changing careers to something less physical.
2. Begin a planned exercise program to strengthen back muscles.
3. Make an appointment with a neurosurgeon for a surgical consultation.
4. Start on a daily low-dose narcotic to take away the pain. - Correct answer 2.
Begin a planned exercise program to strengthen back muscles."
,"Question 10. Janine, age 69, has class III rheumatoid arthritis. According to the
American Rheumatism Association, which of the following describes her ability to
function?
1. Adequate for normal activities despite a handicap of discomfort or limited
motion of one or more joints.
2. Largely or wholly incapacitated, bedridden, or confined to a wheelchair,
permitting little or no self-care.
3. Completely able to carry out all usual duties without handicap.
4. Adequate to perform only a few or none of the duties of usual occupation or
self-care. - Correct answer 4. Adequate to perform only a few or none of the
duties of usual occupation or self-care."
"Question 11. Mickey, age 18, is on a chemotherapeutic antibiotic for a
musculoskeletal neoplasm. Which drug do you think he is taking?
1. Cyclophosphamide (Cytoxan).
2. Doxorubicin (Adriamycin).
3. Methotrexate (Rheumatrex).
4. Cisplatin (Platinol). - Correct answer 2. Doxorubicin (Adriamycin)"
"Question 12. Upon assessment, the nurse practitioner notes unilateral back pain
of acute onset that increases when standing and bending. A straight leg raise
test is negative. The most likely diagnosis is:
1. Herniated nucleus pulposus.
2. Muscle strain.
3. Osteoarthritis.
4. Spondylolisthesis. - Correct answer 2. Muscle strain"
"Question 13. A 55-year-old patient presents with complaints of paresthesias in
the lower lateral arm, thumb, and middle finger. The nerve roots most commonly
related to these symptoms are C6 and C7. The most likely diagnosis would be:
1. Brachial plexus neuritis.
2. Cervical radiculopathy.
3. Peripheral polyneuropathy.
4. Thoracic outlet syndrome. - Correct answer 2. Cervical radiculopathy"
"Question 14. For an adult patient with a knee injury, the nurse practitioner
orders a nonsteroidal anti-inflammatory drug (NSAID) to be taken on a routine
basis for the next 2 weeks. Patient teaching should include which of the
following?
1. "You may take this medication on an empty stomach as long as you eat within
two to three hours of taking it."
2. "If one pill does not seem to help, you can double the dose for subsequent
doses."
3. "If you notice nausea, vomiting, or black or bloody stools, take the next dose
with a glass of milk or a full meal."
4. "If you have additional pain, an occasional acetaminophen (Tylenol) is
permitted in between the usual doses of the NSAID." - Correct answer 4. "If you
have additional pain, an occasional acetaminophen (Tylenol) is permitted in
between the usual doses of the NSAID.""
, "Question 15. You are assessing Jamal, age 16, after a football injury to his right
knee. You elicit a positive anterior/posterior drawer sign. This test indicates an
injury to the:
1. Lateral meniscus.
2. Cruciate ligament.
3. Medial meniscus.
4. Collateral ligament. - Correct answer 2. Cruciate ligament"
"Question 16. Sean, a factory line worker, has osteoarthritis (OA) of the right
hand. According to the American College of Rheumatology (ACR), the guidelines
for pharmacologic treatment include:
1. Acetaminophen, tramadol, and intra-articular corticosteroid injections.
2. Oral nonsteroidal anti-inflammatory drugs (NSAIDs), tramadol, and articular
corticosteroid injections.
3. Acetaminophen, topical capsaicin, and topical nonsteroidal anti-inflammatory
drugs (NSAIDs).
4. Topical capsaicin, topical nonsteroidal anti-inflammatory drugs (NSAIDs), and
oral NSAIDs. - Correct answer 4. Topical capsaicin, topical nonsteroidal anti-
inflammatory drugs (NSAIDs), and oral NSAIDs."
"Question 17. Margaret, age 55, presents to you for evaluation of left hand and
wrist pain and swelling after a slip and fall on the ice yesterday. On examination,
you note tenderness at her "anatomical snuffbox." You know this probably
indicates a(n):
1. Ulnar styloid fracture.
2. Scaphoid fracture.
3. Hamate fracture.
4. Radial head fracture. - Correct answer 2. Scaphoid fracture"
"Question 18. Christian, age 22, is a carpenter who is right hand dominant. He
comes to the clinic for follow-up from the emergency department, where he was
seen for right forearm pain. He states he was diagnosed with right forearm
tendinitis and wants the provider to explain this diagnosis to him. Patient
teaching should explain that he has inflammation of one or more tendons, which
are:
1. The ropelike bundles of collagen fibrils that connect bone to bone.
2. The collagen fibers that connect muscle to bone.
3. The pouches of synovial fluid that cushion bone and other joint structures.
4. The fibrocartilaginous disks that separate bony surfaces. - Correct answer 2.
The collagen fibers that connect muscle to bone."
"Question 19. Steve, age 32, fell off a roof while shingling it. He is complaining of
pain in his left hip and leg area. Other than an x-ray, what would make you
suspect a fractured pelvis?
1. A clicking sensation when moving the hips.
2. A positive pelvic tilt test.
3. Hematuria.
4. Absence of distal reflexes. - Correct answer 3. Hematuria"
