NURS 5461 Adult Gerontology Final
Exam
NURS 5461 Adult Gerontology Final Exam 1
Test Bank / NURS 5461 Adult Gerontology
Final Prep /NURS 5461 Adult Gerontology
Final Practice Exam With Complete Verified
Questions And Correct Answers with Detailed
Rationales Graded A +
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
A. the rope-like bundles of collagen fibrils that
connect bone to bone.
B. the collagen fibers that connect muscle to bone.
C. the pouches of synovial fluid that cushion bone
and other joint structures.
D. the fibrocartilaginous disks that separate bony
surfaces. –
Correct Answer :Answer: B
A+ TEST BANK 1
, NURS 5461 Adult Gerontology Final
Exam
Tendons are the collagen fibers that connect muscle to bone. Ligaments connect bone to bone in
the joints. Bursae are the pouches of synovial fluid that reduce friction between bones, muscles,
or tendons. Fibrocartilaginous disks separate bony surfaces such as those between the vertebrae
in the spine.
John, age 16, works as a stock boy at the local supermarket. He is in the office for a routine visit.
You notice that he had an episode of low back pain 6 months ago from improperly lifting heavy
boxes. In discussing proper body mechanics with him to prevent future injuries, you tell him,
A. "Bend your knees and face the object straight on."
B. "Hold boxes away from your body at arm's length."
C. "Bend and twist simultaneously as you lift."
D. "Keep your feet firmly together." –
Correct Answer :Answer: A
In discussing proper body mechanics with John to prevent future injuries, you tell him to bend
his knees and face the object straight on, to hold boxes close to his body and not at arm's length,
and to spread his feet about shoulder- width apart. Using legs and arms, facing objects straight
on, and keeping a wide stance provides a broad base of support and allows for use of supporting
muscles, relieving stress on the back muscles. Never bend and twist simultaneously, but rather
keep the spine straight to minimize injury
During assessment of a client's foot, the nurse practitioner notes that the foot is in alignment
with the long axis of the lower leg and that weight-bearing falls on the middle of the foot, from
the
heel, along the mid-foot, to between the second and third toes. These findings best describe
A. a normal foot.
A+ TEST BANK 2
, NURS 5461 Adult Gerontology Final
Exam
B. Hallux valgus.
C. Talipes equinovarus.
D. hammertoes. –
Correct Answer :Answer: A
If you note during your assessment of your client's foot that the foot is in alignment with the
long axis of the lower leg and that weight- bearing falls on the middle of the foot, from the heel
along the midfoot to between the second and third toes, you would
diagnose a normal foot. Hallux valgus is a common deformity in which a lateral or outward
deviation of the toe with medial prominence of the head of the first metatarsal is present. A
hammertoe deformity is common in hallux valgus and is a deformity in the second, third, fourth,
or fifth toes that includes hyperextension of the metatarsophalangeal joint and flexion of the
proximal interphalangeal joint. Talipes equinovarus (clubfoot) is a congenital
defect; it presents as a rigid and fi xed malposition of the foot, including inversion, forefoot
adduction, and the foot pointing downward.
First- line drug therapy for acute low back pain includes the use of
A. NSAIDs.
B. muscle relaxants.
C. opioids.
D. antidepressants. –
Correct Answer :Answer: A
First- line drug therapy for acute low back pain includes the use of NSAIDs. NSAIDs, as well as
acetaminophen (Tylenol), have been shown to be as effective as muscle relaxants and opioids for
A+ TEST BANK 3
, NURS 5461 Adult Gerontology Final
Exam
the control of acute low back pain but without the potential for dependence and abuse.
Evidence has shown that muscle relaxants are no more effective than NSAIDs in the relief of
acute low back pain. Antidepressant drug therapy, particularly tricyclic
antidepressants, have been trialed in patients with chronic low back pain even without clinical
depression.
Beth, age 49, comes in with low back pain. An x- ray of the lumbar/sacral spine is within normal
limits. Which of the following diagnoses do you explore further?
A. Scoliosis
B. Osteoarthritis
C. Spinal stenosis
D. Herniated nucleus pulposus –
Correct Answer :Answer: D
A plain x- ray film will not show a herniated nucleus pulposus or a muscle strain. It will show
spondylolisthesis, scoliosis, osteoarthritis, and spinal stenosis. Note that x- rays of the spine are
not indicated in low back pain unless the cause of the pain is thought to have a bony origin or to
be traumatic in nature or to rule out systemic disease
Jim, age 22, a stock boy, has an acute episode of low back pain. The nurse practitioner orders an
NSAID and should educate him in which of the following?
A. Maintain moderate bedrest for 3 to 4 days.
B. Call the office for narcotic medication if there is no relief with the NSAID after 24 to 48 hours.
C. Begin lower back strengthening exercises depending on pain tolerance.
D. Wear a Boston brace at night. –
A+ TEST BANK 4
Exam
NURS 5461 Adult Gerontology Final Exam 1
Test Bank / NURS 5461 Adult Gerontology
Final Prep /NURS 5461 Adult Gerontology
Final Practice Exam With Complete Verified
Questions And Correct Answers with Detailed
Rationales Graded A +
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
A. the rope-like bundles of collagen fibrils that
connect bone to bone.
B. the collagen fibers that connect muscle to bone.
C. the pouches of synovial fluid that cushion bone
and other joint structures.
D. the fibrocartilaginous disks that separate bony
surfaces. –
Correct Answer :Answer: B
A+ TEST BANK 1
, NURS 5461 Adult Gerontology Final
Exam
Tendons are the collagen fibers that connect muscle to bone. Ligaments connect bone to bone in
the joints. Bursae are the pouches of synovial fluid that reduce friction between bones, muscles,
or tendons. Fibrocartilaginous disks separate bony surfaces such as those between the vertebrae
in the spine.
John, age 16, works as a stock boy at the local supermarket. He is in the office for a routine visit.
You notice that he had an episode of low back pain 6 months ago from improperly lifting heavy
boxes. In discussing proper body mechanics with him to prevent future injuries, you tell him,
A. "Bend your knees and face the object straight on."
B. "Hold boxes away from your body at arm's length."
C. "Bend and twist simultaneously as you lift."
D. "Keep your feet firmly together." –
Correct Answer :Answer: A
In discussing proper body mechanics with John to prevent future injuries, you tell him to bend
his knees and face the object straight on, to hold boxes close to his body and not at arm's length,
and to spread his feet about shoulder- width apart. Using legs and arms, facing objects straight
on, and keeping a wide stance provides a broad base of support and allows for use of supporting
muscles, relieving stress on the back muscles. Never bend and twist simultaneously, but rather
keep the spine straight to minimize injury
During assessment of a client's foot, the nurse practitioner notes that the foot is in alignment
with the long axis of the lower leg and that weight-bearing falls on the middle of the foot, from
the
heel, along the mid-foot, to between the second and third toes. These findings best describe
A. a normal foot.
A+ TEST BANK 2
, NURS 5461 Adult Gerontology Final
Exam
B. Hallux valgus.
C. Talipes equinovarus.
D. hammertoes. –
Correct Answer :Answer: A
If you note during your assessment of your client's foot that the foot is in alignment with the
long axis of the lower leg and that weight- bearing falls on the middle of the foot, from the heel
along the midfoot to between the second and third toes, you would
diagnose a normal foot. Hallux valgus is a common deformity in which a lateral or outward
deviation of the toe with medial prominence of the head of the first metatarsal is present. A
hammertoe deformity is common in hallux valgus and is a deformity in the second, third, fourth,
or fifth toes that includes hyperextension of the metatarsophalangeal joint and flexion of the
proximal interphalangeal joint. Talipes equinovarus (clubfoot) is a congenital
defect; it presents as a rigid and fi xed malposition of the foot, including inversion, forefoot
adduction, and the foot pointing downward.
First- line drug therapy for acute low back pain includes the use of
A. NSAIDs.
B. muscle relaxants.
C. opioids.
D. antidepressants. –
Correct Answer :Answer: A
First- line drug therapy for acute low back pain includes the use of NSAIDs. NSAIDs, as well as
acetaminophen (Tylenol), have been shown to be as effective as muscle relaxants and opioids for
A+ TEST BANK 3
, NURS 5461 Adult Gerontology Final
Exam
the control of acute low back pain but without the potential for dependence and abuse.
Evidence has shown that muscle relaxants are no more effective than NSAIDs in the relief of
acute low back pain. Antidepressant drug therapy, particularly tricyclic
antidepressants, have been trialed in patients with chronic low back pain even without clinical
depression.
Beth, age 49, comes in with low back pain. An x- ray of the lumbar/sacral spine is within normal
limits. Which of the following diagnoses do you explore further?
A. Scoliosis
B. Osteoarthritis
C. Spinal stenosis
D. Herniated nucleus pulposus –
Correct Answer :Answer: D
A plain x- ray film will not show a herniated nucleus pulposus or a muscle strain. It will show
spondylolisthesis, scoliosis, osteoarthritis, and spinal stenosis. Note that x- rays of the spine are
not indicated in low back pain unless the cause of the pain is thought to have a bony origin or to
be traumatic in nature or to rule out systemic disease
Jim, age 22, a stock boy, has an acute episode of low back pain. The nurse practitioner orders an
NSAID and should educate him in which of the following?
A. Maintain moderate bedrest for 3 to 4 days.
B. Call the office for narcotic medication if there is no relief with the NSAID after 24 to 48 hours.
C. Begin lower back strengthening exercises depending on pain tolerance.
D. Wear a Boston brace at night. –
A+ TEST BANK 4
