NUR 612 ASSESSMENT II FINAL EXAM
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NUR 612 Assessment II Final Exam
The Lachman maneuver is used to detect which of the following?
A) Knee instability
B) Nerve damage of the knee due to past knee injuries
C) The integrity of the patellar tendon
D) Tears on the meniscus of the knee
A) Knee instability
The Lachman maneuver is a test performed to assess for knee instability. Knee
instability indicates a tear of the anterior cruciate ligament.
What does a positive posterior drawer sign in a 10-year-old soccer player
signify?
A) An abnormal knee
B) Instability of the knee
C) A large amount of swelling on the knee
D) An injury of the meniscus
B) Instability of the knee
The drawer sign is performed on the knee or ankle to assess for knee instability. The
affected knee will have more laxity when compared to the unaffected knee.
Which of the following laboratory tests is used in primary care to evaluate
renal function?
A) Electrolyte panel
B) Creatinine
C) Alkaline phosphatase
D) Blood urea nitrogen (BUN) to creatinine ratio
B) Creatinine
Serum creatinine is measured to evaluate renal function. Creatinine is the end
product of creatine metabolism. Creatinine clearance is not affected by fluid or
dietary intake of meat.
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*NOTE - GFR is the BEST indicator!*
An elderly woman has been on digoxin (Lanoxin) for 10 years. Her
electrocardio- graph (EKG) is showing a new onset of atrial fibrillation. Her
pulse is 64/min. She denies syncope and dizziness. Which of the following
interventions is most appropriate?
A) Order an electrolyte panel and a digoxin level
B) Order a serum thyroid-stimulating hormone (TSH), digoxin level, and an
electrolyte panel
C) Order a serum digoxin level and decrease her digoxin dose by half while
waiting for results
D) Discontinue the digoxin and order another 12-lead EKG
B) Order a serum thyroid-stimulating hormone (TSH), digoxin level, and an
electrolyte panel
Obtaining baseline blood work to evaluate for causes of new- onset atrial fibrillation
is recommended prior to decreasing or stopping medications. Thyroid disease is a
common cause of new-onset atrial fibrillation.
A 55-year-old woman who has type 2 diabetes is concerned about her kidneys.
She has a history of 3 urinary tract infections within the past 8 months. She
denies dysuria and frequency at this visit. Which of the following is the best
initial course to follow?
A) Recheck the patient's urine and order a urine for culture and sensitivity
B) Order an IVP (intravenous pyelogram)
C) Advise the patient to follow up with a urologist
D) Evaluate the patient for a possible kidney infection
A) Recheck the patient's urine and order a urine for culture and sensitivity
A urinary tract infection is defined as the presence of 100,000 organisms per mL of
urine in asymptomatic patients or greater than 100 organisms per mL or urine with
pyuria (more than 7 WBCs/mL) in a symptomatic patient
Mr. Jones, who has been on pravastatin (Pravachol) 20 mg at bedtime for the
past few months, complains of lately feeling extremely fatigued. The patient
also noticed that his urine has been a darker color during the past 2 weeks.