NR 511 Differential The valgus stress test, varus stress test, Lachman test, and
thumb sign are all considered standard tests to check the
Diagnosis And Primary integrity of the ligaments of the knee. Which test would the
nurse practitioner choose to assess the anterior cruciate
Care Practicum ligament (ACL), which is the most commonly involved
structure in severe knee injury?
NR 511 Week 8 Final Exam
a. Valgus stress test.
b. Varus stress test.
Matthew, age 52, is a chef who just severed 2 of his fingers c. Lachman test.
with a meat cutter. You would recommend that he:
d. Thumb sign.
c. Lachman test.
a. Wrap the severed fingers tightly in a dry towel for transport
to the emergency department with him.
b. Leave the severed fingers at the scene because fingers cannot
be reattached. Lillian, age 70, was told that she has osteoporosis. When she
c. Immediately freeze the severed fingers for reattachment in asks you what this is, you respond that osteoporosis:
the near future.
d. Wrap the fingers in a clean, damp cloth; seal them in a a. Develops when loss of bone occurs more rapidly than new
plastic bag; and place the bag in an ice water bath. bone growth.
d. Wrap the fingers in a clean, damp cloth; seal them in a b. Is a degenerative joint disease characterized by loss of
plastic bag; and place the bag in an ice water bath. cartilage in certain joints.
c. Is a chronic inflammatory disorder that affects multiple
joints.
,d. Is a bone disorder that has to do with inadequate
mineralization of the bones.
a. Develops when loss of bone occurs more rapidly than new
Janine, age 69, has class III rheumatoid arthritis. According to
bone growth.
the American Rheumatism Association, which of the following
describes her ability to function?
Mike, age 42, a golf pro, has had chronic back pain for many a. Adequate for normal activities despite a handicap of
years. His workup reveals that it is not the result of a discomfort or limited motion of one or more joints.
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? b. Largely or wholly incapacitated, bedridden, or confined to a
wheelchair, permitting little or no self-care.
a. Consider changing careers to something less physical.
c. Completely able to carry out all usual duties without
handicap.
b. Begin a planned exercise program to strengthen back
muscles.
d. Adequate to perform only a few or none of the duties of
usual occupation or self-care.
c. Make an appointment with a neurosurgeon for a surgical
d. Adequate to perform only a few or none of the duties of
consultation.
usual occupation or self-care.
d. Start on a daily low-dose narcotic to take away the pain.
b. Begin a planned exercise program to strengthen back
For an adult patient with a knee injury, the nurse practitioner
muscles.
orders a nonsteroidal anti-inflammatory drug (NSAID) to be
,taken on a routine basis for the next 2 weeks. Patient teaching a. Acetaminophen, tramadol, and intra-articular corticosteroid
should include which of the following? injections.
a. "You may take this medication on an empty stomach as long b. Oral nonsteroidal anti-inflammatory drugs (NSAIDs),
as you eat within two to three hours of taking it." tramadol, and articular corticosteroid injections.
c. Acetaminophen, topical capsaicin, and topical nonsteroidal
anti-inflammatory drugs (NSAIDs).
b. "If one pill does not seem to help, you can double the dose
for subsequent doses."
d. Topical capsaicin, topical nonsteroidal anti-inflammatory
drugs (NSAIDs), and oral NSAIDs.
c. "If you notice nausea, vomiting, or black or bloody stools,
take the next dose with a glass of milk or a full meal." d. Topical capsaicin, topical nonsteroidal anti-inflammatory
drugs (NSAIDs), and oral NSAIDs.
d. "If you have additional pain, an occasional acetaminophen
(Tylenol) is permitted in between the usual doses of the Margaret, age 55, presents to you for evaluation of left hand
NSAID." and wrist pain and swelling after a slip and fall on the ice
yesterday. On examination, you note tenderness at her
d. "If you have additional pain, an occasional acetaminophen
"anatomical snuffbox." You know this probably indicates a(n):
(Tylenol) is permitted in between the usual doses of the
NSAID."
a. Ulnar styloid fracture.
Sean, a factory line worker, has osteoarthritis (OA) of the right b. Scaphoid fracture.
hand. According to the American College of Rheumatology
c. Hamate fracture.
(ACR), the guidelines for pharmacologic treatment include:
d. Radial head fracture.
b. Scaphoid fracture.
, Jim, age 22, a stock boy, has an acute episode of low back pain. a. Fatigue.
The nurse practitioner orders a nonsteroidal anti-inflammatory
b. Affected joints are swollen, cool, and bony hard on
drug (NSAID) and should educate him in which of the
palpation.
following?
c. Decreased range of motion.
d. Joint stiffness.
a. Maintaining moderate bed rest for 3 to 4 days.
b. Affected joints are swollen, cool, and bony hard on
palpation.
b. Calling the office for narcotic medication if there is no relief
with the NSAID after 24 to 48 hours.
Greg, age 26, runs marathons and frequently complains of
c. Beginning lower back strengthening exercises depending on
painful contractions in his calf muscles after running. You
pain tolerance.
attribute this to:
d. Wearing a Boston brace at night.
a. Hypercalcemia.
c. Beginning lower back strengthening exercises depending on
b. Hyponatremia.
pain tolerance.
c. Heat exhaustion.
d. Dehydration.
b. Hyponatremia.
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?
thumb sign are all considered standard tests to check the
Diagnosis And Primary integrity of the ligaments of the knee. Which test would the
nurse practitioner choose to assess the anterior cruciate
Care Practicum ligament (ACL), which is the most commonly involved
structure in severe knee injury?
NR 511 Week 8 Final Exam
a. Valgus stress test.
b. Varus stress test.
Matthew, age 52, is a chef who just severed 2 of his fingers c. Lachman test.
with a meat cutter. You would recommend that he:
d. Thumb sign.
c. Lachman test.
a. Wrap the severed fingers tightly in a dry towel for transport
to the emergency department with him.
b. Leave the severed fingers at the scene because fingers cannot
be reattached. Lillian, age 70, was told that she has osteoporosis. When she
c. Immediately freeze the severed fingers for reattachment in asks you what this is, you respond that osteoporosis:
the near future.
d. Wrap the fingers in a clean, damp cloth; seal them in a a. Develops when loss of bone occurs more rapidly than new
plastic bag; and place the bag in an ice water bath. bone growth.
d. Wrap the fingers in a clean, damp cloth; seal them in a b. Is a degenerative joint disease characterized by loss of
plastic bag; and place the bag in an ice water bath. cartilage in certain joints.
c. Is a chronic inflammatory disorder that affects multiple
joints.
,d. Is a bone disorder that has to do with inadequate
mineralization of the bones.
a. Develops when loss of bone occurs more rapidly than new
Janine, age 69, has class III rheumatoid arthritis. According to
bone growth.
the American Rheumatism Association, which of the following
describes her ability to function?
Mike, age 42, a golf pro, has had chronic back pain for many a. Adequate for normal activities despite a handicap of
years. His workup reveals that it is not the result of a discomfort or limited motion of one or more joints.
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? b. Largely or wholly incapacitated, bedridden, or confined to a
wheelchair, permitting little or no self-care.
a. Consider changing careers to something less physical.
c. Completely able to carry out all usual duties without
handicap.
b. Begin a planned exercise program to strengthen back
muscles.
d. Adequate to perform only a few or none of the duties of
usual occupation or self-care.
c. Make an appointment with a neurosurgeon for a surgical
d. Adequate to perform only a few or none of the duties of
consultation.
usual occupation or self-care.
d. Start on a daily low-dose narcotic to take away the pain.
b. Begin a planned exercise program to strengthen back
For an adult patient with a knee injury, the nurse practitioner
muscles.
orders a nonsteroidal anti-inflammatory drug (NSAID) to be
,taken on a routine basis for the next 2 weeks. Patient teaching a. Acetaminophen, tramadol, and intra-articular corticosteroid
should include which of the following? injections.
a. "You may take this medication on an empty stomach as long b. Oral nonsteroidal anti-inflammatory drugs (NSAIDs),
as you eat within two to three hours of taking it." tramadol, and articular corticosteroid injections.
c. Acetaminophen, topical capsaicin, and topical nonsteroidal
anti-inflammatory drugs (NSAIDs).
b. "If one pill does not seem to help, you can double the dose
for subsequent doses."
d. Topical capsaicin, topical nonsteroidal anti-inflammatory
drugs (NSAIDs), and oral NSAIDs.
c. "If you notice nausea, vomiting, or black or bloody stools,
take the next dose with a glass of milk or a full meal." d. Topical capsaicin, topical nonsteroidal anti-inflammatory
drugs (NSAIDs), and oral NSAIDs.
d. "If you have additional pain, an occasional acetaminophen
(Tylenol) is permitted in between the usual doses of the Margaret, age 55, presents to you for evaluation of left hand
NSAID." and wrist pain and swelling after a slip and fall on the ice
yesterday. On examination, you note tenderness at her
d. "If you have additional pain, an occasional acetaminophen
"anatomical snuffbox." You know this probably indicates a(n):
(Tylenol) is permitted in between the usual doses of the
NSAID."
a. Ulnar styloid fracture.
Sean, a factory line worker, has osteoarthritis (OA) of the right b. Scaphoid fracture.
hand. According to the American College of Rheumatology
c. Hamate fracture.
(ACR), the guidelines for pharmacologic treatment include:
d. Radial head fracture.
b. Scaphoid fracture.
, Jim, age 22, a stock boy, has an acute episode of low back pain. a. Fatigue.
The nurse practitioner orders a nonsteroidal anti-inflammatory
b. Affected joints are swollen, cool, and bony hard on
drug (NSAID) and should educate him in which of the
palpation.
following?
c. Decreased range of motion.
d. Joint stiffness.
a. Maintaining moderate bed rest for 3 to 4 days.
b. Affected joints are swollen, cool, and bony hard on
palpation.
b. Calling the office for narcotic medication if there is no relief
with the NSAID after 24 to 48 hours.
Greg, age 26, runs marathons and frequently complains of
c. Beginning lower back strengthening exercises depending on
painful contractions in his calf muscles after running. You
pain tolerance.
attribute this to:
d. Wearing a Boston brace at night.
a. Hypercalcemia.
c. Beginning lower back strengthening exercises depending on
b. Hyponatremia.
pain tolerance.
c. Heat exhaustion.
d. Dehydration.
b. Hyponatremia.
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?
