NURS 5354 FINAL EXAM ACTUAL EXAM
QUESTIONS AND CORRECT ANSWERS 2026/2027 |
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1. Where should the needle be grasped with needle holders for suturing? -
correct answer - Grasp on the furthest end of the body; approximately 12 cm
from the swaged eye.
2. What type of anesthetic should be used for the face? - correct answer - 1%
lidocaine with epinephrine
3. What type of anesthetic should be used for the ear? - correct answer - 1% or
2% plain lidocaine
4. What type of anesthetic should be used for the neck, chest, back or
abdomen? - correct answer - 1% lidocaine with epinephrine
5. What type of anesthetic should be used for the extremity? - correct answer -
1% or 2% lidocaine with epinephrine
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6. What type of anesthetic should be used for hands and feet? - correct answer -
1% plain lidocaine or consider regional block with bupivacaine
7. What type of anesthetic should be used for nail beds? - correct answer - 2%
plain lidocaine or consider regional block with bupivacaine
8. What should be used prior to a digital block - correct answer - EMLA cream.
9. What type of anesthetic should be used for the scalp? - correct answer - 1%
lidocaine with epinephrine
10. What needle gauge is used for joint injections? - correct answer - 18- 20
gauge (14-18 gauge for the shoulder)
11. What is the landmark for lateral elbow joint aspiration? - correct answer -
Anconeus triangle
12. What are the contraindications for joint aspiration/injection? - correct answer
- cellulitis, dermatitis, skin infection, osteomyelitis, blood clot, joint
prosthesis, suspected bacteremia if septic arthritis not suspected.
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13. What approach is most used in knee joint aspiration? - correct answer -
Lateral (at 45 degree angle)
14. What approach is most common in shoulder joint aspiration? - correct
answer - Posterior (below the acromion process)
15. What anatomical structure stabilizes the shoulder joint? - correct answer -
The glenoid labrum
16. What restricts active ROM and is localized to a specific area? - correct
answer - Periarticular processess-Ex: bursitis, cellulitis, contusion,
tendonitis.
17. What is a single suture strand called? - correct answer -
Monofilament; more resistant to harboring microorganisms.
18. What are several filaments twisted or braided together called? - correct
answer - Multifilament; They are less stiff, have greater tensile strength but
fluid may be absorbed along the filament to introduce pathogens. Infection
risk!