NR511 Final Questions with Verified Answers (Correct Update)
Question 1: The remodeling of a scar can take how long?
a. 6 months.
b. 3 months.
c. 1 month.
d. 2 weeks.
Answer: A. 6 months
Question 2: 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. A left anterior cruciate ligament (ACL) tear. 3. A slipped capital femoral
epiphysis (SCFE). 4. Osgood-Schlatter disease.
Answer: 3. A slipped capital femoral epiphysis (SCFE).
Question 3: 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. Abduction. 4.
Eversion.
Answer: 1. Supination
Question 4: Question 3. Cass, age 67, tells the nurse practitioner (NP) that she has been
diagnosed with a condition that causes sudden flares of pain, swelling, and redness of the joints in
her toes. She cannot remember the name of the diagnosis, but she knows it is caused by urate
crystals that "get stuck in the joint and cause pain." She is on hydrochlorothiazide (HCTZ) for
management of her hypertension. The NP should suspect a diagnosis of: 1. Septic arthritis. 2.
Gout. 3. Rheumatoid arthritis. Charcot neuro-osteoarthropathy.
Answer: 2. Gout
Question 5: Question 4. 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.
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.
Page 1
,Question 6: 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.
Answer: 1. Musculoskeletal pain
Question 7: Question 6. Mrs. Kelly, age 80, has a curvature of the spine. This is likely to indicate
which age-related change? 1. Lordosis. 2. Dorsal kyphosis. 3. Scoliosis. 4. Kyphoscoliosis.
Answer: 2. Dorsal Kyphosis
Question 8: Question 7. The valgus stress test, varus stress test, Lachman test, and thumb sign
are all considered standard tests to check the integrity of the ligaments of the knee. Which test
would the nurse practitioner choose to assess the anterior cruciate ligament (ACL), which is the
most commonly involved structure in severe knee injury? 1. Valgus stress test. 2. Varus stress
test. 3. Lachman test. 4. Thumb sign.
Answer: 3. Lachman test
Question 9: Question 8. Lillian, age 70, was told that she has osteo- 1. Develops porosis. 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.
Answer: when loss of bone occurs more rapidly than new bone growth.
Question 10: Question 9. Mike, age 42, a golf pro, has had chronic back pain for many years. His
workup reveals that it is cise not the result of a degenerative disk problem. His back en "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.
Answer: 2. Begin a planned exerprogram to strengthback muscles.
Question 11: 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.
Answer: 4. Adequate to perform only a few or none of the duties of usual occupation or self-care.
Page 2
,Question 12: 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).
Answer: 2. Doxorubicin (Adriamycin)
Question 13: Question 12. Upon assessment, the nurse practitioner 2. 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.
Answer: Muscle strain
Question 14: 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.
Answer: 2. Cervical radiculopathy
Question 15: 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."
Answer: 4. "If you have additional pain, an occasional acetaminophen (Tylenol) is permitted in between
the usual doses of the NSAID."
Question 16: 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.
Answer: 2. Cruciate ligament
Question 17: 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 corti- NSAIDs. costeroid
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.
Answer: 4. Topical capsaicin, topical nonsteroidal anti-inflammatory drugs (NSAIDs), and oral
Page 3
, Question 18: 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.
Answer: 2. Scaphoid fracture
Question 19: 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.
Answer: 2. The collagen fibers that connect muscle to bone.
Question 20: 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.
Answer: 3. Hematuria
Question 21: Question 20. John, age 16, works as a stock boy at the 1. "Bend local supermarket.
He is in the office for a routine visit. face You notice that he had an episode of low back pain 6
months ago after lifting heavy boxes improperly. In discussing with him proper body mechanics
to prevent future injuries, you tell him: 1. "Bend your knees and face the object straight on." 2.
"Hold boxes away from your body at arm's length." 3. "Bend and twist simultaneously as you
lift." 4. "Keep your feet firmly together."
Answer: your knees and the object straight on".
Question 22: Question 21. 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 midfoot, to between the second and third toes. These
findings best describe: 1. A normal foot. 2. Hallux valgus. 3. Talipes equinovarus. 4.
Hammertoes.
Answer: 1. A normal foot
Page 4
Question 1: The remodeling of a scar can take how long?
a. 6 months.
b. 3 months.
c. 1 month.
d. 2 weeks.
Answer: A. 6 months
Question 2: 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. A left anterior cruciate ligament (ACL) tear. 3. A slipped capital femoral
epiphysis (SCFE). 4. Osgood-Schlatter disease.
Answer: 3. A slipped capital femoral epiphysis (SCFE).
Question 3: 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. Abduction. 4.
Eversion.
Answer: 1. Supination
Question 4: Question 3. Cass, age 67, tells the nurse practitioner (NP) that she has been
diagnosed with a condition that causes sudden flares of pain, swelling, and redness of the joints in
her toes. She cannot remember the name of the diagnosis, but she knows it is caused by urate
crystals that "get stuck in the joint and cause pain." She is on hydrochlorothiazide (HCTZ) for
management of her hypertension. The NP should suspect a diagnosis of: 1. Septic arthritis. 2.
Gout. 3. Rheumatoid arthritis. Charcot neuro-osteoarthropathy.
Answer: 2. Gout
Question 5: Question 4. 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.
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.
Page 1
,Question 6: 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.
Answer: 1. Musculoskeletal pain
Question 7: Question 6. Mrs. Kelly, age 80, has a curvature of the spine. This is likely to indicate
which age-related change? 1. Lordosis. 2. Dorsal kyphosis. 3. Scoliosis. 4. Kyphoscoliosis.
Answer: 2. Dorsal Kyphosis
Question 8: Question 7. The valgus stress test, varus stress test, Lachman test, and thumb sign
are all considered standard tests to check the integrity of the ligaments of the knee. Which test
would the nurse practitioner choose to assess the anterior cruciate ligament (ACL), which is the
most commonly involved structure in severe knee injury? 1. Valgus stress test. 2. Varus stress
test. 3. Lachman test. 4. Thumb sign.
Answer: 3. Lachman test
Question 9: Question 8. Lillian, age 70, was told that she has osteo- 1. Develops porosis. 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.
Answer: when loss of bone occurs more rapidly than new bone growth.
Question 10: Question 9. Mike, age 42, a golf pro, has had chronic back pain for many years. His
workup reveals that it is cise not the result of a degenerative disk problem. His back en "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.
Answer: 2. Begin a planned exerprogram to strengthback muscles.
Question 11: 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.
Answer: 4. Adequate to perform only a few or none of the duties of usual occupation or self-care.
Page 2
,Question 12: 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).
Answer: 2. Doxorubicin (Adriamycin)
Question 13: Question 12. Upon assessment, the nurse practitioner 2. 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.
Answer: Muscle strain
Question 14: 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.
Answer: 2. Cervical radiculopathy
Question 15: 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."
Answer: 4. "If you have additional pain, an occasional acetaminophen (Tylenol) is permitted in between
the usual doses of the NSAID."
Question 16: 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.
Answer: 2. Cruciate ligament
Question 17: 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 corti- NSAIDs. costeroid
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.
Answer: 4. Topical capsaicin, topical nonsteroidal anti-inflammatory drugs (NSAIDs), and oral
Page 3
, Question 18: 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.
Answer: 2. Scaphoid fracture
Question 19: 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.
Answer: 2. The collagen fibers that connect muscle to bone.
Question 20: 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.
Answer: 3. Hematuria
Question 21: Question 20. John, age 16, works as a stock boy at the 1. "Bend local supermarket.
He is in the office for a routine visit. face You notice that he had an episode of low back pain 6
months ago after lifting heavy boxes improperly. In discussing with him proper body mechanics
to prevent future injuries, you tell him: 1. "Bend your knees and face the object straight on." 2.
"Hold boxes away from your body at arm's length." 3. "Bend and twist simultaneously as you
lift." 4. "Keep your feet firmly together."
Answer: your knees and the object straight on".
Question 22: Question 21. 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 midfoot, to between the second and third toes. These
findings best describe: 1. A normal foot. 2. Hallux valgus. 3. Talipes equinovarus. 4.
Hammertoes.
Answer: 1. A normal foot
Page 4
