NR 511|Questions With Correct Answers|Verified
Mr. McKinsey, age 69, was recently given a diagnosis of degenerative joint disease. Which
assessment should the nurse practitioner use to check for effusion of the patient's knee?
Thomas test Tinel Test Bulge test Phalen test - ✔bulge test
A nurse practitioner is driving home from work and stops at the scene of a motorcycle accident
that must have just occurred, as there are no rescue vehicles present. The driver is lying
unconscious at the side of the road with an obvious open fracture of his femur. Which of the
following actions should take priority?
Stopping the bleeding from the wound. Determining if there has been a cervical fracture.
Establishing an airway. Palpating the peripheral pulses. - ✔Establishing an airway.
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?
Valgus stress test. Varus stress test. Lachman test. Thumb sign. - ✔lachman test
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:
Lateral meniscus. Cruciate ligament. Medial meniscus. Collateral ligament. - ✔cruciate ligament
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:
A. Septic arthritis. B. Gout. C. Rheumatoid arthritis.D. Charcot neuro-osteoarthropathy. - ✔gout
Ethan, age 10, jumped off a 2-foot wall, twisting his foot and ankle upon landing. His ankle x-
ray demonstrates a fracture of the distal tibia, over the articular surface, through the epiphysis
and physis. Based on the Salter-Harris classification of growth plate injuries, you know this is a:
Salter-Harris II fracture. Salter-Harris III fracture. Salter-Harris IV fracture. Salter-Harris V
fracture. - ✔salter Harris III fracture
Mrs. Kelly, age 80, has a curvature of the spine. This is likely to indicate which age-related
change?
, Lordosis. Dorsal kyphosis. Scoliosis. Kyphoscoliosis. - ✔dorsal kyphosis
Upon assessment, the nurse practitioner 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:
Herniated nucleus pulposus. Muscle strain. Osteoarthritis. Spondylolisthesis. - ✔muscle strain
Joyce, age 87, broke her wrist after falling off a curb. She just had a plaster cast applied to her
wrist. In instructing Joyce and her family on allowing the cast to dry properly, tell them to:
Continuously elevate Joyce's arm on a pillow. Change the position of Joyce's arm every hour.
Position a fan near Joyce during the night to ensure even drying of the cast. Put a blanket over
the cast to absorb the dampness. - ✔change the position of Joyce's arm every hour
Anne, age 67, sustained a fall on an outstretched hand. She presents holding her arm against her
chest with her elbow flexed. Based on the specific location of her pain, you suspect a radial head
fracture. The best initial strategy to assess for a radial head fracture would be:
To palpate for tenderness, swelling, and crepitus just distal to the lateral epicondyle. To palpate
for tenderness, swelling, and crepitus along the radial wrist. To palpate for tenderness in the
"anatomical snuffbox." d. To order an x-ray of the wrist. - ✔to palpate for tenderness, swelling,
and crepitus just distal to the lateral epicondyle
Lillian, age 70, was told that she has osteoporosis. When she asks you what this is, you respond
that osteoporosis:
Develops when loss of bone occurs more rapidly than new bone growth. Is a degenerative joint
disease characterized by loss of cartilage in certain joints. Is a chronic inflammatory disorder that
affects multiple joints. Is a bone disorder that has to do with inadequate mineralization of the
bones. - ✔develops when loss of bone occurs more rapidly than new bone growth
Jeffrey, age 16, was involved in a motor vehicle accident. He walks in to the office with an
obvious facial fracture and then collapses. What should the first action of the nurse practitioner
be?
Calling his parents for permission to treat. Assessing for an adequate airway. Obtaining a head
and maxillofacial computed tomography (CT). Assessing for a septal hematoma. - ✔asses for an
adequate airway
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?
Musculoskeletal pain. Difficulty sleeping. Depression. Fatigue. - ✔musculoskeletal pain
Mr. McKinsey, age 69, was recently given a diagnosis of degenerative joint disease. Which
assessment should the nurse practitioner use to check for effusion of the patient's knee?
Thomas test Tinel Test Bulge test Phalen test - ✔bulge test
A nurse practitioner is driving home from work and stops at the scene of a motorcycle accident
that must have just occurred, as there are no rescue vehicles present. The driver is lying
unconscious at the side of the road with an obvious open fracture of his femur. Which of the
following actions should take priority?
Stopping the bleeding from the wound. Determining if there has been a cervical fracture.
Establishing an airway. Palpating the peripheral pulses. - ✔Establishing an airway.
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?
Valgus stress test. Varus stress test. Lachman test. Thumb sign. - ✔lachman test
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:
Lateral meniscus. Cruciate ligament. Medial meniscus. Collateral ligament. - ✔cruciate ligament
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:
A. Septic arthritis. B. Gout. C. Rheumatoid arthritis.D. Charcot neuro-osteoarthropathy. - ✔gout
Ethan, age 10, jumped off a 2-foot wall, twisting his foot and ankle upon landing. His ankle x-
ray demonstrates a fracture of the distal tibia, over the articular surface, through the epiphysis
and physis. Based on the Salter-Harris classification of growth plate injuries, you know this is a:
Salter-Harris II fracture. Salter-Harris III fracture. Salter-Harris IV fracture. Salter-Harris V
fracture. - ✔salter Harris III fracture
Mrs. Kelly, age 80, has a curvature of the spine. This is likely to indicate which age-related
change?
, Lordosis. Dorsal kyphosis. Scoliosis. Kyphoscoliosis. - ✔dorsal kyphosis
Upon assessment, the nurse practitioner 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:
Herniated nucleus pulposus. Muscle strain. Osteoarthritis. Spondylolisthesis. - ✔muscle strain
Joyce, age 87, broke her wrist after falling off a curb. She just had a plaster cast applied to her
wrist. In instructing Joyce and her family on allowing the cast to dry properly, tell them to:
Continuously elevate Joyce's arm on a pillow. Change the position of Joyce's arm every hour.
Position a fan near Joyce during the night to ensure even drying of the cast. Put a blanket over
the cast to absorb the dampness. - ✔change the position of Joyce's arm every hour
Anne, age 67, sustained a fall on an outstretched hand. She presents holding her arm against her
chest with her elbow flexed. Based on the specific location of her pain, you suspect a radial head
fracture. The best initial strategy to assess for a radial head fracture would be:
To palpate for tenderness, swelling, and crepitus just distal to the lateral epicondyle. To palpate
for tenderness, swelling, and crepitus along the radial wrist. To palpate for tenderness in the
"anatomical snuffbox." d. To order an x-ray of the wrist. - ✔to palpate for tenderness, swelling,
and crepitus just distal to the lateral epicondyle
Lillian, age 70, was told that she has osteoporosis. When she asks you what this is, you respond
that osteoporosis:
Develops when loss of bone occurs more rapidly than new bone growth. Is a degenerative joint
disease characterized by loss of cartilage in certain joints. Is a chronic inflammatory disorder that
affects multiple joints. Is a bone disorder that has to do with inadequate mineralization of the
bones. - ✔develops when loss of bone occurs more rapidly than new bone growth
Jeffrey, age 16, was involved in a motor vehicle accident. He walks in to the office with an
obvious facial fracture and then collapses. What should the first action of the nurse practitioner
be?
Calling his parents for permission to treat. Assessing for an adequate airway. Obtaining a head
and maxillofacial computed tomography (CT). Assessing for a septal hematoma. - ✔asses for an
adequate airway
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?
Musculoskeletal pain. Difficulty sleeping. Depression. Fatigue. - ✔musculoskeletal pain
