NUR 603 Final Exam Review Exam 2026
with correct questions and detailed
answers 2026 verified
Mr. Jackson is a 65-year-old man recently diagnosed with osteoarthritis.
The clinician has explained to Mr. Jackson that the goals for managing
osteoarthritis include controlling pain, maximizing functional
independence and mobility, minimizing disability, and preserving
quality of life. Mr. Jackson explains to the clinician that his first choice
would be to use complementary therapies to control his condition and
asks what therapies are most effective in treating osteoarthritis. What
would be the most appropriate response from the clinician?
A. "Complementary therapies should be considered only if surgical
interventions are not successful."
B. "I am unfamiliar with the available complementary therapies for
osteoarthritis and prefer to discuss more mainstream treatments, such
as NSAIDs and physical therapy, to manage your condition."
C. "I would be happy to discuss all the treatment options available to
you. Compleme - ✔✔ANSWER ✔✔-C. "I would be happy to discuss all
the treatment options available to you. Complementary therapies, such
as acupuncture, acupressure, and tai-chi, are being studied for use in
,the treatment of osteoarthritis and have shown promise when used
with standard medical therapy."
John is a 16-year-old boy who presents to the emergency room after
hurting his knee in a football game. He described twisting his knee and
then being unable to extend it completely. John tells the clinician that
he heard a pop when the injury occurred and has been experiencing
localized pain. The clinician suspects a meniscal tear. Which test would
be most appropriate to assess for the presence of a meniscal tear?
A. Valgus stress test
B. McMurray circumduction test
C. Lachman test
D. Varus stress test - ✔✔ANSWER ✔✔-B. McMurray circumduction test
The clinician suspects that a client has patellar instability. In order to
test for this, the client is seated with the quadriceps relaxed, and the
knee is placed in extension. Next the patella is displaced laterally, and
the knee flexed to 30°. If instability is present, this maneuver displaces
the patella to an abnormal position on the lateral femoral condyle, and
the client will perceive pain. Testing for patellar instability in this way is
known as:
A. Apprehension sign
B. Bulge sign
C. Thumb sign
D. None of the above - ✔✔ANSWER ✔✔-A. Apprehension sign
,A clinician has performed a synovial fluid analysis and the results are as
follows: visual analysis: turbid and yellow, viscosity: decreased, 52,000
white blood cells (WBCs) per mm3, polymorphonuclear leukocytes
(PMNs): 75%, protein: 5 g/dL. Which of the following conditions could
this result be attributed to?
A. Rheumatoid arthritis
B. Osteoarthritis
C. Gout
D. Septic arthritis - ✔✔ANSWER ✔✔-D. Septic arthritis
Mr. S presents in the clinic with pain, tenderness, erythema, and
swelling of his left great toe. The clinician suspects acute gout. Which of
the following should the clinician expect in the initial test results for this
patient?
A. Elevated uric acid level
B. Elevated blood urea nitrogen
C. Decreased urine pH
D. Decreased C-reactive protein - ✔✔ANSWER ✔✔-A. Elevated uric acid
level
Debbie is a 43-year-old female being evaluated for a wrist injury. The
clinician is assessing for median nerve compression by having Debbie
maintain forced flexion of her wrist for 1 minute with the dorsal surface
, of each hand pressed together. Which of these tests did the clinician
just perform?
A. Allen's test
B. Phalen's test
C. Tinel's sign
D. Finkelstein's test - ✔✔ANSWER ✔✔-B. Phalen's test
Sam is a 25-year-old who has been diagnosed with low back strain
based on his history of localized low back pain and muscle spasm along
with a normal neurological examination. As the clinician, you explain to
Sam that low back pain is a diagnosis of exclusion. Which of the
following symptoms would alert the clinician to the more serious
finding of a herniated nucleus pulposus or ruptured disc?
A. Morning stiffness and limited mobility of the lumbar spine
B. Unilateral radicular pain symptoms that extend below the knee and
are equal to or greater than the back pain
C. Fever, chills, and elevated erythrocyte sedimentation rate
D. Pathologic fractures, severe night pain, weight loss, and fatigue -
✔✔ANSWER ✔✔-B. Unilateral radicular pain symptoms that extend
below the knee and are equal to or greater than the back pain
Felice is a 66-year-old female who complains that walking and
prolonged standing causes pain and weakness in her legs and buttocks.
She expresses that she has short-term relief when she leans on the
shopping cart. When she sleeps on her back, she sometimes wakes up
in the night in pain. Which of the following diagnoses is most likely?
with correct questions and detailed
answers 2026 verified
Mr. Jackson is a 65-year-old man recently diagnosed with osteoarthritis.
The clinician has explained to Mr. Jackson that the goals for managing
osteoarthritis include controlling pain, maximizing functional
independence and mobility, minimizing disability, and preserving
quality of life. Mr. Jackson explains to the clinician that his first choice
would be to use complementary therapies to control his condition and
asks what therapies are most effective in treating osteoarthritis. What
would be the most appropriate response from the clinician?
A. "Complementary therapies should be considered only if surgical
interventions are not successful."
B. "I am unfamiliar with the available complementary therapies for
osteoarthritis and prefer to discuss more mainstream treatments, such
as NSAIDs and physical therapy, to manage your condition."
C. "I would be happy to discuss all the treatment options available to
you. Compleme - ✔✔ANSWER ✔✔-C. "I would be happy to discuss all
the treatment options available to you. Complementary therapies, such
as acupuncture, acupressure, and tai-chi, are being studied for use in
,the treatment of osteoarthritis and have shown promise when used
with standard medical therapy."
John is a 16-year-old boy who presents to the emergency room after
hurting his knee in a football game. He described twisting his knee and
then being unable to extend it completely. John tells the clinician that
he heard a pop when the injury occurred and has been experiencing
localized pain. The clinician suspects a meniscal tear. Which test would
be most appropriate to assess for the presence of a meniscal tear?
A. Valgus stress test
B. McMurray circumduction test
C. Lachman test
D. Varus stress test - ✔✔ANSWER ✔✔-B. McMurray circumduction test
The clinician suspects that a client has patellar instability. In order to
test for this, the client is seated with the quadriceps relaxed, and the
knee is placed in extension. Next the patella is displaced laterally, and
the knee flexed to 30°. If instability is present, this maneuver displaces
the patella to an abnormal position on the lateral femoral condyle, and
the client will perceive pain. Testing for patellar instability in this way is
known as:
A. Apprehension sign
B. Bulge sign
C. Thumb sign
D. None of the above - ✔✔ANSWER ✔✔-A. Apprehension sign
,A clinician has performed a synovial fluid analysis and the results are as
follows: visual analysis: turbid and yellow, viscosity: decreased, 52,000
white blood cells (WBCs) per mm3, polymorphonuclear leukocytes
(PMNs): 75%, protein: 5 g/dL. Which of the following conditions could
this result be attributed to?
A. Rheumatoid arthritis
B. Osteoarthritis
C. Gout
D. Septic arthritis - ✔✔ANSWER ✔✔-D. Septic arthritis
Mr. S presents in the clinic with pain, tenderness, erythema, and
swelling of his left great toe. The clinician suspects acute gout. Which of
the following should the clinician expect in the initial test results for this
patient?
A. Elevated uric acid level
B. Elevated blood urea nitrogen
C. Decreased urine pH
D. Decreased C-reactive protein - ✔✔ANSWER ✔✔-A. Elevated uric acid
level
Debbie is a 43-year-old female being evaluated for a wrist injury. The
clinician is assessing for median nerve compression by having Debbie
maintain forced flexion of her wrist for 1 minute with the dorsal surface
, of each hand pressed together. Which of these tests did the clinician
just perform?
A. Allen's test
B. Phalen's test
C. Tinel's sign
D. Finkelstein's test - ✔✔ANSWER ✔✔-B. Phalen's test
Sam is a 25-year-old who has been diagnosed with low back strain
based on his history of localized low back pain and muscle spasm along
with a normal neurological examination. As the clinician, you explain to
Sam that low back pain is a diagnosis of exclusion. Which of the
following symptoms would alert the clinician to the more serious
finding of a herniated nucleus pulposus or ruptured disc?
A. Morning stiffness and limited mobility of the lumbar spine
B. Unilateral radicular pain symptoms that extend below the knee and
are equal to or greater than the back pain
C. Fever, chills, and elevated erythrocyte sedimentation rate
D. Pathologic fractures, severe night pain, weight loss, and fatigue -
✔✔ANSWER ✔✔-B. Unilateral radicular pain symptoms that extend
below the knee and are equal to or greater than the back pain
Felice is a 66-year-old female who complains that walking and
prolonged standing causes pain and weakness in her legs and buttocks.
She expresses that she has short-term relief when she leans on the
shopping cart. When she sleeps on her back, she sometimes wakes up
in the night in pain. Which of the following diagnoses is most likely?
