Nurs 511 Week 5 Musckuloskeletal & Spine Questions With
Complete Solutions
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: Correct Answer A slipped
capital femoral epiphysis (SCFE).
A 55-year-old patient is able to complete range of motion
(ROM) against gravity with some resistance. The nurse
practitioner would assign which of the following numerical
grades to this manual muscle testing description? Correct
Answer 4
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: Correct Answer Cervical
radiculopathy
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? Correct Answer Establishing an airway.
A nurse practitioner is trying to distinguish between an articular
and a nonarticular musculoskeletal complaint in a 26-year-old
patient complaining of pain in the elbow area. Which of the
following would characterize nonarticular bursitis? Correct
Answer Point or focal tenderness.
Alan, age 46, presents with a tender, red, swollen knee. You rule
out septic arthritis and diagnose gout by confirming: Correct
Answer Hyperuricemia.
Alexander, age 12, sprained his ankle playing ice hockey. He is
confused as to whether he should apply heat or cold. What
should the nurse practitioner tell him? Correct Answer "Apply
cold for 20 minutes, then remove it for 30 to 45 minutes; repeat
this for the first 24 to 48 hours while awake."
Anne Marie states she has a maternal history of rheumatoid
disease, but she has never been affected. Today she presents
with complaints of dryness of the eyes and mouth. What is the
most likely diagnosis? Correct Answer Sjögren syndrome.
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: Correct Answer To palpate for
Complete Solutions
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: Correct Answer A slipped
capital femoral epiphysis (SCFE).
A 55-year-old patient is able to complete range of motion
(ROM) against gravity with some resistance. The nurse
practitioner would assign which of the following numerical
grades to this manual muscle testing description? Correct
Answer 4
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: Correct Answer Cervical
radiculopathy
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? Correct Answer Establishing an airway.
A nurse practitioner is trying to distinguish between an articular
and a nonarticular musculoskeletal complaint in a 26-year-old
patient complaining of pain in the elbow area. Which of the
following would characterize nonarticular bursitis? Correct
Answer Point or focal tenderness.
Alan, age 46, presents with a tender, red, swollen knee. You rule
out septic arthritis and diagnose gout by confirming: Correct
Answer Hyperuricemia.
Alexander, age 12, sprained his ankle playing ice hockey. He is
confused as to whether he should apply heat or cold. What
should the nurse practitioner tell him? Correct Answer "Apply
cold for 20 minutes, then remove it for 30 to 45 minutes; repeat
this for the first 24 to 48 hours while awake."
Anne Marie states she has a maternal history of rheumatoid
disease, but she has never been affected. Today she presents
with complaints of dryness of the eyes and mouth. What is the
most likely diagnosis? Correct Answer Sjögren syndrome.
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: Correct Answer To palpate for
