NR511 FINAL QUESTIONS AND ANSWERS

NR511 FINAL QUESTIONS AND
ANSWERS

Signsmlandmlsymptomsmlandmlmanagementmlofmlmusculoskeletalmlsprains/strains/
dislocationsml16-
15mlWhenmlMaxwell,mlageml12,mlslidmlintomlhomemlplatemlwhilemlplayingmlbaseball,mlhemlinju
redmlhismlankle.mlThemlnursemlpractitionermlismltryingmltomldifferentiatemlbetweenmlamlsprain
mlandmlamlstrain.

Amlsprainml
A.mlismlanmlinjurymltomlthemlligamentsmlthatmlattachmltomlbonesmlinmlamljoint.ml
B.mlismlanmlinjurymltomlthemltendonsmlthatmlattachmltomlthemlmusclesmlinmlamljoint.ml
C.mlismlanmlinjurymlresultingmlinmlextensivemltearsmlofmlthemlmuscles.ml-mlanswer--
A.mlismlanmlinjurymltomlthemlligamentsmlthatmlattachmltomlbonesmlinmlamljoint.

Alexander,mlageml12,mlsprainedmlhismlanklemlplayingmlicemlhockey.mlHemlismlconfusedmlasmlt
omlwhethermltomlapplymlheatmlormlcold.mlWhatmlshouldmlthemlnursemlpractitionermltellmlhim?
mlA.ml"Usemlcontinuousmlheatmlformlthemlfirstml12mlhoursmlandmlthenmlusemlheatmlormlcoldmltoml

yourmlownmlpreference."ml
B.ml"Usemlcontinuousmlcoldmlformlthemlfimlrstml12mlhoursmlandmlthenmlusemlheatmlormlcoldmltoml
yourmlownmlpreference."
D.ml"Alternatemlbetweenmlcoldmlandmlheatmlforml20mlminutesmleachmlformlthemlfimlrstml24mltoml
48mlhours."ml-mlanswer--
D.ml"Alternatemlbetweenmlcoldmlandmlheatmlforml20mlminutesmleachmlformlthemlfimlrstml24mltoml
48mlhours."

Ankylosismlismldefimlnedmlasml
A.mlmusclemlshortening.ml
B.mljointmlstiffness.ml
C.mlmalpositionmlofmlamljoint.
mlD.mldislocationmlofmlamljoint.ml-mlanswer--B.mljointmlstiffness.



Jill,mlageml49,mlhasmlrecentlymlbegunmlamlrigorousmlweight-
mlliftingmlregimen.mlShemlpresentsmltomlthemlprimarymlcaremlofficemlwithmlamlshouldermldisloc

ation.mlWhichmlofmlthemlfollowingmlclinicalmlmanifestationsmlleadmlthemlnursemlpractitionerml
tomlsuspectmlanmlanteriormlshouldermldislocationmlovermlamlposteriormldislocation?
mlA.mlInabilitymltomlshrugmlthemlshoulderml

B.mlAbsencemlofmlpain
mlC.mlInabilitymltomlrotatemlthemlshouldermlexternallyml

D.mlShorteningmlofmlthemlarmml-mlanswer--A.mlInabilitymltomlshrugmlthemlshoulder

Inmlassessingmlanmlinfantmlformldevelopmentalmldysplasiamlofmlthemlhipml(DDH),mlthemlpracti
tionermlplacesmlthemlinfantmlsupine,mlflmlexesmlthemlkneesmlbymlholdingmlthemlthumbsmlonmlth
emlinnermlmid-
mlthighs,mlwithmlfimlngersmloutsidemlonmlthemlhipsmltouchingmlthemlgreatermltrochanters,mlsta

bilizesmlonemlhip,mlandmlabductsmlandmlgentlymlpullsmlanteriorlymlonmlthemlothermlthigh.mlIfmlt

, hismlexternalmlrotationmlfeelsmlsmoothmlwithmlnomlsoundmlpresent,mltheremlismlnomlhipmldislo
cation.mlThismlisml
A.mlthemlAllismltest.ml
B.mlLasègue'smlsign.ml
C.mlthemlMcMurraymltest.ml
D.mlthemlOrtolanimlmaneuverml-mlanswer--D.mlthemlOrtolanimlmaneuver

Emily,mlageml12,mlpresentsmltomlthemlclinicmlwithmlanothermlmusclemlstrainmlfrommlonemlofmlh
ermlmanymlsportsmlactivities.mlThemlnursemlpractitionermlthinksmlthatmlthemlpatientmlwasmlpro
bablymlnevermltaughtmlaboutmlhealthmlpromotionmlandmlmaintenancemlregardingmlphysical
mlactivity.mlWhatmlinformationmlshouldmlbemlincludedmlinmlpatientmlteaching?ml

A.ml"Aftermlanmlactivity,mlifmlanymlpartmlhurts,mlapplymlicemlforml20mlminutes."
mlB.ml"Youmlmustmlfimlrstmlgetmlinmlshapemlwithmlamlrigorousmlschedulemlofmlweightmltraining,ml

andmlthenmlyoumlcanmlparticipatemlinmlanymlactivitymloncemlyoumlaremlphysicallymlfimlt."
mlC.ml"Aftermlanymlstrenuousmlactivity,mlyoumlmustmlcompletelymlrestmlyourmlmusclesmlbefor

emlbeginningmlyourmlnextmlactivity."
mlD.ml"Stretchingmlandmlwarm-mlupmlexercisesmlaremlanmlimportantml-mlanswer--

D.ml"Stretchingmlandmlwarm-mlupmlexercisesmlaremlanmlimportant

Uponmlassessment,mlthemlnursemlpractitionermlnotesmlunilateralmlbackmlpainmlthatmlhadmla
nmlacutemlonsetmlandmlincreasesmlwhenmlstandingmlandmlbending.mlAmlstraight-
mllegmltestmlismlnegative.mlThemlmostmllikelymldifferentialmldiagnosismlisml

A.mlherniatedmlnucleusmlpulposus.ml
B.mlmusclemlstrain
.mlC.mlosteoarthritis.ml
D.mlspondylolisthesis.ml-mlanswer--A.mlherniatedmlnucleusmlpulposus.

June,mlageml67,mlpresentsmlwithmlbackmlpainmlwithmlnomlprecipitatingmlevent.mlThemlpainmlis
mllocatedmlovermlhermllowermlbackmlandmlmusclesmlwithoutmlsciatica,mlandmlitmlismlaggravate

dmlbymlsitting,mlstanding,mlandmlcertainmlmovements.mlItmlismlalleviatedmlwithmlrest.mlPalpati
onmllocalizesmlthemlpain,mlandmlmusclemlspasmsmlaremlfelt.mlTheremlwasmlanmlinsidiousmlon
setmlwithmlprogressivemlimprovement.mlWhatmlismlthemlmostmllikelymldifferentialmldiagnosis
?ml
A.mlAnkylosingmlspondylitisml
B.Musculoskeletalmlstrainml
C.mlSpondylolisthesisml
D.mlHerniatedmldiskml-mlanswer--B.Musculoskeletalmlstrain

Signsmlandmlsymptomsmlandmlmanagementmlofmlspinalmldisordersml(spondylosis,mlstenosi
s,mletc.)
6-
79mlSam,mlageml73,mlhasmllumbarmlspinalmlstenosismlandmlasksmlwhichmlexercisesmlhemlsho
uldmldomltomlhelpmlhismlcondition.mlYoumladvisemlhimmltoml
A.mldomlanymlexercisemlthatmlresultsmlinmlhyperextensionmlofmlthemllumbarmlspine.
B.mlEncouragemllumbarmlflexionmlandmlflatteningmlofmllordacmlcurveC.mlrefrainmlfrommlexerc
ising.ml
D.mlseemlamlsurgeonmlbecausemlsurgerymlismlthemlbestmltreatmentmloption.ml-mlanswer--
B.mlEncouragemllumbarmlflexionmlandmlflatteningmlofmllordacmlcurve