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Exam (elaborations)

NR 511 WEEK 5 Exam 2025 Questions and Answers

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NR 511 WEEK 5 Exam 2025 Questions and Answers 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 - ANS 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. - ANS 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? Pg. 2 Copyright © 2025 Jasonmcconell. ALL RIGHTS RESERVED. Valgus stress test. Varus stress test. Lachman test. Thumb sign. - ANS 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. - ANS 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. - ANS 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

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Uploaded on
May 22, 2025
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Written in
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NR511 Week 7 Exam 2025 Questions and
Answers



A patient's chief complaint is heaviness in the scrotum. The nurse practitioner notes swelling of
the testes, along with warm scrotal skin. Which of the following diagnoses is most probable?


Cryptorchidism
Orchitis
Testicular torsion

epididymitis - ANS Orchitis


John asks for a prescription for sildenafil (Viagra). He says that the only medication he takes is
isosorbide mononitrate (Monoket) oral tablets and that he has diabetes that he controls with
diet alone. What should the nurse practitioner tell him?


"Let's try a sample and see how you do."
"Viagra is contraindicated with isosorbide mononitrate; let's discuss other options."
"Because of your history of diabetes, we can't use it."

"I'd better refer you to a urologist." - ANS "Viagra is contraindicated with isosorbide
mononitrate; let's discuss other options."


Regular testicular self-exams have not been studied enough to show if they lower the risk of
dying from testicular cancer. This is why the American Cancer Society and other agencies do not
have a recommendation about regular testicular self-exams for all men. Still, some practitioners
do recommend that all men examine their testicles monthly after reaching puberty. If you are


Pg. 1 Copyright © 2025 Jasonmcconell. ALL RIGHTS RESERVED.

, teaching a patient how to do a testicular self-examination, which of the following do you tell
him?


"Examine your testicles when you are cold because this makes them more sensitive."
"Make sure your hands are dry to create friction."
"If you feel firmness above and behind the testicle, make an appointment."
"Make an appointment if you note any hard lumps directly on the testicle, regardless of
whether they are tender." - ANS "Make an appointment if you note any hard lumps directly
on the testicle, regardless of whether they are tender."


Max, age 70, is obese. He is complaining of a bulge in his groin that has been there for months.
He states that it is not painful, but it is annoying. The practitioner notes that the origin of the
swelling is above the inguinal ligament and directly behind and through the external ring. This
finding is most indicative of a(n):


Indirect inguinal hernia.
Direct inguinal hernia.
Femoral hernia.

Strangulated hernia. - ANS Direct inguinal hernia


Reiter syndrome is a complication of:


Bacterial vaginosis.
Syphilis.
Chlamydia.

Gonorrhea. - ANS Chlamydia


Josh and Martha have 5 children and do not want any more. Josh said he heard about a no-
scalpel vasectomy (NSV) and asks the nurse practitioner how it works. What would be the best
response?


Pg. 2 Copyright © 2025 Jasonmcconell. ALL RIGHTS RESERVED.

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