NR 511 FINAL EXAM TEST
|QUESTIONS AND CORRECT DETAILED
ANSWERS |LATEST UPDATE 2025/2026
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Question 86. Morris, age 52, is in a new relationship and is not sure whether his erectile dysfunction is organic
or is caused by stress about his performance. What simple test could you suggest to determine if he has the
ability to have an erection?
1.
Nocturnal penile tumescence and rigidity (NPTR) test.
2.
Penile duplex ultrasonography.
3.
Intracavernous injection.
4.
Serum prostate-specific antigen (PSA). - Correct Ans✓✓ 1.
Nocturnal penile tumescence and rigidity (NPTR) test.
One of the initial steps in assessing patients with musculoskeletal complaints is to determine whether the
complaint is articular or nonarticular in origin. Which of the following is an example of an articular structure?
A.
Bone
B.
Synovium
C.
Tendons
D.
Fascia - Correct Ans✓✓ B.
Synovium
You have detected the presence of crepitus on examination of a patient with a musculoskeletal complaint.
Additionally, there is limited range of motion (ROM) with both active and passive movement. These findings
suggest that the origin of the musculoskeletal complaint is:
A.
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Articular
B.
Inflammatory
C.
Nonarticular
D.
Noninflammatory - Correct Ans✓✓ A.
Articular
3. Which of the following signs or symptoms indicate an inflammatory etiology to musculoskeletal pain?
A.
Decreased C-reactive protein
B.
Hyperalbuminemia
C.
Morning stiffness
D.
Weight gain - Correct Ans✓✓ C.
Morning stiffness
Which of the following statements concerning the musculoskeletal examination is true?
A.
The uninvolved side should be examined initially and then compared to the involved side.
B.
The part of the body that is causing the patient pain should be examined first.
C.
When possible, the patient should not be asked to perform active ROM exercises to avoid causing pain.
D.
Radiographs should always be obtained prior to examination so as not to cause further injury to the patient. -
Correct Ans✓✓ A.
The uninvolved side should be examined initially and then compared to the involved side.
5. You are performing muscle strength testing on a patient presenting with musculoskeletal pain and find that the
patient has complete ROM but cannot move it above gravity. Which numeric grade of muscle strength would
you give this patient?
A.
1
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B.
2
C.
3
D.
4 - Correct Ans✓✓ B.
2
Mrs. Gray is a 55-year-old woman who presents with tightness, pain, and limited movement in her right
shoulder. She denies any history of trauma. Her examination reveals a 75% reduction in both active and passive
ROM of the right shoulder. Mrs. Gray also is experiencing tenderness with motion and pain at the deltoid
insertion. Her medical history is significant for type 1 diabetes mellitus and hypertension. Her social history
reveals that she is a secretary and that she is right-handed. Based on her examination and medical history, you
suspect adhesive capsulitis, or "frozen shoulder." Which clue in Mrs. Gray's history supports this diagnosis?
A.
History of hypertension
B.
Her affected shoulder is also her dominant arm.
C.
Her history of type 1 diabetes
D.
Her work as a secretary predisposes her to repetitive motions. - Correct Ans✓✓ C.
Her history of type 1 diabetes
Jennifer is an 18-year-old woman who comes to the emergency room after a fall during a soccer game. Jennifer
explains that she fell on her left side and kept her arm out straight to break her fall. She has been experiencing
severe pain and limited ROM in her left shoulder. The clinician has diagnosed Jennifer with a dislocated
shoulder. Which of the following statements are true concerning shoulder dislocation?
A.
Anterior dislocations are not painful, and ROM is normal.
B.
There is a risk of neurovascular and neurosensory trauma, so the clinician should check for
distal pulses.
C.
X-rays are the only diagnostic testing appropriate to assess a dislocation.
D.
Most traumatic dislocations are posterior. - Correct Ans✓✓ B.
There is a risk of neurovascular and neurosensory trauma, so the clinician should check for distal pulses.
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8. Fred has been diagnosed with a trigger finger of the ring finger. Which of the following management
strategies is appropriate?
A.
Surgical removal of the tendon sheath
B.
NSAIDs
C.
Local anesthetic injection into the tendon sheath
D.
Splinting - Correct Ans✓✓ C.
Local anesthetic injection into the tendon sheath
9. Mrs. Anderson is a 35-year-old woman who has been recently diagnosed with carpal tunnel syndrome. She
has two young children and asks the clinician what the chances are that they also will develop carpal tunnel
syndrome. Which of the following responses would be correct regarding the risk of developing carpal tunnel
syndrome?
A.
Carpal tunnel syndrome commonly occurs in families. Genetic factors are thought to account for about one-half
the risk of developing carpal tunnel.
B.
People with occupations that require repeated flexion extension of the wrist, use of hand tools
that require forceful gripping, or use of hand tools that vibrate are at risk for developing carpal
tunnel.
C.
An underlying musculoskeletal disorder must be present for a person to develop carpal tunnel.
D.
Carpal tunnel syndrome only occurs in the presence of a hormonal imbalance. - Correct Ans✓✓ B.
People with occupations that require repeated flexion extension of the wrist, use of hand tools that require
forceful gripping, or use of hand tools that vibrate are at risk for developing carpal tunnel.
Which of the following statements is true regarding the treatment of carpal tunnel syndrome?
A.
The goal of treatment is to prevent flexion and extension movements of the wrist.
B.
Splints are not used in carpal tunnel syndrome, because they restrict complete movement of the fingers and
wrist.
C.
Corticosteroid injections are encouraged in the treatment of carpal tunnel syndrome.
D.