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NURS 5354 Final Exam | Comprehensive
Key Questions & Verified Solutions
What should be used prior to a digital block - correct-answer -EMLA cream.
What needle gauge is used for joint injections? - correct-answer -18- 20 gauge
(14-18 gauge for the shoulder)
What is the landmark for lateral elbow joint aspiration? - correct-answer -
Anconeus triangle
What are the contraindications for joint aspiration/injection? - correct-answer -
cellulitis, dermatitis, skin infection, osteomyelitis, blood clot, joint prosthesis,
suspected bacteremia if septic arthritis not suspected.
What approach is most used in knee joint aspiration? - correct-answer -Lateral (at
45 degree angle)
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What approach is most common in shoulder joint aspiration? - correct-answer -
Posterior (below the acromion process)
What is the most mobile joint in the body? - correct-answer -The shoulder
What anatomical structure stabilizes the shoulder joint? - correct-answer -The
glenoid labrum
What restricts active ROM and is localized to a specific area? - correct-answer -
Periarticular processess-Ex: bursitis, cellulitis, contusion, tendonitis.
What restricts both active and passive ROM and has associated circumferential
pain and swelling? - correct-answer -Articular processes (projections of the
vertebra that serve the purpose of fitting with an adjacent vertebra).
What structure connects muscle to bone? - correct-answer -Tendon
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What are the pre-op screening domains for adults older than 65 having elective
surgery? - correct-answer -Goal setting-overall health goals, patient's
understanding of surgery
Function and social support-Can you dress and bathe yourself? Get out of
bed/chair by yourself? Do you have a family member/friend for support?
Nutrition-nutritional assessment
Mobility-High risk for falls if gait speed is less than 0.8 m/s and Get up and Go test
is greater than 15 s.
Cognition-Mini-Cog test. Impaired cognition increases risk for post-op delirium
Mental health-depression?
Medication review-Avoid high risk meds (anticholinergics)
Medical conditions-Cardiac, Pulmonary, OSA?
Shared decision making
Should cardiac testing be done for all pre-operative patients? - correct-answer -
No. Supplemental cardiac testing (ECG, LV function, ECHO, etc.) is only useful for
patients with heart disease, dyspnea, and/or valvular stenosis/regurgitation
When should anticoagulants NOT be held? - correct-answer -For cutaneous
surgery, dental extractions, minor oral procedures or cataract surgery.
NURS 5354 Final Exam | Comprehensive
Key Questions & Verified Solutions
What should be used prior to a digital block - correct-answer -EMLA cream.
What needle gauge is used for joint injections? - correct-answer -18- 20 gauge
(14-18 gauge for the shoulder)
What is the landmark for lateral elbow joint aspiration? - correct-answer -
Anconeus triangle
What are the contraindications for joint aspiration/injection? - correct-answer -
cellulitis, dermatitis, skin infection, osteomyelitis, blood clot, joint prosthesis,
suspected bacteremia if septic arthritis not suspected.
What approach is most used in knee joint aspiration? - correct-answer -Lateral (at
45 degree angle)
,2|Page
What approach is most common in shoulder joint aspiration? - correct-answer -
Posterior (below the acromion process)
What is the most mobile joint in the body? - correct-answer -The shoulder
What anatomical structure stabilizes the shoulder joint? - correct-answer -The
glenoid labrum
What restricts active ROM and is localized to a specific area? - correct-answer -
Periarticular processess-Ex: bursitis, cellulitis, contusion, tendonitis.
What restricts both active and passive ROM and has associated circumferential
pain and swelling? - correct-answer -Articular processes (projections of the
vertebra that serve the purpose of fitting with an adjacent vertebra).
What structure connects muscle to bone? - correct-answer -Tendon
, 3|Page
What are the pre-op screening domains for adults older than 65 having elective
surgery? - correct-answer -Goal setting-overall health goals, patient's
understanding of surgery
Function and social support-Can you dress and bathe yourself? Get out of
bed/chair by yourself? Do you have a family member/friend for support?
Nutrition-nutritional assessment
Mobility-High risk for falls if gait speed is less than 0.8 m/s and Get up and Go test
is greater than 15 s.
Cognition-Mini-Cog test. Impaired cognition increases risk for post-op delirium
Mental health-depression?
Medication review-Avoid high risk meds (anticholinergics)
Medical conditions-Cardiac, Pulmonary, OSA?
Shared decision making
Should cardiac testing be done for all pre-operative patients? - correct-answer -
No. Supplemental cardiac testing (ECG, LV function, ECHO, etc.) is only useful for
patients with heart disease, dyspnea, and/or valvular stenosis/regurgitation
When should anticoagulants NOT be held? - correct-answer -For cutaneous
surgery, dental extractions, minor oral procedures or cataract surgery.
