NUR 603 Final Exam Study Guide Questions
With Correct Answers
You have detected the presence of crepitus on examination of a patient with a
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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: - CORRECT ANSWER✔✔-Articular
| | | | | |
Which of the following signs or symptoms indicate an inflammatory etiology to
| | | | | | | | | | | |
musculoskeletal pain? - CORRECT ANSWER✔✔-Morning stiffness | | | | |
Which of the following statements concerning the musculoskeletal examination is
| | | | | | | | |
true? - CORRECT ANSWER✔✔-The uninvolved side should be examined initially
| | | | | | | | | | |
and then compared to the involved side.
| | | | | |
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
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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 history supports
| | | | | | | | | | |
this diagnosis? - CORRECT ANSWER✔✔-Her history of diabetes mellitus
| | | | | | | | |
,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 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? - CORRECT ANSWER✔✔-There is a risk of neurovascular and
| | | | | | | | | |
neurosensory trauma, so the clinician should check for distal pulses.
| | | | | | | | |
Fred has been diagnosed with a trigger finger of the ring finger. Which of the
| | | | | | | | | | | | | | |
following management strategies is appropriate? - CORRECT ANSWER✔✔-Local
| | | | | | | |
anesthetic injection into the tendon sheath | | | | |
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? - CORRECT ANSWER✔✔-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? - CORRECT ANSWER✔✔-All of the above: goal of tx is to
| | | | | | | | | | | | |
prevent flexion and extension movements of wrist, splints are used because they
| | | | | | | | | | | |
allow for free movement of the fingers and thumb while maintaining the wrist in
| | | | | | | | | | | | | |
neutral position, and corticosteroid injections are discouraged in the treatment
| | | | | | | | | |
because the risks for median nerve damage, scarring, and infection
| | | | | | | | |
Sam is a 25-year-old who has been diagnosed with low back strain based on his
| | | | | | | | | | | | | | |
history of localized low back pain and muscle spasm along with a normal
| | | | | | | | | | | | |
, neurological examination. As the clinician, you explain to Sam that low back pain
| | | | | | | | | | | | |
is a diagnosis of exclusion. Which of the following symptoms would alert the
| | | | | | | | | | | | |
clinician to the more serious finding of a herniated nucleus pulposus or ruptured
| | | | | | | | | | | | |
disc? - CORRECT ANSWER✔✔-Unilateral radicular pain symptoms that extend
| | | | | | | | |
below the knee and are equal to or greater than the back pain
| | | | | | | | | | | |
The clinician has instructed Sirius, a 23-year-old patient with low back strain, to us
| | | | | | | | | | | | |
NSAIDs to manage his symptoms of pain and discomfort. Which of the following
| | | | | | | | | | | | | |
statements would be most appropriate when teaching Sam about the use of
| | | | | | | | | | | |
NSAIDs? - CORRECT ANSWER✔✔-"You should start with the lowest dose that is
| | | | | | | | | | | |
effective in managing your pain, because long-term use of NSAIDs can result in
| | | | | | | | | | | | |
gastrointestinal (GI) disorders such as ulcers and hemorrhage. | | | | | | |
Which of the following statements is true concerning the management of the
| | | | | | | | | | | |
client with a herniated disc? - CORRECT ANSWER✔✔-Intolerable pain for more
| | | | | | | | | | |
than a 3mo period is an indication for surgical intervention.
| | | | | | | | |
John is a 16-year-old boy who presents to the emergency room after hurting his
| | | | | | | | | | | | | |
knee in a football game. He described twisting his knee and then being unable to
| | | | | | | | | | | | | | |
extend it completely. John tells the clinician that he heard a pop when the injury
| | | | | | | | | | | | | | |
occurred and has been experiencing localized pain. The clinician suspects a
| | | | | | | | | | |
meniscal tear. Which test would be most appropriate to assess for the presence
| | | | | | | | | | | | |
of a meniscal tear? - CORRECT ANSWER✔✔-McMurray circumduction test
| | | | | | | |
The clinician is caring for Diane, a 22-year-old woman who presents with an
| | | | | | | | | | | | |
injured ankle. Diane asks the clinician if she will need an x-ray. The clinician
| | | | | | | | | | | | | |
explains to Diane that an x-ray is not always necessary for an injured ankle and
| | | | | | | | | | | | | | |
that the decision to obtain radiographs is dependent on the examination and
| | | | | | | | | | | |
Diane's description of her injury. Which of the following clues in Diane's
| | | | | | | | | | | |
With Correct Answers
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: - CORRECT ANSWER✔✔-Articular
| | | | | |
Which of the following signs or symptoms indicate an inflammatory etiology to
| | | | | | | | | | | |
musculoskeletal pain? - CORRECT ANSWER✔✔-Morning stiffness | | | | |
Which of the following statements concerning the musculoskeletal examination is
| | | | | | | | |
true? - CORRECT ANSWER✔✔-The uninvolved side should be examined initially
| | | | | | | | | | |
and then compared to the involved side.
| | | | | |
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 history supports
| | | | | | | | | | |
this diagnosis? - CORRECT ANSWER✔✔-Her history of diabetes mellitus
| | | | | | | | |
,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 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? - CORRECT ANSWER✔✔-There is a risk of neurovascular and
| | | | | | | | | |
neurosensory trauma, so the clinician should check for distal pulses.
| | | | | | | | |
Fred has been diagnosed with a trigger finger of the ring finger. Which of the
| | | | | | | | | | | | | | |
following management strategies is appropriate? - CORRECT ANSWER✔✔-Local
| | | | | | | |
anesthetic injection into the tendon sheath | | | | |
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? - CORRECT ANSWER✔✔-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? - CORRECT ANSWER✔✔-All of the above: goal of tx is to
| | | | | | | | | | | | |
prevent flexion and extension movements of wrist, splints are used because they
| | | | | | | | | | | |
allow for free movement of the fingers and thumb while maintaining the wrist in
| | | | | | | | | | | | | |
neutral position, and corticosteroid injections are discouraged in the treatment
| | | | | | | | | |
because the risks for median nerve damage, scarring, and infection
| | | | | | | | |
Sam is a 25-year-old who has been diagnosed with low back strain based on his
| | | | | | | | | | | | | | |
history of localized low back pain and muscle spasm along with a normal
| | | | | | | | | | | | |
, neurological examination. As the clinician, you explain to Sam that low back pain
| | | | | | | | | | | | |
is a diagnosis of exclusion. Which of the following symptoms would alert the
| | | | | | | | | | | | |
clinician to the more serious finding of a herniated nucleus pulposus or ruptured
| | | | | | | | | | | | |
disc? - CORRECT ANSWER✔✔-Unilateral radicular pain symptoms that extend
| | | | | | | | |
below the knee and are equal to or greater than the back pain
| | | | | | | | | | | |
The clinician has instructed Sirius, a 23-year-old patient with low back strain, to us
| | | | | | | | | | | | |
NSAIDs to manage his symptoms of pain and discomfort. Which of the following
| | | | | | | | | | | | | |
statements would be most appropriate when teaching Sam about the use of
| | | | | | | | | | | |
NSAIDs? - CORRECT ANSWER✔✔-"You should start with the lowest dose that is
| | | | | | | | | | | |
effective in managing your pain, because long-term use of NSAIDs can result in
| | | | | | | | | | | | |
gastrointestinal (GI) disorders such as ulcers and hemorrhage. | | | | | | |
Which of the following statements is true concerning the management of the
| | | | | | | | | | | |
client with a herniated disc? - CORRECT ANSWER✔✔-Intolerable pain for more
| | | | | | | | | | |
than a 3mo period is an indication for surgical intervention.
| | | | | | | | |
John is a 16-year-old boy who presents to the emergency room after hurting his
| | | | | | | | | | | | | |
knee in a football game. He described twisting his knee and then being unable to
| | | | | | | | | | | | | | |
extend it completely. John tells the clinician that he heard a pop when the injury
| | | | | | | | | | | | | | |
occurred and has been experiencing localized pain. The clinician suspects a
| | | | | | | | | | |
meniscal tear. Which test would be most appropriate to assess for the presence
| | | | | | | | | | | | |
of a meniscal tear? - CORRECT ANSWER✔✔-McMurray circumduction test
| | | | | | | |
The clinician is caring for Diane, a 22-year-old woman who presents with an
| | | | | | | | | | | | |
injured ankle. Diane asks the clinician if she will need an x-ray. The clinician
| | | | | | | | | | | | | |
explains to Diane that an x-ray is not always necessary for an injured ankle and
| | | | | | | | | | | | | | |
that the decision to obtain radiographs is dependent on the examination and
| | | | | | | | | | | |
Diane's description of her injury. Which of the following clues in Diane's
| | | | | | | | | | | |
