NR 511 FINAL QUESTIONS AND ANSWERS GRADED A+
1. 1. The remodeling of a scar can take how long?
a. 6 months.
b. 3 months.
c. 1 month.
d. 2 weeks.: A. 6 months
2. Question 1. A 13-year-old obese (body mass index
[BMI] above the 95th percentile) boy reports low-grade
left knee pain for the past 2 months. He denies
antecedent trauma but admits to frequent "horseplay"
with his friends. The pain has progressively worsened,
and he is now unable to bear weight at all on his left leg.
His current complaints include left groin, thigh, and
medial knee pain and tenderness. His examination
demonstrates negative drawer, Lachman, and
McMurray tests; left hip with decreased internal
rotation and abduction; and external hip rotation with
knee flexion. Based on the above scenario, the nurse
,practitioner should suspect:
1. A left meniscal tear.
2. A left anterior cruciate ligament (ACL) tear.
3. A slipped capital femoral epiphysis (SCFE).
4. Osgood-Schlatter disease.: 3. A slipped capital femoral epiphysis
(SCFE).
3. Question 2. In assessing the skeletal muscles, the
nurse practitioner turns the patient's forearm so that
the palm is up. This is called:
1. Supination.
2. Pronation.
3. Abduction.
4. Eversion.: 1. Supination
4. Question 3. 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:
1. Septic arthritis.
2. Gout.
,3. Rheumatoid arthritis.
4. Charcot neuro-osteoarthropathy.: 2. Gout
5. Question 4. Matthew, age 52, is a chef who just
severed 2 of his fingers with a meat cutter. You would
recommend that he:
1. Wrap the severed fingers tightly in a dry towel for
transport to the emer-gency department with him.
2. Leave the severed fingers at the scene because
fingers cannot be reat-tached.
3. Immediately freeze the severed fingers for reattachment
in the near future.
4. Wrap the fingers in a clean, damp cloth; seal them in a
plastic bag; and place the bag in an ice water bath.: 4. Wrap the
fingers in a clean, damp cloth; seal them in a plastic bag; and place the
bag in an ice water bath.
6. Question 5. Marsha, age 34, presents with symptoms
resembling both fibromyalgia and chronic fatigue
syndrome, which have many similarities. Which of the
following is more characteristic of fibromyalgia than of
chronic fatigue syndrome?
1. Musculoskeletal pain.
2. Difficulty sleeping.
3. Depression.
4. Fatigue.: 1. Musculoskeletal pain
, 7. Question 6. Mrs. Kelly, age 80, has a curvature of the
spine. This is likely to indicate which age-related
change?
1. Lordosis.
2. Dorsal kyphosis.
3. Scoliosis.
4. Kyphoscoliosis.: 2. Dorsal Kyphosis
8. Question 7. 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?
1. Valgus stress test.
1. 1. The remodeling of a scar can take how long?
a. 6 months.
b. 3 months.
c. 1 month.
d. 2 weeks.: A. 6 months
2. Question 1. A 13-year-old obese (body mass index
[BMI] above the 95th percentile) boy reports low-grade
left knee pain for the past 2 months. He denies
antecedent trauma but admits to frequent "horseplay"
with his friends. The pain has progressively worsened,
and he is now unable to bear weight at all on his left leg.
His current complaints include left groin, thigh, and
medial knee pain and tenderness. His examination
demonstrates negative drawer, Lachman, and
McMurray tests; left hip with decreased internal
rotation and abduction; and external hip rotation with
knee flexion. Based on the above scenario, the nurse
,practitioner should suspect:
1. A left meniscal tear.
2. A left anterior cruciate ligament (ACL) tear.
3. A slipped capital femoral epiphysis (SCFE).
4. Osgood-Schlatter disease.: 3. A slipped capital femoral epiphysis
(SCFE).
3. Question 2. In assessing the skeletal muscles, the
nurse practitioner turns the patient's forearm so that
the palm is up. This is called:
1. Supination.
2. Pronation.
3. Abduction.
4. Eversion.: 1. Supination
4. Question 3. 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:
1. Septic arthritis.
2. Gout.
,3. Rheumatoid arthritis.
4. Charcot neuro-osteoarthropathy.: 2. Gout
5. Question 4. Matthew, age 52, is a chef who just
severed 2 of his fingers with a meat cutter. You would
recommend that he:
1. Wrap the severed fingers tightly in a dry towel for
transport to the emer-gency department with him.
2. Leave the severed fingers at the scene because
fingers cannot be reat-tached.
3. Immediately freeze the severed fingers for reattachment
in the near future.
4. Wrap the fingers in a clean, damp cloth; seal them in a
plastic bag; and place the bag in an ice water bath.: 4. Wrap the
fingers in a clean, damp cloth; seal them in a plastic bag; and place the
bag in an ice water bath.
6. Question 5. Marsha, age 34, presents with symptoms
resembling both fibromyalgia and chronic fatigue
syndrome, which have many similarities. Which of the
following is more characteristic of fibromyalgia than of
chronic fatigue syndrome?
1. Musculoskeletal pain.
2. Difficulty sleeping.
3. Depression.
4. Fatigue.: 1. Musculoskeletal pain
, 7. Question 6. Mrs. Kelly, age 80, has a curvature of the
spine. This is likely to indicate which age-related
change?
1. Lordosis.
2. Dorsal kyphosis.
3. Scoliosis.
4. Kyphoscoliosis.: 2. Dorsal Kyphosis
8. Question 7. 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?
1. Valgus stress test.
