NR 511 WEEK 5 Actual Exam Questions
And Answers 100% Pass
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?
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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 Salter-Harris classification of growth plate injuries, you know this is a:
Salter-Harris II fracture.
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Salter-Harris III fracture.
Salter-Harris IV fracture.
Salter-Harris V fracture. - ANS salter Harris III fracture
Mrs. Kelly, age 80, has a curvature of the spine. This is likely to indicate which age-related
change?
Lordosis.
Dorsal kyphosis.
Scoliosis.
Kyphoscoliosis. - ANS dorsal kyphosis
Upon assessment, the nurse practitioner notes unilateral back pain of acute onset that
increases when standing and bending. A straight leg raise test is negative. The most likely
diagnosis is:
Herniated nucleus pulposus.
Muscle strain.
Osteoarthritis.
Spondylolisthesis. - ANS muscle strain
Joyce, age 87, broke her wrist after falling off a curb. She just had a plaster cast applied to her
wrist. In instructing Joyce and her family on allowing the cast to dry properly, tell them to:
Continuously elevate Joyce's arm on a pillow.
Change the position of Joyce's arm every hour.
Position a fan near Joyce during the night to ensure even drying of the cast.