NURS 5461 ADULT GERONTOLOGY NEW FINAL EXAM 1 TEST BANK / NURS 5461 ADULT
GERONTOLOGY FINAL PREP /NURS 5461 ADULT GERONTOLOGY FINAL PRACTICE EXAM WITH
COMPLETE VERIFIED QUESTIONS AND CORRECT ANSWERS WITH DETAILED RATIONALES GRADED A
+
Christian, age 22, is a carpenter who is right- hand dominant. He comes to the
clinic for follow-up from the emergency department where he was seen for right
forearm pain. He states he
was diagnosed with right forearm tendinitis and wants the provider to explain
this diagnosis to him. Patient teaching should explain that he has inflammation
of one or more tendons, which are
A. the rope-like bundles of collagen fibrils that connect bone to bone.
B. the collagen fibers that connect muscle to bone.
C. the pouches of synovial fluid that cushion bone and other joint structures.
D. the fibrocartilaginous disks that separate bony surfaces. –
Correct Answer :Answer: B
Tendons are the collagen fibers that connect muscle to bone. Ligaments
connect bone to bone in the joints. Bursae are the pouches of synovial fluid
that reduce friction between bones, muscles, or tendons. Fibrocartilaginous
disks separate bony surfaces such as those between the vertebrae in the
spine.
,John, age 16, works as a stock boy at the local supermarket. He is in the office
for a routine visit. You notice that he had an episode of low back pain 6 months
ago from improperly lifting heavy boxes. In discussing proper body mechanics
with him to prevent future injuries, you tell him,
A. "Bend your knees and face the object straight on."
B. "Hold boxes away from your body at arm's length."
C. "Bend and twist simultaneously as you lift."
D. "Keep your feet firmly together." –
Correct Answer :Answer: A
In discussing proper body mechanics with John to prevent future injuries, you
tell him to bend his knees and face the object straight on, to hold boxes close to
his body and not at arm's length, and to spread his feet about shoulder- width
apart. Using legs and arms, facing objects straight on, and keeping a wide stance
provides a broad base of support and allows for use of supporting muscles,
relieving stress on the back muscles. Never bend and twist simultaneously, but
rather keep the spine straight to minimize injury
During assessment of a client's foot, the nurse practitioner notes that the foot is
in alignment with the long axis of the lower leg and that weight-bearing falls on
the middle of the foot, from the
heel, along the mid-foot, to between the second and third toes. These findings
best describe
,A. a normal foot.
A+ TEST BANK
NURS 5461 Adult Gerontology Final
Exam
B. Hallux valgus.
C. Talipes equinovarus.
D. hammertoes. –
Correct Answer :Answer: A
If you note during your assessment of your client's foot that the foot is in
alignment with the long axis of the lower leg and that weight- bearing falls
on the middle of the foot, from the heel along the midfoot to between the
second and third toes, you would
diagnose a normal foot. Hallux valgus is a common deformity in which a
lateral or outward deviation of the toe with medial prominence of the head
of the first metatarsal is present. A hammertoe deformity is common in
hallux valgus and is a deformity in the second, third, fourth, or fifth toes
that includes hyperextension of the metatarsophalangeal joint and flexion
of the proximal interphalangeal joint. Talipes equinovarus (clubfoot) is a
congenital
defect; it presents as a rigid and fi xed malposition of the foot, including
inversion, forefoot adduction, and the foot pointing downward.
First- line drug therapy for acute low back pain includes the use of
, A. NSAIDs.
B. muscle relaxants.
C. opioids.
D. antidepressants. –
Correct Answer :Answer: A
the control of acute low back pain but without the potential for dependence
and abuse. Evidence has shown that muscle relaxants are no more effective
than NSAIDs in the relief of acute low back pain. Antidepressant drug
therapy, particularly tricyclic
antidepressants, have been trialed in patients with chronic low back pain
even without clinical depression.
Beth, age 49, comes in with low back pain. An x- ray of the lumbar/sacral spine
is within normal limits. Which of the following diagnoses do you explore
further?
A. Scoliosis
B. Osteoarthritis
C. Spinal stenosis
D. Herniated nucleus pulposus –
GERONTOLOGY FINAL PREP /NURS 5461 ADULT GERONTOLOGY FINAL PRACTICE EXAM WITH
COMPLETE VERIFIED QUESTIONS AND CORRECT ANSWERS WITH DETAILED RATIONALES GRADED A
+
Christian, age 22, is a carpenter who is right- hand dominant. He comes to the
clinic for follow-up from the emergency department where he was seen for right
forearm pain. He states he
was diagnosed with right forearm tendinitis and wants the provider to explain
this diagnosis to him. Patient teaching should explain that he has inflammation
of one or more tendons, which are
A. the rope-like bundles of collagen fibrils that connect bone to bone.
B. the collagen fibers that connect muscle to bone.
C. the pouches of synovial fluid that cushion bone and other joint structures.
D. the fibrocartilaginous disks that separate bony surfaces. –
Correct Answer :Answer: B
Tendons are the collagen fibers that connect muscle to bone. Ligaments
connect bone to bone in the joints. Bursae are the pouches of synovial fluid
that reduce friction between bones, muscles, or tendons. Fibrocartilaginous
disks separate bony surfaces such as those between the vertebrae in the
spine.
,John, age 16, works as a stock boy at the local supermarket. He is in the office
for a routine visit. You notice that he had an episode of low back pain 6 months
ago from improperly lifting heavy boxes. In discussing proper body mechanics
with him to prevent future injuries, you tell him,
A. "Bend your knees and face the object straight on."
B. "Hold boxes away from your body at arm's length."
C. "Bend and twist simultaneously as you lift."
D. "Keep your feet firmly together." –
Correct Answer :Answer: A
In discussing proper body mechanics with John to prevent future injuries, you
tell him to bend his knees and face the object straight on, to hold boxes close to
his body and not at arm's length, and to spread his feet about shoulder- width
apart. Using legs and arms, facing objects straight on, and keeping a wide stance
provides a broad base of support and allows for use of supporting muscles,
relieving stress on the back muscles. Never bend and twist simultaneously, but
rather keep the spine straight to minimize injury
During assessment of a client's foot, the nurse practitioner notes that the foot is
in alignment with the long axis of the lower leg and that weight-bearing falls on
the middle of the foot, from the
heel, along the mid-foot, to between the second and third toes. These findings
best describe
,A. a normal foot.
A+ TEST BANK
NURS 5461 Adult Gerontology Final
Exam
B. Hallux valgus.
C. Talipes equinovarus.
D. hammertoes. –
Correct Answer :Answer: A
If you note during your assessment of your client's foot that the foot is in
alignment with the long axis of the lower leg and that weight- bearing falls
on the middle of the foot, from the heel along the midfoot to between the
second and third toes, you would
diagnose a normal foot. Hallux valgus is a common deformity in which a
lateral or outward deviation of the toe with medial prominence of the head
of the first metatarsal is present. A hammertoe deformity is common in
hallux valgus and is a deformity in the second, third, fourth, or fifth toes
that includes hyperextension of the metatarsophalangeal joint and flexion
of the proximal interphalangeal joint. Talipes equinovarus (clubfoot) is a
congenital
defect; it presents as a rigid and fi xed malposition of the foot, including
inversion, forefoot adduction, and the foot pointing downward.
First- line drug therapy for acute low back pain includes the use of
, A. NSAIDs.
B. muscle relaxants.
C. opioids.
D. antidepressants. –
Correct Answer :Answer: A
the control of acute low back pain but without the potential for dependence
and abuse. Evidence has shown that muscle relaxants are no more effective
than NSAIDs in the relief of acute low back pain. Antidepressant drug
therapy, particularly tricyclic
antidepressants, have been trialed in patients with chronic low back pain
even without clinical depression.
Beth, age 49, comes in with low back pain. An x- ray of the lumbar/sacral spine
is within normal limits. Which of the following diagnoses do you explore
further?
A. Scoliosis
B. Osteoarthritis
C. Spinal stenosis
D. Herniated nucleus pulposus –
