NUR 603 EXAM 2 FULL EXAM PAPER 2026
COMPREHENSIVE Q&A WITH CORRECT
SOLUTIONS
⩥ Mr. Jackson is a 65-year-old man recently diagnosed with
osteoarthritis. The clinician has explained to Mr. Jackson that the goals
for managing osteoarthritis include controlling pain, maximizing
functional independence and mobility, minimizing disability, and
preserving quality of life. Mr. Jackson explains to the clinician that his
first choice would be to use complementary therapies to control his
condition and asks what therapies are most effective in treating
osteoarthritis. What would be the most appropriate response from the
clinician?
A. "Complementary therapies should be considered only if surgical
interventions are not successful."
B. "I am unfamiliar with the available complementary therapies for
osteoarthritis and prefer to discuss more mainstream treatments, such as
NSAIDs and physical therapy, to manage your condition."
C. "I would be happy to discuss all the treatment options available to
you. Compleme. Answer: C. "I would be happy to discuss all the
treatment options available to you. Complementary therapies, such as
acupuncture, acupressure, and tai-chi, are being studied for use in the
treatment of osteoarthritis and have shown promise when used with
standard medical therapy."
,⩥ 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?
A. Valgus stress test
B. McMurray circumduction test
C. Lachman test
D. Varus stress test. Answer: B. McMurray circumduction test
⩥ The clinician suspects that a client has patellar instability. In order to
test for this, the client is seated with the quadriceps relaxed, and the knee
is placed in extension. Next the patella is displaced laterally, and the
knee flexed to 30°. If instability is present, this maneuver displaces the
patella to an abnormal position on the lateral femoral condyle, and the
client will perceive pain. Testing for patellar instability in this way is
known as:
A. Apprehension sign
B. Bulge sign
C. Thumb sign
D. None of the above. Answer: A. Apprehension sign
⩥ A clinician has performed a synovial fluid analysis and the results are
as follows: visual analysis: turbid and yellow, viscosity: decreased,
,52,000 white blood cells (WBCs) per mm3, polymorphonuclear
leukocytes (PMNs): 75%, protein: 5 g/dL. Which of the following
conditions could this result be attributed to?
A. Rheumatoid arthritis
B. Osteoarthritis
C. Gout
D. Septic arthritis. Answer: D. Septic arthritis
⩥ Mr. S presents in the clinic with pain, tenderness, erythema, and
swelling of his left great toe. The clinician suspects acute gout. Which of
the following should the clinician expect in the initial test results for this
patient?
A. Elevated uric acid level
B. Elevated blood urea nitrogen
C. Decreased urine pH
D. Decreased C-reactive protein. Answer: A. Elevated uric acid level
⩥ Debbie is a 43-year-old female being evaluated for a wrist injury. The
clinician is assessing for median nerve compression by having Debbie
maintain forced flexion of her wrist for 1 minute with the dorsal surface
of each hand pressed together. Which of these tests did the clinician just
perform?
A. Allen's test
B. Phalen's test
, C. Tinel's sign
D. Finkelstein's test. Answer: B. Phalen's test
⩥ 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?
A. Morning stiffness and limited mobility of the lumbar spine
B. Unilateral radicular pain symptoms that extend below the knee and
are equal to or greater than the back pain
C. Fever, chills, and elevated erythrocyte sedimentation rate
D. Pathologic fractures, severe night pain, weight loss, and fatigue.
Answer: B. Unilateral radicular pain symptoms that extend below the
knee and are equal to or greater than the back pain
⩥ Felice is a 66-year-old female who complains that walking and
prolonged standing causes pain and weakness in her legs and buttocks.
She expresses that she has short-term relief when she leans on the
shopping cart. When she sleeps on her back, she sometimes wakes up in
the night in pain. Which of the following diagnoses is most likely?
A. Multiple sclerosis
B. Herniated lumbar disc
C. Lumbar spinal stenosis
COMPREHENSIVE Q&A WITH CORRECT
SOLUTIONS
⩥ Mr. Jackson is a 65-year-old man recently diagnosed with
osteoarthritis. The clinician has explained to Mr. Jackson that the goals
for managing osteoarthritis include controlling pain, maximizing
functional independence and mobility, minimizing disability, and
preserving quality of life. Mr. Jackson explains to the clinician that his
first choice would be to use complementary therapies to control his
condition and asks what therapies are most effective in treating
osteoarthritis. What would be the most appropriate response from the
clinician?
A. "Complementary therapies should be considered only if surgical
interventions are not successful."
B. "I am unfamiliar with the available complementary therapies for
osteoarthritis and prefer to discuss more mainstream treatments, such as
NSAIDs and physical therapy, to manage your condition."
C. "I would be happy to discuss all the treatment options available to
you. Compleme. Answer: C. "I would be happy to discuss all the
treatment options available to you. Complementary therapies, such as
acupuncture, acupressure, and tai-chi, are being studied for use in the
treatment of osteoarthritis and have shown promise when used with
standard medical therapy."
,⩥ 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?
A. Valgus stress test
B. McMurray circumduction test
C. Lachman test
D. Varus stress test. Answer: B. McMurray circumduction test
⩥ The clinician suspects that a client has patellar instability. In order to
test for this, the client is seated with the quadriceps relaxed, and the knee
is placed in extension. Next the patella is displaced laterally, and the
knee flexed to 30°. If instability is present, this maneuver displaces the
patella to an abnormal position on the lateral femoral condyle, and the
client will perceive pain. Testing for patellar instability in this way is
known as:
A. Apprehension sign
B. Bulge sign
C. Thumb sign
D. None of the above. Answer: A. Apprehension sign
⩥ A clinician has performed a synovial fluid analysis and the results are
as follows: visual analysis: turbid and yellow, viscosity: decreased,
,52,000 white blood cells (WBCs) per mm3, polymorphonuclear
leukocytes (PMNs): 75%, protein: 5 g/dL. Which of the following
conditions could this result be attributed to?
A. Rheumatoid arthritis
B. Osteoarthritis
C. Gout
D. Septic arthritis. Answer: D. Septic arthritis
⩥ Mr. S presents in the clinic with pain, tenderness, erythema, and
swelling of his left great toe. The clinician suspects acute gout. Which of
the following should the clinician expect in the initial test results for this
patient?
A. Elevated uric acid level
B. Elevated blood urea nitrogen
C. Decreased urine pH
D. Decreased C-reactive protein. Answer: A. Elevated uric acid level
⩥ Debbie is a 43-year-old female being evaluated for a wrist injury. The
clinician is assessing for median nerve compression by having Debbie
maintain forced flexion of her wrist for 1 minute with the dorsal surface
of each hand pressed together. Which of these tests did the clinician just
perform?
A. Allen's test
B. Phalen's test
, C. Tinel's sign
D. Finkelstein's test. Answer: B. Phalen's test
⩥ 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?
A. Morning stiffness and limited mobility of the lumbar spine
B. Unilateral radicular pain symptoms that extend below the knee and
are equal to or greater than the back pain
C. Fever, chills, and elevated erythrocyte sedimentation rate
D. Pathologic fractures, severe night pain, weight loss, and fatigue.
Answer: B. Unilateral radicular pain symptoms that extend below the
knee and are equal to or greater than the back pain
⩥ Felice is a 66-year-old female who complains that walking and
prolonged standing causes pain and weakness in her legs and buttocks.
She expresses that she has short-term relief when she leans on the
shopping cart. When she sleeps on her back, she sometimes wakes up in
the night in pain. Which of the following diagnoses is most likely?
A. Multiple sclerosis
B. Herniated lumbar disc
C. Lumbar spinal stenosis
