NUR 662 Test Questions to Practice With Complete
Solutions
A 23 year old male presents with low back pain. he lifted a
heavy box yesterday at work but had no symptoms yesterday.
Today however, he began to feel pain and stiffness in his lower
back that hurts worse when he bends forward. On exam he has
pain with flexion and extension and a negative straight leg raise
test. What management plan would be appropriate for him at
this time?
A: order lumbar spine radiographies
B: refer for epidural steroid injections
C: Over the counter NSAID's, ice/heat, and return to work in 2
days
D: Order MRI lumbar spine Correct Answers C: Over the
counter NSAID's, ICE/HEAT, and return to work in 2 days
A 30 year old woman comes into the clinic for evaluation of
right wrist pain for the past 2 months. She denies any known
trauma to the wrist, and has not started any new hobbies or
activities. She stays home with her 4 month old infant, and has
had increasing difficulty holding her baby due to pain. Physical
examination is significant for tenderness with palpation of the
radial aspect of the wrist, and pain is aggravated when the
patient grasps her thumb while performing ulnar deviation of the
wrist. Which of the following is the most appropriate initial
management?
A: Intra Articular steroid injection
B: Thumb spica splint
, C: Surgical release
D: Prescribe acetominophen Correct Answers B: Thumb Spica
Splint
A 32 year old woman comes to the clinic for evaluation of hand
pain for the past 6 months. She also experiences numbness in the
first through third fingers, and half of the fourth finger.
Additionally she states she has been dropping things much more
than usual. Physical examination is significant for tingling
sensation triggered by palmar surface wrist percussion. Which
of the following is a known risk factor for this condition?
A: Hypertention
B: Pregnancy
C: Osteoarthtitis
D: Anemia Correct Answers B: Pregnancy
A 38 year-old-man comes to the clinic for evaluation of low
back pain which radiates into the entire right lower
extremity.physical examination reveals decreased sensation to
the top of the right foot and decreased strength with resisted
flexion of the right great toe. Lower extremity deep tendon
reflexes are 2/4 and symmetrical. Compression of which of the
following nerve roots is most likely?
A: L5
B: L3
C: L4
D: S1 Correct Answers A: L5
A 48 year old man comes to the clinic for evaluation of a one
week history of left elbow pain. He reports he was painting his
Solutions
A 23 year old male presents with low back pain. he lifted a
heavy box yesterday at work but had no symptoms yesterday.
Today however, he began to feel pain and stiffness in his lower
back that hurts worse when he bends forward. On exam he has
pain with flexion and extension and a negative straight leg raise
test. What management plan would be appropriate for him at
this time?
A: order lumbar spine radiographies
B: refer for epidural steroid injections
C: Over the counter NSAID's, ice/heat, and return to work in 2
days
D: Order MRI lumbar spine Correct Answers C: Over the
counter NSAID's, ICE/HEAT, and return to work in 2 days
A 30 year old woman comes into the clinic for evaluation of
right wrist pain for the past 2 months. She denies any known
trauma to the wrist, and has not started any new hobbies or
activities. She stays home with her 4 month old infant, and has
had increasing difficulty holding her baby due to pain. Physical
examination is significant for tenderness with palpation of the
radial aspect of the wrist, and pain is aggravated when the
patient grasps her thumb while performing ulnar deviation of the
wrist. Which of the following is the most appropriate initial
management?
A: Intra Articular steroid injection
B: Thumb spica splint
, C: Surgical release
D: Prescribe acetominophen Correct Answers B: Thumb Spica
Splint
A 32 year old woman comes to the clinic for evaluation of hand
pain for the past 6 months. She also experiences numbness in the
first through third fingers, and half of the fourth finger.
Additionally she states she has been dropping things much more
than usual. Physical examination is significant for tingling
sensation triggered by palmar surface wrist percussion. Which
of the following is a known risk factor for this condition?
A: Hypertention
B: Pregnancy
C: Osteoarthtitis
D: Anemia Correct Answers B: Pregnancy
A 38 year-old-man comes to the clinic for evaluation of low
back pain which radiates into the entire right lower
extremity.physical examination reveals decreased sensation to
the top of the right foot and decreased strength with resisted
flexion of the right great toe. Lower extremity deep tendon
reflexes are 2/4 and symmetrical. Compression of which of the
following nerve roots is most likely?
A: L5
B: L3
C: L4
D: S1 Correct Answers A: L5
A 48 year old man comes to the clinic for evaluation of a one
week history of left elbow pain. He reports he was painting his
