NURP-532-Exam 2 Questions With Complete Solutions
A 14-year-old boy who is overweight develops a unilateral limp
with pain in the hip and knee on the affected side. An exam
reveals external rotation of the hip when flexed and pain
associated with attempts to internally rotate the hip. What is
most important initially when managing this child's condition?
Correct Answers Place the child on crutches or in a wheelchair
to prevent weight bearing
A 3-year-old child is brought to the clinic by a parent who
reports that the child refuses to use the right arm after being
swung by both arms while playing. The child is sitting with the
right arm held slightly flexed and close to the body. There is no
swelling or ecchymosis present. What will the primary care
pediatric nurse practitioner do? Correct Answers Gently attempt
a supination and flexion technique
A 45-year-old patient reports a recent onset of unilateral
shoulder pain, which is described as diffuse and is associated
with weakness of the shoulder but no loss of passive range of
motion. What does the provider suspect as the cause of these
symptoms? Correct Answers Rotator cuff injury
A high school soccer player sustains a knee injury when kicked
on the lateral side of the knee by another player. The provider
notes significant swelling of the knee, with pain at the joint line
on the medial aspect of the knee. What will the provider do to
treat this injury? Correct Answers Refer for a same-day
orthopedic consultation
,A patient has recurrent lumbar pain, which is sometimes severe.
The patient reports that prescription of nonsteroidal, anti-
inflammatory drugs (NSAIDs) is no longer effective for pain
relief. What will the provider recommend? Correct Answers
Referral to an interventional spine physician
A patient injures an ankle while playing soccer and reports
rolling the foot inward while falling, with immediate pain and
swelling of the lateral part of the joint. The patient is able to bear
weight and denies hearing an audible sound at the time of injury.
What does this history indicate? Correct Answers Likely ankle
sprain, with a possible fracture
A patient with elbow pain without localized erythema or warmth
is diagnosed with bursitis of the elbow and serum laboratory
results are pending. What is the initial treatment while waiting
for these results? Correct Answers Elbow pads, NSAIDs, rest,
and ice
A school-age child falls off a swing and fractures the humerus
close to the elbow joint. What is the most important assessment
for this patient to evaluate possible complications of this injury?
Correct Answers Salter-Harris classification
Achilles Tendon Rupture Correct Answers - Sx: sudden
weakness of the ankle, inability to raise up on the toes, limp, and
pain
- Dx: Thompson test, US, MRI
- Tx: refer to ORTHO, immobilization x 6 weeks or surgery
, Adam's Test Correct Answers Forward bending test for
Scoliosis
Adhesive Capsulitis (Frozen Shoulder) Correct Answers - D/t
excessive scar tissue or adhesions
- Sx: Gradual progressive decline of shoulder mobility (AROM
and PROM), diffuse aching pain
- Tx: PT, NSAIDs, manipulation, stretching, surgery
Ankle Sprain Classifications Correct Answers -Grade I:
Stretched ligament, no macroscopic tearing; minimal
swelling/functional loss (ATF) - conservative therapy
(improvement in 1 week)
-Grade II: Partial tearing of ligament with moderate swelling,
ecchymosis, functional loss and joint instability (ATF + CF)
-Grade III: Complete ligament rupture; severe swelling,
ecchymosis, instability; unable to bear weight (ATF, CF, PTF) -
referral to ORTHO
Ankle Sprain Correct Answers - Tear to a ligament (most
commonly occurs at the lateral ankle ligament)
- Sx: tenderness, swelling, bruising, ligament laxity
- Tx: RICE
Ankle Strain Correct Answers Tear to a muscle or tendon
A 14-year-old boy who is overweight develops a unilateral limp
with pain in the hip and knee on the affected side. An exam
reveals external rotation of the hip when flexed and pain
associated with attempts to internally rotate the hip. What is
most important initially when managing this child's condition?
Correct Answers Place the child on crutches or in a wheelchair
to prevent weight bearing
A 3-year-old child is brought to the clinic by a parent who
reports that the child refuses to use the right arm after being
swung by both arms while playing. The child is sitting with the
right arm held slightly flexed and close to the body. There is no
swelling or ecchymosis present. What will the primary care
pediatric nurse practitioner do? Correct Answers Gently attempt
a supination and flexion technique
A 45-year-old patient reports a recent onset of unilateral
shoulder pain, which is described as diffuse and is associated
with weakness of the shoulder but no loss of passive range of
motion. What does the provider suspect as the cause of these
symptoms? Correct Answers Rotator cuff injury
A high school soccer player sustains a knee injury when kicked
on the lateral side of the knee by another player. The provider
notes significant swelling of the knee, with pain at the joint line
on the medial aspect of the knee. What will the provider do to
treat this injury? Correct Answers Refer for a same-day
orthopedic consultation
,A patient has recurrent lumbar pain, which is sometimes severe.
The patient reports that prescription of nonsteroidal, anti-
inflammatory drugs (NSAIDs) is no longer effective for pain
relief. What will the provider recommend? Correct Answers
Referral to an interventional spine physician
A patient injures an ankle while playing soccer and reports
rolling the foot inward while falling, with immediate pain and
swelling of the lateral part of the joint. The patient is able to bear
weight and denies hearing an audible sound at the time of injury.
What does this history indicate? Correct Answers Likely ankle
sprain, with a possible fracture
A patient with elbow pain without localized erythema or warmth
is diagnosed with bursitis of the elbow and serum laboratory
results are pending. What is the initial treatment while waiting
for these results? Correct Answers Elbow pads, NSAIDs, rest,
and ice
A school-age child falls off a swing and fractures the humerus
close to the elbow joint. What is the most important assessment
for this patient to evaluate possible complications of this injury?
Correct Answers Salter-Harris classification
Achilles Tendon Rupture Correct Answers - Sx: sudden
weakness of the ankle, inability to raise up on the toes, limp, and
pain
- Dx: Thompson test, US, MRI
- Tx: refer to ORTHO, immobilization x 6 weeks or surgery
, Adam's Test Correct Answers Forward bending test for
Scoliosis
Adhesive Capsulitis (Frozen Shoulder) Correct Answers - D/t
excessive scar tissue or adhesions
- Sx: Gradual progressive decline of shoulder mobility (AROM
and PROM), diffuse aching pain
- Tx: PT, NSAIDs, manipulation, stretching, surgery
Ankle Sprain Classifications Correct Answers -Grade I:
Stretched ligament, no macroscopic tearing; minimal
swelling/functional loss (ATF) - conservative therapy
(improvement in 1 week)
-Grade II: Partial tearing of ligament with moderate swelling,
ecchymosis, functional loss and joint instability (ATF + CF)
-Grade III: Complete ligament rupture; severe swelling,
ecchymosis, instability; unable to bear weight (ATF, CF, PTF) -
referral to ORTHO
Ankle Sprain Correct Answers - Tear to a ligament (most
commonly occurs at the lateral ankle ligament)
- Sx: tenderness, swelling, bruising, ligament laxity
- Tx: RICE
Ankle Strain Correct Answers Tear to a muscle or tendon
