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NURS 660 Exam 3 Questions (600+) | Neurology, Musculoskeletal, Pediatrics, Psychiatry, Pharmacology

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This document contains an extensive collection of over 600 Exam 3 questions with 100% correct answers for NURS 660, covering a wide range of advanced nursing topics including neurology, musculoskeletal assessment, pediatrics, psychiatry, and pharmacology. It includes foundational concepts such as musculoskeletal evaluations (e.g., acute vs chronic conditions and ligament/tendon differences on pages 1–2), red flag symptoms and diagnostic criteria, and orthopedic testing methods like McMurray and Lachman tests (pages 6–7) . The material is presented in a detailed question-and-answer format that mirrors graduate-level nursing exams and board-style assessments. It provides in-depth coverage of neurological disorders (stroke, multiple sclerosis, Parkinson’s, seizures), pediatric conditions (hip dysplasia, febrile seizures, autism, ADHD), and psychiatric disorders (depression, substance use, anxiety). Additionally, it integrates clinical decision-making, diagnostic criteria, imaging selection (CT vs MRI), and pharmacologic management such as SSRIs, stimulants, migraine therapies, and smoking cessation medications. The document aligns closely with advanced nursing textbooks such as Bates’ Guide to Physical Examination and History Taking, Stahl’s Essential Psychopharmacology, and Nelson Textbook of Pediatrics, ensuring relevance to graduate-level coursework and clinical practice. It serves as a complete and comprehensive study resource for both theoretical understanding and clinical application. This resource is ideal for graduate nursing students enrolled in NURS 660, Family Nurse Practitioner (FNP), or Adult-Gerontology programs, as well as MSN and DNP students preparing for exams or board-style assessments. It is particularly beneficial for students needing a broad, systems-based review across neurology, pediatrics, musculoskeletal medicine, and mental health. Additionally, it supports nurse practitioners, educators, and clinical trainees seeking an in-depth and structured review resource. Keywords: nurs 660 exam, advanced nursing exam, musculoskeletal assessment, neurological disorders, stroke assessment, multiple sclerosis, parkinsons disease, seizure disorders, pediatric conditions, hip dysplasia, febrile seizures, autism screening, adhd management, depression treatment, ssri medications, migraine management, pharmacology nursing, clinical decision making

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NURS660 Exam 3 2026 Exam
Questions with 100% Correct
Answers | Latest Update



Differentiate between an acute and a chronic musculoskeletal complaint. -

🧠ANSWER ✔✔Acute: days to weeks


Chronic: months to years

Differentiate between an articular or non-articular MSK complaint. -

🧠ANSWER ✔✔Articular: joint capsule, articular cartilage, synovium,

,synovial fluid, intraarticular ligament. Anything having to do with the joint

itself




Non-articular: ligaments, tendons, bursa, muscles, fascia, non-articular

bone, nerves, skin


A ligament connects _______ to _______. - 🧠ANSWER ✔✔bone to bone


A tendon connects ______ to ___________ - 🧠ANSWER ✔✔muscle to

bone


Name the four cardinal signs of inflammation. - 🧠ANSWER ✔✔Warmth,

swelling, redness, pain

If your musculoskeletal complaint is accompanied by systemic signs, what

should be on your differential list? - 🧠ANSWER ✔✔septic arthritis


Back pain can indicate what concerning condition in older adults? -

🧠ANSWER ✔✔malignancy


should always consider, r/o

,Describe a painful arc test for the shoulder and what you suspect. -

🧠ANSWER ✔✔Have patient abduct both their arms and extend their arms

above their head. If painful in the 'middle' of the arc (60-120 degrees),

positive for rotator cuff issue/subacromial impingement.


What is Apley's test? - 🧠ANSWER ✔✔Tests for external and internal

rotation of the shoulder by having the patient try and place the back of their

hand in the middle of the scalpulae of their back (internal), then reach over

their heads and try and place their palm in that same spot (external)

In general, when should imaging be ordered for musculoskeletal problems?

- 🧠ANSWER ✔✔>4-6 weeks of symptoms


or

red flag symptoms

Describe some general red flag symptoms for MSK problems. - 🧠ANSWER

✔✔Radicular s/s >4-6 weeks


Increasing symptoms

Osteomyelitis s/s (fever, warmth, redness, pain)

cauda equina syndrome



COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
3

, herniation of disc

epidural abscess


Describe s/s of cauda equina syndrome. - 🧠ANSWER ✔✔Saddle

anesthesia, bowel/bladder dysfunction, loss of reflexes, sexual dysfunction


Describe radicular s/s. - 🧠ANSWER ✔✔Weakness, tingling, paresthesias,

numbness of the extremities


Sprain is due to a stretching or tearing of... - 🧠ANSWER ✔✔ligaments


Strain is due from stretching or tearing of... - 🧠ANSWER ✔✔tendons


What patients with fractures required an immediate ED referral? -

🧠ANSWER ✔✔compound or crush fractures


fracture w/ neurovascular compromise (pulses, cap refill, temperature,

sensation)


Ottawa Ankle Rules - 🧠ANSWER ✔✔Ankle imagery if:


-Bone tenderness at lateral malleolus

-Bone tenderness at medial malleolus

-Bone tenderness at the base of the fifth metatarsal

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