NRNP 6550 MIDTERM EXAM FINAL TEST PAPER
2026 FULL QUESTIONS AND SOLUTIONS
VERIFIED A+
◉ Celebrex and Arthritis. Answer: Analgesic and anti-inflammatory
Fewer ulcers than with other NSAIDS
Not recommended in renal or liver failure
Screen for sulfa allergy
May cause cardiovascular thrombotic event
May cause GI adverse event
◉ subluxation: what, cause. Answer: partial dislocation of a joint.
Common sites: shoulder, elbow, wrist, hip, knee, patella, ankle, spine
trauma, blunt force
neuromuscular disease
inflammatory joint disease, RA
Loose ligaments
Ehlers-Dantos syndrome (loose ligaments and overflexible joints-
congenital)
,◉ Findings and diagnostics subluxation. Answer: Pain over affected
area
previous subluxation
swelling around joints
loss of ROM
XR, CT, MRI show subluxation
Increased WBC (stress response)
◉ Management of subluxation. Answer: Early reduction, many
spontaneously
immobilization (splint, sling)
PT
NSAIDS for pain/ swelling
◉ Dislocation: what, cause. Answer: Complete displacement of bone
end and position in joint. Common sites: shoulder, elbow (nurse
maid), wrist, hip, knee (emergency if loss of integrity of ACL and
PCL), ankle/ foot
high energy blunt force trauma
congenital
neuromuscular disorder
inflammatory joint disease, RA
,Loose ligaments
younger than 35 often, due to sports
Often associated with fracture
◉ Findings and diagnostics dislocation. Answer: severe pain over
affected area
hx of mechanism of injury
numbness/ tingling distal to injury
joint deformity
shortened limb
contusion/ laceration over affected joint
decreased pulses distal to joint
decreased rom
decreased sensation distally due to nerve damage
WBC elevated due to stress
Hgb may be low due to bruising
xr: dislocation (should get anteroposterior)
CT scan for pelvic trauma to rule out hip/ pelvic fracture
Order ultrasound for posterior knee dislocation: high incidence of
popliteal artery injury
, ◉ McMurray test, Lachman Test, straight leg test. Answer:
McMurray: turn foot and bend knee. Positive with Meniscus injury
Lachman test: Hold upper and lower leg, around knee, stretch.
Hyperstretch: ACL injury
Straight leg test: Pain when raising leg, while supine. Positive for
herniated disk.
◉ Dislocation management. Answer: Early reduction is essential:
closed/ manual if no fracture. If fracture then may need surgery.
Postreduction immobilization (splint, cast, sling)
surgical repair of ligaments
PT/ OT
NSAIDS
Muscle relaxant for muscle spasms
Narcotics for short term use
◉ Soft tissue injury: definition, classifications, incidence. Answer:
Injury to non-bony tissue, such as muscle, ligament, tendon, bursa,
cartilage, skin
Classification:
2026 FULL QUESTIONS AND SOLUTIONS
VERIFIED A+
◉ Celebrex and Arthritis. Answer: Analgesic and anti-inflammatory
Fewer ulcers than with other NSAIDS
Not recommended in renal or liver failure
Screen for sulfa allergy
May cause cardiovascular thrombotic event
May cause GI adverse event
◉ subluxation: what, cause. Answer: partial dislocation of a joint.
Common sites: shoulder, elbow, wrist, hip, knee, patella, ankle, spine
trauma, blunt force
neuromuscular disease
inflammatory joint disease, RA
Loose ligaments
Ehlers-Dantos syndrome (loose ligaments and overflexible joints-
congenital)
,◉ Findings and diagnostics subluxation. Answer: Pain over affected
area
previous subluxation
swelling around joints
loss of ROM
XR, CT, MRI show subluxation
Increased WBC (stress response)
◉ Management of subluxation. Answer: Early reduction, many
spontaneously
immobilization (splint, sling)
PT
NSAIDS for pain/ swelling
◉ Dislocation: what, cause. Answer: Complete displacement of bone
end and position in joint. Common sites: shoulder, elbow (nurse
maid), wrist, hip, knee (emergency if loss of integrity of ACL and
PCL), ankle/ foot
high energy blunt force trauma
congenital
neuromuscular disorder
inflammatory joint disease, RA
,Loose ligaments
younger than 35 often, due to sports
Often associated with fracture
◉ Findings and diagnostics dislocation. Answer: severe pain over
affected area
hx of mechanism of injury
numbness/ tingling distal to injury
joint deformity
shortened limb
contusion/ laceration over affected joint
decreased pulses distal to joint
decreased rom
decreased sensation distally due to nerve damage
WBC elevated due to stress
Hgb may be low due to bruising
xr: dislocation (should get anteroposterior)
CT scan for pelvic trauma to rule out hip/ pelvic fracture
Order ultrasound for posterior knee dislocation: high incidence of
popliteal artery injury
, ◉ McMurray test, Lachman Test, straight leg test. Answer:
McMurray: turn foot and bend knee. Positive with Meniscus injury
Lachman test: Hold upper and lower leg, around knee, stretch.
Hyperstretch: ACL injury
Straight leg test: Pain when raising leg, while supine. Positive for
herniated disk.
◉ Dislocation management. Answer: Early reduction is essential:
closed/ manual if no fracture. If fracture then may need surgery.
Postreduction immobilization (splint, cast, sling)
surgical repair of ligaments
PT/ OT
NSAIDS
Muscle relaxant for muscle spasms
Narcotics for short term use
◉ Soft tissue injury: definition, classifications, incidence. Answer:
Injury to non-bony tissue, such as muscle, ligament, tendon, bursa,
cartilage, skin
Classification:
