NUR 603 Final Exam Review Questions With
Correct Answers
Janet is a 30-year-old who has recently been diagnosed with a herniated disc at
| | | | | | | | | | | | | |
the level of L5-S1. She is currently in the emergency room with suspicion of cauda
| | | | | | | | | | | | | |
|equina compression. Which of the following is a sign or symptom of cauda
| | | | | | | | | | | | |
equina compression? |
A. Gastrocnemius weakness
| |
B. A reduced or absent ankle reflex
| | | | | |
C. Numbness in the lateral foot
| | | | |
D. Paresthesia of the perineum and buttocks - CORRECT ANSWER✔✔-D.
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Paresthesia of the perineum and buttocks | | | | |
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 - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT
| | | | | | | | | | | |
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
| | |
D. Cervical spondylosis - CORRECT ANSWER✔✔-C. Lumbar spinal stenosis
| | | | | | | |
Correct Answers
Janet is a 30-year-old who has recently been diagnosed with a herniated disc at
| | | | | | | | | | | | | |
the level of L5-S1. She is currently in the emergency room with suspicion of cauda
| | | | | | | | | | | | | |
|equina compression. Which of the following is a sign or symptom of cauda
| | | | | | | | | | | | |
equina compression? |
A. Gastrocnemius weakness
| |
B. A reduced or absent ankle reflex
| | | | | |
C. Numbness in the lateral foot
| | | | |
D. Paresthesia of the perineum and buttocks - CORRECT ANSWER✔✔-D.
| | | | | | | | | |
Paresthesia of the perineum and buttocks | | | | |
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 - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT
| | | | | | | | | | | |
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
| | |
D. Cervical spondylosis - CORRECT ANSWER✔✔-C. Lumbar spinal stenosis
| | | | | | | |
