NR511 EXAM 350+ QUESTIONS & CORRECT
ANSWERS LATEST 2026 GRADED A+
A 13-year-old obese (body mass index [BMI] above the 95th percentile) boy
reports low-grade left knee pain for the past 2 months. He denies antecedent
trauma but admits to frequent "horseplay" with his friends. The pain has
progressively worsened, and he is now unable to bear weight at all on his left leg.
His current complaints include left groin, thigh, and medial knee pain and
tenderness. His examination demonstrates negative drawer, Lachman, and
McMurray tests; left hip with decreased internal rotation and abduction; and
external hip rotation with knee flexion. Based on the above scenario, the nurse
practitioner should suspect:
1. A left meniscal tear.
2. A left anterior cruciate ligament (ACL) tear.
3. A slipped capital femoral epiphysis (SCFE).
4. Osgood-Schlatter disease. - ANSWER-Option 3: SCFE is a displacement of the
femoral head relative to the femoral neck that occurs through the physis (growth
plate) of the femur. The vast majority of clients with this condition are obese, as
the added weight increases shear stress across the physis. The mean age at
diagnosis is 12 years for females and 13.5 years for males. Surgery is often
required via in situ pin fixation (single screw) to stabilize the growth plate to
prevent further slippage and avoid complications.
In assessing the skeletal muscles, the nurse practitioner turns the patient's forearm
so that the palm is up. This is called:
1. Supination.
2. Pronation.
3. Abduction.
,4. Eversion. - ANSWER-Option 1: Turning the forearm so that the palm is up is
called supination.
Cass, age 67, tells the nurse practitioner (NP) that she has been diagnosed with a
condition that causes sudden flares of pain, swelling, and redness of the joints in
her toes. She cannot remember the name of the diagnosis, but she knows it is
caused by urate crystals that "get stuck in the joint and cause pain." She is on
hydrochlorothiazide (HCTZ) for management of her hypertension. The NP should
suspect a diagnosis of:
1. Septic arthritis.
2. Gout.
3. Rheumatoid arthritis.
4. Charcot neuro-osteoarthropathy. - ANSWER-Option 2: Gout is a disorder that
involves abnormal metabolism of uric acid and results in hyperuricemia. High
concentrations of urate precipitate into crystals that collect in tissue and joint
spaces and can cause pain and inflammation. The patient's symptoms may be
aggravated by the use of HCTZ.
Matthew, age 52, is a chef who just severed 2 of his fingers with a meat cutter.
You would recommend that he:
1. Wrap the severed fingers tightly in a dry towel for transport to the emergency
department with him.
2. Leave the severed fingers at the scene because fingers cannot be reattached.
3. Immediately freeze the severed fingers for reattachment in the near future.
4. Wrap the fingers in a clean, damp cloth; seal them in a plastic bag; and place the
bag in an ice water bath. - ANSWER-Option 4: If a client has severed his fingers,
the fingers should be wrapped in a clean, damp cloth; sealed in a plastic bag;
placed in an ice water bath; and transported to the emergency room along with the
client.
,Marsha, age 34, presents with symptoms resembling both fibromyalgia and chronic
fatigue syndrome, which have many similarities. Which of the following is more
characteristic of fibromyalgia than of chronic fatigue syndrome?
1. Musculoskeletal pain.
2. Difficulty sleeping.
3. Depression.
4. Fatigue. - ANSWER-Musculoskeletal pain is not characteristic of chronic
fatigue syndrome; rather, it is characteristic of fibromyalgia. The musculoskeletal
pain, usually an achy muscle pain that may be localized or involve the entire body,
is usually gradual in onset, although the onset may occasionally be sudden, such as
after a viral illness.
Mrs. Kelly, age 80, has a curvature of the spine. This is likely to indicate which
age-related change?
1. Lordosis.
2. Dorsal kyphosis.
3. Scoliosis.
4. Kyphoscoliosis. - ANSWER-Dorsal kyphosis, an exaggerated convexity of the
thoracic curvature, typically accompanies the aging process.
The valgus stress test, varus stress test, Lachman test, and thumb sign are all
considered standard tests to check the integrity of the ligaments of the knee. Which
test would the nurse practitioner choose to assess the anterior cruciate ligament
(ACL), which is the most commonly involved structure in severe knee injury?
1. Valgus stress test.
2. Varus stress test.
3. Lachman test.
4. Thumb sign. - ANSWER-Option 3: The Lachman test assesses the ACL.
, Lillian, age 70, was told that she has osteoporosis. When she asks you what this is,
you respond that osteoporosis:
1. Develops when loss of bone occurs more rapidly than new bone growth.
2. Is a degenerative joint disease characterized by loss of cartilage in certain joints.
3. Is a chronic inflammatory disorder that affects multiple joints.
4. Is a bone disorder that has to do with inadequate mineralization of the bones. -
ANSWER-Option 1:Osteoporosis develops when bone resorption occurs more
rapidly than bone deposition.
Mike, age 42, a golf pro, has had chronic back pain for many years. His workup
reveals that it is not the result of a degenerative disk problem. His back "goes out"
about twice per year, and he is out of work for about a week each time. Which of
the following should the nurse practitioner advise him to do?
1. Consider changing careers to something less physical.
2. Begin a planned exercise program to strengthen back muscles.
3. Make an appointment with a neurosurgeon for a surgical consultation.
4. Start on a daily low-dose narcotic to take away the pain. - ANSWER-Option 2:
In this case, Mike may benefit from a regular planned exercise program to
strengthen his back muscles and attempt to reduce the probability of future
episodes of back pain.
Janine, age 69, has class III rheumatoid arthritis. According to the American
Rheumatism Association, which of the following describes her ability to function?
1. Adequate for normal activities despite a handicap of discomfort or limited
motion of one or more joints.
2. Largely or wholly incapacitated, bedridden, or confined to a wheelchair,
permitting little or no self-care.
3. Completely able to carry out all usual duties without handicap.
4. Adequate to perform only a few or none of the duties of usual occupation or
self-care. - ANSWER-The American Rheumatism Association has established
ANSWERS LATEST 2026 GRADED A+
A 13-year-old obese (body mass index [BMI] above the 95th percentile) boy
reports low-grade left knee pain for the past 2 months. He denies antecedent
trauma but admits to frequent "horseplay" with his friends. The pain has
progressively worsened, and he is now unable to bear weight at all on his left leg.
His current complaints include left groin, thigh, and medial knee pain and
tenderness. His examination demonstrates negative drawer, Lachman, and
McMurray tests; left hip with decreased internal rotation and abduction; and
external hip rotation with knee flexion. Based on the above scenario, the nurse
practitioner should suspect:
1. A left meniscal tear.
2. A left anterior cruciate ligament (ACL) tear.
3. A slipped capital femoral epiphysis (SCFE).
4. Osgood-Schlatter disease. - ANSWER-Option 3: SCFE is a displacement of the
femoral head relative to the femoral neck that occurs through the physis (growth
plate) of the femur. The vast majority of clients with this condition are obese, as
the added weight increases shear stress across the physis. The mean age at
diagnosis is 12 years for females and 13.5 years for males. Surgery is often
required via in situ pin fixation (single screw) to stabilize the growth plate to
prevent further slippage and avoid complications.
In assessing the skeletal muscles, the nurse practitioner turns the patient's forearm
so that the palm is up. This is called:
1. Supination.
2. Pronation.
3. Abduction.
,4. Eversion. - ANSWER-Option 1: Turning the forearm so that the palm is up is
called supination.
Cass, age 67, tells the nurse practitioner (NP) that she has been diagnosed with a
condition that causes sudden flares of pain, swelling, and redness of the joints in
her toes. She cannot remember the name of the diagnosis, but she knows it is
caused by urate crystals that "get stuck in the joint and cause pain." She is on
hydrochlorothiazide (HCTZ) for management of her hypertension. The NP should
suspect a diagnosis of:
1. Septic arthritis.
2. Gout.
3. Rheumatoid arthritis.
4. Charcot neuro-osteoarthropathy. - ANSWER-Option 2: Gout is a disorder that
involves abnormal metabolism of uric acid and results in hyperuricemia. High
concentrations of urate precipitate into crystals that collect in tissue and joint
spaces and can cause pain and inflammation. The patient's symptoms may be
aggravated by the use of HCTZ.
Matthew, age 52, is a chef who just severed 2 of his fingers with a meat cutter.
You would recommend that he:
1. Wrap the severed fingers tightly in a dry towel for transport to the emergency
department with him.
2. Leave the severed fingers at the scene because fingers cannot be reattached.
3. Immediately freeze the severed fingers for reattachment in the near future.
4. Wrap the fingers in a clean, damp cloth; seal them in a plastic bag; and place the
bag in an ice water bath. - ANSWER-Option 4: If a client has severed his fingers,
the fingers should be wrapped in a clean, damp cloth; sealed in a plastic bag;
placed in an ice water bath; and transported to the emergency room along with the
client.
,Marsha, age 34, presents with symptoms resembling both fibromyalgia and chronic
fatigue syndrome, which have many similarities. Which of the following is more
characteristic of fibromyalgia than of chronic fatigue syndrome?
1. Musculoskeletal pain.
2. Difficulty sleeping.
3. Depression.
4. Fatigue. - ANSWER-Musculoskeletal pain is not characteristic of chronic
fatigue syndrome; rather, it is characteristic of fibromyalgia. The musculoskeletal
pain, usually an achy muscle pain that may be localized or involve the entire body,
is usually gradual in onset, although the onset may occasionally be sudden, such as
after a viral illness.
Mrs. Kelly, age 80, has a curvature of the spine. This is likely to indicate which
age-related change?
1. Lordosis.
2. Dorsal kyphosis.
3. Scoliosis.
4. Kyphoscoliosis. - ANSWER-Dorsal kyphosis, an exaggerated convexity of the
thoracic curvature, typically accompanies the aging process.
The valgus stress test, varus stress test, Lachman test, and thumb sign are all
considered standard tests to check the integrity of the ligaments of the knee. Which
test would the nurse practitioner choose to assess the anterior cruciate ligament
(ACL), which is the most commonly involved structure in severe knee injury?
1. Valgus stress test.
2. Varus stress test.
3. Lachman test.
4. Thumb sign. - ANSWER-Option 3: The Lachman test assesses the ACL.
, Lillian, age 70, was told that she has osteoporosis. When she asks you what this is,
you respond that osteoporosis:
1. Develops when loss of bone occurs more rapidly than new bone growth.
2. Is a degenerative joint disease characterized by loss of cartilage in certain joints.
3. Is a chronic inflammatory disorder that affects multiple joints.
4. Is a bone disorder that has to do with inadequate mineralization of the bones. -
ANSWER-Option 1:Osteoporosis develops when bone resorption occurs more
rapidly than bone deposition.
Mike, age 42, a golf pro, has had chronic back pain for many years. His workup
reveals that it is not the result of a degenerative disk problem. His back "goes out"
about twice per year, and he is out of work for about a week each time. Which of
the following should the nurse practitioner advise him to do?
1. Consider changing careers to something less physical.
2. Begin a planned exercise program to strengthen back muscles.
3. Make an appointment with a neurosurgeon for a surgical consultation.
4. Start on a daily low-dose narcotic to take away the pain. - ANSWER-Option 2:
In this case, Mike may benefit from a regular planned exercise program to
strengthen his back muscles and attempt to reduce the probability of future
episodes of back pain.
Janine, age 69, has class III rheumatoid arthritis. According to the American
Rheumatism Association, which of the following describes her ability to function?
1. Adequate for normal activities despite a handicap of discomfort or limited
motion of one or more joints.
2. Largely or wholly incapacitated, bedridden, or confined to a wheelchair,
permitting little or no self-care.
3. Completely able to carry out all usual duties without handicap.
4. Adequate to perform only a few or none of the duties of usual occupation or
self-care. - ANSWER-The American Rheumatism Association has established
