NRNP 6531 / NRNP6531 Advanced Primary
Care of Adults Midterm / Final Exam Quiz Bank
Rated A |Questions and Answers | Latest
2022/2023
1. When you elicit a painful Finkelstein ' s sign, you are testing for
A. carpal tunnel syndrome.
B. bursitis of the shoulder.
C. de Quervain ' s tenosynovitis.
D. tennis elbow.
Rationale:
Pain elicited when the Finkelstein ' s test is performed indicates de Quervain ' s
tenosynovitis at the base of the thumb.
2. Alexander, age 18, sprained his ankle playing ice hockey. He is confused as to whether to
apply heat or cold. What do you tell him?
A. " Use continuous heat for the first 12 hours, then use heat or cold to your own
preference. "
B. " Use continuous cold for the first 12 hours, then use heat or cold to your own
preference. "
C. " Apply cold for 20 minutes, then take it off for 30 - 45 minutes; repeat for
the first 24 - 48 hours while awake. "
D. " Alternate between cold and heat for 20 minutes each for the first 24 - 48 hours. "
Rationale:
, Tell a client who has sprained his ankle to apply cold for 20 minutes, then take it off for
30 – 45 minutes, and repeat that procedure for the first 24 - 48 hours while awake
3. In analyzing synovial fluid, a yellow-green color may indicate which of the following?
A. Trauma
B. Gout
C. A bacterial infection
D. Rheumatoid arthritis
Rationale:
Synovial fluid that is turbid and yellow-green on analysis indicates an inflammation, such
as one that occurs in rheumatoid arthritis
4. To diagnose fibromyalgia, there must be tenderness on digital palpation in at least 11 of
18 (nine pairs) tender-point sites, which would include
A. the occiput, low cervical, trapezius, and supraspinatus.
B. the proximal interphalangeal (PIP), metacarpophalangeal (MCP) joints of the
hands, and the metatarsophalangeal (MTP) and PIP joints of the foot.
C. the facet joints of the cervical, thoracic, and lumbar spine.
D. the radial and ulnar styloids and the medial and lateral malleoli.
Rationale:
To diagnose fibromyalgia, there must be tenderness on digital palpation in at least 11 of
18 (nine pairs) tender-point sites, including the occiput, low cervical, trapezius,
supraspinatus, second rib, lateral epicondyle, gluteal, greater trochanter, and knee
,5. Trevor, age 4, has an apparent hypertrophy of the calf muscles, which seem doughy on
palpation. His mother is concerned because Trevor is unable to raise himself from the
floor without bracing his knees with his hands. What do you suspect?
A. Duchenne muscular dystrophy
B. Cerebral palsy
C. Legg-Calv é -Perthes disease
D. Multiple sclerosis
Rationale:
Duchenne muscular dystrophy, inherited in a sex linked recessive pattern, afflicts boys,
with the onset usually occurring around ages 3 - 5. The inability of the child to raise
himself without supporting his knees because of weakness beginning primarily in the calf
muscles, quadriceps, and hip extensor muscles is characteristic.
6. Sandra, a computer programmer, has just been given a new diagnosis of carpal tunnel
syndrome. Your next step is to
A. refer her to a hand surgeon.
B. take a more complete history.
C. try neutral position wrist splinting and order an oral NSAID.
D. order a nerve conduction study such as an electromyography (EMG).
Rationale:
For the client who has just been given a diagnosis of carpal tunnel syndrome, your next
step is to try neutral position wrist splinting and order an oral NSAID
7. Carol, age 62, has swollen, bony proximal interphalangeal joints. You describe these as
, A. Heberden ' s nodes.
B. Bouchard ' s nodes.
C. Osler ' s nodes.
D. Murphy ' s nodes.
Rationale:
Swollen, bony proximal interphalangeal joints are Bouchard ' s nodes. Bony
enlargements of the distal interphalangeal joints are Heberden ' s nodes
8. Jennifer says that she has heard that caffeine can cause osteoporosis and asks you why.
How do you respond?
A. " Caffeine has no effect on osteoporosis. "
B. " A high caffeine intake has a diuretic effect that may cause calcium to be
excreted more rapidly. "
C. " Caffeine affects bone metabolism by altering intestinal absorption of calcium
and assimilation of calcium into the bone matrix. "
D. " Caffeine increases bone resorption. "
Rationale:
The effect of caffeine in causing osteoporosis is controversial, but it is postulated to result
from caffeine ' s diuretic effect that causes calcium to be excreted more rapidly
9. You suspect adolescent idiopathic scoliosis in Victoria, age 15, who is in her growth
spurt. You perform the Adams forward-bending test and note a right-sided rib hump.
What is this indicative of?
A. Right lumbar shifting
B. Right thoracic curvature
Care of Adults Midterm / Final Exam Quiz Bank
Rated A |Questions and Answers | Latest
2022/2023
1. When you elicit a painful Finkelstein ' s sign, you are testing for
A. carpal tunnel syndrome.
B. bursitis of the shoulder.
C. de Quervain ' s tenosynovitis.
D. tennis elbow.
Rationale:
Pain elicited when the Finkelstein ' s test is performed indicates de Quervain ' s
tenosynovitis at the base of the thumb.
2. Alexander, age 18, sprained his ankle playing ice hockey. He is confused as to whether to
apply heat or cold. What do you tell him?
A. " Use continuous heat for the first 12 hours, then use heat or cold to your own
preference. "
B. " Use continuous cold for the first 12 hours, then use heat or cold to your own
preference. "
C. " Apply cold for 20 minutes, then take it off for 30 - 45 minutes; repeat for
the first 24 - 48 hours while awake. "
D. " Alternate between cold and heat for 20 minutes each for the first 24 - 48 hours. "
Rationale:
, Tell a client who has sprained his ankle to apply cold for 20 minutes, then take it off for
30 – 45 minutes, and repeat that procedure for the first 24 - 48 hours while awake
3. In analyzing synovial fluid, a yellow-green color may indicate which of the following?
A. Trauma
B. Gout
C. A bacterial infection
D. Rheumatoid arthritis
Rationale:
Synovial fluid that is turbid and yellow-green on analysis indicates an inflammation, such
as one that occurs in rheumatoid arthritis
4. To diagnose fibromyalgia, there must be tenderness on digital palpation in at least 11 of
18 (nine pairs) tender-point sites, which would include
A. the occiput, low cervical, trapezius, and supraspinatus.
B. the proximal interphalangeal (PIP), metacarpophalangeal (MCP) joints of the
hands, and the metatarsophalangeal (MTP) and PIP joints of the foot.
C. the facet joints of the cervical, thoracic, and lumbar spine.
D. the radial and ulnar styloids and the medial and lateral malleoli.
Rationale:
To diagnose fibromyalgia, there must be tenderness on digital palpation in at least 11 of
18 (nine pairs) tender-point sites, including the occiput, low cervical, trapezius,
supraspinatus, second rib, lateral epicondyle, gluteal, greater trochanter, and knee
,5. Trevor, age 4, has an apparent hypertrophy of the calf muscles, which seem doughy on
palpation. His mother is concerned because Trevor is unable to raise himself from the
floor without bracing his knees with his hands. What do you suspect?
A. Duchenne muscular dystrophy
B. Cerebral palsy
C. Legg-Calv é -Perthes disease
D. Multiple sclerosis
Rationale:
Duchenne muscular dystrophy, inherited in a sex linked recessive pattern, afflicts boys,
with the onset usually occurring around ages 3 - 5. The inability of the child to raise
himself without supporting his knees because of weakness beginning primarily in the calf
muscles, quadriceps, and hip extensor muscles is characteristic.
6. Sandra, a computer programmer, has just been given a new diagnosis of carpal tunnel
syndrome. Your next step is to
A. refer her to a hand surgeon.
B. take a more complete history.
C. try neutral position wrist splinting and order an oral NSAID.
D. order a nerve conduction study such as an electromyography (EMG).
Rationale:
For the client who has just been given a diagnosis of carpal tunnel syndrome, your next
step is to try neutral position wrist splinting and order an oral NSAID
7. Carol, age 62, has swollen, bony proximal interphalangeal joints. You describe these as
, A. Heberden ' s nodes.
B. Bouchard ' s nodes.
C. Osler ' s nodes.
D. Murphy ' s nodes.
Rationale:
Swollen, bony proximal interphalangeal joints are Bouchard ' s nodes. Bony
enlargements of the distal interphalangeal joints are Heberden ' s nodes
8. Jennifer says that she has heard that caffeine can cause osteoporosis and asks you why.
How do you respond?
A. " Caffeine has no effect on osteoporosis. "
B. " A high caffeine intake has a diuretic effect that may cause calcium to be
excreted more rapidly. "
C. " Caffeine affects bone metabolism by altering intestinal absorption of calcium
and assimilation of calcium into the bone matrix. "
D. " Caffeine increases bone resorption. "
Rationale:
The effect of caffeine in causing osteoporosis is controversial, but it is postulated to result
from caffeine ' s diuretic effect that causes calcium to be excreted more rapidly
9. You suspect adolescent idiopathic scoliosis in Victoria, age 15, who is in her growth
spurt. You perform the Adams forward-bending test and note a right-sided rib hump.
What is this indicative of?
A. Right lumbar shifting
B. Right thoracic curvature
