NR 511 WEEK 5 (2025) comprehensive
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Mr. McKinsey, age 69, was bulge test
recently given a diagnosis of
degenerative joint disease.
Which assessment should the
nurse practitioner use to check
for effusion of the patient's
knee?
Thomas test
Tinel Test
Bulge test
Phalen test
A nurse practitioner is driving Establishing an airway.
home from work and stops at
the scene of a motorcycle
accident that must have just
occurred, as there are no rescue
vehicles present. The driver is
lying unconscious at the side of
the road with an obvious open
fracture of his femur. Which of
the following actions should
take priority?
Stopping the bleeding from the
wound.
Determining if there has been a
cervical fracture.
Establishing an airway.
Palpating the peripheral pulses.
,The valgus stress test, varus lachman test
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?
Valgus stress test.
Varus stress test.
Lachman test.
Thumb sign.
You are assessing Jamal, age 16, cruciate ligament
after a football injury to his right
knee. You elicit a positive
anterior/posterior drawer sign.
This test indicates an injury to
the:
Lateral meniscus.
Cruciate ligament.
Medial meniscus.
Collateral ligament.
Cass, age 67, tells the nurse gout
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:
A. Septic arthritis.
B. Gout.
C. Rheumatoid arthritis.D.
Charcot neuro-
osteoarthropathy.
, Ethan, age 10, jumped off a 2- salter Harris III fracture
foot wall, twisting his foot and
ankle upon landing. His ankle x-
ray demonstrates a fracture of
the distal tibia, over the articular
surface, through the epiphysis
and physis. Based on the Salter-
Harris classification of growth
plate injuries, you know this is a:
Salter-Harris II fracture.
Salter-Harris III fracture.
Salter-Harris IV fracture.
Salter-Harris V fracture.
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Mrs. Kelly, age 80, has a dorsal kyphosis
curvature of the spine. This is
likely to indicate which age-
related change?
Lordosis.
Dorsal kyphosis.
Scoliosis.
Kyphoscoliosis.
Upon assessment, the nurse muscle strain
practitioner notes unilateral back
pain of acute onset that
increases when standing and
bending. A straight leg raise test
is negative. The most likely
diagnosis is:
Herniated nucleus pulposus.
Muscle strain.
Osteoarthritis.
Spondylolisthesis.
Joyce, age 87, broke her wrist change the position of Joyce's arm every hour
after falling off a curb. She just
had a plaster cast applied to her
wrist. In instructing Joyce and
her family on allowing the cast
to dry properly, tell them to:
Continuously elevate Joyce's
arm on a pillow.
Change the position of Joyce's
arm every hour.
Position a fan near Joyce during
the night to ensure even drying
of the cast.
Put a blanket over the cast to
absorb the dampness.