NR 511 Final Question Review Study Guide Latest Update
2026 | Pass Exam Prep
1. What is the best initial treatment for suspected herniated disc without major
neuro deficits, with symptoms present <3 weeks?
PT
surgery
nsaids, muscle relaxants
opioids
cortisone injection
2. Which of the following statements concerning the treatment of fibromyalgia
syndrome is true?
There is currently no cure for the disorder; however, patients should
be made aware that symptom relief is possible.
Treatment is directed toward controlling discomfort, improving sleep,
and maintaining function.
Fibromyalgia syndrome can be difficult to manage, requiring a variety
of approaches and multiple meds.
All of the above
3. In a clinical scenario, a patient presents with pain in their right knee. If the
clinician follows best practices for a musculoskeletal exam, what should they
do first?
Obtain radiographs of the right knee before any physical examination.
Focus on the patient's medical history rather than the physical
examination.
, Examine the left knee for comparison before assessing the right
knee.
Immediately assess the right knee since it is the source of pain.
Ask the patient to perform active ROM exercises on the right knee
first.
4. What is the first action a nurse should take when a patient with a casted limb
reports increasing pain that is unrelieved by medication?
Reposition the casted leg
Give a higher ordered dose of morphine
Ensure physician is immediately notified
Repeat the morphine injection now
5. Which of the following is sign/symptom of osteoporosis?
fracture
constipation
dizziness
loss of appetite
6. If a patient presents with shoulder pain and a history of diabetes, what initial
assessment should be prioritized to rule out adhesive capsulitis?
MRI of the shoulder
Range of motion testing
Blood glucose level assessment
X-ray imaging
,7. In a scenario where a patient with serosanguineous nasal drainage shows
signs of increased bleeding, what would be the most appropriate nursing
intervention?
Apply gentle pressure to the nose and notify the physician.
Clean the nose with a cotton swab.
Use a suction device to remove the drainage.
Encourage the patient to blow their nose to clear it.
8. Why are bisphosphonates contraindicated in patients with esophageal
abnormalities?
Because they require special monitoring.
Because they are ineffective in these patients.
Because they can cause upper GI irritation.
Because they increase the risk of fractures.
9. What is one common treatment method for carpal tunnel syndrome?
Splinting
Surgery
Physical therapy
Medication
10. If John, the 16-year-old boy, exhibits a positive McMurray test, what would
be the next appropriate step in his management?
Initiate physical therapy immediately.
Prescribe anti-inflammatory medication and rest.
, Refer him for an MRI to confirm the diagnosis.
Schedule a follow-up appointment in six weeks.
11. One sign of osteoporosis is
osteomalacia
a wrist fracture
osteosarcoma
hypocalcemia
osteomyelitis
12. A physical therapist is working with a patient who has Parkinson disease and
is experiencing difficulty with balance. Which instruction should the therapist
prioritize to enhance the patient's walking stability?
To practice walking with a shuffling gait to minimize falls
To use a cane for additional support while walking
To sit in a hard chair with arms to improve posture
To walk with hands clasped behind back to help balance
13. The nurse is aware that the characteristic gait of the person with Parkinson
disease is a propulsive gait, which causes the patient to:
shuffle with arms flexed.
take small steps balanced on the toes.
fall over to one wide when walking.
stagger and need support of a walker.
2026 | Pass Exam Prep
1. What is the best initial treatment for suspected herniated disc without major
neuro deficits, with symptoms present <3 weeks?
PT
surgery
nsaids, muscle relaxants
opioids
cortisone injection
2. Which of the following statements concerning the treatment of fibromyalgia
syndrome is true?
There is currently no cure for the disorder; however, patients should
be made aware that symptom relief is possible.
Treatment is directed toward controlling discomfort, improving sleep,
and maintaining function.
Fibromyalgia syndrome can be difficult to manage, requiring a variety
of approaches and multiple meds.
All of the above
3. In a clinical scenario, a patient presents with pain in their right knee. If the
clinician follows best practices for a musculoskeletal exam, what should they
do first?
Obtain radiographs of the right knee before any physical examination.
Focus on the patient's medical history rather than the physical
examination.
, Examine the left knee for comparison before assessing the right
knee.
Immediately assess the right knee since it is the source of pain.
Ask the patient to perform active ROM exercises on the right knee
first.
4. What is the first action a nurse should take when a patient with a casted limb
reports increasing pain that is unrelieved by medication?
Reposition the casted leg
Give a higher ordered dose of morphine
Ensure physician is immediately notified
Repeat the morphine injection now
5. Which of the following is sign/symptom of osteoporosis?
fracture
constipation
dizziness
loss of appetite
6. If a patient presents with shoulder pain and a history of diabetes, what initial
assessment should be prioritized to rule out adhesive capsulitis?
MRI of the shoulder
Range of motion testing
Blood glucose level assessment
X-ray imaging
,7. In a scenario where a patient with serosanguineous nasal drainage shows
signs of increased bleeding, what would be the most appropriate nursing
intervention?
Apply gentle pressure to the nose and notify the physician.
Clean the nose with a cotton swab.
Use a suction device to remove the drainage.
Encourage the patient to blow their nose to clear it.
8. Why are bisphosphonates contraindicated in patients with esophageal
abnormalities?
Because they require special monitoring.
Because they are ineffective in these patients.
Because they can cause upper GI irritation.
Because they increase the risk of fractures.
9. What is one common treatment method for carpal tunnel syndrome?
Splinting
Surgery
Physical therapy
Medication
10. If John, the 16-year-old boy, exhibits a positive McMurray test, what would
be the next appropriate step in his management?
Initiate physical therapy immediately.
Prescribe anti-inflammatory medication and rest.
, Refer him for an MRI to confirm the diagnosis.
Schedule a follow-up appointment in six weeks.
11. One sign of osteoporosis is
osteomalacia
a wrist fracture
osteosarcoma
hypocalcemia
osteomyelitis
12. A physical therapist is working with a patient who has Parkinson disease and
is experiencing difficulty with balance. Which instruction should the therapist
prioritize to enhance the patient's walking stability?
To practice walking with a shuffling gait to minimize falls
To use a cane for additional support while walking
To sit in a hard chair with arms to improve posture
To walk with hands clasped behind back to help balance
13. The nurse is aware that the characteristic gait of the person with Parkinson
disease is a propulsive gait, which causes the patient to:
shuffle with arms flexed.
take small steps balanced on the toes.
fall over to one wide when walking.
stagger and need support of a walker.
