NURS 5433 FINAL EXAM - ADVANCED HEALTH
ASSESSMENT & CLINICAL REASONING FINAL EXAM
ACTUAL QUESTIONS AND ANSWERS - LATEST AND
COMPLETE UPDATE WITH VERIFIED SOLUTIONS –
ASSURED PASS WITH INSTANT DOWNLOAD PDF.
Patient is taking Alendronate to treat her osteoporosis. Which of the following
patient education should be given to avoid side effects?
A. Lay down for 30-60 mins after taking the med
B. Sit up for 30-60 mins after taking the med
C. It's important to take a "drug holiday" from the medication and you can do
so whenever you feel it's necessary
D. Take this medication with an NSAID to avoid pain - ANSWER: B. Sit up
for 30-60 mins after taking the med
McMurray Test, Thessaly's Test, and Apleys Test are all done to assess for injury
of the? - ANSWER: Meniscus
A patient with a torn Meniscus will still be able to squat, True or False?
- ANSWER: False
Squat test: inability to squat may indicate meniscus tear
Which of the following medication are considered First Line for Osteoarthritis?
A. NSAIDs
B. Proton pump inhibitors
,C. Acetaminophen
D. Opioids
E. Intra-articular steroids - ANSWER: A. NSAIDs
Why may PPIs need to be added to a patient regimen for osteoarthritis? ---
Solution----The used of NSAIDS as first line treatment may cause GI
complications like ulcers, PPI can help protect the lining of the GI
What is the GOLD STANDARD diagnostic for Osteoporosis? ----
Solution----DEXA scan
Why would we do a DEXA scan to diagnose Osteoporosis?
A. To measure the patient body fat percentage
B. To measure the patients muscle mass
C. To measure the patients bone mineral density - ANSWER: C. To measure
the patients bone mineral density
Which of the following patients should be screened for osteoporosis? SATA
A. 50 year old female
B. 60 year old smoker
C. 70 year old male
D. 66 year old female
E. 55 year old on prednisone for RA - ANSWER: B. 60 year old smoker
C. 70 year old male
,D. 66 year old female
E. 55 year old on prednisone for RA
What does the Fracture Risk Assessment tool (FRAX) calculate?
A. Risk of getting osteoporosis
B. When to obtain a DEXA Scan
C. 10 year probability of a major osteoporotic fracture or hip fracture alone
D. 20 year probability of a major osteoporotic fracture or hip fracture alone -
ANSWER: C. 10 year probability of a major osteoporotic fracture or hip fracture
alone
How much vitamin D do all osteoporosis patients need?
A. 500 - 1000 IU daily
B. 1000 - 1500 IU daily
C. 1500 - 3000 IU daily
D. 2000 - 4000 IU daily - ANSWER: D. 2000 - 4000 IU daily
You have a patient with significant Osteoporosis. Which is the following drugs are
used to treat osteoporosis and stimulate bone growth?
A. Teriparatide
B. Denosumab
C. Raloxifene
D. Alendronate - ANSWER: A. Teriparatide
, Patient is complaining about low back pain and sciatica. The patellar reflex on the
right is decreased. Which nerve innervation does this correspond with?
A. L1-L3
B. S1
C. L3-L4
D. L2-L3 - ANSWER: C. L3-L4
Muscle Movement and Nerve Root Innervation
iliopsoas - ANSWER: L2-L4
Muscle Movement and Nerve Root Innervation
Hip Abductors - ANSWER: L4-S1
Muscle Movement and Nerve Root Innervation
Hip Adductors - ANSWER: L2 - L4
Muscle Movement and Nerve Root Innervation
Quadriceps - ANSWER: L2-L4
Muscle Movement and Nerve Root Innervation
Dorsiflexors - ANSWER: L4-L5
ASSESSMENT & CLINICAL REASONING FINAL EXAM
ACTUAL QUESTIONS AND ANSWERS - LATEST AND
COMPLETE UPDATE WITH VERIFIED SOLUTIONS –
ASSURED PASS WITH INSTANT DOWNLOAD PDF.
Patient is taking Alendronate to treat her osteoporosis. Which of the following
patient education should be given to avoid side effects?
A. Lay down for 30-60 mins after taking the med
B. Sit up for 30-60 mins after taking the med
C. It's important to take a "drug holiday" from the medication and you can do
so whenever you feel it's necessary
D. Take this medication with an NSAID to avoid pain - ANSWER: B. Sit up
for 30-60 mins after taking the med
McMurray Test, Thessaly's Test, and Apleys Test are all done to assess for injury
of the? - ANSWER: Meniscus
A patient with a torn Meniscus will still be able to squat, True or False?
- ANSWER: False
Squat test: inability to squat may indicate meniscus tear
Which of the following medication are considered First Line for Osteoarthritis?
A. NSAIDs
B. Proton pump inhibitors
,C. Acetaminophen
D. Opioids
E. Intra-articular steroids - ANSWER: A. NSAIDs
Why may PPIs need to be added to a patient regimen for osteoarthritis? ---
Solution----The used of NSAIDS as first line treatment may cause GI
complications like ulcers, PPI can help protect the lining of the GI
What is the GOLD STANDARD diagnostic for Osteoporosis? ----
Solution----DEXA scan
Why would we do a DEXA scan to diagnose Osteoporosis?
A. To measure the patient body fat percentage
B. To measure the patients muscle mass
C. To measure the patients bone mineral density - ANSWER: C. To measure
the patients bone mineral density
Which of the following patients should be screened for osteoporosis? SATA
A. 50 year old female
B. 60 year old smoker
C. 70 year old male
D. 66 year old female
E. 55 year old on prednisone for RA - ANSWER: B. 60 year old smoker
C. 70 year old male
,D. 66 year old female
E. 55 year old on prednisone for RA
What does the Fracture Risk Assessment tool (FRAX) calculate?
A. Risk of getting osteoporosis
B. When to obtain a DEXA Scan
C. 10 year probability of a major osteoporotic fracture or hip fracture alone
D. 20 year probability of a major osteoporotic fracture or hip fracture alone -
ANSWER: C. 10 year probability of a major osteoporotic fracture or hip fracture
alone
How much vitamin D do all osteoporosis patients need?
A. 500 - 1000 IU daily
B. 1000 - 1500 IU daily
C. 1500 - 3000 IU daily
D. 2000 - 4000 IU daily - ANSWER: D. 2000 - 4000 IU daily
You have a patient with significant Osteoporosis. Which is the following drugs are
used to treat osteoporosis and stimulate bone growth?
A. Teriparatide
B. Denosumab
C. Raloxifene
D. Alendronate - ANSWER: A. Teriparatide
, Patient is complaining about low back pain and sciatica. The patellar reflex on the
right is decreased. Which nerve innervation does this correspond with?
A. L1-L3
B. S1
C. L3-L4
D. L2-L3 - ANSWER: C. L3-L4
Muscle Movement and Nerve Root Innervation
iliopsoas - ANSWER: L2-L4
Muscle Movement and Nerve Root Innervation
Hip Abductors - ANSWER: L4-S1
Muscle Movement and Nerve Root Innervation
Hip Adductors - ANSWER: L2 - L4
Muscle Movement and Nerve Root Innervation
Quadriceps - ANSWER: L2-L4
Muscle Movement and Nerve Root Innervation
Dorsiflexors - ANSWER: L4-L5
