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NR 511 WEEK 5 NEWEST 2025 COMPLETE EXAM|
COMPREHENSIVE QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
ALREADY GRADED A+| BRAND NEW!!
The nurse practitioner (NP) suspects a herniated disk in a 72-year-old patient. The NP elevates the patient's affected leg when she is in the supine position, and it elicits back and sciatic nerve pain, which indicates a positive test. This is known as which test or sign?Femoral stretch test.Crossed straight leg raise test.Doorbell sign.Straight leg raise test - Correct Answer - straight leg test
June, age 67, presents with back pain with no precipitating event. The pain is located over her lower back muscles and spine, without sciatica, and it is aggravated by sitting, standing, and certain movements. It is alleviated with rest. Palpation localizes the pain, and muscle spasms are felt. There was an insidious onset with progressive improvement. What is the most likely diagnosis?Ankylosing spondylitis.Musculoskeletal strain.Spondylolisthesis.Herniated disk. - Correct Answer - musculoskeletal strain
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pg. 2 Hilda, age 73, presents with a complaint of low back pain. Red flags in her history of a minor fall, osteopenia, and prolonged steroid use for systemic lupus erythematosus suggest the possibility of which of the following serious underlying conditions as the cause of her low back pain?Cancer.Cauda equina syndrome.Neurologic compromise.Spinal fracture. - Correct Answer - spinal fracture
Mickey, age 18, is on a chemotherapeutic antibiotic for a musculoskeletal neoplasm. Which drug do you think he is taking?Cyclophosphamide (Cytoxan).Doxorubicin (Adriamycin).Methotrexate (Rheumatrex).Cisplatin (Platinol). - Correct Answer - doxorubicin (adriamycin)
A nurse practitioner is trying to distinguish between an articular and a nonarticular musculoskeletal complaint in a 26-year-old patient complaining of pain in the elbow area. Which of the following would characterize nonarticular bursitis?Deep or diffuse pain.Limited range of motion (ROM) on active and passive movement.Point or focal tenderness.Swelling and instability. - Correct Answer - point or focal tenderness 2 / 4
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pg. 3 The nurse practitioner suspects adolescent idiopathic scoliosis in Victoria, age 15, who is in her "growth spurt." An Adams forward bend test is performed, and it is noted that the patient has a right-sided rib hump. What is this indicative of?Right lumbar shifting.Right thoracic curvature.Right truncal shift.Spondylolysis - Correct Answer - right thoracic curvature
Paul has a malignant fibrosarcoma of the femur. He recently had surgery and is now on radiation therapy. You want to order a test to determine the extent of the tumor invasion of the surrounding tissues and the response of the bone tumor to the radiation. Which of the following tests should you order?An x-ray.A magnetic resonance imaging (MRI) scan.A computed tomography (CT) scan.A needle biopsy. - Correct Answer - a magnetic resonance imagine (MRI)
When teaching Alice, age 77, to use a cane because of osteoarthritis of
her left knee, an important point to stress is:
Carrying the cane in the ipsilateral hand.Advancing the cane with the ipsilateral leg.Making sure the cane length equals the height of the iliac crest. 3 / 4
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pg. 4 Using the cane to aid in joint protection and safety. - Correct Answer - advancing the cane with the ipsilateral leg
Anne Marie states she has a maternal history of rheumatoid disease, but she has never been affected. Today she presents with complaints of dryness of the eyes and mouth. What is the most likely diagnosis?Rheumatoid arthritis (RA).Systemic lupus erythematosus (SLE).Sjögren syndrome.Rosacea. - Correct Answer - Sjorgen syndrome
Greg, age 26, runs marathons and frequently complains of painful
contractions of his calf muscles after running. You attribute this to:
- Hypercalcemia.
Hyponatremia.Heat exhaustion.Dehydration. - Correct Answer - hyponatremia
The nurse practitioner is considering a diagnosis of calcium pyrophosphate deposition disease (CPPD), or pseudogout, in a 72-year- old man who presents with complaints of pain and stiffness in his wrists and knees. The most useful diagnostic tests to assist in confirming this
diagnosis would be:
Synovial fluid analysis and x-ray.Bacterial cultures.
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