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NURS 623 EXAM 4 QUESTIONS AND ANSWERS
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NURS 623 EXAM 4 QUESTIONS AND ANSWERS
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NURS 623 EXAM 41. One of the initial steps in assessing patients with musculoskeletal complaints is to
determine whether the complaint is articular or nonarticular in origin. Which of the
following is an example of an articular structure?
a. Bone
b. Synovium
c. Tendons
d. Fascia - Answers -b. Synovium
2. You have detected the presence of crepitus on examination of a patient with a
musculoskeletal complaint. Additionally, there is limited range of motion (ROM) with
both active and passive movement. These findings suggest that the origin of the
musculoskeletal complaint is:
a. Articular
b. Inflammatory
c. Nonarticular
d. A and B - Answers -a. Articular
11. The clinician has instructed Sam, a 25-year-old patient with low back strain, to use
NSAIDs to manage his symptoms of pain and discomfort. Which of the following
statements would be most appropriate when teaching Sam about the use of NSAIDs?
a. "You should start with the lowest dose that is effective in managing your pain,
because long-term use of NSAIDs can result in gastrointestinal (GI) disorders such as
ulcers and hemorrhage."
b. "You should start with the lowest dose that is effective in managing your pain to avoid
developing tolerance to the medication."
c. "You should take the maximum recommended dose of NSAIDs so that you will not
need to take narcotics to control your pain."
d. "It is important to take NSAIDs on an empty stomach in order to increase absorption."
- Answers -a. "You should start with the lowest dose that is effective in managing your
pain, because long-term use of NSAIDs can result in gastrointestinal (GI) disorders
such as ulcers and hemorrhage."
Janet is a 30-year-old who has recently been diagnosed with a herniated disc at the
level of L5-S1. She is currently in the emergency room with suspicion of cauda equina
compression. Which of the following is a sign or symptom of cauda equina
compression?
a. Gastrocnemius weakness
b. A reduced or absent ankle reflex
c. Numbness in the lateral foot
d. Paresthesia of the perineum and buttocks - Answers -d. Paresthesia of the perineum
and buttocks
, Which of the following statements is true concerning the management of the client with
a herniated disc?
a. Muscle relaxants and narcotics can be used to control moderate pain but should be
discontinued after 3 weeks of use.
b. An epidural injection is helpful in reducing leg pain that has persisted for at least 3
weeks after the herniation occurred.
c. Intolerable pain for more than a 3-month period is an indication for surgical
intervention.
d. All of the above - Answers -c. Intolerable pain for more than a 3-month period is an
indication for surgical intervention.
John is a 16-year-old boy who presents to the emergency room after hurting his knee in
a football game. He described twisting his knee and then being unable to extend it
completely. John tells the clinician that he heard a pop when the injury occurred and
has been experiencing localized pain. The clinician suspects a meniscal tear. Which
test would be most appropriate to assess for the presence of a meniscal tear?
a. Valgus stress test
b. McMurray circumduction test
c. Lachman test
d. Varus stress test - Answers -b. McMurray circumduction test
Normal estrogen function is important for preventing osteoporosis in both men and
women. Estrogen works to prevent osteoporosis in which of the following ways?
a. By decreasing the erosive activity of osteoclasts
b. By promoting osteoclastogenesis
c. By inhibiting osteoclast apoptosis
d. All of the above - Answers -a. By decreasing the erosive activity of osteoclasts
Which of the following tests is considered the gold standard for definitively diagnosing
osteoporosis?
a. Bone alkaline phosphatase levels
b. Urinary N-telopeptide assay
c. Bone mass density measurement by densitometry
d. Magnetic resonance imaging - Answers -c. Bone mass density measurement by
densitometry
Mrs. Allen is a 60-year-old woman who has been diagnosed with osteoporosis. She is
very concerned about the risk of breast cancer associated with hormone replacement
therapy and is wondering what other treatments are available to her. The clinician
explains that bisphosphonates are another class of drugs used in the prevention and
treatment of osteoporosis. What teaching should the clinician give Mrs. Allen in regard
to taking bisphosphonates?
a. Taking bisphosphonates can result in hypercalcemia, so calcium intake should be
decreased while taking this class of drugs.
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