NURS 623 Exam 4 & Test Bank Newest Edition 2026-2027.
Questions & Correct Answers.Graded A, Exams of Nursing
1. 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 - ANSWERb. 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 - ANSWERa. Articular
3. Which of the following signs or symptoms indicate an inflammatory
etiology to musculoskeletal pain?
, NURS 623 Exam 4 & Test Bank Newest Edition 2026-2027.
Questions & Correct Answers.Graded A, Exams of Nursing
a. Decreased C-reactive protein
b. Hyperalbuminemia
c. Morning stiffness
d. Weight gain - ANSWERc. Morning stiffness
4. Which of the following statements concerning the musculoskeletal
examination is true?
a. The uninvolved side should be examined initially and then compared to
the involved side.
b. The part of the body that is causing the patient pain should be examined
first.
c. When possible, the patient should not be asked to perform active range-
of-motion (ROM) exercises to avoid causing pain.
d. Radiographs should always be obtained prior to examination so as not to
cause further injury to the patient. - ANSWERa. The uninvolved side should
be examined initially and then compared to the involved side.
5. You are performing muscle strength testing on a patient presenting with
musculoskeletal pain and find that the patient has complete ROM with
gravity eliminated. Which numeric grade of muscle strength would you give
this patient?
a. 1
b. 2
c. 3
d. 4
e. 5 - ANSWERb. 2
, NURS 623 Exam 4 & Test Bank Newest Edition 2026-2027.
Questions & Correct Answers.Graded A, Exams of Nursing
6. Mrs. Gray is a 55-year-old woman who presents with tightness, pain, and
limited movement in her right shoulder. She denies any history of trauma.
Her examination reveals a 75% reduction in both active and passive ROM of
the right shoulder. Mrs. Gray also is experiencing tenderness with motion
and pain at the deltoid insertion. Her medical history is significant for type
1 diabetes mellitus and hypertension. Her social history reveals that she is a
secretary and that she is right-handed. Based on her examination and
medical history, you suspect adhesive capsulitis, or "frozen shoulder."
Which clue in Mrs. Gray's history supports this diagnosis?
a. History of hypertension
b. Her affected shoulder is also her dominant arm.
c. Her history of diabetes mellitus
d. Her work as a secretary predisposes her to repetitive motions. -
ANSWERc. Her history of diabetes mellitus
Mrs. Anderson is a 35-year-old woman who has been recently diagnosed
with carpal tunnel syndrome. She has two young children and asks the
clinician what the chances are that they also will develop carpal tunnel
syndrome. Which of the following responses would be correct regarding the
risk of developing carpal tunnel syndrome?
a. Carpal tunnel syndrome commonly occurs in families. Genetic factors are
thought to account for about one-half the risk of developing carpal tunnel.
b. Only people with occupations that require repeated flexion extension of
the wrist, use of hand tools that require forceful gripping, or use of hand
tools that vibrate are at risk for developing carpal tunnel.
c. An underlying musculoskeletal disorder must be present for a person to
develop carpal tunnel.
d. Carpal tunnel syndrome only occurs in the presence of a hormonal
imbalance. - ANSWERa. Carpal tunnel syndrome commonly occurs in
families. Genetic factors are thought to account for about one-half the risk
of developing carpal tunnel.
Questions & Correct Answers.Graded A, Exams of Nursing
1. 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 - ANSWERb. 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 - ANSWERa. Articular
3. Which of the following signs or symptoms indicate an inflammatory
etiology to musculoskeletal pain?
, NURS 623 Exam 4 & Test Bank Newest Edition 2026-2027.
Questions & Correct Answers.Graded A, Exams of Nursing
a. Decreased C-reactive protein
b. Hyperalbuminemia
c. Morning stiffness
d. Weight gain - ANSWERc. Morning stiffness
4. Which of the following statements concerning the musculoskeletal
examination is true?
a. The uninvolved side should be examined initially and then compared to
the involved side.
b. The part of the body that is causing the patient pain should be examined
first.
c. When possible, the patient should not be asked to perform active range-
of-motion (ROM) exercises to avoid causing pain.
d. Radiographs should always be obtained prior to examination so as not to
cause further injury to the patient. - ANSWERa. The uninvolved side should
be examined initially and then compared to the involved side.
5. You are performing muscle strength testing on a patient presenting with
musculoskeletal pain and find that the patient has complete ROM with
gravity eliminated. Which numeric grade of muscle strength would you give
this patient?
a. 1
b. 2
c. 3
d. 4
e. 5 - ANSWERb. 2
, NURS 623 Exam 4 & Test Bank Newest Edition 2026-2027.
Questions & Correct Answers.Graded A, Exams of Nursing
6. Mrs. Gray is a 55-year-old woman who presents with tightness, pain, and
limited movement in her right shoulder. She denies any history of trauma.
Her examination reveals a 75% reduction in both active and passive ROM of
the right shoulder. Mrs. Gray also is experiencing tenderness with motion
and pain at the deltoid insertion. Her medical history is significant for type
1 diabetes mellitus and hypertension. Her social history reveals that she is a
secretary and that she is right-handed. Based on her examination and
medical history, you suspect adhesive capsulitis, or "frozen shoulder."
Which clue in Mrs. Gray's history supports this diagnosis?
a. History of hypertension
b. Her affected shoulder is also her dominant arm.
c. Her history of diabetes mellitus
d. Her work as a secretary predisposes her to repetitive motions. -
ANSWERc. Her history of diabetes mellitus
Mrs. Anderson is a 35-year-old woman who has been recently diagnosed
with carpal tunnel syndrome. She has two young children and asks the
clinician what the chances are that they also will develop carpal tunnel
syndrome. Which of the following responses would be correct regarding the
risk of developing carpal tunnel syndrome?
a. Carpal tunnel syndrome commonly occurs in families. Genetic factors are
thought to account for about one-half the risk of developing carpal tunnel.
b. Only people with occupations that require repeated flexion extension of
the wrist, use of hand tools that require forceful gripping, or use of hand
tools that vibrate are at risk for developing carpal tunnel.
c. An underlying musculoskeletal disorder must be present for a person to
develop carpal tunnel.
d. Carpal tunnel syndrome only occurs in the presence of a hormonal
imbalance. - ANSWERa. Carpal tunnel syndrome commonly occurs in
families. Genetic factors are thought to account for about one-half the risk
of developing carpal tunnel.
