GALEN COLLEGE OF NURSING · PRACTICAL NURSING PROGRAM
NUR 242 Exam 3
Comprehensive Practice
Question Bank
Range of Motion (ROM) & Musculoskeletal Assessment
Medical-Surgical Nursing Concepts · NCLEX-Style Review
Edition 1 · September 2026
Table of Contents
1. Instructions for Use 2
2. Neck & Cervical Spine ROM 2
3. Shoulder ROM 3
4. Elbow & Forearm ROM 4
5. Wrist ROM 5
,6. Fingers & Thumb ROM 6
7. Hip ROM 7
8. Knee, Ankle, Foot & Toes ROM 8
NUR 242 · Galen College of Nursing Page 1
, NUR 242 EXAM 3 PRACTICE GUIDE INSTRUCTIONS & QUESTIONS
How to Use This Guide
Read each question stem carefully, select your answer, then review the rationale to understand the clinical
reasoning behind the correct choice. Each question includes the tested concept and the source concept
from your course material. Questions marked with SATA require selecting all that apply.
Section 1: Neck & Cervical Spine Range of Motion
1 The nurse is performing a range-of-motion assessment on a client. Which movements are
included in a neck and cervical spine assessment? Select all that apply.
A Flexion
B Extension
C Hyperextension
D Lateral flexion
E Rotation
CORRECT ANSWER: A, B, C, D, E
Rationale: The neck and cervical spine assessment includes all five movements: flexion, extension,
hyperextension, lateral flexion, and rotation. These movements assess the full range of motion of the
cervical spine.
Tested Concept: Neck and cervical spine ROM movements
Source Concept: Neck and Cervical Spine: Flexion, Extension, Hyperextension, Lateral flexion, and Rotation.
NUR 242 Exam 3
Comprehensive Practice
Question Bank
Range of Motion (ROM) & Musculoskeletal Assessment
Medical-Surgical Nursing Concepts · NCLEX-Style Review
Edition 1 · September 2026
Table of Contents
1. Instructions for Use 2
2. Neck & Cervical Spine ROM 2
3. Shoulder ROM 3
4. Elbow & Forearm ROM 4
5. Wrist ROM 5
,6. Fingers & Thumb ROM 6
7. Hip ROM 7
8. Knee, Ankle, Foot & Toes ROM 8
NUR 242 · Galen College of Nursing Page 1
, NUR 242 EXAM 3 PRACTICE GUIDE INSTRUCTIONS & QUESTIONS
How to Use This Guide
Read each question stem carefully, select your answer, then review the rationale to understand the clinical
reasoning behind the correct choice. Each question includes the tested concept and the source concept
from your course material. Questions marked with SATA require selecting all that apply.
Section 1: Neck & Cervical Spine Range of Motion
1 The nurse is performing a range-of-motion assessment on a client. Which movements are
included in a neck and cervical spine assessment? Select all that apply.
A Flexion
B Extension
C Hyperextension
D Lateral flexion
E Rotation
CORRECT ANSWER: A, B, C, D, E
Rationale: The neck and cervical spine assessment includes all five movements: flexion, extension,
hyperextension, lateral flexion, and rotation. These movements assess the full range of motion of the
cervical spine.
Tested Concept: Neck and cervical spine ROM movements
Source Concept: Neck and Cervical Spine: Flexion, Extension, Hyperextension, Lateral flexion, and Rotation.
