NR 511 Final Question Exam 2025 With
100% Correct Answers
One of the initial steps in assessing patients with musculoskeletal complaints is to determine
whether the complain is articular or nonarticular in origin. Which of the following in an example
of an articular structure?
A. Bone
B. Synovium
C. Tendons
D. Fascia - CORRECT ANSWER✔✔Synovium
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 - CORRECT ANSWER✔✔Articular
Which of the following signs or symptoms indicate an inflammatory etiology to musculoskeletal
pain?
A. Decreased CRP
B.hyperalbuminemia
C. Morning stiffness
D. Weight gain - CORRECT ANSWER✔✔Morning stiffness
,Which of the following statements concerning the musculoskeletal exam 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 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. - CORRECT ANSWER✔✔When possible, the patient should not be asked to
perform active ROM exercises to avoid causing pain
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 - CORRECT ANSWER✔✔B
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 exam reveals a 75% reduction in both
active and passive range of motion of the right shoulder. Mrs. Gray is also 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 exam and medical history, you suspect adhesive capulitis
or "frozen shoulder." Which clue in Mrs. Gray's history supports this diagnosis?
A. HX HTN
B. Her affected shoulder is her dominant arm
C. Her HX of DM
,D. Her work as a secretary predisposes her to repetitive motions - CORRECT ANSWER✔✔HX of
DM
Jennifer is an 18-year-old girl who comes to the emergency room after a fall during a soccer
game. Jennifer explains that she fell on her left side and kept her arm out straight to break her
fall. She has been experiencing severe pain and limited range of motion in her left shoulder. The
clinician has diagnosed Jennifer with a dislocated shoulder. Which of the following statements
are true concerning shoulder dislocation?
A. Posterior dislocations are more common than anterior dislocations
B. There is a risk of neurovascular and neurosensory trauma, so the clinician should check for
distal pulses
C. Recurrent dislocations are uncommon and would require great force to result in injury
D. Surgery is the most common treatment of choice - CORRECT ANSWER✔✔There is a risk of
neurovascular and neurosensory trauma, so the clinician should check for distal pulses
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 will
also develop carpal tunnel syndrome. Which of the following responses would be correct
regarding the risk of developing carpal tunnel syndrome?
- Carpal tunnel syndrome commonly occurs in families. Genetic factors are thought to account
for about half the risk of developing carpal tunnel.
- Only people with occupations that require repeated flexion extension of the wrist, use of hand
tools that require forceful gripping, or hand tools that vibrate are at risk for developing carpal
tunnel.
- An underlying musculoskeletal disorder must be present for a person to develop carpal tunnel.
- Carpal tunnel syndrome only occurs in the presence of a hormonal imbalance. - CORRECT
ANSWER✔✔Carpal tunnel syndrome commonly occurs in families. Genetic factors are thought
to account for about half the risk of developing carpal tunnel.
Which of the following statements is true regarding the treatment of carpal tunnel syndrome?
, A. The goal of TX is to prevent flexion and extension movements of the wrist
B. Splints are used in carpal tunnel syndrome, because they allow for free movement the fingers
and thumb while maintaining the wrist in a neutral position
C Corticosterioid injections are discouraged in the treatment of CTS because of the risks for
median nerve damage, scarring, and infection
D. All of the above - CORRECT ANSWER✔✔All of the above
Sam is a 25-year-old man who has been diagnosed with low back strain based on his history of
localized low back pain and muscle spasm along with a normal neurological examination. As the
clinician, you explain to Sam that low back pain is a diagnosis of exclusion. Which of the
following symptoms would alert the clinician to the more serious finding of a herniated nucleus
pulposus or ruptured disc?
A. Morning stiffness and limited mobility of the L spine
B. Unilateral radicular pain symptoms that extend below the knee and are equal to or greater
than the back pain
C. Fever, chills, and elevated ESR
D. Pathologic fractures, severe night pain, weight loss, and fatigue - CORRECT
ANSWER✔✔Unilateral radicular pain symptoms that extend below the knee and are equal to or
greater than the back pain
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 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 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 max recommended dose of NSAIDs so that you will not need to take
narcotics to control your pain
100% Correct Answers
One of the initial steps in assessing patients with musculoskeletal complaints is to determine
whether the complain is articular or nonarticular in origin. Which of the following in an example
of an articular structure?
A. Bone
B. Synovium
C. Tendons
D. Fascia - CORRECT ANSWER✔✔Synovium
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 - CORRECT ANSWER✔✔Articular
Which of the following signs or symptoms indicate an inflammatory etiology to musculoskeletal
pain?
A. Decreased CRP
B.hyperalbuminemia
C. Morning stiffness
D. Weight gain - CORRECT ANSWER✔✔Morning stiffness
,Which of the following statements concerning the musculoskeletal exam 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 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. - CORRECT ANSWER✔✔When possible, the patient should not be asked to
perform active ROM exercises to avoid causing pain
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 - CORRECT ANSWER✔✔B
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 exam reveals a 75% reduction in both
active and passive range of motion of the right shoulder. Mrs. Gray is also 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 exam and medical history, you suspect adhesive capulitis
or "frozen shoulder." Which clue in Mrs. Gray's history supports this diagnosis?
A. HX HTN
B. Her affected shoulder is her dominant arm
C. Her HX of DM
,D. Her work as a secretary predisposes her to repetitive motions - CORRECT ANSWER✔✔HX of
DM
Jennifer is an 18-year-old girl who comes to the emergency room after a fall during a soccer
game. Jennifer explains that she fell on her left side and kept her arm out straight to break her
fall. She has been experiencing severe pain and limited range of motion in her left shoulder. The
clinician has diagnosed Jennifer with a dislocated shoulder. Which of the following statements
are true concerning shoulder dislocation?
A. Posterior dislocations are more common than anterior dislocations
B. There is a risk of neurovascular and neurosensory trauma, so the clinician should check for
distal pulses
C. Recurrent dislocations are uncommon and would require great force to result in injury
D. Surgery is the most common treatment of choice - CORRECT ANSWER✔✔There is a risk of
neurovascular and neurosensory trauma, so the clinician should check for distal pulses
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 will
also develop carpal tunnel syndrome. Which of the following responses would be correct
regarding the risk of developing carpal tunnel syndrome?
- Carpal tunnel syndrome commonly occurs in families. Genetic factors are thought to account
for about half the risk of developing carpal tunnel.
- Only people with occupations that require repeated flexion extension of the wrist, use of hand
tools that require forceful gripping, or hand tools that vibrate are at risk for developing carpal
tunnel.
- An underlying musculoskeletal disorder must be present for a person to develop carpal tunnel.
- Carpal tunnel syndrome only occurs in the presence of a hormonal imbalance. - CORRECT
ANSWER✔✔Carpal tunnel syndrome commonly occurs in families. Genetic factors are thought
to account for about half the risk of developing carpal tunnel.
Which of the following statements is true regarding the treatment of carpal tunnel syndrome?
, A. The goal of TX is to prevent flexion and extension movements of the wrist
B. Splints are used in carpal tunnel syndrome, because they allow for free movement the fingers
and thumb while maintaining the wrist in a neutral position
C Corticosterioid injections are discouraged in the treatment of CTS because of the risks for
median nerve damage, scarring, and infection
D. All of the above - CORRECT ANSWER✔✔All of the above
Sam is a 25-year-old man who has been diagnosed with low back strain based on his history of
localized low back pain and muscle spasm along with a normal neurological examination. As the
clinician, you explain to Sam that low back pain is a diagnosis of exclusion. Which of the
following symptoms would alert the clinician to the more serious finding of a herniated nucleus
pulposus or ruptured disc?
A. Morning stiffness and limited mobility of the L spine
B. Unilateral radicular pain symptoms that extend below the knee and are equal to or greater
than the back pain
C. Fever, chills, and elevated ESR
D. Pathologic fractures, severe night pain, weight loss, and fatigue - CORRECT
ANSWER✔✔Unilateral radicular pain symptoms that extend below the knee and are equal to or
greater than the back pain
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 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 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 max recommended dose of NSAIDs so that you will not need to take
narcotics to control your pain
