i-Human Case Study: 16-Year-Old Male With Hand
Pain 2026 | NURS 6531 Walden University –
Advanced Practice Assessment Guide | Pediatric
Musculoskeletal Evaluation
Q001: The 16-year-old male presents with 3-day history of right hand pain after falling
on outstretched hand during basketball. Which initial history question is most
appropriate?
Options:
A. "Do you have any allergies to medications?"
B. "Have you noticed any numbness or tingling in your fingers?"
C. "Can you describe exactly how you landed and what part of your hand hit the floor?"
D. "Have you had similar pain in your left hand before?"
(Correct Answer: C)
Q002: He reports immediate pain and swelling after the fall. Which associated symptom
is most concerning for growth plate injury?
Options:
A. Mild stiffness in the morning
B. Pain that worsens with wrist extension
C. Loss of knuckle height or obvious deformity
D. Mild bruising on the palm
(Correct Answer: C)
Q003: Patient states he continued playing basketball for 30 minutes after fall. Which
question best assesses severity of injury?
Options:
A. "Did you take any pain medication?"
B. "Were you able to grip the ball and shoot normally after the injury?"
C. "What did your coach think about the injury?"
D. "Did your teammates notice the swelling?"
(Correct Answer: B)
Q004: He admits to pain with writing and inability to fully flex fingers. Which functional
assessment is priority?
, Options:
A. Ask him to tie his shoes in the office
B. Observe him holding a smartphone
C. Request he pick up a pencil and write his name
D. Check his ability to snap fingers
(Correct Answer: C)
Q005: Patient rates pain 7/10. Which pain scale is most developmentally appropriate for
this adolescent?
Options:
A. Wong-Baker FACES
B. Numeric Rating Scale 0-10
C. FLACC scale
D. CRIES scale
(Correct Answer: B)
Q006: He reports being right-hand dominant. Which impact must be assessed
immediately?
Options:
A. Effect on social media use
B. Academic performance and ability to take notes
C. Future college recruitment potential
D. Video gaming skills
(Correct Answer: B)
Q007: Patient mentions he plays varsity basketball 5 days/week. Which overuse history
is essential?
Options:
A. Previous ankle sprains
B. Hours per day spent gaming
C. Recent changes in training intensity or new drills
D. Family history of arthritis
(Correct Answer: C)
Q008: He denies fever or chills. Which infection screening question is specific to
pediatric hand infections?
Options:
A. Any recent animal bites or scratches to the hand?
B. History of hepatitis B vaccination?
C. Recent travel outside the country?
Pain 2026 | NURS 6531 Walden University –
Advanced Practice Assessment Guide | Pediatric
Musculoskeletal Evaluation
Q001: The 16-year-old male presents with 3-day history of right hand pain after falling
on outstretched hand during basketball. Which initial history question is most
appropriate?
Options:
A. "Do you have any allergies to medications?"
B. "Have you noticed any numbness or tingling in your fingers?"
C. "Can you describe exactly how you landed and what part of your hand hit the floor?"
D. "Have you had similar pain in your left hand before?"
(Correct Answer: C)
Q002: He reports immediate pain and swelling after the fall. Which associated symptom
is most concerning for growth plate injury?
Options:
A. Mild stiffness in the morning
B. Pain that worsens with wrist extension
C. Loss of knuckle height or obvious deformity
D. Mild bruising on the palm
(Correct Answer: C)
Q003: Patient states he continued playing basketball for 30 minutes after fall. Which
question best assesses severity of injury?
Options:
A. "Did you take any pain medication?"
B. "Were you able to grip the ball and shoot normally after the injury?"
C. "What did your coach think about the injury?"
D. "Did your teammates notice the swelling?"
(Correct Answer: B)
Q004: He admits to pain with writing and inability to fully flex fingers. Which functional
assessment is priority?
, Options:
A. Ask him to tie his shoes in the office
B. Observe him holding a smartphone
C. Request he pick up a pencil and write his name
D. Check his ability to snap fingers
(Correct Answer: C)
Q005: Patient rates pain 7/10. Which pain scale is most developmentally appropriate for
this adolescent?
Options:
A. Wong-Baker FACES
B. Numeric Rating Scale 0-10
C. FLACC scale
D. CRIES scale
(Correct Answer: B)
Q006: He reports being right-hand dominant. Which impact must be assessed
immediately?
Options:
A. Effect on social media use
B. Academic performance and ability to take notes
C. Future college recruitment potential
D. Video gaming skills
(Correct Answer: B)
Q007: Patient mentions he plays varsity basketball 5 days/week. Which overuse history
is essential?
Options:
A. Previous ankle sprains
B. Hours per day spent gaming
C. Recent changes in training intensity or new drills
D. Family history of arthritis
(Correct Answer: C)
Q008: He denies fever or chills. Which infection screening question is specific to
pediatric hand infections?
Options:
A. Any recent animal bites or scratches to the hand?
B. History of hepatitis B vaccination?
C. Recent travel outside the country?
