NURS 6531 Walden University – Advanced Practice
Assessment i-Human Case: Actual Exam
16-Year-Old Male With Hand Pain 2026 | Pediatric
Musculoskeletal Evaluation
Q001: A 16-year-old male presents to the clinic with a chief complaint of left hand pain.
What is the most appropriate opening question to begin your history?
Options:
A. "What is your pain level on a scale of 0-10?"
B. "Do you have any allergies to medications?"
C. "When did the pain in your hand start?"
D. "Have you had hand pain before?"
Answer: C
Q002: The adolescent reports the hand pain began yesterday afternoon. What is the
most critical follow-up question regarding onset?
Options:
A. "Was there a specific injury or trauma to your hand?"
B. "Have you had a fever recently?"
C. "What is your usual daily activity level?"
D. "Are your immunizations up to date?"
Answer: A
Q003: The patient is a varsity basketball player. He recalls jamming his finger during
practice while trying to catch a pass. What additional sports-specific history is most
important to obtain?
Options:
A. "What position do you play?"
B. "How many hours per week do you practice?"
C. "Can you still grip and handle the basketball?"
D. "What is your team's current record?"
Answer: C
, Q004: The patient describes the pain as throbbing and localized to his left ring finger.
What pain characteristic question is most relevant for diagnosing a potential fracture?
Options:
A. "Does the pain radiate up your arm?"
B. "Is the pain worse at night?"
C. "Does the pain worsen with movement?"
D. "On a scale of 0-10, how severe is the pain?"
Answer: C
Q005: The patient reports swelling that has increased since yesterday and difficulty fully
bending his finger. What associated symptom question is most critical?
Options:
A. "Have you noticed any numbness or tingling?"
B. "Is there any discharge from the finger?"
C. "Have you had nausea or vomiting?"
D. "Do you have a headache?"
Answer: A
Q006: You ask about the patient's handedness. He is right-hand dominant. Why is this
information important in your assessment?
Options:
A. It determines if surgery is needed
B. It affects prognosis for return to sports
C. It influences functional impairment assessment
D. It changes the treatment approach
Answer: C
Q007: The patient denies any open wounds, bites, or scratches to the hand. What
systemic symptom question is most important to rule out infection?
Options:
A. "Have you had any recent weight loss?"
B. "Have you noticed any fever or chills?"
C. "Do you have any allergies?"
D. "When did you last eat?"
Answer: B
Q008: The patient mentions he took ibuprofen 400mg this morning with minimal relief.
What medication-related question is essential for a 16-year-old?
Assessment i-Human Case: Actual Exam
16-Year-Old Male With Hand Pain 2026 | Pediatric
Musculoskeletal Evaluation
Q001: A 16-year-old male presents to the clinic with a chief complaint of left hand pain.
What is the most appropriate opening question to begin your history?
Options:
A. "What is your pain level on a scale of 0-10?"
B. "Do you have any allergies to medications?"
C. "When did the pain in your hand start?"
D. "Have you had hand pain before?"
Answer: C
Q002: The adolescent reports the hand pain began yesterday afternoon. What is the
most critical follow-up question regarding onset?
Options:
A. "Was there a specific injury or trauma to your hand?"
B. "Have you had a fever recently?"
C. "What is your usual daily activity level?"
D. "Are your immunizations up to date?"
Answer: A
Q003: The patient is a varsity basketball player. He recalls jamming his finger during
practice while trying to catch a pass. What additional sports-specific history is most
important to obtain?
Options:
A. "What position do you play?"
B. "How many hours per week do you practice?"
C. "Can you still grip and handle the basketball?"
D. "What is your team's current record?"
Answer: C
, Q004: The patient describes the pain as throbbing and localized to his left ring finger.
What pain characteristic question is most relevant for diagnosing a potential fracture?
Options:
A. "Does the pain radiate up your arm?"
B. "Is the pain worse at night?"
C. "Does the pain worsen with movement?"
D. "On a scale of 0-10, how severe is the pain?"
Answer: C
Q005: The patient reports swelling that has increased since yesterday and difficulty fully
bending his finger. What associated symptom question is most critical?
Options:
A. "Have you noticed any numbness or tingling?"
B. "Is there any discharge from the finger?"
C. "Have you had nausea or vomiting?"
D. "Do you have a headache?"
Answer: A
Q006: You ask about the patient's handedness. He is right-hand dominant. Why is this
information important in your assessment?
Options:
A. It determines if surgery is needed
B. It affects prognosis for return to sports
C. It influences functional impairment assessment
D. It changes the treatment approach
Answer: C
Q007: The patient denies any open wounds, bites, or scratches to the hand. What
systemic symptom question is most important to rule out infection?
Options:
A. "Have you had any recent weight loss?"
B. "Have you noticed any fever or chills?"
C. "Do you have any allergies?"
D. "When did you last eat?"
Answer: B
Q008: The patient mentions he took ibuprofen 400mg this morning with minimal relief.
What medication-related question is essential for a 16-year-old?
