NURS 6531 Walden University – Advanced
Assessment i-Human Case: Actual Exam
16-Year-Old Male With Hand Pain 2026 | Pediatric
Musculoskeletal Evaluation
Q001: The 16-year-old male presents with 2-day history of right-hand pain after falling
while skateboarding. Which initial history question is most important to ask?
Options:
A. What medications do you take daily?
B. Did you hit your head or lose consciousness?
C. Were you able to get up and continue skating immediately?
D. Do you have a history of hand injuries?
(Correct Answer: B)
Q002: He denies head injury and states he "caught himself with his hands." Which
associated symptom should be assessed next?
Options:
A. Presence of numbness or tingling in fingers
B. Nausea after the fall
C. Recent cough or fever
D. Changes in bowel habits
(Correct Answer: A)
Q003: Patient reports immediate pain and swelling over the dorsal aspect of the right
hand. Which question best differentiates bony vs soft-tissue injury?
Options:
A. Is the pain worse with wrist movement or finger movement?
B. Did you hear a pop or crack at the time of injury?
C. Can you make a fist without pain?
D. Is the pain constant or only with movement?
(Correct Answer: B)
, Q004: He describes pain as 6/10 initially, now 4/10. Which pain quality descriptor raises
concern for growth plate injury in an adolescent?
Options:
A. Dull ache
B. Sharp pain with movement
C. Throbbing pain at rest
D. Radiating pain up the forearm
(Correct Answer: B)
Q005: Patient mentions he continued skating for 30 minutes after the fall. Which
inference is most appropriate?
Options:
A. Rules out fracture due to continued activity
B. Suggests minor soft-tissue injury only
C. Does not exclude significant injury
D. Indicates need for immediate X-ray
(Correct Answer: C)
Q006: He denies previous hand injuries. Which adolescent-specific risk factor should be
assessed?
Options:
A. Years of playing musical instruments
B. Recent growth spurt and participation in contact sports
C. History of attention deficit disorder
D. Amount of daily screen time
(Correct Answer: B)
Q007: Social history reveals he is a high-school wrestler. Which timing question is most
relevant?
Options:
A. When does wrestling season start?
B. Have you been cleared to return to sports?
C. Did the injury occur during practice or competition?
D. Are you worried about missing matches?
(Correct Answer: C)
Q008: Patient states he has been using ice and over-the-counter ibuprofen 200 mg twice
daily. Which assessment is critical?
Assessment i-Human Case: Actual Exam
16-Year-Old Male With Hand Pain 2026 | Pediatric
Musculoskeletal Evaluation
Q001: The 16-year-old male presents with 2-day history of right-hand pain after falling
while skateboarding. Which initial history question is most important to ask?
Options:
A. What medications do you take daily?
B. Did you hit your head or lose consciousness?
C. Were you able to get up and continue skating immediately?
D. Do you have a history of hand injuries?
(Correct Answer: B)
Q002: He denies head injury and states he "caught himself with his hands." Which
associated symptom should be assessed next?
Options:
A. Presence of numbness or tingling in fingers
B. Nausea after the fall
C. Recent cough or fever
D. Changes in bowel habits
(Correct Answer: A)
Q003: Patient reports immediate pain and swelling over the dorsal aspect of the right
hand. Which question best differentiates bony vs soft-tissue injury?
Options:
A. Is the pain worse with wrist movement or finger movement?
B. Did you hear a pop or crack at the time of injury?
C. Can you make a fist without pain?
D. Is the pain constant or only with movement?
(Correct Answer: B)
, Q004: He describes pain as 6/10 initially, now 4/10. Which pain quality descriptor raises
concern for growth plate injury in an adolescent?
Options:
A. Dull ache
B. Sharp pain with movement
C. Throbbing pain at rest
D. Radiating pain up the forearm
(Correct Answer: B)
Q005: Patient mentions he continued skating for 30 minutes after the fall. Which
inference is most appropriate?
Options:
A. Rules out fracture due to continued activity
B. Suggests minor soft-tissue injury only
C. Does not exclude significant injury
D. Indicates need for immediate X-ray
(Correct Answer: C)
Q006: He denies previous hand injuries. Which adolescent-specific risk factor should be
assessed?
Options:
A. Years of playing musical instruments
B. Recent growth spurt and participation in contact sports
C. History of attention deficit disorder
D. Amount of daily screen time
(Correct Answer: B)
Q007: Social history reveals he is a high-school wrestler. Which timing question is most
relevant?
Options:
A. When does wrestling season start?
B. Have you been cleared to return to sports?
C. Did the injury occur during practice or competition?
D. Are you worried about missing matches?
(Correct Answer: C)
Q008: Patient states he has been using ice and over-the-counter ibuprofen 200 mg twice
daily. Which assessment is critical?
