NURS 6531 Walden University – Advanced
Assessment i-Human Case: Actual Exam
16-Year-Old Male With Hand Pain 2026 | Pediatric
Musculoskeletal Evaluation| LATEST VESION
Q001: The 16-year-old male presents after a weekend skateboard fall, complaining of
"my right hand really hurts." Which is the most appropriate opening question?
Options:
A. "Do you have any allergies?"
B. "Can you show me exactly where it hurts and when it started?" - CORRECT
C. "Have you ever broken a bone before?"
D. "Are your parents here?"
(Correct Answer: B)
Q002: He points to the anatomical snuffbox and says pain began 2 hours ago. Your next
focused question is:
Options:
A. "Did you hit your head?"
B. "Did you fall on an outstretched hand?" - CORRECT
C. "Were you wearing wrist guards?"
D. "Did someone push you?"
(Correct Answer: B)
Q003: He denies head injury but mentions the board hit his hand. Which associated
symptom do you ask about first?
Options:
A. "Any numbness or tingling in your fingers?" - CORRECT
B. "Do you feel dizzy?"
C. "Any nausea?"
D. "Did you lose consciousness?"
(Correct Answer: A)
, Q004: He reports mild tingling in thumb/index. Which element of the pediatric
musculoskeletal ROS is priority?
Options:
A. Previous fractures
B. Dominant hand use - CORRECT
C. Family history of arthritis
D. Immunization status
(Correct Answer: B)
Q005: Which past medical history is most relevant for a possible scaphoid fracture?
Options:
A. History of wrist sprains - CORRECT
B. Seasonal allergies
C. Asthma
D. Eczema
(Correct Answer: A)
Q006: He denies chronic disease. Which social history question is essential for an
adolescent?
Options:
A. "What tricks were you trying on the board?" - CORRECT
B. "Do you smoke cigarettes?"
C. "How many hours of sleep do you get?"
D. "What is your GPA?"
(Correct Answer: A)
Q007: On inspection you note swelling and bruising. Which visual finding is most
concerning?
Options:
A. Mild redness
B. Ecchymosis in snuffbox - CORRECT
C. Dry skin
D. Small calluses
(Correct Answer: B)
Q008: You assess active ROM. Which movement is most limited with scaphoid injury?
Options:
A. Finger flexion
Assessment i-Human Case: Actual Exam
16-Year-Old Male With Hand Pain 2026 | Pediatric
Musculoskeletal Evaluation| LATEST VESION
Q001: The 16-year-old male presents after a weekend skateboard fall, complaining of
"my right hand really hurts." Which is the most appropriate opening question?
Options:
A. "Do you have any allergies?"
B. "Can you show me exactly where it hurts and when it started?" - CORRECT
C. "Have you ever broken a bone before?"
D. "Are your parents here?"
(Correct Answer: B)
Q002: He points to the anatomical snuffbox and says pain began 2 hours ago. Your next
focused question is:
Options:
A. "Did you hit your head?"
B. "Did you fall on an outstretched hand?" - CORRECT
C. "Were you wearing wrist guards?"
D. "Did someone push you?"
(Correct Answer: B)
Q003: He denies head injury but mentions the board hit his hand. Which associated
symptom do you ask about first?
Options:
A. "Any numbness or tingling in your fingers?" - CORRECT
B. "Do you feel dizzy?"
C. "Any nausea?"
D. "Did you lose consciousness?"
(Correct Answer: A)
, Q004: He reports mild tingling in thumb/index. Which element of the pediatric
musculoskeletal ROS is priority?
Options:
A. Previous fractures
B. Dominant hand use - CORRECT
C. Family history of arthritis
D. Immunization status
(Correct Answer: B)
Q005: Which past medical history is most relevant for a possible scaphoid fracture?
Options:
A. History of wrist sprains - CORRECT
B. Seasonal allergies
C. Asthma
D. Eczema
(Correct Answer: A)
Q006: He denies chronic disease. Which social history question is essential for an
adolescent?
Options:
A. "What tricks were you trying on the board?" - CORRECT
B. "Do you smoke cigarettes?"
C. "How many hours of sleep do you get?"
D. "What is your GPA?"
(Correct Answer: A)
Q007: On inspection you note swelling and bruising. Which visual finding is most
concerning?
Options:
A. Mild redness
B. Ecchymosis in snuffbox - CORRECT
C. Dry skin
D. Small calluses
(Correct Answer: B)
Q008: You assess active ROM. Which movement is most limited with scaphoid injury?
Options:
A. Finger flexion
