MARYVILLE UNIVERSITY
NURS 623 EXAM 4
STUDYGUIDE...(2025)
• 1. One of the initial steps in assessing patients with
musculoskeletal com- plaints is to determine whether the
complaint is articular or nonarticular in origin. Which of the
following is an example of an articular structure?
• Bone
,• Synovium
• Tendons
• Fascia ANSWER b. Synovium
• 2. 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
• Articular
• Inflammatory
• Nonarticular
• A and B ANSWER a. Articular
• 3. Which of the following signs or symptoms indicate an
inflammatory etiol- ogy to musculoskeletal pain?
• Decreased C-reactive protein
• Hyperalbuminemia
,• Morning stiffness
• Weight gain ANSWER c. Morning stittness
• 4. Which of the following statements concerning the
musculoskeletal exami- nation is true?
• The uninvolved side should be examined initially and
then compared to the involved side.
• The part of the body that is causing the patient pain
should be examined first.
• When possible, the patient should not be
asked to perform active range-of-motion (ROM)
exercises to avoid causing pain.
• Radiographs should always be obtained prior to
examination so as not to cause further injury to the patient.
ANSWER a. The uninvolved side should be examined
initially and then compared to the involved side.
, • 5. 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 pa-
tient?
• 1
• 2
• 3
• 4
• 5 ANSWER b. 2
• 6. 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 examination reveals a
75% reduction in both active and passive ROM of the right
shoulder. Mrs. Gray also is experiencing tenderness with
motion and pain at the deltoid insertion. Her medical history is
NURS 623 EXAM 4
STUDYGUIDE...(2025)
• 1. One of the initial steps in assessing patients with
musculoskeletal com- plaints is to determine whether the
complaint is articular or nonarticular in origin. Which of the
following is an example of an articular structure?
• Bone
,• Synovium
• Tendons
• Fascia ANSWER b. Synovium
• 2. 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
• Articular
• Inflammatory
• Nonarticular
• A and B ANSWER a. Articular
• 3. Which of the following signs or symptoms indicate an
inflammatory etiol- ogy to musculoskeletal pain?
• Decreased C-reactive protein
• Hyperalbuminemia
,• Morning stiffness
• Weight gain ANSWER c. Morning stittness
• 4. Which of the following statements concerning the
musculoskeletal exami- nation is true?
• The uninvolved side should be examined initially and
then compared to the involved side.
• The part of the body that is causing the patient pain
should be examined first.
• When possible, the patient should not be
asked to perform active range-of-motion (ROM)
exercises to avoid causing pain.
• Radiographs should always be obtained prior to
examination so as not to cause further injury to the patient.
ANSWER a. The uninvolved side should be examined
initially and then compared to the involved side.
, • 5. 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 pa-
tient?
• 1
• 2
• 3
• 4
• 5 ANSWER b. 2
• 6. 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 examination reveals a
75% reduction in both active and passive ROM of the right
shoulder. Mrs. Gray also is experiencing tenderness with
motion and pain at the deltoid insertion. Her medical history is
