NR 509 CERTIFICATION EXAMS SCRIPT
2026 VIEW AHEAD PAPER 100% CORRECT
⫸ A patient tells the nurse that she is having a hard time bringing her
hand to her mouth when she eats or tries to brush her teeth. The nurse
knows that for her to move her hand to her mouth, she must perform
which movement?
a. Flexion
b. Abduction
c. Adduction
d. Extension Answer: a. Flexion
⫸ The functional units of the musculoskeletal system are the:
a. Joints.
b. Bones.
c. Muscles.
d. Tendons. Answer: a. Joints.
⫸ When reviewing the musculoskeletal system, the nurse recalls that
hematopoiesis takes place in the:
a. Liver.
b. Spleen.
c. Kidneys.
,d. Bone marrow. Answer: d. Bone marrow.
⫸ Fibrous bands running directly from one bone to another that
strengthen the joint and help prevent movement in undesirable
directions are called:
a. Bursa.
b... Tendons.
c. Cartilage.
d. Ligaments. Answer: d. Ligaments.
⫸ The nurse notices that a woman in an exercise class is unable to
jump rope. The nurse is aware that to jump rope, one's shoulder has to
be capable of:
a... Inversion.
b. Supination..
c. Protraction.
d. Circumduction. Answer: d. Circumduction.
⫸ The articulation of the mandible and the temporal bone is known
as the:
a. Intervertebral foramen.
b. Condyle of the mandible.
c. Temporomandibular joint.
d. Zygomatic arch of the temporal bone. Answer: c.
Temporomandibular joint.
,⫸ To palpate the temporomandibular joint, the nurse's fingers should
be placed in the depression __________ of the ear.
a. Distal to the helix
b... Proximal to the helix
c. Anterior to the tragus
d. Posterior to the tragus Answer: c. Anterior to the tragus
⫸ Of the 33 vertebrae in the spinal column, there are:
a. 5 lumbar.
b. 5 thoracic.
c. 7 sacral.
d. 12 cervical. Answer: a. 5 lumbar.
⫸ An imaginary line connecting the highest point on each iliac crest
would cross the __________ vertebra.
a. First sacral
b. Fourth lumbar
c. Seventh cervical
d. Twelfth thoracic Answer: b. Fourth lumbar
⫸ The nurse is explaining to a patient that there are shock absorbers
in his back to cushion the spine and to help it move. The nurse is
referring to his:
a. Vertebral column.
, b. Nucleus pulposus.
c. Vertebral foramen.
d. Intervertebral disks. Answer: d. Intervertebral disks.
⫸ The nurse is providing patient education for a man who has been
diagnosed with a rotator cuff injury. The nurse knows that a rotator
cuff injury involves the:
a. Nucleus pulposus.
b... Articular processes..
c. Medial epicondyle.
d. Glenohumeral joint. Answer: d. Glenohumeral joint.
⫸ During an interview the patient states, "I can feel this bump on the
top of both of my shoulders—it doesn't hurt but I am curious about
what it might be." The nurse should tell the patient that it is his:
a. Subacromial bursa.
b. Acromion process.
c. Glenohumeral joint.
d. Greater tubercle of the humerus. Answer: b. Acromion process.
⫸ The nurse is checking the range of motion in a patient's knee and
knows that the knee is capable of which movement(s)?
a. Flexion and extension
b. Supination and pronation
c. Circumduction
2026 VIEW AHEAD PAPER 100% CORRECT
⫸ A patient tells the nurse that she is having a hard time bringing her
hand to her mouth when she eats or tries to brush her teeth. The nurse
knows that for her to move her hand to her mouth, she must perform
which movement?
a. Flexion
b. Abduction
c. Adduction
d. Extension Answer: a. Flexion
⫸ The functional units of the musculoskeletal system are the:
a. Joints.
b. Bones.
c. Muscles.
d. Tendons. Answer: a. Joints.
⫸ When reviewing the musculoskeletal system, the nurse recalls that
hematopoiesis takes place in the:
a. Liver.
b. Spleen.
c. Kidneys.
,d. Bone marrow. Answer: d. Bone marrow.
⫸ Fibrous bands running directly from one bone to another that
strengthen the joint and help prevent movement in undesirable
directions are called:
a. Bursa.
b... Tendons.
c. Cartilage.
d. Ligaments. Answer: d. Ligaments.
⫸ The nurse notices that a woman in an exercise class is unable to
jump rope. The nurse is aware that to jump rope, one's shoulder has to
be capable of:
a... Inversion.
b. Supination..
c. Protraction.
d. Circumduction. Answer: d. Circumduction.
⫸ The articulation of the mandible and the temporal bone is known
as the:
a. Intervertebral foramen.
b. Condyle of the mandible.
c. Temporomandibular joint.
d. Zygomatic arch of the temporal bone. Answer: c.
Temporomandibular joint.
,⫸ To palpate the temporomandibular joint, the nurse's fingers should
be placed in the depression __________ of the ear.
a. Distal to the helix
b... Proximal to the helix
c. Anterior to the tragus
d. Posterior to the tragus Answer: c. Anterior to the tragus
⫸ Of the 33 vertebrae in the spinal column, there are:
a. 5 lumbar.
b. 5 thoracic.
c. 7 sacral.
d. 12 cervical. Answer: a. 5 lumbar.
⫸ An imaginary line connecting the highest point on each iliac crest
would cross the __________ vertebra.
a. First sacral
b. Fourth lumbar
c. Seventh cervical
d. Twelfth thoracic Answer: b. Fourth lumbar
⫸ The nurse is explaining to a patient that there are shock absorbers
in his back to cushion the spine and to help it move. The nurse is
referring to his:
a. Vertebral column.
, b. Nucleus pulposus.
c. Vertebral foramen.
d. Intervertebral disks. Answer: d. Intervertebral disks.
⫸ The nurse is providing patient education for a man who has been
diagnosed with a rotator cuff injury. The nurse knows that a rotator
cuff injury involves the:
a. Nucleus pulposus.
b... Articular processes..
c. Medial epicondyle.
d. Glenohumeral joint. Answer: d. Glenohumeral joint.
⫸ During an interview the patient states, "I can feel this bump on the
top of both of my shoulders—it doesn't hurt but I am curious about
what it might be." The nurse should tell the patient that it is his:
a. Subacromial bursa.
b. Acromion process.
c. Glenohumeral joint.
d. Greater tubercle of the humerus. Answer: b. Acromion process.
⫸ The nurse is checking the range of motion in a patient's knee and
knows that the knee is capable of which movement(s)?
a. Flexion and extension
b. Supination and pronation
c. Circumduction
