NRNP6540 WEEK 3 FULL SOLUTION 2026
QUESTIONS WITH ANSWERS GRADED A+
◉ A patient is able to flex his right arm forward without difficulty or
pain but is unable to abduct his arm because of pain and muscle
spasms. The nurse should suspect:
a. Crepitation.
b. Rotator cuff lesions.
c. Dislocated shoulder.
d. Rheumatoid arthritis. Answer: b. Rotator cuff lesions.
◉ A professional tennis player comes into the clinic complaining of a
sore elbow. The nurse will assess for tenderness at the:
a. Olecranon bursa.
b. Annular ligament.
c. Base of the radius.
d. Medial and lateral epicondyle. Answer: d. Medial and lateral
epicondyle.
◉ The nurse suspects that a patient has carpal tunnel syndrome and
wants to perform the Phalen test. To perform this test, the nurse
should instruct the patient to:
a. Dorsiflex the foot.
,b. Plantarflex the foot.
c. Hold both hands back to back while flexing the wrists 90 degrees
for 60 seconds.
d. Hyperextend the wrists with the palmar surface of both hands
touching, and wait for 60 seconds. Answer: c. Hold both hands back
to back while flexing the wrists 90 degrees for 60 seconds.
◉ An 80-year-old woman is visiting the clinic for a checkup. She
states, "I can't walk as much as I used to." The nurse is observing for
motor dysfunction in her hip and should ask her to:
a. Internally rotate her hip while she is sitting.
b. Abduct her hip while she is lying on her back.
c. Adduct her hip while she is lying on her back.
d. Externally rotate her hip while she is standing. Answer: b. Abduct
her hip while she is lying on her back.
◉ The nurse has completed the musculoskeletal examination of a
patient's knee and has found a positive bulge sign. The nurse
interprets this finding to indicate:
a. Irregular bony margins.
b. Soft-tissue swelling in the joint.
c. Swelling from fluid in the epicondyle.
d. Swelling from fluid in the suprapatellar pouch. Answer: d.
Swelling from fluid in the suprapatellar pouch.
,◉ During an examination, the nurse asks a patient to bend forward
from the waist and notices that the patient has lateral tilting. When
his leg is raised straight up, the patient complains of a pain going
down his buttock into his leg. The nurse suspects:
a. Scoliosis.
b. Meniscus tear.
c. Herniated nucleus pulposus.
d. Spasm of paravertebral muscles. Answer: c. Herniated nucleus
pulposus.
◉ The nurse is examining a 3-month-old infant. While the nurse
holds his or her thumbs on the infant's inner mid thighs and the
fingers on the outside of the infant's hips, touching the greater
trochanter, the nurse adducts the legs until the his or her thumbs
touch and then abducts the legs until the infant's knees touch the
table. The nurse does not notice any "clunking" sounds and is
confident to record a:
a. Positive Allis test.
b. Negative Allis test.
c. Positive Ortolani sign.
d. Negative Ortolani sign. Answer: d. Negative Ortolani sign.
◉ During a neonatal examination, the nurse notices that the
newborn infant has six toes. This finding is documented as:
, a. Unidactyly.
b. Syndactyly.
c. Polydactyly.
d. Multidactyly. Answer: c. Polydactyly.
◉ A mother brings her newborn baby boy in for a checkup; she tells
the nurse that he does not seem to be moving his right arm as much
as his left and that he seems to have pain when she lifts him up
under the arms. The nurse suspects a fractured clavicle and would
observe for:
a. Negative Allis test.
b. Positive Ortolani sign.
c. Limited range of motion during the Moro reflex.
d. Limited range of motion during Lasegue test. Answer: c. Limited
range of motion during the Moro reflex.
◉ A 40-year-old man has come into the clinic with complaints of
extreme pain in his toes. The nurse notices that his toes are slightly
swollen, reddened, and warm to the touch. His complaints would
suggest:
a. Osteoporosis.
b. Acute gout.
c. Ankylosing spondylitis.
d. Degenerative joint disease. Answer: b. Acute gout.
QUESTIONS WITH ANSWERS GRADED A+
◉ A patient is able to flex his right arm forward without difficulty or
pain but is unable to abduct his arm because of pain and muscle
spasms. The nurse should suspect:
a. Crepitation.
b. Rotator cuff lesions.
c. Dislocated shoulder.
d. Rheumatoid arthritis. Answer: b. Rotator cuff lesions.
◉ A professional tennis player comes into the clinic complaining of a
sore elbow. The nurse will assess for tenderness at the:
a. Olecranon bursa.
b. Annular ligament.
c. Base of the radius.
d. Medial and lateral epicondyle. Answer: d. Medial and lateral
epicondyle.
◉ The nurse suspects that a patient has carpal tunnel syndrome and
wants to perform the Phalen test. To perform this test, the nurse
should instruct the patient to:
a. Dorsiflex the foot.
,b. Plantarflex the foot.
c. Hold both hands back to back while flexing the wrists 90 degrees
for 60 seconds.
d. Hyperextend the wrists with the palmar surface of both hands
touching, and wait for 60 seconds. Answer: c. Hold both hands back
to back while flexing the wrists 90 degrees for 60 seconds.
◉ An 80-year-old woman is visiting the clinic for a checkup. She
states, "I can't walk as much as I used to." The nurse is observing for
motor dysfunction in her hip and should ask her to:
a. Internally rotate her hip while she is sitting.
b. Abduct her hip while she is lying on her back.
c. Adduct her hip while she is lying on her back.
d. Externally rotate her hip while she is standing. Answer: b. Abduct
her hip while she is lying on her back.
◉ The nurse has completed the musculoskeletal examination of a
patient's knee and has found a positive bulge sign. The nurse
interprets this finding to indicate:
a. Irregular bony margins.
b. Soft-tissue swelling in the joint.
c. Swelling from fluid in the epicondyle.
d. Swelling from fluid in the suprapatellar pouch. Answer: d.
Swelling from fluid in the suprapatellar pouch.
,◉ During an examination, the nurse asks a patient to bend forward
from the waist and notices that the patient has lateral tilting. When
his leg is raised straight up, the patient complains of a pain going
down his buttock into his leg. The nurse suspects:
a. Scoliosis.
b. Meniscus tear.
c. Herniated nucleus pulposus.
d. Spasm of paravertebral muscles. Answer: c. Herniated nucleus
pulposus.
◉ The nurse is examining a 3-month-old infant. While the nurse
holds his or her thumbs on the infant's inner mid thighs and the
fingers on the outside of the infant's hips, touching the greater
trochanter, the nurse adducts the legs until the his or her thumbs
touch and then abducts the legs until the infant's knees touch the
table. The nurse does not notice any "clunking" sounds and is
confident to record a:
a. Positive Allis test.
b. Negative Allis test.
c. Positive Ortolani sign.
d. Negative Ortolani sign. Answer: d. Negative Ortolani sign.
◉ During a neonatal examination, the nurse notices that the
newborn infant has six toes. This finding is documented as:
, a. Unidactyly.
b. Syndactyly.
c. Polydactyly.
d. Multidactyly. Answer: c. Polydactyly.
◉ A mother brings her newborn baby boy in for a checkup; she tells
the nurse that he does not seem to be moving his right arm as much
as his left and that he seems to have pain when she lifts him up
under the arms. The nurse suspects a fractured clavicle and would
observe for:
a. Negative Allis test.
b. Positive Ortolani sign.
c. Limited range of motion during the Moro reflex.
d. Limited range of motion during Lasegue test. Answer: c. Limited
range of motion during the Moro reflex.
◉ A 40-year-old man has come into the clinic with complaints of
extreme pain in his toes. The nurse notices that his toes are slightly
swollen, reddened, and warm to the touch. His complaints would
suggest:
a. Osteoporosis.
b. Acute gout.
c. Ankylosing spondylitis.
d. Degenerative joint disease. Answer: b. Acute gout.
