NRNP6540 WEEK 3 TEST PAPER 2026
QUESTIONS WITH SOLUTIONS GRADED A+
◉ A 14-year-old boy who has been diagnosed with Osgood-Schlatter
disease reports painful swelling just below the knee for the past 5
months. Which response by the nurse is appropriate?
a. "If these symptoms persist, you may need arthroscopic surgery."
b. "You are experiencing degeneration of your knee, which may not
resolve."
c... "Your disease is due to repeated stress on the patellar tendon. It
is usually self-limited, and your symptoms should resolve with rest."
d. "Increasing your activity and performing knee-strengthening
exercises will help decrease the inflammation and maintain mobility
in the knee." Answer: c... "Your disease is due to repeated stress on
the patellar tendon. It is usually self-limited, and your symptoms
should resolve with rest."
◉ When assessing muscle strength, the nurse observes that a
patient has complete range of motion against gravity with full
resistance... What grade of muscle strength should the nurse record
using a 0- to 5-point scale?
a. 2
b. 3
c. 4
,d. 5 Answer: d. 5
◉ The nurse is examining a 6-month-old infant and places the
infant's feet flat on the table and flexes his knees up. The nurse notes
that the right knee is significantly lower than the left. Which of these
statements is true of this finding?
a. This finding is a positive Allis sign and suggests hip dislocation.
b. The infant probably has a dislocated patella on the right knee.
c. This finding is a negative Allis sign and normal for an infant of this
age.
d. The infant should return to the clinic in 2 weeks to see if his
condition has changed. Answer: a. This finding is a positive Allis sign
and suggests hip dislocation.
◉ The nurse is assessing a 1-week-old infant and is testing his
muscle strength. The nurse lifts the infant with hands under the
axillae and notices that the infant starts to "slip" between the hands.
The nurse should:
a. Suspect a fractured clavicle.
b. Suspect that the infant may have a deformity of the spine.
c. Suspect that the infant may have weakness of the shoulder
muscles.
d. Conclude that this is a normal finding because the musculature of
an infant at this age is undeveloped. Answer: c. Suspect that the
infant may have weakness of the shoulder muscles.
, ◉ The nurse is examining a 2-month-old infant and notices
asymmetry of the infant's gluteal folds. The nurse should assess for
other signs of what disorder?
a. Fractured clavicle
b. Down syndrome
c. Spina bifida
d. Hip dislocation Answer: d. Hip dislocation
◉ The nurse should use which test to check for large amounts of
fluid around the patella?
a. Ballottement
b. Tinel sign
c. Phalen test
d. McMurray test Answer: a. Ballottement
◉ A patient tells the nurse that, "All my life I've been called 'knock
knees'." The nurse knows that another term for knock knees is:
a. Genu varum.
b. Genu valgum.
c. Pes planus.
d. Metatarsus adductus. Answer: b. Genu valgum.
QUESTIONS WITH SOLUTIONS GRADED A+
◉ A 14-year-old boy who has been diagnosed with Osgood-Schlatter
disease reports painful swelling just below the knee for the past 5
months. Which response by the nurse is appropriate?
a. "If these symptoms persist, you may need arthroscopic surgery."
b. "You are experiencing degeneration of your knee, which may not
resolve."
c... "Your disease is due to repeated stress on the patellar tendon. It
is usually self-limited, and your symptoms should resolve with rest."
d. "Increasing your activity and performing knee-strengthening
exercises will help decrease the inflammation and maintain mobility
in the knee." Answer: c... "Your disease is due to repeated stress on
the patellar tendon. It is usually self-limited, and your symptoms
should resolve with rest."
◉ When assessing muscle strength, the nurse observes that a
patient has complete range of motion against gravity with full
resistance... What grade of muscle strength should the nurse record
using a 0- to 5-point scale?
a. 2
b. 3
c. 4
,d. 5 Answer: d. 5
◉ The nurse is examining a 6-month-old infant and places the
infant's feet flat on the table and flexes his knees up. The nurse notes
that the right knee is significantly lower than the left. Which of these
statements is true of this finding?
a. This finding is a positive Allis sign and suggests hip dislocation.
b. The infant probably has a dislocated patella on the right knee.
c. This finding is a negative Allis sign and normal for an infant of this
age.
d. The infant should return to the clinic in 2 weeks to see if his
condition has changed. Answer: a. This finding is a positive Allis sign
and suggests hip dislocation.
◉ The nurse is assessing a 1-week-old infant and is testing his
muscle strength. The nurse lifts the infant with hands under the
axillae and notices that the infant starts to "slip" between the hands.
The nurse should:
a. Suspect a fractured clavicle.
b. Suspect that the infant may have a deformity of the spine.
c. Suspect that the infant may have weakness of the shoulder
muscles.
d. Conclude that this is a normal finding because the musculature of
an infant at this age is undeveloped. Answer: c. Suspect that the
infant may have weakness of the shoulder muscles.
, ◉ The nurse is examining a 2-month-old infant and notices
asymmetry of the infant's gluteal folds. The nurse should assess for
other signs of what disorder?
a. Fractured clavicle
b. Down syndrome
c. Spina bifida
d. Hip dislocation Answer: d. Hip dislocation
◉ The nurse should use which test to check for large amounts of
fluid around the patella?
a. Ballottement
b. Tinel sign
c. Phalen test
d. McMurray test Answer: a. Ballottement
◉ A patient tells the nurse that, "All my life I've been called 'knock
knees'." The nurse knows that another term for knock knees is:
a. Genu varum.
b. Genu valgum.
c. Pes planus.
d. Metatarsus adductus. Answer: b. Genu valgum.
