NUR 603 EXAM 2 ACTUAL EXAMINATION
TEST 2026 COMPLETE QUESTIONS AND
VERIFIED ANSWERS
⩥ Which of the following signs or symptoms indicate an inflammatory
etiology to musculoskeletal pain? Answer: Morning stiffness
⩥ Which of the following statements concerning the musculoskeletal
examination is true? Answer: The uninvolved side should be examined
initially and then compared to the involved side.
⩥ 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 significant for type 1 diabetes mellitus and hypertension. Her
social history reveals that she is a secretary and that she is right-handed.
Based on her examination and medical history, you suspect adhesive
capsulitis, or "frozen shoulder." Which clue in Mrs. Gray history
supports this diagnosis? Answer: Her history of diabetes mellitus
⩥ Jennifer is an 18-year-old woman who comes to the emergency room
after a fall during a soccer game. Jennifer explains that she fell on her
left side and kept her arm straight to break her fall. She has been
experiencing severe pain and limited ROM in her left shoulder. The
,clinician has diagnosed Jennifer with a dislocated shoulder. Which of the
following statements are true concerning shoulder dislocation? Answer:
There is a risk of neurovascular and neurosensory trauma, so the
clinician should check for distal pulses.
⩥ Fred has been diagnosed with a trigger finger of the ring finger.
Which of the following management strategies is appropriate? Answer:
Local anesthetic injection into the tendon sheath
⩥ Mrs. Anderson is a 35-year-old woman who has been recently
diagnosed with carpal tunnel syndrome. She has two young children and
asks the clinician what the chances are that they also will develop carpal
tunnel syndrome. Which of the following responses would be correct
regarding the risk of developing carpal tunnel syndrome? Answer:
People with occupations that require repeated flexion extension of the
wrist, use of hand tools that require forceful gripping, or use of hand
tools that vibrate are at risk for developing carpal tunnel.
⩥ Which of the following statements is true regarding the treatment of
carpal tunnel syndrome? Answer: All of the above: goal of tx is to
prevent flexion and extension movements of wrist, splints are used
because they allow for free movement of the fingers and thumb while
maintaining the wrist in neutral position, and corticosteroid injections
are discouraged in the treatment because the risks for median nerve
damage, scarring, and infection
,⩥ Sam is a 25-year-old who has been diagnosed with low back strain
based on his history of localized low back pain and muscle spasm along
with a normal neurological examination. As the clinician, you explain to
Sam that low back pain is a diagnosis of exclusion. Which of the
following symptoms would alert the clinician to the more serious finding
of a herniated nucleus pulposus or ruptured disc? Answer: Unilateral
radicular pain symptoms that extend below the knee and are equal to or
greater than the back pain
⩥ The clinician has instructed Sirius, a 23-year-old patient with low
back strain, to us NSAIDs to manage his symptoms of pain and
discomfort. Which of the following statements would be most
appropriate when teaching Sam about the use of NSAIDs? Answer: "You
should start with the lowest dose that is effective in managing your pain,
because long-term use of NSAIDs can result in gastrointestinal (GI)
disorders such as ulcers and hemorrhage.
⩥ Which of the following statements is true concerning the management
of the client with a herniated disc? Answer: Intolerable pain for more
than a 3mo period is an indication for surgical intervention.
⩥ John is a 16-year-old boy who presents to the emergency room after
hurting his knee in a football game. He described twisting his knee and
then being unable to extend it completely. John tells the clinician that he
heard a pop when the injury occurred and has been experiencing
localized pain. The clinician suspects a meniscal tear. Which test would
be most appropriate to assess for the presence of a meniscal tear?
Answer: McMurray circumduction test
, ⩥ The clinician is caring for Diane, a 22-year-old woman who presents
with an injured ankle. Diane asks the clinician if she will need an x-ray.
The clinician explains to Diane that an x-ray is not always necessary for
an injured ankle and that the decision to obtain radiographs is dependent
on the examination and Diane's description of her injury. Which of the
following clues in Diane's examination or history would alert the
clinician to the need for obtaining radiographs? Answer: All of the
above: Inability to bear weight immediately after the injury,
development of marked ankle swelling and discoloration after the injury,
and crepitation with palpation or movement of the ankle
⩥ Mr. Jackson is a 65-year-old man recently diagnosed with
osteoarthritis. The clinician has explained to Mr. Jackson that the goals
for managing osteoarthritis include controlling pain, maximizing
functional independence and mobility, minimizing disability, and
preserving quality of life. Mr. Jackson explains to the clinician that his
first choice would be to use complementary therapies to control his
condition and asks what therapies are most effecting in treating
osteoarthritis. What would be the most appropriate response from the
clinician? Answer: "I would be happy to discuss all the treatment options
available to you. Complementary therapies, such as acupuncture,
acupressure, and tai-chi, are being studied for use in the treatment of
osteoarthritis and have shown promise when used with standard medical
therapy."
⩥ Chris is a 28-year-old male who complains of lower back pain that
began 3 days ago. The pain is worse when he stands or bends, and it is
TEST 2026 COMPLETE QUESTIONS AND
VERIFIED ANSWERS
⩥ Which of the following signs or symptoms indicate an inflammatory
etiology to musculoskeletal pain? Answer: Morning stiffness
⩥ Which of the following statements concerning the musculoskeletal
examination is true? Answer: The uninvolved side should be examined
initially and then compared to the involved side.
⩥ 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 significant for type 1 diabetes mellitus and hypertension. Her
social history reveals that she is a secretary and that she is right-handed.
Based on her examination and medical history, you suspect adhesive
capsulitis, or "frozen shoulder." Which clue in Mrs. Gray history
supports this diagnosis? Answer: Her history of diabetes mellitus
⩥ Jennifer is an 18-year-old woman who comes to the emergency room
after a fall during a soccer game. Jennifer explains that she fell on her
left side and kept her arm straight to break her fall. She has been
experiencing severe pain and limited ROM in her left shoulder. The
,clinician has diagnosed Jennifer with a dislocated shoulder. Which of the
following statements are true concerning shoulder dislocation? Answer:
There is a risk of neurovascular and neurosensory trauma, so the
clinician should check for distal pulses.
⩥ Fred has been diagnosed with a trigger finger of the ring finger.
Which of the following management strategies is appropriate? Answer:
Local anesthetic injection into the tendon sheath
⩥ Mrs. Anderson is a 35-year-old woman who has been recently
diagnosed with carpal tunnel syndrome. She has two young children and
asks the clinician what the chances are that they also will develop carpal
tunnel syndrome. Which of the following responses would be correct
regarding the risk of developing carpal tunnel syndrome? Answer:
People with occupations that require repeated flexion extension of the
wrist, use of hand tools that require forceful gripping, or use of hand
tools that vibrate are at risk for developing carpal tunnel.
⩥ Which of the following statements is true regarding the treatment of
carpal tunnel syndrome? Answer: All of the above: goal of tx is to
prevent flexion and extension movements of wrist, splints are used
because they allow for free movement of the fingers and thumb while
maintaining the wrist in neutral position, and corticosteroid injections
are discouraged in the treatment because the risks for median nerve
damage, scarring, and infection
,⩥ Sam is a 25-year-old who has been diagnosed with low back strain
based on his history of localized low back pain and muscle spasm along
with a normal neurological examination. As the clinician, you explain to
Sam that low back pain is a diagnosis of exclusion. Which of the
following symptoms would alert the clinician to the more serious finding
of a herniated nucleus pulposus or ruptured disc? Answer: Unilateral
radicular pain symptoms that extend below the knee and are equal to or
greater than the back pain
⩥ The clinician has instructed Sirius, a 23-year-old patient with low
back strain, to us NSAIDs to manage his symptoms of pain and
discomfort. Which of the following statements would be most
appropriate when teaching Sam about the use of NSAIDs? Answer: "You
should start with the lowest dose that is effective in managing your pain,
because long-term use of NSAIDs can result in gastrointestinal (GI)
disorders such as ulcers and hemorrhage.
⩥ Which of the following statements is true concerning the management
of the client with a herniated disc? Answer: Intolerable pain for more
than a 3mo period is an indication for surgical intervention.
⩥ John is a 16-year-old boy who presents to the emergency room after
hurting his knee in a football game. He described twisting his knee and
then being unable to extend it completely. John tells the clinician that he
heard a pop when the injury occurred and has been experiencing
localized pain. The clinician suspects a meniscal tear. Which test would
be most appropriate to assess for the presence of a meniscal tear?
Answer: McMurray circumduction test
, ⩥ The clinician is caring for Diane, a 22-year-old woman who presents
with an injured ankle. Diane asks the clinician if she will need an x-ray.
The clinician explains to Diane that an x-ray is not always necessary for
an injured ankle and that the decision to obtain radiographs is dependent
on the examination and Diane's description of her injury. Which of the
following clues in Diane's examination or history would alert the
clinician to the need for obtaining radiographs? Answer: All of the
above: Inability to bear weight immediately after the injury,
development of marked ankle swelling and discoloration after the injury,
and crepitation with palpation or movement of the ankle
⩥ Mr. Jackson is a 65-year-old man recently diagnosed with
osteoarthritis. The clinician has explained to Mr. Jackson that the goals
for managing osteoarthritis include controlling pain, maximizing
functional independence and mobility, minimizing disability, and
preserving quality of life. Mr. Jackson explains to the clinician that his
first choice would be to use complementary therapies to control his
condition and asks what therapies are most effecting in treating
osteoarthritis. What would be the most appropriate response from the
clinician? Answer: "I would be happy to discuss all the treatment options
available to you. Complementary therapies, such as acupuncture,
acupressure, and tai-chi, are being studied for use in the treatment of
osteoarthritis and have shown promise when used with standard medical
therapy."
⩥ Chris is a 28-year-old male who complains of lower back pain that
began 3 days ago. The pain is worse when he stands or bends, and it is
