ASSESSMENT] COMPLETE EXAM QUESTIONS AND VERIFIED
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1. During the initial musculoskeletal assessment interview, which statement by Tina Jones is most
important to explore further when evaluating current functional status?
A. "I am a college student."
B. "I live with my mother and sister."
C. "I have pain when putting weight on my ankle."
D. "I enjoy watching movies."
Correct Answer: C. I have pain when putting weight on my ankle.
Rationale:
Pain with weight-bearing directly affects mobility and function and may indicate a significant
musculoskeletal injury. The other statements provide background information but do not immediately
influence assessment priorities or functional evaluation.
2. Which assessment technique should the nurse perform first during a musculoskeletal
examination?
A. Inspection
B. Palpation
C. Percussion
D. Strength testing
Correct Answer: A. Inspection
Rationale:
Inspection is the first step in a systematic musculoskeletal assessment. The examiner observes
posture, gait, symmetry, deformities, and swelling before progressing to palpation and functional
testing.
3. Tina reports ankle discomfort after a recent basketball injury. What is the most appropriate
follow-up question?
A. "Do you wear glasses?"
B. "Can you describe how the injury occurred?"
C. "What is your favorite sport?"
D. "Have you traveled recently?"
Correct Answer: B. Can you describe how the injury occurred?
Rationale:
Understanding the mechanism of injury helps identify likely structures involved and guides further
assessment. The other questions are unrelated to the presenting musculoskeletal complaint.
4. Which finding would most strongly suggest an acute ankle sprain?
A. Bilateral joint stiffness
,B. Chronic back pain
C. Localized swelling after twisting injury
D. Finger deformities
Correct Answer: C. Localized swelling after twisting injury
Rationale:
Acute swelling following a twisting mechanism is a classic sign of an ankle sprain. The other findings
are associated with different musculoskeletal conditions.
5. When assessing pain, which question best evaluates pain severity?
A. "What makes the pain better?"
B. "Where is the pain located?"
C. "How long have you had the pain?"
D. "On a scale from 0 to 10, how would you rate your pain?"
Correct Answer: D. On a scale from 0 to 10, how would you rate your pain?
Rationale:
Pain scales provide a standardized measure of pain intensity. Location, duration, and relieving factors
are important but assess different aspects of the pain experience.
6. Which observation is most important while assessing gait?
A. Hair color
B. Walking pattern and balance
C. Eye color
D. Speech clarity
Correct Answer: B. Walking pattern and balance
Rationale:
Gait assessment evaluates coordination, symmetry, weight-bearing ability, and balance. These
observations provide valuable information about musculoskeletal function.
7. During inspection, the nurse notices swelling around Tina's right ankle. What should be assessed
next?
A. Dental history
B. Visual acuity
C. Palpation of the affected area
D. Hearing ability
Correct Answer: C. Palpation of the affected area
Rationale:
After visual inspection identifies swelling, palpation helps determine tenderness, warmth, consistency,
and extent of involvement. The other options are unrelated.
8. Which symptom most commonly accompanies a musculoskeletal injury?
A. Joint pain
B. Tinnitus
C. Blurred vision
D. Epistaxis
Correct Answer: A. Joint pain
, Rationale:
Pain is a primary symptom of musculoskeletal injuries. The other symptoms involve unrelated body
systems.
9. What is the primary purpose of assessing range of motion?
A. Evaluate skin pigmentation
B. Assess joint mobility and function
C. Determine hearing acuity
D. Measure oxygen saturation
Correct Answer: B. Assess joint mobility and function
Rationale:
Range-of-motion testing evaluates flexibility, movement limitations, and joint function. It is a core
component of musculoskeletal assessment.
10. Which finding would be considered abnormal during ankle range-of-motion testing?
A. Symmetrical movement
B. Smooth motion
C. Pain with movement
D. Full mobility
Correct Answer: C. Pain with movement
Rationale:
Pain during movement suggests inflammation, injury, or pathology. Normal findings include smooth,
symmetrical motion and full mobility.
11. Tina reports pain rated 7/10 after activity. How should this finding be documented?
A. Mild discomfort
B. Severe pain after activity
C. No significant symptoms
D. Normal assessment finding
Correct Answer: B. Severe pain after activity
Rationale:
A pain score of 7/10 generally indicates severe pain that warrants further evaluation and
management. Accurate documentation supports clinical decision-making.
12. Which structure connects muscle to bone?
A. Ligament
B. Bursa
C. Cartilage
D. Tendon
Correct Answer: D. Tendon
Rationale:
Tendons connect muscles to bones and facilitate movement. Ligaments connect bone to bone, while
cartilage cushions joints.
13. Which structure is most likely injured during an ankle sprain?
A. Ligament