6531 NRNP Combined midterm and final
review 2025-2026 QUESTIONS WITH
ANSWERS
Which of the following signs or symptoms indicate an inflammatory etiology to musculoskeletal pain?
A. Decreased C-reactive protein
B. Hyperalbuminemia
C. Morning stiffness
D. Weight gain
- ANSWER-C
Willow is a 67-year-old female and her bone mineral density is more than 1 SD below the young adult
reference mean. What is her diagnosis?
A. Normal bone mineral density
B. Osteopenia
C. Osteoporosis
D. Severe osteoporosis
- ANSWER-B
One of the most frequent presenting signs/symptoms of osteoporosis is:
a. Goiter
b. Abnormal serum calcium
c. Elevated urine biochemical markers
d. Bony fracture –
ANSWER-D
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
,6531 NRNP Combined midterm and final
review 2025-2026 QUESTIONS WITH
ANSWERS
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's
history supports this diagnosis?
A. History of hypertension
B. Her affected shoulder is also her dominant arm.
C. Her history of type 1 diabetes
D. Her work as a secretary predisposes her to repetitive motions
- ANSWER-C
Which of the following statements is true regarding the treatment of carpal tunnel syndrome?
A. The goal of treatment is to prevent flexion and extension movements of the wrist.
B. Splints are not used in carpal tunnel syndrome, because they restrict complete movement of the
fingers and wrist.
C. Corticosteroid injections are encouraged in the treatment of carpal tunnel syndrome.
D. Treatment that encourages fluid retention, to keep the joints lubricated, is an emphasis of treatment
- ANSWER-A
Which of the following statements concerning the musculoskeletal examination is true?
A. The uninvolved side should be examined initially and then compared to the involved side.
B. The part of the body that is causing the patient pain should be examined first.
C. When possible, the patient should not be asked to perform active ROM exercises to avoid causing
pain.
D. Radiographs should always be obtained prior to examination so as not to cause further injury to the
patient –
,6531 NRNP Combined midterm and final
review 2025-2026 QUESTIONS WITH
ANSWERS
ANSWER-A
You are performing muscle strength testing on a patient presenting with musculoskeletal pain and find
that the patient has complete ROM but cannot move it above gravity. Which numeric grade of muscle
strength would you give this patient?
A. 1
B. 2
C. 3
D. 4
- ANSWER-B
Debbie is a 43-year-old female being evaluated for a wrist injury. The clinician is assessing for median
nerve compression by having Debbie maintain forced flexion of her wrist for 1 minute with the dorsal
surface of each hand pressed together. Which of these tests did the clinician just perform?
A. Allen's test
B. Phalen's test
C. Tinel's sign
D. Finkelstein's test
- ANSWER-B
Connie is a 63-year-old seamstress who presents with pain at the base of her right thumb on abduction
and extension of her right thumb. She also complains of pain on the radial side of her right wrist with
lifting. Which of these diagnostic tests will help to determine if she has de Quervain's tenosynovitis?
A. Allen's test
B. Phalen's maneuver
, 6531 NRNP Combined midterm and final
review 2025-2026 QUESTIONS WITH
ANSWERS
C. Tinel's sign
D. Finkelstein's test
- ANSWER-D
Mrs. Allen is a 60-year-old woman who has been diagnosed with osteoporosis. She is very concerned
about the risk of breast cancer associated with hormone replacement therapy and is wondering what
other treatments are available to her. The clinician explains that bisphosphonates are another class of
drugs used in the prevention and treatment of osteoporosis. What teaching should the clinician give
Mrs. Allen in regard to taking bisphosphonates?
A. Taking bisphosphonates can result in hypercalcemia, so calcium intake should be decreased while
taking this class of drugs.
B. There is potential for upper GI irritation, so these medications are contraindicated in people with
abnormalities of the esophagus or delayed esophageal emptying.
C. This class of drugs can be taken at any time of the day without regard to meals.
D. This class of drugs should be taken with orange juice to increase absorption.
- ANSWER-B
One of the initial steps in assessing patients with musculoskeletal complaints is to determine whether
the complaint is articular or nonarticular in origin. Which of the following is an example of an articular
structure?
A. Bone
B. Synovium
C. Tendons
D. Fascia
- ANSWER-B
review 2025-2026 QUESTIONS WITH
ANSWERS
Which of the following signs or symptoms indicate an inflammatory etiology to musculoskeletal pain?
A. Decreased C-reactive protein
B. Hyperalbuminemia
C. Morning stiffness
D. Weight gain
- ANSWER-C
Willow is a 67-year-old female and her bone mineral density is more than 1 SD below the young adult
reference mean. What is her diagnosis?
A. Normal bone mineral density
B. Osteopenia
C. Osteoporosis
D. Severe osteoporosis
- ANSWER-B
One of the most frequent presenting signs/symptoms of osteoporosis is:
a. Goiter
b. Abnormal serum calcium
c. Elevated urine biochemical markers
d. Bony fracture –
ANSWER-D
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
,6531 NRNP Combined midterm and final
review 2025-2026 QUESTIONS WITH
ANSWERS
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's
history supports this diagnosis?
A. History of hypertension
B. Her affected shoulder is also her dominant arm.
C. Her history of type 1 diabetes
D. Her work as a secretary predisposes her to repetitive motions
- ANSWER-C
Which of the following statements is true regarding the treatment of carpal tunnel syndrome?
A. The goal of treatment is to prevent flexion and extension movements of the wrist.
B. Splints are not used in carpal tunnel syndrome, because they restrict complete movement of the
fingers and wrist.
C. Corticosteroid injections are encouraged in the treatment of carpal tunnel syndrome.
D. Treatment that encourages fluid retention, to keep the joints lubricated, is an emphasis of treatment
- ANSWER-A
Which of the following statements concerning the musculoskeletal examination is true?
A. The uninvolved side should be examined initially and then compared to the involved side.
B. The part of the body that is causing the patient pain should be examined first.
C. When possible, the patient should not be asked to perform active ROM exercises to avoid causing
pain.
D. Radiographs should always be obtained prior to examination so as not to cause further injury to the
patient –
,6531 NRNP Combined midterm and final
review 2025-2026 QUESTIONS WITH
ANSWERS
ANSWER-A
You are performing muscle strength testing on a patient presenting with musculoskeletal pain and find
that the patient has complete ROM but cannot move it above gravity. Which numeric grade of muscle
strength would you give this patient?
A. 1
B. 2
C. 3
D. 4
- ANSWER-B
Debbie is a 43-year-old female being evaluated for a wrist injury. The clinician is assessing for median
nerve compression by having Debbie maintain forced flexion of her wrist for 1 minute with the dorsal
surface of each hand pressed together. Which of these tests did the clinician just perform?
A. Allen's test
B. Phalen's test
C. Tinel's sign
D. Finkelstein's test
- ANSWER-B
Connie is a 63-year-old seamstress who presents with pain at the base of her right thumb on abduction
and extension of her right thumb. She also complains of pain on the radial side of her right wrist with
lifting. Which of these diagnostic tests will help to determine if she has de Quervain's tenosynovitis?
A. Allen's test
B. Phalen's maneuver
, 6531 NRNP Combined midterm and final
review 2025-2026 QUESTIONS WITH
ANSWERS
C. Tinel's sign
D. Finkelstein's test
- ANSWER-D
Mrs. Allen is a 60-year-old woman who has been diagnosed with osteoporosis. She is very concerned
about the risk of breast cancer associated with hormone replacement therapy and is wondering what
other treatments are available to her. The clinician explains that bisphosphonates are another class of
drugs used in the prevention and treatment of osteoporosis. What teaching should the clinician give
Mrs. Allen in regard to taking bisphosphonates?
A. Taking bisphosphonates can result in hypercalcemia, so calcium intake should be decreased while
taking this class of drugs.
B. There is potential for upper GI irritation, so these medications are contraindicated in people with
abnormalities of the esophagus or delayed esophageal emptying.
C. This class of drugs can be taken at any time of the day without regard to meals.
D. This class of drugs should be taken with orange juice to increase absorption.
- ANSWER-B
One of the initial steps in assessing patients with musculoskeletal complaints is to determine whether
the complaint is articular or nonarticular in origin. Which of the following is an example of an articular
structure?
A. Bone
B. Synovium
C. Tendons
D. Fascia
- ANSWER-B
