“MUSCULOSKELETAL “ LATEST 2025 EXAM 1
UPDATED 2025 – 2026 SOLVED QUESTIONS &
ANSWERS VERIFIED 100% GRADED A+ (LATEST
VERSION)
Registered Nurse RN & Lippincott Musculoskeletal Test Bank, Musculoskeletal
Health Problems ALL COMBINED
Your patient will be using crutches for mobility. After educating the patient on
how to adjust the crutches to fit correctly, you assess how well the patient
understood the instructions. What findings demonstrate that the crutches
were adjusted correctly by the patient? Select all that apply:
A. The hand grips of the crutches are even with the mid-forearm.
B. When the patient grips the hand grips of the crutches the elbow bends at
about 30 degrees.
C. The patient has a 2-3 finger width distance between the axillae and crutch
rest pad.
D. The patient places weight on the axillae rather than the hands while
ambulating.
B. When the patient grips the hand grips of the crutches the elbow bends at about 30
degrees.
C. The patient has a 2-3 finger width distance between the axillae and crutch rest
pad.
Properly fitted crutches should be a 2-3 finger width (about 1-1.5 inches) distance
between the axillae (armpit area) and the crutch rest pads during ambulation. This
prevents damaging the nerves that are located in the axillae during ambulation. In
, Page 2 of 107
addition, when the patient grips the hand grips of the crutches the elbow should
slightly bend at about 30 degrees. Option A is wrong because the hand grips of the
crutches should be even with the hip line (not the mid-forearm), and option D is
wrong because the patient should place weight on the HANDS while ambulating
NOT the axillae area (this can cause nerve damage).
Your patient is prescribed to use crutches for ambulation. The patient can bear
partial weight and needs to be taught how to use the two-point gait while using
crutches. Which description below best describes this type of gait with
crutches?
A. The patient moves both crutches forward and then moves both legs forward
to the same point as the crutches.
B. The patient moves the right crutch (injured side), then moves the left foot
(non-injured side), then moves the left crutch (non-injured side), and then
moves the right foot (injured side).
C. The patient moves both the right crutch (injured side) and left foot (non-
injured side) forward together, and then moves the left crutch (non-injured
side) and right foot (injured side) forward together.
D. The patient moves both crutches and injured leg forward together, and then
moves the non-injured leg forward.
C. The patient moves both the right crutch (injured side) and left foot (non-injured
side) forward together, and then moves the left crutch (non-injured side) and right
foot (injured side) forward together.
The two-point gait is where the patient moves both the right crutch (injured side) and
left foot (non-injured side) forward TOGETHER, and then moves the left crutch (non-
injured side) and right foot (injured side) forward TOGETHER.
While your patient is ambulating with crutches he moves both crutches
forward along with the injured leg and then moves the non-injured forward.
When you document you will note that the patient used what type of gait while
ambulating with crutches?
A. Two-point gait
B. Three-point gait
C. Four-point gait
D. Swing-to-gait
B. Three-point gait
, Page 3 of 107
This describes the three-point gait while using crutches.
You’re demonstrating how to ambulate while using crutches to a group of pre-
op patients, who will need to use crutches after surgery. You ask one of the
group participants to demonstrate the four-point gait using the crutches.
Which demonstration by the participant demonstrates they understood the
demonstration you provided earlier?
A. The participant moves both crutches forward and then moves both legs
past the placement of the crutches.
B. The participant moves both crutches and injured leg forward together, and
then moves the non-injured leg forward.
C. The participant moves both the right crutch and left foot forward together,
and then moves the left crutch and right foot forward together.
D. The participant moves the right crutch, then moves the left foot, then moves
the left crutch, and then moves the right foot.
D. The participant moves the right crutch, then moves the left foot, then moves the
left crutch, and then moves the right foot.
The four-point gait is where the person moves the right crutch, then moves the left
foot, then moves the left crutch, and then moves the right foot.
While using crutches the patient moves both crutches forward and then moves
both legs forward past the placement of the crutches. This is known as the:
A. Two-point gait
B. Swing-to-gait
C. Swing-through-gait
D. Three-point gait
C. Swing-through-gait
This description is known as the swing-through-gait. The key word to let you know it
is the swing-through-gait is that the patient moves both legs PAST the placement of
the crutches. It would have been the swing-to-gait if both legs moved forward to the
same point as the crutch placement.
True or False: When using the swing-to gait with crutches, the patient will
move both crutches forward, and then will move both legs forward to the same
point as the crutches.
The answer is true. This description describes the swing-to-gait.
, Page 4 of 107
You're observing your patient using crutches. She is using the three-point gait.
Which finding requires you to re-educate the patient on how to use the
crutches?
A. There is a 1.5 inch gap between the axillae and crutch rest pad during
ambulation with the crutches.
B. The patient starts in the tripod position before ambulating with the crutches.
C. The patient leans on the crutch rest pads during ambulation.
D. The patient does not let the injured leg touch the ground while ambulating
with the crutches.
C. The patient leans on the crutch rest pads during ambulation.
The patient should NOT let the axillae (arm pits) rest or lean on the crutch rest pads
during ambulation because this could cause nerve damage. The patient should exert
weight on the hand grips while ambulating.
A patient needs to go up the stairs while using crutches. What finding by the
nurse demonstrates the patient understands how to ambulate upstairs with
crutches?
A. The patient moves the crutches forward up the step, then the injured and
non-injured leg.
B. The patient moves the non-injured leg forward onto the step and then the
moves the injured leg and crutches up.
C. The patient moves the injured leg forward onto the steps, then moves the
crutches, and then moves the non-injured leg.
D. The patient moves the crutches and non-injured leg forward to the step
together, and then the non-injured leg.
B. The patient moves the non-injured leg forward onto the step and then the moves
the injured leg and crutches up.
The patient will move the non-injured leg forward onto the step and then will move
the injured leg and crutches up.
While going down the stairs with crutches the patient will move the crutches
down onto the step followed by?
A. moving the non-injured leg down onto the step.