Musculoskeletal System Practice Test 2
Musculoskeletal System NCLEX Practice Test
Musculoskeletal System is a key topic within the NCLEX test plan, located under Nursing Science → Clinical Foundations → Musculoskeletal System. This section emphasizes mobility, rehabilitation, and nursing interventions for injury prevention. Each test contains 50 questions designed to mirror the difficulty and variety of the real exam.
This is the 2nd part of the Musculoskeletal System series. To explore all practice tests under this topic, use the “Back to Main Topic” button at the end of the page.
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In the Musculoskeletal System Study Cards section, shared by real NCLEX candidates, you’ll find concise summaries and high-yield insights related to the most tested concepts. It’s a perfect space to reinforce challenging topics and sharpen your recall through quick, focused repetitions. Short, powerful, and repeatable!
Musculoskeletal System Practice Test 2
All of the following are functions of bones except?
- Absorption
- Triglyceride storage
- Protection
- Excretion
Explanation: Answer reason: Bones protect organs and store triglycerides in yellow marrow; excretion is not a function of bones.
In a sprain, severe stretching, some tearing, inflammation, and hematoma fall in grade ____?
- I
- II
- III
- IV
Explanation: Answer reason: Grade II sprain involves severe stretching with a partial ligament tear, causing inflammation and a hematoma; Grade I is mild stretching, and Grade III is a complete rupture.
A _____ is a deformity of the base joint of the big toe?
- Corn
- Bunion
- Plantar warts
- Calluses
Explanation: Answer reason: A bunion (hallux valgus) is a deformity of the first metatarsophalangeal joint at the base of the big toe.
Heberden's and Bouchard's nodes are typically seen in patients with ________?
- Osteoarthritis
- HTN
- DM
- Trauma
Explanation: Answer reason: Heberden's (DIP) and Bouchard's (PIP) nodes are classic bony enlargements seen in osteoarthritis.
The largest sesamoid bone is ---------- and is located in ---------?
- Pelvis, quadriceps femoris
- Tibia, hamstring
- Patella, quadriceps femoris.
Explanation: Answer reason: The patella is the largest sesamoid bone and is embedded within the tendon of the quadriceps femoris.
Only rotation is possible?
- Acromioclavicular joints
- Manubrium of the sternum
- Symphysis pubis
- Atlantoaxial joint
Explanation: Answer reason: The atlantoaxial joint is a pivot synovial joint between C1 and C2 that permits only rotation, allowing the head to turn. Other listed joints allow gliding or limited movement, not pure rotation.
The muscle's outer envelope is covered by?
- Epimysium
- Aponeurosis
- Fascia
- None of the above.
Explanation: Answer reason: The connective tissue layers of skeletal muscle are endomysium (around fibers), perimysium (around fascicles), and epimysium, which surrounds the entire muscle—its outer envelope. An aponeurosis is a flat tendon, and fascia is a broader connective tissue sheet, not specifically the muscle’s outer coat.
The cell membrane of a muscle fiber is called?
- Sarcolemma
- Sarcoplasm
- Myofibrils
- Sarcomere
- None of the above
Explanation: Answer reason: The plasma membrane of a muscle fiber is the sarcolemma; sarcoplasm is the cytoplasm; myofibrils are contractile elements; and a sarcomere is the functional contractile unit.
What is the small triangular bone formed by the fusion of four vertebrae called?
- Sacrum
- Coccyx
- Hilum
- Scapula
- Skull
Explanation: Answer reason: The coccyx (tailbone) is formed by the fusion of typically four coccygeal vertebrae into a small triangular bone. The sacrum consists of five fused vertebrae; the others are unrelated structures.
What is the zone of active bone formation called?
- Epiphysis
- Diaphysis
- Metaphysis
- Medullary cavity
Explanation: Answer reason: Active longitudinal bone growth occurs at the epiphyseal (growth) plate, located in the metaphysis, making it the zone of active bone formation.
The matrix of bone is impregnated with which salt that imparts hardness and rigidity to the tissue?
- Calcium
- Phosphate
- Magnesium
- Fibers
Explanation: Answer reason: Bone matrix hardness is due to mineralized calcium salts—primarily calcium phosphate (hydroxyapatite); hence, calcium is the key salt imparting rigidity.
The two hip bones articulate with each other anteriorly at a point called?
- Sacroiliac joint
- Pubic crest
- Pubic symphysis
- Pubic tubercle
Explanation: Answer reason: The left and right pubic bones meet anteriorly at the fibrocartilaginous pubic symphysis. The sacroiliac joints are located posteriorly, and the pubic crest and tubercle are bony landmarks, not the joint between the hip bones.
In the lower part of the hip bone, what is the large opening called?
- Acetabulum
- Pelvic brim
- Obturator internus
- Obturator foramen
Explanation: Answer reason: The large opening in the inferior part of the hip bone, formed by the pubis and ischium, is the obturator foramen. The acetabulum is the socket for the femoral head, the pelvic brim outlines the pelvic inlet, and the obturator internus is a muscle.
Sutures of the skull are examples of?
- Fibrous joints
- Synovial joints
- Cartilaginous joints
- Hinge joints
Explanation: Answer reason: Skull sutures are immovable joints in which the bones are united by dense fibrous connective tissue, classifying them as fibrous (suture) joints.
The central, elongated, tubular part of the long bone is called?
- Epiphysis
- Diaphysis
- Metaphysis
- Epiphyseal cartilage
Explanation: Answer reason: The shaft of a long bone is the diaphysis. The epiphyses are the ends, the metaphysis is the flared region between the diaphysis and the epiphysis, and the epiphyseal cartilage is the growth plate.
The joint between the head of a rib and the corresponding vertebral body is?
- Synovial
- Fibrous
- Cartilaginous
- Synarthrosis.
Explanation: Answer reason: The costovertebral joint between the rib head and the vertebral body is a plane synovial joint.
What are the four vertebrae fused together to form a small triangular bone called?
- Sacrum
- Coccyx
- Hilum
- Scapula
- Skull
Explanation: Answer reason: The coccyx is the small, triangular, terminal bone of the vertebral column, formed by the fusion of typically four rudimentary coccygeal vertebrae.
What is a muscle-to-bone attachment called?
- Capsule
- Ligament
- Tendon
- Bursa
Explanation: Answer reason: Tendons connect muscle to bone. Ligaments connect bone to bone, and capsules or bursae do not serve as the primary muscle-to-bone attachment.
What is the largest sesamoid bone in the body?
- Clavicle
- Fibula
- Femur
- Hip bone
- Patella
Explanation: Answer reason: The patella is a sesamoid bone embedded in the quadriceps tendon and is the largest sesamoid bone in the human body.
The tibia and fibula are articulated with ... at the ankle joint?
- Three cuneiform bones
- Navicular
- Cuboid bone
- Talus bone
Explanation: Answer reason: The ankle (talocrural) joint is formed by the distal tibia and fibula articulating with the talus.
Upper end joint between the radius and the ulna?
- Distal radioulnar joint.
- Middle radioulnar joint.
- Proximal radioulnar joint.
- None of these.
Explanation: Answer reason: The joint between the radius and ulna at the upper (elbow) end is the proximal radioulnar joint; the distal joint is at the wrist, and the middle refers to the interosseous connection.
Decrease in the angle between two anterior surfaces is?
- Abduction
- Adduction
- Extension
- Flexion
- Rotation
Explanation: Answer reason: Flexion is the movement that decreases the angle between two body parts; extension increases the angle, abduction and adduction move away from or toward the midline, and rotation is the turning around an axis.
Which muscles are titled visceral muscles?
- Cardiac
- Skeletal
- Smooth
- All of the above.
- None of the above.
Explanation: Answer reason: Visceral muscle refers to the smooth muscle found in the walls of hollow organs; therefore, the correct type is smooth muscle.
The cell membrane of a muscle fiber is called?
- Myofibrils
- Sarcolemma
- Sarcoplasm
- Sarcomere
- None of the above.
Explanation: Answer reason: The plasma membrane of a muscle fiber is called the sarcolemma. Myofibrils are contractile organelles, the sarcoplasm is the cytoplasm, and a sarcomere is the functional contractile unit.
What are the four vertebrae fused together to form a small triangular bone called?
- Coccyx
- Hilum
- Sacrum
- Scapula
- Skull
Explanation: Answer reason: The coccyx is formed by the fusion of typically four coccygeal vertebrae, creating a small triangular bone at the base of the spine. The sacrum consists of five fused vertebrae.
Acromial fibers of the deltoid are examples of?
- Bipennate
- Multipennate
- Tripinnate
- Unipennate
- Both A and B.
Explanation: Answer reason: The deltoid—particularly its acromial (middle) fibers—has a multipennate arrangement with several featherlike fascicles converging onto multiple tendinous slips.
True ribs attach directly to the sternum via costal cartilage?
- Manubrium
- Sternum
- Vertebrae
- Xiphoid process
- Xiphisternal
Explanation: Answer reason: True ribs (1–7) attach directly to the sternum via their costal cartilages (costochondral connections).
Carpals and tarsals are examples of?
- Flat bones
- Irregular bone
- Long bones
- Short bones
- Sesamoid bones
Explanation: Answer reason: The carpals of the wrist and the tarsals of the ankle are anatomically classified as short bones.
Ribs, scapula, and skull are examples of?
- Flat bones
- Irregular bone
- Long bones
- Short bones
- Sesamoid bones
Explanation: Answer reason: Ribs, scapulae, and cranial bones are classic examples of flat bones, which protect underlying organs and provide broad surfaces for muscle attachment.
The thoracic cage is made up of all except?
- Clavicle
- Costal cartilage
- Ribs
- Sternum
- Thoracic vertebrae
Explanation: Answer reason: The thoracic cage consists of the ribs, costal cartilages, the sternum, and the thoracic vertebrae. The clavicle belongs to the pectoral (shoulder) girdle, not the thoracic cage.
The type of joint distinguished by having a fluid-filled joint cavity is a ____________ joint?
- Fibrous
- Cartilaginous
- Synovial
- Suture
Explanation: Answer reason: Synovial joints have a synovial cavity filled with synovial fluid; fibrous and cartilaginous joints lack a fluid-filled joint cavity, and sutures are fibrous joints.
They connect the spine to the pelvis and are the strongest joints in the body?
- Pubic symphysis joint
- Sacrococcygeal joint
- Sacroiliac joints
- Sacro-ischial joint
Explanation: Answer reason: The sacroiliac joints link the sacrum (spine) to the ilium (pelvis) and are among the strongest weight-bearing joints due to powerful ligamentous support.
A pearly white, fibrous sheet in the abdomen is known as?
- Ligament
- Tendon
- Nephrosis
- Aponeurosis
Explanation: Answer reason: The flat, pearly-white fibrous sheet that serves as a broad tendon for the abdominal muscles is an aponeurosis (e.g., the abdominal aponeuroses/linea alba).
The largest synovial joint in the body is?
- The knee joint
- The shoulder joint
- The ankle joint.
- The wrist joints
Explanation: Answer reason: The knee is the body’s largest and most complex synovial joint (a modified hinge joint), larger than the shoulder, the ankle, or the wrist.
Sternum, known as?
- Flat bone
- Long bone
- Irregular bone
- Sesamoid bone
Explanation: Answer reason: Anatomically, the sternum is classified as a flat bone, like the ribs and cranial bones.
A broken bone with a break in the skin?
- Closed fracture
- Open fracture
- Incomplete fracture
- None of the above
Explanation: Answer reason: An open (compound) fracture is a broken bone with an overlying skin break; closed fractures do not break the skin and incomplete fractures are partial breaks.
What type of connective tissue connects bone to bone?
- Cartilage
- Tendon
- Fascia
- Ligament
Explanation: Answer reason: Ligaments are dense connective tissues that connect bone to bone at joints; tendons connect muscle to bone, cartilage cushions joints, and fascia surrounds muscles.
What is the covering of the bone called?
- Diaphysis
- Epiphyseal plate
- Bone marrow
- Periosteum
Explanation: Answer reason: The periosteum is the fibrous membrane that covers the outer surface of bones. The diaphysis is the shaft of a long bone, the epiphyseal plate is the growth plate, and bone marrow is inside the bone.
"Human skeleton" consists of?
- 306 bones
- 206 bones
- 300 Bones
- 203 Bones
Explanation: Answer reason: An adult human skeleton has 206 bones; higher counts apply to infants before ossification and fusion.
Synovial fluid is present in...?
- Sinus
- Joints
- Lungs
Explanation: Answer reason: Synovial fluid lubricates synovial joints, reducing friction between articular cartilages; it is not found in sinuses or lungs.
What is the first bone of the vertebral column?
- Atlas
- Frontal
- Parietal
- Stapes
Explanation: Answer reason: The first bone of the vertebral column is the first cervical vertebra, the atlas (C1). The other options are skull or ear bones.
Which muscle injury causes torticollis during delivery?
- Skeletal Muscle
- Sternocleidomastoid muscle
- Smooth muscle
- Cardiac Muscle
Explanation: Answer reason: Birth trauma to the sternocleidomastoid muscle leads to fibrosis and head tilt, producing congenital muscular torticollis.
Abnormal lateral deviation of vertebral column is..?
- Kyphosis
- Lordosis
- Scoliosis
- Osteoporosis
Explanation: Answer reason: Lateral curvature of the spine is scoliosis; kyphosis is excessive thoracic posterior curvature, lordosis is excessive lumbar anterior curvature, and osteoporosis is decreased bone density.
The appendicular skeleton includes all of the following EXCEPT one. Which one?
- The pectoral girdle
- The thoracic cage
- The phalanges
- The lower limbs
Explanation: Answer reason: The appendicular skeleton includes the pectoral and pelvic girdles and the upper and lower limbs (including the phalanges). The thoracic cage is part of the axial skeleton, so it is the exception.
Which is the strongest muscle in the human body?
- Tongue
- Cheek
- Jaw
- Heart
Explanation: Answer reason: The masseter (jaw muscle) can generate the greatest force of any muscle, producing very high bite forces. The tongue is not a single muscle, the cheek muscles are weaker, and the heart excels in endurance rather than maximal force.
Small bundles of skeletal muscle fibers are enclosed in?
- Perimysium
- Epimysium
- Endomysium
- Sarcoplasm
Explanation: Answer reason: Small bundles of muscle fibers are fascicles, and each fascicle is surrounded by perimysium. Epimysium covers the whole muscle; endomysium surrounds individual fibers; sarcoplasm is the cytoplasm.
Moving a limb away from the body's midline ________?
- Adduction
- Abduction
- Eversion
- Flexion
Explanation: Answer reason: Abduction is movement away from the body’s midline; adduction is toward the midline, eversion turns the sole outward, and flexion decreases a joint angle.
Skull is an example of __________ type of joint?
- Amphiarthrosis
- Diarthrosis
- Synarthrosis
- All of these
Explanation: Answer reason: The sutures of the skull are immovable fibrous joints, classified as synarthroses. Diarthrosis are freely movable and amphiarthrosis are slightly movable, so they do not apply.
The outer part of shaft of bone is covered by connective tissue known as?
- Epipheasal cartilage
- Metaphysis
- Diaphysis
- Periosteum
Explanation: Answer reason: The periosteum is a dense connective tissue membrane that covers the external surface of bones, particularly the diaphysis, except at articular cartilage.
The joints whose articular surfaces are flat or almost flat and permit sliding?
- Hinge joints
- Plane joints
- Pivot joints
- Saddle joints
Explanation: Answer reason: Plane (gliding) synovial joints have flat or nearly flat articular surfaces that allow sliding/gliding movements, such as intercarpal joints.
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