Musculoskeletal System Practice Test 3
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 3rd 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.
Continue Learning
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 3
All muscles are include in rotator cuff except?
- Subscapularis
- Supraspinatus
- Infraspinatus
- Teres major
Explanation: Answer reason: Rotator cuff muscles are SITS: Supraspinatus, Infraspinatus, Teres minor, and Subscapularis. Teres major is not part of the rotator cuff.
Ligament of shoulder joint are?
- Glenohumeral ligament
- Transverse humeral ligament
- Coracohumeral ligament
- All of above
Explanation: Answer reason: The shoulder joint is supported by the glenohumeral ligaments (superior, middle, inferior), the coracohumeral ligament, and the transverse humeral ligament; therefore all listed options are correct.
The zone of active bone formation is called?
- Epiphysis
- Diaphysis
- Metaphysis
- Medullary cavity
- All of above
Explanation: Answer reason: Active bone growth occurs at the metaphysis adjacent to the epiphyseal (growth) plate where endochondral ossification is most active.
A type of highly movable joint is?
- Cartilaginous joint
- Fibrous joint
- Synovial joint
- Ellipsoid joint
- Synarthrosis
Explanation: Answer reason: Synovial (diarthrodial) joints are freely movable; fibrous are immovable, cartilaginous are slightly movable, and synarthrosis denotes immobility. Ellipsoid is a subtype of synovial, but the general class for highly movable joints is synovial.
Carpals and tarsals are the examples of?
- Flat bones
- Long bones
- Short bones
- Sesamoid bones
- Irregular bone
Explanation: Answer reason: Carpals (wrist) and tarsals (ankle) are cube-shaped bones primarily for stability and limited motion, which classifies them as short bones.
Ribs scapula & skull are examples of?
- Flat bones
- Long bones
- Short bones
- Sesamoid bones
- Irregular bone
Explanation: Answer reason: Ribs, scapula, and skull bones are classic examples of flat bones, which are thin, flattened, and provide protection and broad surfaces for muscle attachment.
An immovable joint that holds most skull bones together is?
- Ball & socket joint
- Ellipsoid joint
- Saddle joint
- Suture
- Hinge joint
Explanation: Answer reason: Sutures are fibrous synarthroses—immovable joints that connect most skull bones.
Cytoplasm of each muscle fiber is called?
- Sarcolemma
- Sarcoplasm
- Myofibrils
- Myofilaments
- Cross striations
Explanation: Answer reason: The cytoplasm of a muscle fiber is termed sarcoplasm; sarcolemma is the cell membrane, while myofibrils and myofilaments are contractile structures.
The sarcoplasm skeletal muscle fiber contain variable amount of protein called?
- Hemoglobin
- Myoglobin
- Albumin
- Globulin
- C reactive protein
Explanation: Answer reason: Skeletal muscle sarcoplasm contains myoglobin, an oxygen-binding protein that varies with fiber type. The other options are blood or plasma proteins, not muscle pigments.
Shaft of the long bone is also called?
- Epiphysis
- Diaphysis
- Metaphysis
- Medullary cavity
- All of above
Explanation: Answer reason: The shaft of a long bone is the diaphysis; epiphysis refers to the ends, metaphysis is the region between diaphysis and epiphysis, and the medullary cavity is the hollow interior.
The bones whose greater part is buried in tendons are called?
- Pneumatic bones
- Sesamoid bones
- Heterotrophic bones
- Short bones.
Explanation: Answer reason: Sesamoid bones develop within tendons (e.g., patella) to reduce friction and modify pressure; thus bones mostly buried in tendons are sesamoids.
Ribs scapula & skull are the examples of?
- Flat bone
- Short bone
- Long bone
- Sesamoid bone
- Irregular bone
Explanation: Answer reason: Ribs, scapula, and cranial bones are classic flat bones that provide protection and broad surfaces for muscle attachment.
Only flexion and extension movements occur in?
- Plane joints
- Hinge joints
- Pivot joints
- Ball and socket joints.
Explanation: Answer reason: Hinge joints are uniaxial synovial joints permitting movement in one plane—flexion and extension only. Plane joints allow gliding, pivot joints allow rotation, and ball-and-socket joints are multiaxial.
Decrease between the angle of two anterior surface is?
- Abduction
- Adduction
- Extension
- Flexion
- Rotation
Explanation: Answer reason: Flexion is the movement that decreases the angle between two parts (often described as anterior surfaces). Extension increases the angle, abduction/adduction move away/toward midline, and rotation turns a part around its axis.
True ribs directly attach via cost chondral to the?
- Manubrium
- Sternum
- Vertebrae
- Xiphoid process
- Xiphisternal
Explanation: Answer reason: True ribs (1–7) connect to the sternum directly via their costal cartilages; others attach indirectly or not at all.
Ribs scapula & skull are examples of?
- Flat bones
- Irregular bone
- Long bones
- Short bones
Explanation: Answer reason: Ribs, scapula, and many skull bones are classified as flat bones due to their thin, flattened shape and protective function.
Carpals and tarsals are the examples of?
- Flat bones
- Irregular bone
- Long bones
- Short bones
- Sesamoid bones
Explanation: Answer reason: Carpals (wrist) and tarsals (ankle) are cube-shaped bones that provide stability with limited motion, classically categorized as short bones.
Ribs scapula & skull are examples of?
- Flat bones
- Irregular bone
- Long bones
- Short bones
- Sesamoid bones
Explanation: Answer reason: Ribs, scapula, and cranial bones are classic examples of flat bones that provide protection and broad surfaces for muscle attachment.
An immovable joint that holds most skull bones together is?
- Ball & socket joint
- Ellipsoid joint
- Hinge joint
- Saddle joint
- Suture
Explanation: Answer reason: Sutures are fibrous synarthroses that join skull bones and are essentially immovable.
The cell membrane of a muscle fiber called?
- Myofibrils
- Sarcolemma
- Sarcoplasm
- Sarcomere
- None of above
Explanation: Answer reason: The plasma membrane of a muscle fiber is called the sarcolemma. Myofibrils are contractile elements within the fiber, sarcoplasm is the cytoplasm, and a sarcomere is the functional contractile unit.
The best example of _____ joint is the carpometacarpal joint of the thumb?
- Condyloid joint
- Ellipsoid
- Hinge
- Planer
- Saddle
Explanation: Answer reason: The thumb carpometacarpal joint is a synovial saddle (sellar) joint with reciprocally concave–convex surfaces allowing opposition; it is not condyloid, ellipsoid, hinge, or plane.
If the foot is abducted, it is moved in which direction?
- Inward
- Outward
- Upward
- Downward
Explanation: Answer reason: Abduction moves a body part away from the midline; for the foot this is outward.
Tarsal bones are found in ......?
- Hand
- Foot
Explanation: Answer reason: Tarsal bones are the ankle and proximal foot bones; carpals are in the hand.
Which bone is commonly known as the collarbone?
- Scapula
- Clavicle
- Sternum
- Humerus
Explanation: Answer reason: The clavicle is the anatomical name for the collarbone; scapula is the shoulder blade, sternum the breastbone, and humerus the upper arm bone.
Which type of movement is found in hinge joints-?
- Adduction
- Abduction
- Rotation
- Flexion
Explanation: Answer reason: Hinge joints are uniaxial and permit movement in one plane—flexion and extension. Among the options, flexion fits.
How many bones are there in the adult human body?
- 200
- 206
- 208
- 210
Explanation: Answer reason: The standard adult human skeleton contains 206 bones; counts can vary slightly with sesamoid bones, but 206 is the accepted number.
Which is the smallest bone in the human body?
- Ulna
- Femur
- Stapes
- Tibia
Explanation: Answer reason: The stapes, one of the auditory ossicles in the middle ear, is the smallest bone in the human body.
Most serious complication of fracture of bone is-?
- Fat embolism
- Haemorrhage
- Septicaemia
- Hypertension
Explanation: Answer reason: Fat embolism is a life-threatening complication of long-bone fractures leading to acute respiratory failure and neurological compromise; it is classically considered the most serious complication compared with options like septicaemia or hypertension.
Which muscle is called the kissing muscle?
- Frontalis
- Temporalis
- Orbicularis oculi
- Orbicularis oris
Explanation: Answer reason: The orbicularis oris encircles the mouth and is responsible for puckering the lips, hence called the kissing muscle. Frontalis raises eyebrows, temporalis elevates the mandible, and orbicularis oculi closes the eyelids.
What three bones make up the shoulder girdle?
- Acromion, clavicle, scapula
- Acromion, humerus, olecranon
- Clavicle, scapula, humerus
- Acromion, scapula, humerus
Explanation: Answer reason: The shoulder complex involves three bones: clavicle, scapula, and humerus. Acromion and olecranon are processes, not separate bones.
The system responsible for body movement and body shape is the?
- Musculoskeletal system
- Skeletal system
- Nervous system
- Muscular system
Explanation: Answer reason: Movement and overall body shape result from the combined action of bones and muscles—the musculoskeletal system. Skeletal or muscular systems alone are insufficient, and the nervous system coordinates rather than provides structure and movement.
An infant develops one extremity that is shorter than the other. This occurs with-?
- Bone tumors
- Hip fractures
- Loss of calcium
- Hip dislocation
Explanation: Answer reason: Unilateral limb-length discrepancy in infants is a classic sign of developmental dysplasia of the hip; a dislocated hip makes the affected leg appear shorter. The other options do not typically cause isolated apparent shortening in infants.
Which type of muscle is found in the walls of hollow organs?
- Smooth muscle
- Cardiac muscle
- Straited muscle
- Skeletal muscles
Explanation: Answer reason: Hollow organs such as the intestines, bladder, and blood vessels have walls composed primarily of smooth muscle, which is nonstriated and involuntary. Cardiac and skeletal muscles are not found lining hollow visceral organs.
The ribs, sternum, and thoracic vertebrae form the?
- Thorax
- Upper extremities
- Lumbar
- Lower extremities
Explanation: Answer reason: Ribs, sternum, and thoracic vertebrae comprise the thoracic cage, which forms the thorax.
How many bones does a child have at birth?
- 300
- 206
- 250
- None of these
Explanation: Answer reason: Newborns have about 300 bones, many of which later fuse to form the 206 bones of the adult skeleton.
Cranium of human contain?
- 8 bones
- 14 bones
- 12 bones
- 6 bones
Explanation: Answer reason: The cranium comprises 8 bones: frontal, occipital, sphenoid, ethmoid, and paired parietal and temporal bones.
Total bone of new born baby?
- 206
- 300
- 250
- 350
Explanation: Answer reason: Newborns have about 300 bones that later fuse into 206 in adults.
Which disorder is characterized by the softening of bones in adults?
- Oesteoathritis
- Oesteoporosis
- Rickets
- Osteomalacia
Explanation: Answer reason: Osteomalacia is the softening of bones in adults, often due to vitamin D deficiency. Rickets is the childhood counterpart; osteoporosis is decreased bone density, not softening; osteoarthritis is joint degeneration.
Which muscle is commonly known as the "calf muscle"?
- Soleus
- Rectus femoris
- Gluteus maximus
- Deltoid
Explanation: Answer reason: Among the options, only the soleus is a muscle of the calf (with gastrocnemius forming the triceps surae). The others are in the thigh, buttock, or shoulder.
Which muscle type is striated and involuntary?
- Skeletal muscle
- Cardiac muscle
- Skeletal muscle
- Adipose muscle
Explanation: Answer reason: Cardiac muscle is striated and functions involuntarily; skeletal muscle is striated but voluntary, and smooth muscle (not listed) is involuntary but non-striated. Adipose is not muscle.
What is another term for 360° movement in humans?
- Flexion
- Extension
- Circumduction
- Rotation
Explanation: Answer reason: A 360-degree circular motion of a limb around a joint is called circumduction, typical at ball-and-socket joints like the shoulder and hip. Flexion/extension are single-plane movements; rotation turns around an axis but does not describe a 360-degree cone.
Following menopause, what is the main cause of fractures among females?
- Hormonal Imbalances
- Osteoporosis
- Both Hormonal Imbalances and Osteoporosis
- None of the above
Explanation: Answer reason: Postmenopausal estrogen deficiency accelerates bone resorption, leading to osteoporosis, the primary cause of fragility fractures in women after menopause.
Where is the sternum located in the human body?
- In the chest, connecting the ribs
- In the skull, protecting the brain
- In the pelvis, supporting the lower body
- In the spine, protecting the spinal cord
Explanation: Answer reason: The sternum (breastbone) lies in the anterior chest and articulates with the ribs via costal cartilages, forming the front of the rib cage.
A patient with osteoporosis is vulnerable to which type of fractures?
- Compound Fractures
- Greenstick Fractures
- Fatigue Fractures
- Pathologic Fractures
Explanation: Answer reason: Osteoporosis weakens bone structure so fractures occur with minimal trauma; these are pathologic fractures.
Where are the strongest muscles in the human body found?
- Jaws
- Neck
- Hands
- Thighs
Explanation: Answer reason: The masseter muscle of the jaw produces the greatest bite force relative to size, often cited as the strongest muscle in the body.
Which bone is not associated with the shoulder joint?
- Humerus
- Clavicle
- Scapula
- Ulna
Explanation: Answer reason: The shoulder (glenohumeral) joint involves the humeral head and scapula, with the clavicle part of the shoulder girdle. The ulna is a forearm bone forming the elbow joint, not the shoulder.
Lateral bending of the vertebral column, usually in the thoracic region is called?
- Kyphosis
- Scoliosis
- Lordosis
- Spina bifida
Explanation: Answer reason: Lateral curvature of the spine is scoliosis. Kyphosis is posterior thoracic curvature, lordosis is exaggerated lumbar anterior curvature, and spina bifida is a neural tube defect.
Head of radius and radial notch of ulna is covered by which ligament?
- Anular ligament
- Radial ligament
- Ulnar ligament
- None of above
Explanation: Answer reason: The annular ligament encircles the head of the radius and holds it against the radial notch of the ulna at the proximal radioulnar joint.
A site where two or more bones come together, whether or not movement occurs between them is called?
- Tendon
- Ligament
- Capsules
- Joint
- Bursa
Explanation: Answer reason: An articulation where two or more bones meet is a joint. Tendons attach muscle to bone, ligaments connect bone to bone, capsules surround joints, and bursae are fluid-filled sacs.
The bones which are composed of thin plate of bony tissues are called?
- Fibrous bone
- Lamellar bone
- Cancellous bone
- Trabecular bone
Explanation: Answer reason: Cancellous (spongy) bone is composed of thin plates or bars of bony tissue called trabeculae. Fibrous/woven and lamellar refer to bone maturity/organization; trabecular is a synonym but the standard term used is cancellous bone.
Think you’re ready for the NCLEX?
Run through a full 150-question exam just like the real thing. You’ll hit the 85-question checkpoint and get a clear report showing where you stand.
