NCLEX-PN
Med Surg Musculoskeletal NCLEX Questions Questions
Question 1 of 5
The nurse is caring for a client with a left fractured humerus. Which data warrant intervention by the nurse?
Correct Answer: C
Rationale: Edema and purple discoloration indicate neurovascular compromise, requiring immediate intervention. Normal refill, unrelieved pain, and warm skin are less urgent.
Question 2 of 5
What is the best technique a nurse can use for drying the wet plaster arm cast?
Correct Answer: A
Rationale: Leaving the cast uncovered allows natural air drying, which is the safest and most effective method for plaster casts. Heat sources like blankets, dryers, or lamps can cause burns or uneven drying, risking skin damage.
Question 3 of 5
When planning the client's postoperative care, which is the least desirable position in which the nurse can place the client?
Correct Answer: C
Rationale: Prone positioning stresses the stump and impairs healing.
Question 4 of 5
Which priority intervention should the day surgery nurse implement for a client who has had right knee arthroscopy?
Correct Answer: C
Rationale: Checking distal pulses and toes assesses for neurovascular compromise, a priority post-arthroscopy. ROM, urine, and vitals are secondary.
Question 5 of 5
Which evidence is the best indication that the client who had a knee arthroplasty is recovering according to expected outcomes and no longer needs the continuous passive motion (CPM) machine?
Correct Answer: B
Rationale: Achieving 90-degree knee flexion is a key milestone post-knee arthroplasty, indicating sufficient joint mobility to discontinue the CPM machine. Pain and wound healing are important but less specific to CPM use.