Med Surg Musculoskeletal NCLEX Questions

Question 1 of 5

The client diagnosed with cervical disk degeneration has undergone a laminectomy. Which interventions should the nurse implement?

A. Position the client prone with the knees slightly elevated.B. Assess the client for difficulty speaking or breathing.C. Measure the drainage in the Jackson Pratt bulb every day.D. Encourage the client to postpone the use of narcotic medications.

Correct Answer: B

Rationale: Cervical laminectomy risks airway or neurological complications; assessing speech and breathing is critical. Prone positioning is inappropriate, JP drainage is routine, and delaying narcotics is unsafe.

Question 2 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?

A. The client has minimal pain when ambulating.B. The client can flex the operative knee 90 degrees.C. The client can be given to the operation of the client's surgical wound is approximated.D. None of the above

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.

Question 3 of 5

Postoperatively, which intervention should be completed before turning the client onto the nonoperative side?

A. Placing pillows between the client's legsB. Having the client point the toes downwardC. Having the client's knee on the sideD. Elevating the head of the client's bed

Correct Answer: A

Rationale: Placing pillows between the legs before turning prevents adduction of the operative hip, reducing the risk of dislocation in a client with a hip prosthesis. The other actions do not directly address hip stability.

Question 4 of 5

The nurse knows that a client who sustains multiple fractures of long bones is at risk for developing fat embolism syndrome. Which findings suggest that the client is developing this complication? Select all that apply.

A. BradycardiaB. PetechiaeC. DyspneaD. Mental status changesE. HypertensionF. Hematuria

Correct Answer: B,C,D

Rationale: Fat embolism syndrome typically presents with petechiae (small red spots from fat emboli in the skin), dyspnea (from pulmonary involvement), and mental status changes (from cerebral hypoxia). Bradycardia, hypertension, and hematuria are not characteristic.

Question 5 of 5

Which activity is best to begin implementing immediately after the client's surgery?

A. Standing at the side of the bedB. Balancing between parallel barsC. Lifting oneself with the trapezeD. Transferring from the bed to a chair

Correct Answer: C

Rationale: Lifting with a trapeze strengthens upper body muscles safely immediately post-surgery, preparing for crutch use without stressing the stump. Other activities are more advanced.

Med Surg Musculoskeletal NCLEX Questions | Nurselytic

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