NCLEX-RN
Musculoskeletal Disorders RN NCLEX Questions Questions
Question 1 of 5
The nurse is caring for a client with myasthenia gravis who is six hours postoperative following a thymectomy. Which item should the nurse have at the bedside?
Correct Answer: B
Rationale: Myasthenia gravis can cause respiratory muscle weakness, and post-thymectomy risks respiratory compromise. A bag-valve mask is critical for emergency ventilation. Calcium gluconate, tracheostomy kits, and atropine are not directly related.
Question 2 of 5
The nurse is conducting a client teaching session at the clinic for a client who has been prescribed a bisphosphonate for osteoporosis treatment. Which instructions should the nurse provide to this client?
Correct Answer: A
Rationale: Bisphosphonates like alendronate must be taken sitting upright first thing in the morning with a full glass of water to ensure proper absorption and minimize esophageal irritation. Taking it at night, with food, or with an esophageal disorder increases the risk of esophageal damage or reduced efficacy.
Extract:
The nurse is caring for a 41-year-old female in the outpatient clinic
Item 1 of 1
• Progress Note
1300:
• Client presenting for the initial dose of etanercept following the diagnosis of rheumatoid arthritis.
• The client reported joint pain in the hands not improving with acetaminophen.
• Will prescribe better pain control and follow up in six weeks.
• Physician Orders
• Etanercept 50 mg SubQ every week
• Naproxen 500 mg PO Daily, as needed for pain
Question 3 of 5
The nurse prepares to administer the prescribed etanercept.Complete the sentences below by selecting the appropriate option:The nurse should instruct the client that the prescribed etanercept --------------------------Prior to the first dose, the nurse should ensure the client has had a----------------------After administering the medication, the nurse should----------------------
Correct Answer: B,E,G
Rationale: Etanercept is a tumor necrosis factor (TNF) blocking agent used to treat autoimmune disorders such as psoriasis or rheumatoid arthritis (R
A). This medication increases the client's risk of infection, requiring baseline testing for TB, such as a PPD. If the client has latent TB, it may be activated again. Etanercept does not cause weight gain or raise blood glucose. This would be true if the client were prescribed a corticosteroid which may be used in exacerbations of RA. A lipid panel has no relevance to etanercept. Etanercept is administered subcutaneously at a 45 to a 90-degree angle. This medication is not administered in the deltoid; this would be appropriate for an intramuscular injection. Aspiration for subcutaneous injections is unnecessary as piercing a blood vessel is rare. The most common adverse effect of this medication is injection site reaction (redness, pain, discomfort). The area should not be rubbed or massaged as it could worsen the injection site reaction.
Extract:
Question 4 of 5
The nurse is teaching a new grad about contractures. The nurse knows which statement about contractures secondary to immobility is accurate?
Correct Answer: D
Rationale: Flexion contractures are the most common due to immobility, as muscles shorten in a flexed position. Contractures can be prevented with range of motion and positioning, despite spasticity or tension.
Question 5 of 5
The nurse is caring for a client who sustained a fractured tibia and fibula and has a cast applied to the extremity. Which of the following findings would indicate the client has developed compartment syndrome?
Correct Answer: C
Rationale: Severe, unrelieved pain is a hallmark of compartment syndrome, caused by increased pressure within a muscle compartment compromising circulation and nerve function. Petechiae and dyspnea suggest fat embolism, and bone pain with fever may indicate infection.