NCLEX-PN
Musculoskeletal NCLEX Practice Questions Questions
Question 1 of 5
The client is 12-hours post-lumbar laminectomy. Which nursing interventions should be implemented?
Correct Answer: A
Rationale: Post-lumbar laminectomy, assessing voiding prevents urinary retention, and log rolling maintains spinal alignment. Steroids/Trendelenburg, sandbags/cathartics, and anticoagulants/O2 are inappropriate without specific indications.
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?
Correct Answer: B
Rationale: 90-degree knee flexion indicates restored joint function, a key recovery milestone.
Question 3 of 5
When the client asks the nurse what is meant by the term manipulation, which explanation is most accurate?
Correct Answer: C
Rationale: Manipulation for a dislocated shoulder involves manually repositioning the bone ends into their normal alignment without surgical intervention. Incisions or pins are used in surgical procedures, and exercise is for rehabilitation, not repositioning.
Question 4 of 5
What equipment is best for preventing external rotation of the operative leg when caring for a client with a total hip replacement?
Correct Answer: B
Rationale: A trochanter roll placed along the hip prevents external rotation of the operative leg, maintaining proper alignment post-hip replacement. The other options do not specifically address rotation.
Question 5 of 5
Which laboratory test value, if elevated, is the best diagnostic indicator of rheumatoid arthritis?
Correct Answer: A
Rationale: An elevated ESR indicates inflammation, a hallmark of rheumatoid arthritis, making it a key diagnostic marker. PTT and BUN are unrelated to rheumatoid arthritis diagnosis.