Musculoskeletal Questions NCLEX

Question 1 of 5

The client with rheumatoid arthritis has been taking 15 to 20 extra-strength aspirin a day. Which additional statement that the client makes would be of greatest concern to the nurse?

A. I sometimes have ringing in my ears.'B. I have a rash under my arms.'C. My fingers are swollen sometimes.'D. I don't have very much energy.'

Correct Answer: A

Rationale: Ringing in the ears (tinnitus) is a sign of aspirin toxicity, a serious concern requiring immediate attention.

Question 2 of 5

Which statement should the nurse include when teaching parents about bacterial meningitis?

A. Symptoms of meningitis often develop over time, making it easier to diagnose than other infections.B. Having a seizure associated with a high temperature usually indicates a problem other than meningitis.C. High-risk children 2 to 10 years and other children 11 years and older should receive the meningococcal conjugate vaccine (MCV4).D. Intravenous antibiotics are administered to family members who may have been in close contact with the child.

Correct Answer: C

Rationale: The meningococcal conjugate vaccine (MCV4) is recommended for high-risk children and those 11 years and older to prevent bacterial meningitis.

Question 3 of 5

When implementing the care plan, the nurse should encourage the major intake of fluids at which time of the day?

A. Before bedtimeB. Early eveningC. In the morningD. Midafternoon

Correct Answer: C

Rationale: Morning fluid intake promotes hydration and uric acid excretion throughout the day.

Question 4 of 5

The client is being evaluated for osteoporosis. Which diagnostic test is the most accurate when diagnosing osteoporosis?

A. X-ray of the femur.B. Serum alkaline phosphatase.C. Dual-energy x-ray absorptiometry (DEXA).D. Serum bone Gla-protein test.

Correct Answer: C

Rationale: DEXA is the gold standard for osteoporosis diagnosis, measuring bone mineral density. X-rays detect fractures, alkaline phosphatase is nonspecific, and bone Gla-protein is not diagnostic.

Question 5 of 5

Which statements made by a parent indicate that appropriate care is being provided for a 4-year-old with spastic-type CP?

A. "I perform range of motion (ROM) exercises every 4 hours to help prevent contractures."B. "I give my child a therapeutic massage after the stretching exercises to help manage pain."C. "I minimize the calories I provide with meals because my child is more prone to obesity."D. "I have my child wear a helmet during the day because of chronic tonic-clonic seizures."E. "Using utensils with large, padded handles makes it easier for my child to feed himself."

Correct Answer: A,B,D,E

Rationale: ROM exercises, therapeutic massage, helmet use for seizures, and adaptive utensils indicate appropriate care for spastic CP.

Musculoskeletal Questions NCLEX | Nurselytic

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