NCLEX-PN
NCLEX Questions Musculoskeletal Questions
Question 1 of 5
The client with a cervical neck injury as a result of a motor-vehicle accident is complaining of unrelieved pain after administration of a narcotic analgesic. Which alternative method of pain control is an independent nursing action?
Correct Answer: C
Rationale: Distraction via TV or music is an independent nursing action to manage pain. Muscle relaxants require a prescription, heat/ice involves PT, and surgical discussions are physician-driven.
Question 2 of 5
The occupational health nurse is teaching a class on the risk factors for developing osteoarthritis (OA). Which is a modifiable risk factor for developing OA?
Correct Answer: A
Rationale: Excess weight increases joint stress, a modifiable risk for OA. Age, prior damage, and genetics are nonmodifiable.
Question 3 of 5
The HCP prescribes glucosamine and chondroitin for a client diagnosed with OA. What is the scientific rationale for prescribing this medication?
Correct Answer: B
Rationale: Glucosamine and chondroitin support cartilage health, slowing OA progression. They have limited anti-inflammatory effects, are not potent analgesics, and do not increase synovial fluid.
Question 4 of 5
Which foods should the nurse recommend to a client when discussing sources of dietary calcium?
Correct Answer: A
Rationale: Yogurt and dark-green leafy vegetables (e.g., kale) are rich in calcium, supporting bone health. Other options have minimal calcium content.
Question 5 of 5
The nurse instructs the client with a right BKA to lie on the stomach for at least 30 minutes a day. The client asks the nurse, 'Why do I need to lie on my stomach?' Which statement is the most appropriate statement by the nurse?
Correct Answer: B
Rationale: Prone positioning prevents hip flexor contractures post-BKA, promoting mobility. Lung expansion, pain relief, and pressure relief are secondary or unrelated.