NCLEX Questions Musculoskeletal

Question 1 of 5

The unlicensed assistive personnel (UAP) reports a client with a fractured femur has 'fatty globules' floating in the urinal. What intervention should the nurse implement first?

A. Assess the client for dyspnea and altered mental status.B. Obtain an arterial blood gas and order a portable chest x-ray.C. Call the HCP for a ventilation/perfusion scan.D. Instruct the UAP keep the client on strict bedrest.

Correct Answer: A

Rationale: Fatty globules in urine suggest fat embolism syndrome; assessing for dyspnea and altered mental status (respiratory/neurological signs) is the priority. Diagnostics and bedrest follow.

Question 2 of 5

The nurse is caring for clients on a surgical unit. Which nursing task is most appropriate for the nurse to delegate to an unlicensed assistive personnel (UAP)?

A. Help the client with a two (2)-day postop amputation put on the prosthesis.B. Request the UAP double-check a unit of blood to be hung.C. Change the surgical dressing on the client with a Syme's amputation.D. Ask the UAP to take the client to the physical therapy department.

Correct Answer: D

Rationale: Transporting a client to PT is within UAP scope. Prosthesis application, blood verification, and dressing changes require nursing judgment.

Question 3 of 5

The 10-year-old, who is Chinese, is scheduled to receive methotrexate to treat IRA. Which information in the medical record of a 10-year-old Chinese child scheduled to receive methotrexate for JRA should prompt the nurse to withhold the dose and contact the HCP?

A. H&P documentationB. Laboratory findingsC. Vital signs abnormalitiesD. Physical assessment findings

Correct Answer: B

Rationale: Abnormal laboratory findings, such as liver or kidney dysfunction, may contraindicate methotrexate administration.

Question 4 of 5

While caring for multiple clients, the nurse delegates client skin care to the UAP on a musculoskeletal unit. Which client is most appropriate for the nurse to delegate skin care to the UAP?

A. The client with osteomyelitis of the tibia who needs a wound dressing changeB. The client with an inoperable hip fracture who is in Buck's tractionC. The client with a pelvic fracture who is in skeletal tractionD. The client with a femur fracture who has an external fixator in place

Correct Answer: B

Rationale: B. Buck's traction is skin traction. Because there is no open site that needs care with this type of traction, it would be appropriate to delegate skin care.

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?

A. This position will help your lungs expand better.'B. Lying on your stomach will help prevent contractures.'C. Many times this will help decrease pain in the limb.'D. The position will take pressure off your backside.'

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.

NCLEX Questions Musculoskeletal | Nurselytic

Nurselytic

NCLEX-PN

NCLEX-PN