NCLEX-PN
Musculoskeletal Disorders NCLEX Questions Questions
Extract:
Question 1 of 5
A cast has just been applied to a client's left forearm, and he has 10 lbs of Russell's traction on his left leg. Which of the following nursing concerns takes priority in the care of this client?
Correct Answer: A
Rationale: Swelling in a newly casted extremity can cause the cast to act as a tourniquet, compromising circulation, which is the priority concern. Heat from a wet cast does not burn skin, muscle atrophy is a long-term issue, and skin irritation is less urgent.
Question 2 of 5
When reviewing the chart of a 25-year-old male, the nurse reads that the client was diagnosed with an osteosarcoma of the distal femur. Which statement indicates the nurse's correct interpretation of the client's diagnosis?
Correct Answer: B
Rationale: B. Osteosarcoma is a malignant primary tumor of the bone, appearing most frequently in males between 10 and 25 years (when bones grow rapidly). Prognosis depends on whether the tumor has metastasized to the lungs, but it is often fatal.
Question 3 of 5
Which statement by the client diagnosed with a fractured ulna indicates to the nurse the client needs further teaching?
Correct Answer: D
Rationale: Immobilizers must be worn continuously to stabilize a fractured ulna, not just when lying down. High-protein diet, finger movement, and proactive pain management are correct.
Question 4 of 5
When planning the client's discharge, the nurse must help the client obtain which essential piece of equipment for home care?
Correct Answer: C
Rationale: A raised toilet seat maintains hip angles below 90 degrees, preventing dislocation during toileting, which is essential for safe home care post-hip replacement.
Question 5 of 5
Which risk factor found in the client's medical record does the nurse identify as most significant for sustaining a hip fracture?
Correct Answer: A
Rationale: Postmenopausal status is the most significant risk factor for hip fractures due to estrogen loss, which accelerates bone density reduction, increasing fracture risk. Obesity, diabetes, and lactose intolerance are less directly related.