NCLEX-PN
Musculoskeletal Disorders NCLEX Questions Questions
Extract:
Question 1 of 5
A person's right thumb was accidentally severed with an axe. The amputated right thumb was recovered. Which action by the nurse preserves the thumb so it could possibly be reattached in surgery?
Correct Answer: D
Rationale: Wrapping the thumb and placing it in a bag on ice preserves viability for reattachment without freezing tissue. Direct ice causes frostbite, warm water promotes decay, and wrapping alone is insufficient.
Question 2 of 5
The client just underwent a left THR. After a family member assists the client with repositioning in bed, the client states hearing a 'pop' and has increased pain at the surgical site. Which is the most appropriate initial action by the nurse?
Correct Answer: A
Rationale: A. The nurse's initial action should be to check the extremity's position. Improper movement and repositioning can cause prosthesis dislocation; an audible pop and increased pain are signs of possible dislocation.
Question 3 of 5
The nurse is discussing osteoporosis with a group of women. Which factor will the nurse identify as a nonmodifiable risk factor?
Correct Answer: C
Rationale: Female gender is a nonmodifiable risk factor for osteoporosis due to lower bone density post-menopause. Calcium deficiency, tobacco, and alcohol are modifiable.
Question 4 of 5
The nurse is teaching a class to pregnant teenagers. Which information is most important when discussing ways to prevent osteoporosis?
Correct Answer: D
Rationale: Staying active (weight-bearing exercise) during pregnancy builds bone density, preventing future osteoporosis. Calcium supplements are secondary, low-calcium diets are harmful, and age misconception ignores prevention.
Question 5 of 5
Which material added by the nurse is best for covering the tips of the pin to prevent injuries while the client is in skeletal leg.
Correct Answer: C
Rationale: Cork blocks securely cover pin tips, preventing injury to the client or staff while maintaining stability. Gauze and cotton are less durable, and rubber tubes may not fit securely.