NCLEX Questions for Musculoskeletal Disorders

Extract:

Question 1 of 5

A young adult is discharged to home with crutches. Which exercise should the nurse teach the client in order to strengthen the hand muscles for crutch walking?

Correct Answer: D

Rationale: Squeezing a rubber ball strengthens hand muscles, essential for gripping crutches during walking.

Question 2 of 5

Which interventions should the nurse implement for the client diagnosed with an open fracture of the left ankle? Select all that apply.

A. Apply an immobilizer snugly to prevent edema. B. Apply an ice pack for 10 minutes and remove for 20 minutes. C. Place the extremity in the dependent position to allow drainage. D. Obtain an x-ray of the ankle after applying the immobilizer. E. Administer tetanus toxoid, 0.5 mL intramuscularly, in the deltoid.

Correct Answer: B,D,E

Rationale: Ice reduces swelling, x-ray confirms fracture, and tetanus prevents infection in open fractures. Tight immobilizers risk neurovascular compromise, and dependent positioning worsens edema.

Question 3 of 5

While teaching the client, what can the nurse explain about the purpose for prescribing this medication?

A. To reduce emotional depression B. To relax skeletal muscles C. To promote restful sleep D. To relieve inflammation

Correct Answer: B

Rationale: Cyclobenzaprine (Flexeril) is a muscle relaxant used to reduce muscle spasms associated with a herniated disk, alleviating pain and improving mobility. It does not primarily address depression, sleep, or inflammation.

Question 4 of 5

The nurse assesses the client 6 hours following a lumbar spinal fusion. The client has a throbbing headache, but VS and CMS of the lower extremities are WNL. The lungs have fine basilar crackles. The back dressing has a dime-sized bloody spot surrounded by clear yellow drainage. Which nursing action demonstrates the nurse's best clinical judgment?

A. Give prescribed morphine sulfate IV B. Have the client cough and deep breathe C. Reinforce the incisional dressing D. Notify the health care provider

Correct Answer: D

Rationale: D. A bloody area surrounded by clear yellowish fluid on the dressing and the client's headache suggest a CSF leak. The nurse should notify the HCP.

Question 5 of 5

The client with DM is admitted with possible osteomyelitis secondary to an ankle wound. The client's ankle is painful, red, swollen, and warm, and the wound is persistently draining. The client's temperature is 102.2Â°F (39Â°C). Based on the client's status, which HCP order should the nurse plan to defer until later?

A. Obtain a culture of the ankle wound. B. Administer ceftriaxone 1 g IV q12h. C. Apply splint to immobilize the ankle. D. Teach on IV antibiotic self-administration.

Correct Answer: D

Rationale: D. The nurse should defer teaching. Pain and an elevated temperature are barriers to learning.

NCLEX Questions for Musculoskeletal Disorders | Nurselytic

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