NCLEX-PN
Musculoskeletal Questions NCLEX Questions
Extract:
Question 1 of 5
After the arm cast has been applied, which nursing observation is the best indication that the client may be developing compartment syndrome?
Correct Answer: A
Rationale: Severe pain disproportionate to the injury is a hallmark of compartment syndrome, indicating increased pressure within the cast compromising neurovascular status. Redness, spasms, or a bounding pulse are less specific.
Question 2 of 5
The nurse gently elevates the client's newly casted arm on a pillow and explains that this is necessary for the first 24 to 48 hours after casting. What is the chief purpose of this action?
Correct Answer: C
Rationale: Elevation enhances venous return and reduces edema, the primary reason for this action. It does not directly affect cast drying, pain medication needs, or comfort alone.
Question 3 of 5
Which psychosocial problem should the nurse identify for a client with an external fixator device?
Correct Answer: B
Rationale: External fixators alter appearance, causing body image disturbance. Coping, grieving, and communication are less specific without evidence.
Question 4 of 5
Which technique is the best strategy for assessing circulation in the leg in Buck's traction?
Correct Answer: B
Rationale: Palpating the dorsalis pedis pulse directly assesses arterial circulation in the leg, providing the most accurate indication of blood flow.
Toe movement and sensation are less specific, and blood pressure measurement is not relevant.
Question 5 of 5
Which instruction should the nurse include when reinforcing teaching with the parents about safety considerations for a child with a surgically corrected myelomeningocele?
Correct Answer: D
Rationale: Daily skin checks are essential to prevent pressure ulcers and other skin complications in children with myelomeningocele.