NCLEX-PN
Musculoskeletal Disorders NCLEX Questions Questions
Extract:
Question 1 of 5
After the client's total hip replacement surgery, which nursing actions are essential? Select all that apply.
Correct Answer: A,B,C
Rationale:
To prevent dislocation after total hip replacement, keep knees apart (using an abductor pillow), avoid hip flexion beyond 90 degrees, and use a raised toilet seat to maintain safe hip angles. Raising the bed 90 degrees or placing pillows under knees risks dislocation, and internal rotation is contraindicated.
Question 2 of 5
The nurse would be correct to request a consultation with a dietitian if the client chooses a meal that includes which food?
Correct Answer: D
Rationale: Liver is high in purines, which increase uric acid levels, worsening gout. Nuts, milk, and eggs are low-purine foods, suitable for a gout diet, necessitating a dietitian consultation for education.
Question 3 of 5
Which statement made by the client to the nurse provides the best evidence that the client understands the therapeutic plan?
Correct Answer: B
Rationale: Tenosynovitis involves inflammation of the tendon sheath, often exacerbated by repetitive wrist motion. The physician recommends avoiding such motions temporarily. Stopping golf, which involves repetitive wrist actions, directly aligns with this plan, unlike miniature golf, which still requires wrist movement, or wearing a glove, which does not address motion.
Question 4 of 5
The nurse completes teaching the client who has a plaster cast following a right wrist fracture. Which statement, if made by the client, indicates the need for additional teaching?
Correct Answer: C
Rationale: C. Although the cast will feel very warm for about 15 to 20 minutes, a plaster cast requires 24 to 72 hours (not 30 minutes) to dry completely.
Question 5 of 5
Which explanation most accurately explains to the client the primary purpose of the splints?
Correct Answer: B
Rationale: Splints immobilize joints to reduce inflammation and slow deterioration.