NCLEX-PN
NCLEX Questions Musculoskeletal Questions
Extract:
Question 1 of 5
An adolescent male was in an accident and is hospitalized with multiple fractures. The nurse enters the room and observes that he has his back to the door and is staring at the wall with a sad expression on his face. What is the best response for the nurse to make at this time?
Correct Answer: A
Rationale: Acknowledging the client's sadness ('You seem sad') is therapeutic, encouraging expression of feelings. Other responses assume causes or dismiss emotions, which are less supportive.
Question 2 of 5
While caring for multiple clients, the nurse delegates client skin care to the UAP on a musculoskeletal unit. Which client is most appropriate for the nurse to delegate skin care to the UAP?
Correct Answer: B
Rationale: B. Buck's traction is skin traction. Because there is no open site that needs care with this type of traction, it would be appropriate to delegate skin care.
Question 3 of 5
What interventions should the nurse implement for a child who sustained a twisting injury of the right arm?
Correct Answer: A,B,C
Rationale: Elevation, ice, and wrapping reduce swelling; contacting the parent ensures proper follow-up.
Question 4 of 5
The occupational health nurse is teaching a class on the risk factors for developing osteoarthritis (OA). Which is a modifiable risk factor for developing OA?
Correct Answer: A
Rationale: Excess weight increases joint stress, a modifiable risk for OA. Age, prior damage, and genetics are nonmodifiable.
Question 5 of 5
The unlicensed assistive personnel (UAP) reports a client with a fractured femur has 'fatty globules' floating in the urinal. What intervention should the nurse implement first?
Correct Answer: A
Rationale: Fatty globules in urine suggest fat embolism syndrome; assessing for dyspnea and altered mental status (respiratory/neurological signs) is the priority. Diagnostics and bedrest follow.