NCLEX-PN
Med Surg Musculoskeletal NCLEX Questions Questions
Extract:
Question 1 of 5
Before turning the client postoperatively, which nursing instruction is especially important to prevent postoperative complications?
Correct Answer: D
Rationale: Log-rolling maintains spinal alignment during turning post-laminectomy, preventing strain on the surgical site and reducing complications like nerve damage or incision dehiscence.
Question 2 of 5
Which question best helps the nurse determine whether the client is experiencing an adverse effect from taking nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen?
Correct Answer: A
Rationale: NSAIDs like ibuprofen commonly cause gastrointestinal adverse effects, such as stomach pain or dark stools (indicating bleeding). These are more specific than headaches, swelling, or sleep issues.
Question 3 of 5
Before turning the client postoperatively, which nursing instruction is especially important to prevent postoperative complications?
Correct Answer: D
Rationale: Log-rolling maintains spinal alignment during turning post-laminectomy, preventing strain on the surgical site and reducing complications like nerve damage or incision dehiscence.
Question 4 of 5
What is the best technique a nurse can use for drying the wet plaster arm cast?
Correct Answer: A
Rationale: Leaving the cast uncovered allows natural air drying, which is the safest and most effective method for plaster casts. Heat sources like blankets, dryers, or lamps can cause burns or uneven drying, risking skin damage.
Question 5 of 5
When the nurse assesses the client, which finding is the best indication that the shoulder has been dislocated?
Correct Answer: D
Rationale: A dislocated shoulder often results in the affected arm appearing longer due to the humeral head being displaced from the glenoid fossa, altering the arm's alignment. Pain and hesitancy to move are common but less specific, and 'receiving intense pain' is a typographical error.