Musculoskeletal Disorders NCLEX Questions

Extract:

Question 1 of 5

During a physical exam on the 18-month-old, the nurse observes genu varum. What should the nurse do?

Correct Answer: A

Rationale: Genu varum (bowlegs) is a normal finding in children up to 2 years old and should be documented as normal.

Question 2 of 5

The nurse is caring for an elderly client diagnosed with a herniated nucleus pulposus of L4-5. Which scientific rationale explains the incidence of a ruptured disk in the elderly?

A. The client did not use good body mechanics when lifting an object. B. There is an increased blood supply to the back as the body ages. C. Older clients develop atherosclerotic joint disease as a result of fat deposits. D. Clients develop intervertebral disk degeneration as they age.

Correct Answer: D

Rationale: Intervertebral disk degeneration with aging reduces disk hydration and elasticity, increasing rupture risk. Poor body mechanics is a risk but not the primary cause, blood supply decreases, and atherosclerosis affects joints differently.

Question 3 of 5

Which interventions are appropriate for an adolescent experiencing a seizure?

A. A tongue blade inserted into the adolescent's mouth during a seizure can cause injury. B. Padding protects the adolescent's limbs from injury against the hard side rails during a seizure. C. Airway obstruction can occur during or after the seizure. An oropharyngeal airway should be available but should not be inserted during the seizure. If the seizure has commenced, nothing should be forced into the adolescent's mouth. D. The etiology is unknown. Only if an airborne or droplet infectious disease were suspected as the cause would droplet precautions be considered. E. Suctioning equipment may be needed to clear secretions after the seizure.

Correct Answer: B,C,E

Rationale: Padding protects limbs from injury, an oropharyngeal airway should be available but not inserted during a seizure, and suctioning equipment may be needed post-seizure to clear secretions.

Question 4 of 5

Which most immediate treatment by the HCP should the nurse anticipate for a child with a dislocated kneecap?

A. Open surgical intervention to repair the kneecap B. Arthroscopy to surgically repair the torn cartilage C. Realignment of the kneecap by sliding it back into position D. Application of a cast to the affected leg until the kneecap heals

Correct Answer: C

Rationale: Immediate treatment for a dislocated kneecap involves manual realignment to restore position.

Question 5 of 5

Which statement indicates that the client understands the restrictions to be followed?

A. I should avoid pointing my toes. B. I shouldn't cross my legs. C. I shouldn't lie flat in bed. D. I shouldn't stand upright.

Correct Answer: B

Rationale: Crossing legs can dislocate the hip prosthesis.

Musculoskeletal Disorders NCLEX Questions | Nurselytic

Nurselytic

NCLEX-PN

NCLEX-PN