NCLEX-PN
NCLEX Questions for Musculoskeletal Disorders Questions
Extract:
Question 1 of 5
How can the nurse best support the wet cast while the physician wraps the arm with rolls of wet plaster?
Correct Answer: D
Rationale: Using the palms of the hands to support the wet cast prevents indentations that could cause pressure points, ensuring the cast maintains its shape. A soft mattress or fingers may deform the cast, and a firm surface is less precise.
Question 2 of 5
Which assessment finding warrants immediate action by the nurse when a client is in Buck's traction?
Correct Answer: A
Rationale: Traction weights must hang freely to maintain proper pull. If they are above the floor (e.g., resting on something), the traction is ineffective, requiring immediate correction to ensure proper alignment and healing.
Question 3 of 5
The experienced nurse observes the new nurse caring for the client who is in skeletal traction to stabilize a proximal femur fracture prior to surgery. Which observation by the experienced nurse indicates the new nurse needs additional orientation?
Correct Answer: C
Rationale: C. Weights should be hanging freely, but weights should never be removed (unless a life-threatening situation occurs) because removal could result in injury and defeats the purpose of the traction. The lengths of the ropes need to be adjusted so the weights do not rest on the bed frame.
Question 4 of 5
The nurse is caring for a client who has just had a cast applied. Which statement best describes the expected client outcome relative to the circulatory system for a client with a cast?
Correct Answer: B
Rationale: The primary circulatory outcome is preventing impairment, such as swelling or color changes. Pain relates to neurological issues, cast integrity is unrelated to circulation, and skin irritation is not a circulatory indicator.
Question 5 of 5
The nurse is concerned about the spinal curve in the young child and documents the exaggerated lumbar curve. Which condition was likely documented?
Correct Answer: B
Rationale: Lordosis is characterized by an exaggerated lumbar curve.