NCLEX-PN
NCLEX Questions Musculoskeletal Questions
Extract:
Question 1 of 5
In which conditions might the nurse assess for the presence of papilledema?
Correct Answer: B,C,D
Rationale: Papilledema, indicating increased intracranial pressure, can be associated with craniosynostosis, shaken baby syndrome, and hydrocephalus.
Question 2 of 5
Which finding should the nurse report as a sign of increased intracranial pressure (ICP)?
Correct Answer: B
Rationale: Widened pulse pressure is a hallmark of Cushing's triad, indicating increased ICP.
Question 3 of 5
The client has a fractured right ankle that has just been casted. The nurse is instructing the client in crutch walking techniques. Which method is most appropriate?
Correct Answer: A
Rationale: The correct crutch walking technique (three-point gait) involves moving the right crutch, then the left foot, followed by the left crutch, and finally the right foot, protecting the fractured ankle.
Question 4 of 5
The client one (1) day postoperative total hip replacement complains of hearing a 'popping sound' when turning. Which assessment data should the nurse report immediately to the surgeon?
Correct Answer: C
Rationale: Groin pain with a popping sound suggests hip dislocation, requiring immediate surgeon notification. Discoloration, equal leg length, and edema are less urgent.
Question 5 of 5
To prevent skin breakdown while the client is in Russell's traction, the nurse must frequently inspect the skin in which area?
Correct Answer: B
Rationale: Russell's traction involves a sling under the knee, placing pressure on the popliteal space, which is prone to skin breakdown due to prolonged contact and immobility. Frequent inspection here prevents pressure ulcers.