NCLEX Questions for Musculoskeletal Disorders | Nurselytic

Questions 54

NCLEX-PN

NCLEX-PN Test Bank

NCLEX Questions for Musculoskeletal Disorders Questions

Extract:


Question 1 of 5

It is necessary to pull the client, who is in Russell's traction, up in bed. Which action should the nurse take?

Correct Answer: A

Rationale: Leaving weights in place maintains continuous traction, preventing misalignment during repositioning.

Question 2 of 5

If the client is allergic to penicillin, the nurse must question a medical order for which type of antibiotic?

Correct Answer: B

Rationale: Cephalosporins (e.g., cefaclor) have a cross-sensitivity with penicillin, risking allergic reactions in penicillin-allergic clients. The other antibiotics listed do not share this cross-reactivity.

Question 3 of 5

Postoperatively, the client screams obscenities at the nurse after realizing that the injured forearm is missing. Which nursing action is most appropriate at this time?

Correct Answer: B

Rationale: Staying quietly with the client provides emotional support during a grief reaction to amputation, promoting trust. Leaving, reprimanding, or medicating without engagement dismisses the client's feelings.

Question 4 of 5

The HCP's progress note states that the infant with meningitis is in an opisthotonus position. What should the nurse observe when performing an assessment?

Correct Answer: D

Rationale: Opisthotonus is characterized by severe hyperextension of the head and neck, often seen in meningitis.

Question 5 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.

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