Musculoskeletal Disorders NCLEX Questions

Extract:

Question 1 of 5

One month after discharge, the client who had a left THR calls a clinic reporting acute, constant pain in the left groin and hip area and feeling like the left leg is shorter than the right. The nurse advises the client to come to the clinic immediately, suspecting which problem?

Correct Answer: C

Rationale: C. Indicators of a prosthesis dislocation include increased surgical site pain, acute groin pain, shortening of the leg, abnormal external or internal rotation, restricted ability or inability to move the leg, and reports of a popping sensation in the hip.

Question 2 of 5

The nurse is caring for the client following a knee arthroscopy. What information should the nurse teach? Select all that apply.

A. Elevate the involved extremity on pillows for 24 to 48 hours. B. Apply an ice pack continually to the involved joint for 24 hours. C. Report severe joint pain immediately to the health care provider. D. Resume usual activities to minimize joint stiffness and swelling. E. Treat pain with a mild analgesic such as acetaminophen.

Correct Answer: A,C,E

Rationale: A. Elevation will help to decrease edema. C. Severe joint pain may indicate a possible complication and should be reported immediately. E. Usually a mild analgesic such as acetaminophen (Tylenol) is sufficient for pain control following a diagnostic arthroscopy.

Question 3 of 5

The client diagnosed with osteomyelitis of the left foot and ankle is being prepared for a below-the-knee amputation. Which intervention to improve the client’s functional ability is a priority after rehabilitation?

A. Keep a large tourniquet at the bedside to stop potential bleeding from the amputation site. B. Place a pillow in the bed for the client to push the stump against many times per day. C. Take and document the client’s vital signs every four (4) hours. D. Have the dietary department send high protein, high-carbohydrate meals six (6) times a day.

Correct Answer: B

Rationale: Pushing the stump against a pillow toughens the residual limb, improving prosthesis use and function post-amputation.
Tourniquets are for emergencies, vitals are routine, and frequent meals are excessive.

Question 4 of 5

A cast has just been applied to a client's left forearm, and he has 10 lbs of Russell's traction on his left leg. Which of the following nursing concerns takes priority in the care of this client?

A. The casted extremity may swell, and the cast will become a tourniquet. B. Heat conduction from the wet cast can cause burning to the skin below. C. Muscle atrophy of the areas involved can lead to decreased muscle tone. D. Skin irritation from the cast edges can cause abrasions.

Correct Answer: A

Rationale: Swelling in a newly casted extremity can cause the cast to act as a tourniquet, compromising circulation, which is the priority concern. Heat from a wet cast does not burn skin, muscle atrophy is a long-term issue, and skin irritation is less urgent.

Question 5 of 5

Which intervention should the nurse implement for a client with a fractured hip in Buck’s traction?

A. Assess the insertion sites for signs and symptoms of infection. B. Monitor for drainage or odor from under the plaster covering the pins. C. Check the condition of the skin beneath the Velcro boot frequently. D. Take weights off for one (1) hour every eight (8) hours and as needed.

Correct Answer: C

Rationale: Checking skin under the Velcro boot prevents irritation or breakdown in Buck’s traction. Insertion sites and plaster are for skeletal traction, and weights must remain constant.

Musculoskeletal Disorders NCLEX Questions | Nurselytic

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