NCLEX-PN
Med Surg Musculoskeletal NCLEX Questions Questions
Extract:
Question 1 of 5
Postoperatively, which intervention should be completed before turning the client onto the nonoperative side?
Correct Answer: A
Rationale: Placing pillows between the legs before turning prevents adduction of the operative hip, reducing the risk of dislocation in a client with a hip prosthesis. The other actions do not directly address hip stability.
Question 2 of 5
The nurse is assessing the client who is postoperative total knee replacement. Which assessment data warrant immediate intervention?
Correct Answer: B
Rationale: Pain on dorsiflexion (Homans’ sign) suggests DVT, a serious post-TKR complication requiring immediate intervention. Normal vitals, bowel sounds, and abdominal pain are less urgent.
Question 3 of 5
The client is diagnosed with osteoarthritis. Which sign/symptom should the nurse expect the client to exhibit?
Correct Answer: B
Rationale: Joint stiffness, especially in the morning, is a hallmark of OA due to cartilage loss. Severe deformity and swan-neck fingers are more typical of rheumatoid arthritis, and waddling gait is nonspecific.
Question 4 of 5
The nurse is discharging a client who had a total hip replacement. Which statement indicates further teaching is needed?
Correct Answer: D
Rationale: Infection risk persists beyond 3 weeks post-THR; this statement requires correction. Avoiding leg crossing, reporting pain, and proper seating are correct.
Question 5 of 5
Which activity is best to begin implementing immediately after the client's surgery?
Correct Answer: C
Rationale: Lifting with a trapeze strengthens upper body muscles safely immediately post-surgery, preparing for crutch use without stressing the stump. Other activities are more advanced.