NCLEX-PN
Musculoskeletal NCLEX Practice Questions Questions
Extract:
Question 1 of 5
The 27-year-old client has a right above-the-elbow amputation secondary to a boating accident. Which statement to the rehabilitation nurse indicates the client has accepted the amputation?
Correct Answer: B
Rationale: Planning job retraining indicates acceptance and adaptation to amputation. Lawsuits, prosthesis refusal, and concern for others suggest denial or unresolved grief.
Question 2 of 5
The client who has sustained a left-sided cerebrovascular accident (stroke) has residual right-sided paralysis. The nurse identifies a concept of impaired functional ability. Which should be included in the care map? Select all that apply.
Correct Answer: A,B,D,E
Rationale: OT referral, neglect assessment, fall prevention, and PT promote functional ability post-stroke. Room orientation is less critical.
Question 3 of 5
The nurse is working on an orthopedic floor. Which client should the nurse assess first after the change-of-shift report?
Correct Answer: B
Rationale: Confusion post-TKR may indicate neurological or metabolic complications, requiring urgent assessment. Fractures, THR, and CPM use are stable.
Question 4 of 5
Which is the best method to assess circulation in the casted extremity?
Correct Answer: C
Rationale: Depressing the nail beds to assess capillary refill (color return within 2-3 seconds) is the most reliable method to evaluate circulation in a casted extremity, indicating adequate blood flow. Wiggling fingers assesses motor function, not circulation directly, and the other options are less specific.
Question 5 of 5
When the nurse examines the client, which body part is usually affected by gout?
Correct Answer: A
Rationale: Gout typically affects the great toe (first metatarsophalangeal joint) due to uric acid crystal deposition, causing acute pain and swelling. Other areas are less commonly involved.