NCLEX-PN
Musculoskeletal NCLEX Questions with Rationale Questions
Extract:
Question 1 of 5
The 32-year-old male client with a traumatic left AKA is being discharged from the rehabilitation department. Which discharge instructions should be included in the teaching? Select all that apply.
Correct Answer: A,B,C,D
Rationale: Reporting unrelieved pain, high-protein diet, rehab appointments, and support groups promote healing and adaptation. Staying home hinders recovery and socialization.
Question 2 of 5
The male nurse is helping his friend cut wood with an electric saw. His friend cuts two fingers of his left hand off with the saw. Which action should the nurse implement first?
Correct Answer: A
Rationale: Applying pressure with towels controls bleeding, the priority in traumatic amputation. Elevation is secondary, radial pressure is less effective, and calling 911 delays hemorrhage control.
Question 3 of 5
Which diagnostic test result should the nurse monitor when assessing for evidence of metastasis?
Correct Answer: A
Rationale: A lung scan can detect metastasis of a skeletal tumor to the lungs, a common site for bone cancer spread. Urinalysis, spinal tap, and blood glucose are less relevant for metastasis.
Question 4 of 5
Which substances should the nurse advise the client to avoid?
Correct Answer: B
Rationale:
Tobacco and carbonated beverages reduce bone density, worsening osteoporosis.
Question 5 of 5
The nurse is providing discharge teaching to the 12-year-old with a fractured humerus and the parents. Which information should the nurse include regarding cast care?
Correct Answer: A
Rationale: Keeping the arm at heart level reduces edema in a casted humerus. Wire hangers risk skin damage, ice is for swelling not itching, and foul smells indicate infection.