NCLEX-PN
Musculoskeletal NCLEX Questions with Rationale Questions
Extract:
Question 1 of 5
The 35-year-old client who sustained a crushing injury to the left hand and forearm is being discharged. Which referral should the nurse implement?
Correct Answer: A
Rationale: Home PT restores hand/forearm function post-crushing injury. Assisted living, job training, and dietitian referrals are premature or unrelated.
Question 2 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 3 of 5
The nurse knows that elevated findings on which laboratory test typically validate a diagnosis of gout?
Correct Answer: C
Rationale: Elevated serum uric acid levels confirm gout, as they reflect the hyperuricemia leading to crystal formation in joints. Other tests are not specific to gout diagnosis.
Question 4 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 5 of 5
Which nursing intervention is most appropriate for preventing a pathological fracture?
Correct Answer: C
Rationale: Supporting the limb during movement minimizes stress on the necrotic bone, reducing the risk of a pathological fracture in osteomyelitis. Fluid, diet, and pressure relief are less directly preventive.