Musculoskeletal NCLEX Questions

Extract:

Question 1 of 5

The client continues to recover following a below-the-knee amputation. What nursing action should the nurse employ to help prevent the most common complication following leg amputation?

Correct Answer: B

Rationale: Lying prone prevents hip flexion contractures, the most common complication post-amputation.

Question 2 of 5

While the client is waiting for the ankle to be X-rayed, which nursing measure is most helpful for relieving the soft-tissue swelling?

A. Place a heating pad on the ankle. B. Apply ice to the ankle. C. Exercise the client's foot. D. Immobilize the client's foot.

Correct Answer: B

Rationale: Applying ice is the most effective initial measure to reduce soft-tissue swelling by causing vasoconstriction, which decreases blood flow and fluid accumulation in the injured area. Heat may increase swelling, exercise could exacerbate the injury, and immobilization alone does not address swelling as directly.

Question 3 of 5

The client in the rehabilitation hospital refuses to participate in physical therapy following surgery for repair of a fractured right femur sustained in a motor-vehicle accident (MVA). The client also fractured the left forearm. Which should the nurse implement first when encouraging the client to participate in therapy?

A. Medicate the client for pain 30 minutes prior to the therapy. B. Have the health-care provider make the client go to therapy. C. Explain that insurance will not pay if the client does not participate in therapy daily. D. Determine why the client refuses to participate in therapy sessions.

Correct Answer: D

Rationale: Understanding the refusal reason (e.g., pain, fear) guides interventions to encourage therapy participation. Pain medication, HCP orders, and insurance threats are secondary.

Question 4 of 5

The nurse is administering 0730 medications to clients on a medical orthopedic unit. Which medication should be administered first?

A. The daily cardiac glycoside to a client diagnosed with back pain and heart failure. B. The routine insulin to a client diagnosed with neck strain and type 1 diabetes. C. The oral proton pump inhibitor to a client scheduled for a laminectomy this a.m. D. The fourth dose of IV antibiotic for a client diagnosed with a surgical infection.

Correct Answer: B

Rationale: Insulin for type 1 diabetes prevents hyperglycemia, a life-threatening risk, and takes priority. Cardiac glycoside, PPI, and antibiotics are important but less urgent.

Question 5 of 5

On the basis of the nurse's knowledge of the client's culture and beliefs, which statement regarding the health-seeking behavior is probably most accurate?

A. Home remedies have been unsuccessful, and the condition threatens the client's self-image. B. The power to cure comes from physicians and is passed to nurses. C. The client waited for symptoms to resolve spontaneously. D. The client sought care due to family encouragement.

Correct Answer: A

Rationale: Hispanic clients may try home remedies first, seeking care when self-image is impacted.

Musculoskeletal NCLEX Questions | Nurselytic

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