NCLEX-PN
Med Surg Musculoskeletal NCLEX Questions Questions
Extract:
Question 1 of 5
The client diagnosed with cervical disk degeneration has undergone a laminectomy. Which interventions should the nurse implement?
Correct Answer: B
Rationale: Cervical laminectomy risks airway or neurological complications; assessing speech and breathing is critical. Prone positioning is inappropriate, JP drainage is routine, and delaying narcotics is unsafe.
Question 2 of 5
The client with a right AKA is being taught how to toughen the residual limb. Which intervention should the nurse implement?
Correct Answer: A
Rationale: Pushing the residual limb against a pillow toughens skin for prosthesis use. Elastic bandages reduce edema, vitamin B12 is irrelevant, and elevation is for swelling, not toughening.
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
When the nurse observes the client walking, which assessment finding indicates the need for more instruction regarding the use of the cane?
Correct Answer: C
Rationale: The cane should be used on the unaffected side to support the painful hip.
Question 5 of 5
Which evidence is the best indication that the client who had a knee arthroplasty is recovering according to expected outcomes and no longer needs the continuous passive motion (CPM) machine?
Correct Answer: B
Rationale: Achieving 90-degree knee flexion is a key milestone post-knee arthroplasty, indicating sufficient joint mobility to discontinue the CPM machine. Pain and wound healing are important but less specific to CPM use.