NCLEX-PN
Musculoskeletal NCLEX Questions Questions
Extract:
Question 1 of 5
The client diagnosed with osteoporosis asks the nurse, 'Why does smoking cigarettes cause my bones to be brittle?' Which response by the nurse is most appropriate?
Correct Answer: D
Rationale: Nicotine reduces calcium absorption, contributing to bone loss in osteoporosis. Nutritional deficiencies are secondary, blood supply does not increase, and low-tar cigarettes still harm bones.
Question 2 of 5
If the client is in shock, how should the nurse position the client while continuing to assess and provide care?
Correct Answer: C
Rationale: In shock, positioning the client supine with legs elevated improves venous return and cerebral perfusion, stabilizing blood pressure. Other positions are less effective or contraindicated.
Question 3 of 5
Which statement by the client prescribed calcitonin, a thyroid hormone, indicates to the nurse the teaching has been effective?
Correct Answer: A
Rationale: Alternating nostrils for nasal calcitonin prevents irritation, indicating effective teaching. Water intake, vitamin D dilution, and calcium loss are incorrect.
Question 4 of 5
The college student consults the clinic nurse for advice on managing lower back pain. Which instructions should the nurse include? Select all that apply.
Correct Answer: A,B,C,E
Rationale: A. Remaining active is best. Using good posture will minimize back strain. B. Mechanical stress can increase pain. Prolonged unsupported sitting, heavy lifting, and bending or twisting the back, especially while lifting, should be avoided. C. Using pillows and hip and knee flexion promotes lumbar flexion and back alignment. E. Prolonged sitting should be avoided because fatigue contributes to spasm of the back muscles. Lordosis can be decreased by using a soft support at the small of the back.
Question 5 of 5
The nurse is to give the client with gout one tablet of colchicine every hour until relief or toxicity occurs. Which of the following is an indication for stopping the colchicine?
Correct Answer: B
Rationale: Nausea and vomiting are signs of colchicine toxicity, indicating the need to stop the medication.