NCLEX Questions Musculoskeletal

Extract:

Question 1 of 5

The client has a fractured right ankle that has just been casted. The nurse is instructing the client in crutch walking techniques. Which method is most appropriate?

Correct Answer: A

Rationale: The correct crutch walking technique (three-point gait) involves moving the right crutch, then the left foot, followed by the left crutch, and finally the right foot, protecting the fractured ankle.

Question 2 of 5

Which of the following would the nurse identify as the highest priority when documenting the postoperative circulation status of the recently casted extremity?

A. Adequate neurovascular functioning B. Minimal pain on movement C. Vital signs within normal limits D. No drainage noted on the cast

Correct Answer: A

Rationale: Adequate neurovascular functioning (circulation, sensation, and movement) is the highest priority to ensure no complications like compartment syndrome or vascular compromise, which can lead to tissue damage. Pain, vital signs, and drainage are secondary.

Question 3 of 5

The 10-year-old, who is Chinese, is scheduled to receive methotrexate to treat IRA. Which information in the medical record of a 10-year-old Chinese child scheduled to receive methotrexate for JRA should prompt the nurse to withhold the dose and contact the HCP?

A. H&P documentation B. Laboratory findings C. Vital signs abnormalities D. Physical assessment findings

Correct Answer: B

Rationale: Abnormal laboratory findings, such as liver or kidney dysfunction, may contraindicate methotrexate administration.

Question 4 of 5

The nurse is caring for clients on a surgical unit. Which nursing task is most appropriate for the nurse to delegate to an unlicensed assistive personnel (UAP)?

A. Help the client with a two (2)-day postop amputation put on the prosthesis. B. Request the UAP double-check a unit of blood to be hung. C. Change the surgical dressing on the client with a Syme's amputation. D. Ask the UAP to take the client to the physical therapy department.

Correct Answer: D

Rationale: Transporting a client to PT is within UAP scope. Prosthesis application, blood verification, and dressing changes require nursing judgment.

Question 5 of 5

An hour ago the HCP split the client's forearm cast due to severe arm pain, throbbing, and tingling. Which most important action should be taken by the nurse when the client's symptoms return?

A. Administer an intravenous pain medication. B. Notify the health care provider immediately. C. Cut the cast padding and spread the cast Men D. Elevate the arm on pillows above the heart level.

Correct Answer: B

Rationale: B. The nurse should notify the HCP immediately because these symptoms suggest compartment syndrome, which is a medical emergency.

NCLEX Questions Musculoskeletal | Nurselytic

Nurselytic

NCLEX-PN

NCLEX-PN