NCLEX-PN
Musculoskeletal NCLEX Questions with Rationale Questions
Extract:
Question 1 of 5
The client has been diagnosed with OA for the last seven (7) years and has tried multiple medical treatments and alternative treatments but still has significant joint pain. Which psychosocial client problem should the nurse identify?
Correct Answer: D
Rationale: Chronic OA pain often leads to depression due to persistent discomfort and functional limitations. Pain is physiological, body image is less relevant, and knowledge deficit is not indicated.
Question 2 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 3 of 5
When the nurse examines the client, which body part is usually affected by gout?
Correct Answer: A
Rationale: The great toe is commonly affected in gout due to uric acid crystal deposition.
Question 4 of 5
The nurse is caring for the following clients. After receiving the shift report, which client should the nurse assess first?
Correct Answer: A
Rationale: A cold foot post-knee replacement suggests vascular compromise, requiring urgent assessment to prevent tissue damage. Stiff joints, antibiotics, and myelogram prep are lower priority.
Question 5 of 5
When the nurse makes rounds at the beginning of the shift, which observation requires the nurse's immediate attention?
Correct Answer: D
Rationale: A pillow under the head in cervical traction can alter the alignment and reduce traction effectiveness, requiring immediate removal. The other observations indicate proper setup.