NCLEX-PN
Musculoskeletal NCLEX Practice Questions Questions
Extract:
Question 1 of 5
The client is 12-hours post-lumbar laminectomy. Which nursing interventions should be implemented?
Correct Answer: A
Rationale: Post-lumbar laminectomy, assessing voiding prevents urinary retention, and log rolling maintains spinal alignment. Steroids/Trendelenburg, sandbags/cathartics, and anticoagulants/O2 are inappropriate without specific indications.
Question 2 of 5
The female client diagnosed with osteoporosis tells the nurse she is going to perform swim aerobics for 30 minutes every day. Which response is most appropriate by the nurse?
Correct Answer: B
Rationale: Walking, a weight-bearing exercise, better promotes bone density than swimming for osteoporosis. Daily swimming is less effective, sedentary activities worsen osteoporosis, and praise ignores efficacy.
Question 3 of 5
While teaching the client, what can the nurse explain about the purpose of stump bandaging?
Correct Answer: C
Rationale: Stump bandaging shapes the residual limb into a conical form, facilitating prosthetic fitting and reducing swelling. It does not primarily tone muscles, maintain flexibility, or absorb drainage.
Question 4 of 5
Until a translator is available, which nursing action is best when teaching the client who speaks English as a second language about body mechanics?
Correct Answer: A
Rationale: Speaking slowly while maintaining eye contact enhances comprehension for a non-native speaker, using nonverbal cues to reinforce verbal instructions until a translator is available.
Question 5 of 5
Of the following emergency measures, which one should the nurse perform first?
Correct Answer: A
Rationale: In an emergency, the nurse must first assess the victim's breathing to ensure airway patency and adequate oxygenation, following the ABCs (Airway, Breathing, Circulation) of basic life support. Other actions are secondary.