NCLEX-PN
NCLEX Questions Musculoskeletal Questions
Extract:
Question 1 of 5
The client is a 73-year-old woman who fell in her home and suffered a right hip fracture. She tells the nurse that she was walking across the kitchen and felt something 'snap' in her hip and this made her fall. What type of fracture is the client most likely to have?
Correct Answer: D
Rationale: A 'snap' before falling suggests a pathological fracture, likely due to weakened bone (e.g., osteoporosis) in an elderly woman.
Question 2 of 5
The client has returned to the nursing unit following a right below-the-knee amputation. How should the nurse position the client?
Correct Answer: C
Rationale: A semi-sitting position promotes comfort, reduces edema, and facilitates breathing post-amputation.
Question 3 of 5
The nurse is analyzing the serum laboratory report for the client diagnosed with lung cancer that has metastasized to the pelvic bone. Which specific finding should the nurse anticipate?
Correct Answer: A
Rationale: A. Malignant tumors cause hypercalcemia through a variety of mechanisms, one being an increased release of calcium from the bones.
Question 4 of 5
Which nursing intervention is most important after the client returns from the myelogram?
Correct Answer: D
Rationale: A high fluid intake post-myelogram with water-soluble dye helps excrete the contrast, reducing the risk of complications like seizures or renal issues. Other interventions are less critical.
Question 5 of 5
The occupational health nurse is teaching a class on the risk factors for developing osteoarthritis (OA). Which is a modifiable risk factor for developing OA?
Correct Answer: A
Rationale: Excess weight increases joint stress, a modifiable risk for OA. Age, prior damage, and genetics are nonmodifiable.