Musculoskeletal Questions NCLEX

Extract:

Question 1 of 5

The client is admitted to the ED after a sports injury. The client verbalizes extreme shoulder pain, and the nurse sees that the client's right arm is shorter than the left. What should the nurse do initially? Select all that apply.

Correct Answer: D,E

Rationale: D. Assessment of pulses and sensation is important because compression of nerves and blood vessels can occur with shoulder dislocation. A shortened arm on the right indicates that the right shoulder is affected. E. The client is in severe pain and requires pain control.

Question 2 of 5

The occupational health nurse is planning health promotion activities for a group of factory workers. Which activity is an example of primary prevention for clients at risk for low back pain?

A. Teach back exercises to workers after returning from an injury. B. Place signs in the work area about how to perform first aid. C. Start a weight-reduction group to meet at lunchtime. D. Administer a nonnarcotic analgesic to a client complaining of back pain.

Correct Answer: C

Rationale: Weight reduction reduces spinal stress, a primary prevention strategy for low back pain. Post-injury exercises are secondary, first aid signs are tertiary, and analgesics treat symptoms, not prevent.

Question 3 of 5

Which statements made by a parent indicate that appropriate care is being provided for a 4-year-old with spastic-type CP?

A. "I perform range of motion (ROM) exercises every 4 hours to help prevent contractures." B. "I give my child a therapeutic massage after the stretching exercises to help manage pain." C. "I minimize the calories I provide with meals because my child is more prone to obesity." D. "I have my child wear a helmet during the day because of chronic tonic-clonic seizures." E. "Using utensils with large, padded handles makes it easier for my child to feed himself."

Correct Answer: A,B,D,E

Rationale: ROM exercises, therapeutic massage, helmet use for seizures, and adaptive utensils indicate appropriate care for spastic CP.

Question 4 of 5

The client must take three (3) grams of calcium supplement a day. The medication comes in 500-mg tablets. How many tablets will the client need to take daily?

Your Answer:

Correct Answer: 6

Rationale: 3000 mg ÷ 500 mg = 6 tablets daily.

Question 5 of 5

The client has an external fixator for reduction of a tibia fracture. The nurse is evaluating the client's effectiveness in ambulating with crutches. Place an X on each of the three areas where the client should be bearing weight When crutch walking.

A. The client should be bearing weight on the hand grips when bringing legs forward. When moving crutches, the weight should be borne on the unaffected leg.

Correct Answer: image

Rationale: The client should be bearing weight on the hand grips when bringing legs forward and on the unaffected leg when moving crutches to ensure proper crutch-walking technique and stability.

Musculoskeletal Questions NCLEX | Nurselytic

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