NCLEX Questions for Musculoskeletal Disorders

Extract:

Question 1 of 5

The client is admitted to the hospital for a diagnostic workup. The client has vague symptoms of malaise, coughing, chest discomfort, low-grade fever, diffuse rashes, and musculoskeletal aches and pains. A diagnosis of probable lupus erythematosus has been made. The night nurse finds the client crying and saying, 'I would rather die than suffer with this disease for the rest of my life.' Which response by the nurse would be most therapeutic at this time?

Correct Answer: B

Rationale: Offering to stay and discuss concerns is therapeutic, providing emotional support and addressing the client's fears.

Question 2 of 5

The HCP's progress note states that the infant with meningitis is in an opisthotonus position. What should the nurse observe when performing an assessment?

A. Resistance with specific leg movement B. Knee or hip flexion with head flexion C. A high-pitched cry with neck flexion D. Hyperextension of the head and neck

Correct Answer: D

Rationale: Opisthotonus is characterized by severe hyperextension of the head and neck, often seen in meningitis.

Question 3 of 5

The client is three (3) hours postoperative left AKA. The client tells the nurse, 'My left foot is killing me. Please do something.' Which intervention should the nurse implement?

A. Explain to the client his left leg has been amputated. B. Medicate the client with a narcotic analgesic immediately. C. Instruct the client on how to perform biofeedback exercises. D. Place the client's residual limb in the dependent position.

Correct Answer: B

Rationale: Phantom limb pain is treated with analgesics; narcotics provide immediate relief. Explaining the amputation dismisses pain, biofeedback is long-term, and dependent positioning is inappropriate.

Question 4 of 5

Which response by the nurse is most appropriate when the mother, concerned about her unborn daughter developing DMD, states that her brother and son have DMD?

A. "You already have one child with muscular dystrophy; it's unlikely you'll have another." B. "Your brother and son have DMD; it's unlikely that you'll have another child with DMD." C. "As many as one-third of children born with DMD have no family history of the disease." D. "If your unborn child is a girl, she may carry the gene, but she will not develop DMD."

Correct Answer: D

Rationale: DMD is X-linked; females may be carriers but do not develop the disease.

Question 5 of 5

Which assessment finding warrants immediate action by the nurse when a client is in Buck's traction?

A. The traction weights are hanging above the floor. B. The leg is in line with the pull of the traction. C. The right is about is to be the two. D. The rope is in the groove of the traction pulley.

Correct Answer: A

Rationale: Traction weights must hang freely to maintain proper pull. If they are above the floor (e.g., resting on something), the traction is ineffective, requiring immediate correction to ensure proper alignment and healing.

NCLEX Questions for Musculoskeletal Disorders | Nurselytic

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