Musculoskeletal Questions NCLEX

Extract:

Question 1 of 5

The client is an elderly man who has had diabetes and peripheral vascular disease for several years. He now has had a right below-the-knee amputation. Which preoperative nursing action will do the most to help the client adjust to having an amputation?

Correct Answer: D

Rationale: A visit from a recovered amputee provides peer support, helping the client adjust by seeing a positive outcome.

Question 2 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 3 of 5

The nurse notes during an annual health screening for the 78-year-old client that the client is 1.5 inches shorter than at last year's visit. Which initial screening might the nurse best anticipate for this client?

A. Bone mineral density (BMD) test B. An x-ray of both hips and spine C. A bone scan of the hips and spine D. A physical check for scoliosis

Correct Answer: A

Rationale: A. BMD testing will best determine if the loss of height is due to osteoporosis, a common finding with aging.

Question 4 of 5

Which technique is the best strategy for assessing circulation in the leg in Buck's traction?

A. Observe whether the client can wiggle or move the toes. B. Palpate for pulsation of the dorsalis pedis artery. C. Take the client's blood pressure with a thigh cuff positioned on the affected leg. D. Determine whether the client can feel sharp and dull sensations.

Correct Answer: B

Rationale: Palpating the dorsalis pedis pulse directly assesses arterial circulation in the leg, providing the most accurate indication of blood flow.
Toe movement and sensation are less specific, and blood pressure measurement is not relevant.

Question 5 of 5

Which statement should the nurse include when teaching parents about bacterial meningitis?

A. Symptoms of meningitis often develop over time, making it easier to diagnose than other infections. B. Having a seizure associated with a high temperature usually indicates a problem other than meningitis. C. High-risk children 2 to 10 years and other children 11 years and older should receive the meningococcal conjugate vaccine (MCV4). D. Intravenous antibiotics are administered to family members who may have been in close contact with the child.

Correct Answer: C

Rationale: The meningococcal conjugate vaccine (MCV4) is recommended for high-risk children and those 11 years and older to prevent bacterial meningitis.

Musculoskeletal Questions NCLEX | Nurselytic

Nurselytic

NCLEX-PN

NCLEX-PN