Musculoskeletal NCLEX Questions

Extract:

Question 1 of 5

The client is being seen in the clinic for a second-degree ankle sprain. Which treatments should the nurse plan?

Correct Answer: A

Rationale: A. Rest prevents further injury and promotes healing. Ice and elevation control swelling. Compression with an elastic bandage controls bleeding, reduces edema, and provides support for injured tissues.

Question 2 of 5

When preparing the client for cast application, which statement by the nurse is most accurate?

A. The cast will feel tight as it's applied. B. Your arm will feel warm as the wet plaster sets. C. You can expect a foul odor until the cast is dry. D. You may feel itchy while the cast is wet.

Correct Answer: B

Rationale: Wet plaster generates heat as it sets, causing a warm sensation, which is a normal part of the process. Tightness may indicate a problem, odors are not typical, and itching is more common as the cast dries.

Question 3 of 5

The client is being seen in the clinic for a second-degree ankle sprain. Which treatments should the nurse plan?

A. Rest, elevate the extremity, apply ice intermittently, and apply a compression bandage. B. Do range of motion to determine the extent of injury, apply heat, and check circulation. C. Use moist heat and then apply ice; check circulation, motion, and sensation; and elevate. D. Refer to an orthopedic surgeon, apply ice, give an analgesic, elevate, and encourage rest.

Correct Answer: A

Rationale: A. Rest prevents further injury and promotes healing. Ice and elevation control swelling. Compression with an elastic bandage controls bleeding, reduces edema, and provides support for injured tissues.

Question 4 of 5

Which client goal is most appropriate for a client diagnosed with OA?

A. Perform passive range-of-motion exercises. B. Maintain optimal functional ability. C. Client will walk three (3) miles every day. D. Client will join a health club.

Correct Answer: B

Rationale: Maintaining optimal function aligns with OA management, promoting mobility and independence. Passive ROM is inappropriate, 3 miles daily is unrealistic, and joining a health club is nonspecific.

Question 5 of 5

The 75-year-old client continues to experience phantom limb pain following an AKA, despite being given the prescribed morphine sulfate and using distraction. Which interventions, if prescribed by the HCP, should the nurse plan to implement? Select all that apply.

A. Apply lidocaine patch 5% to the residual limb B. Start transcutaneous electrical nerve stimulation (TENS) C. Give atenolol 12.5 mg orally twice daily with food D. Give oxcarbazepine 300 mg orally twice daily E. Limit the client's activity until the sensations resolve

Correct Answer: A,B,C,D

Rationale: A. A local anesthetic provides pain relief for some with phantom limb pain. B. A TENS unit sends stimulating pulses across the skin surface and along the nerve to help prevent pain signals from reaching the brain. C. Beta blockers such as atenolol (Tenormin) may relieve dull, burning discomfort. D. Antiseizure medication such as oxcarbazepine (Trileptal) has been shown to control stabbing and cramping pain.

Musculoskeletal NCLEX Questions | Nurselytic

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