NCLEX-PN
Musculoskeletal NCLEX Practice Questions Questions
Extract:
Question 1 of 5
The client is postoperative open reduction and internal fixation (ORIF) of a fractured femoral neck. Which long-term goal should the nurse identify for the client?
Correct Answer: D
Rationale: Ambulation to the nurse’s station is a long-term goal post-ORIF, indicating restored mobility. Vital signs, spasms, and infection are short-term or secondary.
Question 2 of 5
The nurse is working on an orthopedic floor. Which client should the nurse assess first after the change-of-shift report?
Correct Answer: B
Rationale: Confusion post-TKR may indicate neurological or metabolic complications, requiring urgent assessment. Fractures, THR, and CPM use are stable.
Question 3 of 5
The 27-year-old client has a right above-the-elbow amputation secondary to a boating accident. Which statement to the rehabilitation nurse indicates the client has accepted the amputation?
Correct Answer: B
Rationale: Planning job retraining indicates acceptance and adaptation to amputation. Lawsuits, prosthesis refusal, and concern for others suggest denial or unresolved grief.
Question 4 of 5
The client diagnosed with OA is a resident in a long-term care facility. The resident is refusing to bathe because she is hurting. Which instruction should the nurse give the unlicensed assistive personnel (UAP)?
Correct Answer: C
Rationale: Encouraging the client to shower promotes mobility, which reduces OA stiffness, while addressing pain. Bed rest worsens stiffness, bed baths enable immobility, and family notification is unnecessary.
Question 5 of 5
While teaching the client, what can the nurse explain about the purpose of stump bandaging?
Correct Answer: C
Rationale: Stump bandaging shapes the residual limb into a conical form, facilitating prosthetic fitting and reducing swelling. It does not primarily tone muscles, maintain flexibility, or absorb drainage.