NCLEX-PN
Musculoskeletal NCLEX Practice Questions Questions
Extract:
Question 1 of 5
The client who has sustained a left-sided cerebrovascular accident (stroke) has residual right-sided paralysis. The nurse identifies a concept of impaired functional ability. Which should be included in the care map? Select all that apply.
Correct Answer: A,B,D,E
Rationale: OT referral, neglect assessment, fall prevention, and PT promote functional ability post-stroke. Room orientation is less critical.
Question 2 of 5
Which is the best method to assess circulation in the casted extremity?
Correct Answer: C
Rationale: Depressing the nail beds to assess capillary refill (color return within 2-3 seconds) is the most reliable method to evaluate circulation in a casted extremity, indicating adequate blood flow. Wiggling fingers assesses motor function, not circulation directly, and the other options are less specific.
Question 3 of 5
Which diagnostic test result should the nurse monitor when assessing for evidence of metastasis?
Correct Answer: A
Rationale: A lung scan detects metastasis, as skeletal tumors often spread to the lungs.
Question 4 of 5
A client diagnosed with osteoporosis receives nursing instructions on methods to reduce disease progression. Which substances should the nurse advise the client to avoid?
Correct Answer: B
Rationale:
Tobacco reduces bone density, and carbonated beverages (containing phosphoric acid) may interfere with calcium absorption, worsening osteoporosis. The other substances are not primarily harmful.
Question 5 of 5
The client is complaining of joint stiffness, especially in the morning. Which diagnostic tests should the nurse expect the health-care provider to order to R/O osteoarthritis?
Correct Answer: C
Rationale: X-rays reveal OA characteristic joint space narrowing and osteophytes. MRI is excessive, synovial fluid studies are not routine, and ESR is for inflammatory conditions, not OA.