Musculoskeletal Questions NCLEX

Extract:

Question 1 of 5

The client, who is diagnosed with CA, tells the clinic nurse about the inability to ambulate and about staying on bedrest due to hip stiffness. In addition to teaching the client measures to reduce joint stiffness, which referral for the client should the nurse plan to discuss with the HCP?

Correct Answer: C

Rationale: C. The nurse should plan to discuss a referral to a physical therapist (PT). The PT can assist the client in adopting self-management strategies and teach isometric, postural, and aerobic exercises that prevent joint overuse.

Question 2 of 5

Which observation indicates that the child has a Gowers sign in a 4-year-old with Duchenne muscular dystrophy?

A. Rises from the floor to stand by walking the hands up the legs B. Unable to initiate an effective cough or expectorate secretions C. Has difficulty lifting the head and supporting it in an upright position D. Tests at a high IQ and is advanced for the child's developmental age

Correct Answer: A

Rationale: Gowers sign is characterized by a child using their hands to walk up their legs to stand due to muscle weakness.

Question 3 of 5

Which statement reflects the most widely recognized theory for the use of transcutaneous electric nerve stimulation (TENS)?

A. The sensation created by the TENS unit blocks the brain's perception of pain impulses. B. The sensation created by the TENS unit travels to the nerve root of the injury. C. The sensation created by the TENS unit destroys the brain's pain center. D. The sensation created by the TENS unit weakens nociceptor sensory nerves.

Correct Answer: A

Rationale: The gate control theory posits that TENS blocks pain impulses by stimulating non-pain sensory nerves, reducing the brain's perception of pain from the injured area.

Question 4 of 5

The nurse is caring for a client with a fractured left tibia and fibula. Which data should the nurse report to the health-care provider immediately?

A. Localized edema and discoloration occurring hours after the injury. B. Generalized weakness and increasing sensitivity to touch. C. Dorsalis pedal pulse cannot be located with a Doppler and increasing pain. D. Pain relieved after taking four (4) mg hydromorphone, a narcotic analgesic.

Correct Answer: C

Rationale: Absent pulses and increasing pain suggest compartment syndrome or arterial occlusion, requiring urgent HCP notification. Edema is expected, weakness is nonspecific, and pain relief is positive.

Question 5 of 5

The client is about to go to surgery but is still wearing a class ring. Which nursing action is most appropriate regarding care of the client's valuables?

A. Put the ring in the bedside stand. B. Tape the ring to the client's finger. C. Give the ring to a security guard. D. Take the ring to the hospital safe.

Correct Answer: D

Rationale: Valuables like a ring should be secured in the hospital safe to prevent loss or theft during surgery. Leaving it in the bedside stand is insecure, taping it risks circulation issues, and giving it to a security guard is not standard protocol.

Musculoskeletal Questions NCLEX | Nurselytic

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