NCLEX-PN
Musculoskeletal Questions NCLEX Questions
Extract:
Question 1 of 5
The client who underwent a left above-the-knee amputation as a result of uncontrolled diabetes questions the nurse, asking, 'Why did this happen to me? I have always been a good person.' Which is the nurse’s most therapeutic response?
Correct Answer: D
Rationale: Acknowledging distress and offering to talk is therapeutic, validating emotions. Blaming the client, claiming empathy, or questioning beliefs is less supportive.
Question 2 of 5
The nursing student is caring for the client who had a right TKR 1 day ago. Which action by the student requires the nurse to intervene?
Correct Answer: C
Rationale: C. Attempting to insert an abductor pillow may cause knee misalignment. An abductor pillow may be used for the client following a THR.
Question 3 of 5
Which instruction should the nurse include when reinforcing teaching with the parents about safety considerations for a child with a surgically corrected myelomeningocele?
Correct Answer: D
Rationale: Daily skin checks are essential to prevent pressure ulcers and other skin complications in children with myelomeningocele.
Question 4 of 5
Which observation indicates that the child has a Gowers sign in a 4-year-old with Duchenne muscular dystrophy?
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 5 of 5
How should the nurse explain the purpose of methotrexate in treating a child with juvenile arthritis?
Correct Answer: D
Rationale: Methotrexate is a disease-modifying antirheumatic drug that reduces inflammation in juvenile arthritis.