NCLEX Questions Musculoskeletal

Extract:

Question 1 of 5

The client with a cervical neck injury as a result of a motor-vehicle accident is complaining of unrelieved pain after administration of a narcotic analgesic. Which alternative method of pain control is an independent nursing action?

Correct Answer: C

Rationale: Distraction via TV or music is an independent nursing action to manage pain. Muscle relaxants require a prescription, heat/ice involves PT, and surgical discussions are physician-driven.

Question 2 of 5

The nurse is caring for clients on a surgical unit. Which nursing task is most appropriate for the nurse to delegate to an unlicensed assistive personnel (UAP)?

A. Help the client with a two (2)-day postop amputation put on the prosthesis. B. Request the UAP double-check a unit of blood to be hung. C. Change the surgical dressing on the client with a Syme's amputation. D. Ask the UAP to take the client to the physical therapy department.

Correct Answer: D

Rationale: Transporting a client to PT is within UAP scope. Prosthesis application, blood verification, and dressing changes require nursing judgment.

Question 3 of 5

A client sustained a fractured femur in a motor-vehicle accident. Which data require immediate intervention by the nurse? Select all that apply.

A. The client requests pain medication to sleep. B. The client has eupnea and normal sinus rhythm. C. The client has petechiae over the neck and chest. D. The client has a high arterial oxygen level. E. The client has yellow globules floating in the urine.

Correct Answer: C,E

Rationale: Petechiae and yellow globules suggest fat embolism syndrome, requiring immediate intervention. Pain medication, normal breathing, and high oxygen are not urgent.

Question 4 of 5

The client with arthritis is receiving sodium salicylate and asks the nurse what the drug will do for her. The nurse's reply should include information that the drug is given for which of the following effects?

A. Antipyretic B. Antibiotic C. Anticoagulant D. Anti-inflammatory

Correct Answer: D

Rationale: Sodium salicylate is primarily used for its anti-inflammatory effects in arthritis, reducing joint pain and swelling.

Question 5 of 5

What interventions should the nurse implement for a child who sustained a twisting injury of the right arm?

A. Elevate the arm and apply ice at the site of the child's injury. B. Wrap the child's arm with an elastic bandage. C. Telephone the child's parent to discuss the injury. D. Call the health care provider identified by the child. E. Make arrangements to obtain an x-ray of the child's arm. F. Meet with the student who caused the child's injury.

Correct Answer: A,B,C

Rationale: Elevation, ice, and wrapping reduce swelling; contacting the parent ensures proper follow-up.

NCLEX Questions Musculoskeletal | Nurselytic

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NCLEX-PN

NCLEX-PN