NCLEX Questions for Musculoskeletal Disorders

Extract:

Question 1 of 5

The clinic nurse completed teaching the client with a rotator cuff tear who is being treated conservatively. Which client statement indicates that further teaching is needed?

Correct Answer: D

Rationale: D. Conservative treatment for a rotator cuff tear typically involves non-surgical methods like corticosteroid injections, physical therapy, and NSAIDs. An open acromioplasty is a surgical procedure and not part of conservative management, indicating a misunderstanding by the client.

Question 2 of 5

The nurse identifies a concept of impaired mobility for a male client with degenerative disk disease. Which assessment data best support this concept?

A. The client reports a history of chronic back pain and multiple back surgeries. B. The client reports that taking NSAIDs caused the development of peptic ulcers. C. The client reports a three (3)-year history of difficulty initiating a urinary stream. D. The client states he fell a year ago and had to have a cast on the right arm for a month.

Correct Answer: A

Rationale: Chronic back pain and surgeries directly impair mobility in degenerative disk disease. Ulcers, urinary issues, and past arm fractures are unrelated to current mobility.

Question 3 of 5

Which response by the nurse is most appropriate when the mother, concerned about her unborn daughter developing DMD, states that her brother and son have DMD?

A. "You already have one child with muscular dystrophy; it's unlikely you'll have another." B. "Your brother and son have DMD; it's unlikely that you'll have another child with DMD." C. "As many as one-third of children born with DMD have no family history of the disease." D. "If your unborn child is a girl, she may carry the gene, but she will not develop DMD."

Correct Answer: D

Rationale: DMD is X-linked; females may be carriers but do not develop the disease.

Question 4 of 5

In this case, from whom is it most appropriate for the physician, with the nurse as a witness, to obtain consent to perform the surgical procedure?

A. The client B. The client's physician C. The client's youth leader D. The client's parent

Correct Answer: D

Rationale: A 17-year-old is typically a minor, requiring parental consent for surgical procedures unless emancipated or in an emergency where consent cannot be obtained. The client, physician, or youth leader cannot provide legal consent.

Question 5 of 5

If the client is allergic to penicillin, the nurse must question a medical order for which type of antibiotic?

A. An aminoglycoside such as gentamicin sulfate (Garamycin) B. A cephalosporin such as cefaclor (Ceclor) C. A tetracycline such as doxycycline (Vibramycin) D. A sulfonamide such as trimethoprim/sulfamethoxazole (Bactrim)

Correct Answer: B

Rationale: Cephalosporins (e.g., cefaclor) have a cross-sensitivity with penicillin, risking allergic reactions in penicillin-allergic clients. The other antibiotics listed do not share this cross-reactivity.

NCLEX Questions for Musculoskeletal Disorders | Nurselytic

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