NCLEX Questions for Musculoskeletal Disorders

Extract:

Question 1 of 5

The HCP is adducting the newborn's hip while pushing the thigh forward to detect developmental dysplasia of the hip (DDH). The nurse should identify this screening test as which maneuver?

Correct Answer: A

Rationale: The Barlow maneuver involves adducting the hip and pushing the thigh to detect DDH by assessing for hip dislocation.

Question 2 of 5

The experienced nurse observes the new nurse caring for the client who is in skeletal traction to stabilize a proximal femur fracture prior to surgery. Which observation by the experienced nurse indicates the new nurse needs additional orientation?

A. Positions the client so the client's feet stay clear of the bottom of the bed B. Checks ropes so that they are positioned in the wheel groves of the pulleys C. Removes weights from ropes until the weights hang free of the bed frame D. Performs pin site care with chlorhexidine solution once during the 8-hour shift

Correct Answer: C

Rationale: C. Weights should be hanging freely, but weights should never be removed (unless a life-threatening situation occurs) because removal could result in injury and defeats the purpose of the traction. The lengths of the ropes need to be adjusted so the weights do not rest on the bed frame.

Question 3 of 5

The physician directs the nurse to wrap the client's lower extremity with an elastic bandage. Where should the nurse begin applying the bandage?

A. Below the knee B. Above the ankle C. Across the phalanges D. At the metatarsals

Correct Answer: D

Rationale: Starting the elastic bandage at the metatarsals (the foot's midsection) ensures distal-to-proximal compression, promoting venous return and reducing swelling effectively. Beginning higher up, such as below the knee or above the ankle, may not adequately address swelling in the foot, and starting at the phalanges is too distal.

Question 4 of 5

Which signs/symptoms indicate to the nurse the client has developed osteoporosis?

A. The client has lost one (1) inch in height. B. The client has lost 12 pounds in the last year. C. The client's hands are painful to the touch. D. The client's serum uric acid level is elevated.

Correct Answer: A

Rationale: Height loss indicates vertebral compression fractures, a common osteoporosis sign. Weight loss, hand pain, and uric acid elevation are unrelated.

Question 5 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.

NCLEX Questions for Musculoskeletal Disorders | Nurselytic

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NCLEX-PN

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