Musculoskeletal Disorders NCLEX Questions

Extract:

Question 1 of 5

The HCP prescribes cyclobenzaprine 30 mg orally tid for the client hospitalized with acute cervical neck pain. The pharmacy supplied 10-mg tablets. Which action by the nurse is best?

Correct Answer: B

Rationale: B. The nurse should call the HCP to question the dose. If carried out as prescribed, the client would receive a total daily dose of 90 mg of cyclobenzaprine (Flexeril). The total daily dose should not exceed 60 mg.

Question 2 of 5

To immobilize the suspected fracture, how should the nurse apply a splint?

A. Below the knee to above the hip B. Above the knee to below the hip C. Above the ankle to below the knee D. Below the ankle to above the knee

Correct Answer: C

Rationale: A suspected tibia fracture requires splinting from above the ankle to below the knee to stabilize the fracture site without unnecessarily immobilizing the hip or knee, which could restrict mobility or complicate transport.

Question 3 of 5

Which statement should the nurse include in the instructions for parents of an infant with osteogenesis imperfecta (OI)?

A. "Check the color of your infant's nailbeds and mucous membranes for signs of circulatory impairment." B. "If you note signs of infection, bring your infant to the clinic because the infant has a significant immune dysfunction." C. "Protect your infant from injury and handle your baby carefully because your infant's bones can break very easily." D. "Notify your physician if your infant does not respond to sound because the infant's CNS fails to develop completely."

Correct Answer: C

Rationale: OI causes brittle bones, so careful handling is essential to prevent fractures.

Question 4 of 5

The nurse completes teaching the client who has a plaster cast following a right wrist fracture. Which statement, if made by the client, indicates the need for additional teaching?

A. I should keep my cast uncovered while drying so that moisture can evaporate.' B. My cast initially may smell musty. When dry, it should be odorless and shiny white.' C. My cast may feel sticky and very warm initially, but it will dry in about 30 minutes.' D. I should avoid sharp or hard surfaces while drying because it causes dents in the cast.'

Correct Answer: C

Rationale: C. Although the cast will feel very warm for about 15 to 20 minutes, a plaster cast requires 24 to 72 hours (not 30 minutes) to dry completely.

Question 5 of 5

After the client's total hip replacement surgery, which nursing actions are essential? Select all that apply.

A. Keeping the client's knees apart at all times B. Avoiding flexing the client's hips more than 90 degrees C. Having the client use a raised toilet seat D. Raising the head of the client's bed 90 degrees E. Placing two pillows beneath the client's knees F. Keeping the client's legs internally rotated

Correct Answer: A,B,C

Rationale:
To prevent dislocation after total hip replacement, keep knees apart (using an abductor pillow), avoid hip flexion beyond 90 degrees, and use a raised toilet seat to maintain safe hip angles. Raising the bed 90 degrees or placing pillows under knees risks dislocation, and internal rotation is contraindicated.

Musculoskeletal Disorders NCLEX Questions | Nurselytic

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