NCLEX-PN
Musculoskeletal Questions NCLEX Questions
Extract:
Question 1 of 5
The home health nurse is caring for clients who had a THR through the posterior surgical approach 2 weeks ago. It is most important for the nurse to intervene immediately for which client?
Correct Answer: A
Rationale: A. After a THR, the client should not flex the hip greater than 90 degrees or have adduction of the hip because it can cause hip dislocation. Wearing socks that do not have grippers on the bottom increases the client's risk for a fall.
Question 2 of 5
Which statement should the nurse include when teaching parents about bacterial meningitis?
Correct Answer: C
Rationale: The meningococcal conjugate vaccine (MCV4) is recommended for high-risk children and those 11 years and older to prevent bacterial meningitis.
Question 3 of 5
The nurse is preparing the preoperative client for a total hip replacement (THR). Which intervention should the nursing implement postoperatively?
Correct Answer: A
Rationale: An abduction pillow prevents hip dislocation post-THR, a critical complication. Coughing, turning, and chair positioning are important but secondary.
Question 4 of 5
The occupational health nurse is planning health promotion activities for a group of factory workers. Which activity is an example of primary prevention for clients at risk for low back pain?
Correct Answer: C
Rationale: Weight reduction reduces spinal stress, a primary prevention strategy for low back pain. Post-injury exercises are secondary, first aid signs are tertiary, and analgesics treat symptoms, not prevent.
Question 5 of 5
The nurse is discussing the importance of an exercise program for pain control to a client diagnosed with OA. Which intervention should the nurse include in the teaching?
Correct Answer: D
Rationale: Walking 30 minutes thrice weekly reduces OA pain and stiffness through low-impact exercise. Supportive shoes are helpful but secondary, carbohydrates are irrelevant, and jogging may worsen OA.