NCLEX-PN
Musculoskeletal NCLEX Questions Questions
Extract:
Question 1 of 5
The Jewish client with peripheral vascular disease is scheduled for a left AKA. Which question is most important for the operating room nurse to ask the client?
Correct Answer: A
Rationale: Jewish cultural practices may require special handling of amputated limbs (e.g., burial); this question respects beliefs. Food, rabbi visits, and foot checks are secondary.
Question 2 of 5
The nurse is preparing the plan of care for the client with a closed fracture of the right arm. Which problem is most appropriate for the nurse to identify?
Correct Answer: B
Rationale: Compartment syndrome is a critical risk in closed fractures due to swelling, threatening limb viability. Coping, infection (more for open fractures), and general complications are secondary.
Question 3 of 5
The nurse is preparing the care plan for a client with a fractured lower extremity. Which outcome is most appropriate for the client?
Correct Answer: A
Rationale: Maintaining leg function is the primary goal for fracture recovery. Ambulation, turning, and infection prevention are interventions, not outcomes.
Question 4 of 5
The nurse is caring for a client six (6) hours postoperative right total knee replacement. Which data should the nurse report to the surgeon?
Correct Answer: C
Rationale: Cool toes and pale nailbeds suggest vascular compromise, requiring surgeon notification. Expected drainage, pain relief, and low urine output are less urgent.
Question 5 of 5
The client in the rehabilitation hospital refuses to participate in physical therapy following surgery for repair of a fractured right femur sustained in a motor-vehicle accident (MVA). The client also fractured the left forearm. Which should the nurse implement first when encouraging the client to participate in therapy?
Correct Answer: D
Rationale: Understanding the refusal reason (e.g., pain, fear) guides interventions to encourage therapy participation. Pain medication, HCP orders, and insurance threats are secondary.