NCLEX Questions Musculoskeletal

Extract:

Question 1 of 5

The LPN is reporting observations and cares to the RN. Based on the LPN's report, which client should the RN assess immediately?

Correct Answer: B

Rationale: B. The RN should assess this client immediately. Throbbing, unrelenting pain could be the first sign of compartment syndrome. The neurovascular status of the extremity should be assessed. Unrelieved pressure can lead to compromised circulation and avascular necrosis.

Question 2 of 5

What interventions should the nurse implement for a child who sustained a twisting injury of the right arm?

A. Elevate the arm and apply ice at the site of the child's injury. B. Wrap the child's arm with an elastic bandage. C. Telephone the child's parent to discuss the injury. D. Call the health care provider identified by the child. E. Make arrangements to obtain an x-ray of the child's arm. F. Meet with the student who caused the child's injury.

Correct Answer: A,B,C

Rationale: Elevation, ice, and wrapping reduce swelling; contacting the parent ensures proper follow-up.

Question 3 of 5

The nurse is teaching the client with carpal tunnel syndrome how best to utilize a wrist splint. Which statement is most appropriate for the nurse to include in the teaching?

A. Leave the splint in place even when bathing. B. Wear the splint as tight as can be tolerated. C. Remove the splint intermittently throughout the day. D. Only wear the splint when doing work that stresses the fingers.

Correct Answer: C

Rationale: C. Although the splint decreases swelling and promotes healing and is necessary in the management of the pain with carpal tunnel syndrome, it should be removed intermittently during the day to exercise the wrist and bathe.

Question 4 of 5

The client has Buck's traction to temporarily immobilize a fracture of the proximal femur prior to surgery. Which assessment finding requires the nurse to intervene immediately?

A. Reddened area at the client's coccygeal area B. Voiding concentrated urine at 50 mL per hour C. Capillary refill 3 seconds, pedal pulses palpable D. Ropes, pulleys intact; 5-lb weight hangs freely

Correct Answer: A

Rationale: A. A reddened sacrum is the first sign of a pressure ulcer that is caused by pressure or friction and shear. Shear results from the weight of the skin traction pulling the client to the foot of the bed and then sliding back up in bed. Immediate interventions are required before it develops into a stage II ulcer.

Question 5 of 5

The 10-year-old, who is Chinese, is scheduled to receive methotrexate to treat IRA. Which information in the medical record of a 10-year-old Chinese child scheduled to receive methotrexate for JRA should prompt the nurse to withhold the dose and contact the HCP?

A. H&P documentation B. Laboratory findings C. Vital signs abnormalities D. Physical assessment findings

Correct Answer: B

Rationale: Abnormal laboratory findings, such as liver or kidney dysfunction, may contraindicate methotrexate administration.

NCLEX Questions Musculoskeletal | Nurselytic

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NCLEX-PN

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