NCLEX-PN
Musculoskeletal Questions NCLEX Questions
Extract:
Question 1 of 5
The nurse explains that the primary reason for the client's increased risk for altered skin integrity due to a T12 SCI is which factor?
Correct Answer: B
Rationale: Loss of sensation below T12 prevents the perception of skin irritants, increasing the risk of pressure ulcers.
Question 2 of 5
Which nursing instruction is most beneficial to minimize stress on the client's painful joints?
Correct Answer: A
Rationale: Maintaining a normal weight reduces mechanical stress on weight-bearing joints like the hip, alleviating pain and slowing osteoarthritis progression. The other options are less impactful for joint stress.
Question 3 of 5
Which statement reflects the most widely recognized theory for the use of transcutaneous electric nerve stimulation (TENS)?
Correct Answer: A
Rationale: The gate control theory posits that TENS blocks pain impulses by stimulating non-pain sensory nerves, reducing the brain's perception of pain from the injured area.
Question 4 of 5
The nurse starting the shift is determining priorities for the day. Prioritize the order that the nurse should plan to assess the four clients.
Correct Answer: B,A,D,C
Rationale: B. The client who has a right lower leg cast whose right foot is cold to the touch should be assessed first. The data could indicate compartment syndrome, which is an emergent condition. A. The client who had a left BKA and has left foot pain of 6 on a 0 to 10 scale should be assessed second because pain is a priority in a postoperative client and should be addressed in a timely manner, but this is not an emergent situation. D. The client who had a spinal fusion and has not voided since the urinary catheter removal 4 hours ago should be assessed third for the presence of urinary retention. Usually the client should void within 6 hours after a urinary catheter has been removed. C. The client who had a THR and 200-mL wound drain output during the past 8 hours should be assessed last. This amount of output is a common finding following a THR due to the vascular nature of the operative site.
Question 5 of 5
Which antiepileptic medication is associated with gingival hyperplasia?
Correct Answer: A
Rationale: Phenytoin (Dilantin) is uniquely associated with gingival hyperplasia, which can be mitigated with good oral hygiene.