Musculoskeletal Questions NCLEX

Extract:

Question 1 of 5

The nurse gently elevates the client's newly casted arm on a pillow and explains that this is necessary for the first 24 to 48 hours after casting. What is the chief purpose of this action?

Correct Answer: C

Rationale: Elevation enhances venous return and reduces edema, the primary reason for this action. It does not directly affect cast drying, pain medication needs, or comfort alone.

Question 2 of 5

Which is the best technique for the nurse to use when applying the elastic bandage to the client's lower extremity?

A. Making figure-eight turns with the bandage B. Making spiral-reverse turns with the bandage C. Making recurrent turns with the bandage D. Making spica turns with the bandage

Correct Answer: A

Rationale: The figure-eight technique provides even compression and support around the ankle joint, stabilizing it while allowing some flexibility. Spiral-reverse turns are better for cylindrical limbs, recurrent turns are used for stumps, and spica turns are typically for larger joints like the hip or shoulder.

Question 3 of 5

Which statements made by a parent indicate that appropriate care is being provided for a 4-year-old with spastic-type CP?

A. "I perform range of motion (ROM) exercises every 4 hours to help prevent contractures." B. "I give my child a therapeutic massage after the stretching exercises to help manage pain." C. "I minimize the calories I provide with meals because my child is more prone to obesity." D. "I have my child wear a helmet during the day because of chronic tonic-clonic seizures." E. "Using utensils with large, padded handles makes it easier for my child to feed himself."

Correct Answer: A,B,D,E

Rationale: ROM exercises, therapeutic massage, helmet use for seizures, and adaptive utensils indicate appropriate care for spastic CP.

Question 4 of 5

The client is ordered to be in a semi-reclining position following a myelogram. The nurse understands that the primary reason for this is which of the following?

A. To prevent infection B. To prevent spinal headache C. To prevent seizures D. To promote excretion of dye

Correct Answer: B

Rationale: A semi-reclining position post-myelogram prevents spinal headache by reducing cerebrospinal fluid leakage.

Question 5 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.

A. Client who had a left BKA and has left foot pain of 6 on a 0 to 10 scale B. Client who has a right lower leg cast whose right foot is cold to the touch C. Client who had a THR and 200-mL wound drain output during the past 8 hours D. Client who had a spinal fusion and has not voided since the urinary catheter removal 4 hours ago

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.

Musculoskeletal Questions NCLEX | Nurselytic

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NCLEX-PN

NCLEX-PN