NCLEX-PN
Musculoskeletal NCLEX Questions with Rationale Questions
Extract:
Question 1 of 5
The nurse identifies the concept of impaired functional ability for a client diagnosed with rheumatoid arthritis. Which intervention should the nurse implement?
Correct Answer: C
Rationale: Low-impact exercises maintain joint function in RA, addressing impaired ability. TED hose are for DVT, NSAIDs are for pain, and OT is for specific tasks, not gait.
Question 2 of 5
The elderly client is admitted to the hospital for severe back pain. Which data should the nurse assess first during the admission assessment?
Correct Answer: B
Rationale: Pain level assessment is the priority in severe back pain to guide treatment. Herbs, orientation, and self-care are secondary.
Question 3 of 5
The nurse is providing discharge teaching to the 12-year-old with a fractured humerus and the parents. Which information should the nurse include regarding cast care?
Correct Answer: A
Rationale: Keeping the arm at heart level reduces edema in a casted humerus. Wire hangers risk skin damage, ice is for swelling not itching, and foul smells indicate infection.
Question 4 of 5
With the assistance of the translator, the nurse correctly instructs the client to use which technique when picking something up?
Correct Answer: A
Rationale: Squatting with knees bent uses leg muscles to lift, reducing spinal strain and protecting the surgical site post-laminectomy. Bending from the waist or other techniques risks reinjury.
Question 5 of 5
Which statement indicates that the client understands the restrictions to be followed?
Correct Answer: B
Rationale: Avoiding crossing legs prevents adduction of the hip, which could lead to dislocation after total hip replacement. The other restrictions are less critical or inaccurate.