NCLEX-PN
Musculoskeletal NCLEX Questions Questions
Extract:
Question 1 of 5
The nurse is administering 0730 medications to clients on a medical orthopedic unit. Which medication should be administered first?
Correct Answer: B
Rationale: Insulin for type 1 diabetes prevents hyperglycemia, a life-threatening risk, and takes priority. Cardiac glycoside, PPI, and antibiotics are important but less urgent.
Question 2 of 5
The nurse is caring for the client after a right TKR. To prevent circulatory complications, the nurse should ensure that the client is performing which action?
Correct Answer: A
Rationale: A. Dorsiflexion of the foot promotes muscle contraction, which compresses veins. This reduces venous stasis and risk of thrombus formation. It should be performed every hour while awake.
Question 3 of 5
Which statement to the nurse indicates a good understanding by the client of the use of methotrexate and cyclosporine?
Correct Answer: D
Rationale: Severe symptoms justify the use of two potent immunosuppressive drugs.
Question 4 of 5
The nurse is caring for a client with a newly applied plaster cast. How should the nurse touch and move the wet cast?
Correct Answer: A
Rationale: Using the palms prevents indentations in a wet cast, which could cause skin irritation. Fingertips create indentations, a towel sling is inappropriate, and petaling occurs after drying.
Question 5 of 5
Which explanation by the nurse can best help this client understand the injury that has occurred?
Correct Answer: C
Rationale: A comminuted fracture involves the bone breaking into multiple fragments, often without an open skin break. The description 'no open break in the skin' distinguishes it from a compound fracture, while the other options describe impacted or avulsion fractures.