NCLEX-PN
NCLEX Questions Musculoskeletal Questions
Extract:
Question 1 of 5
The nurse is assessing the client immediately following a C5-C6 anterior cervical discectomy. Which potential problem should be the nurse's priority?
Correct Answer: A
Rationale: A. Retractors used during surgery can injure the recurrent laryngeal nerve, resulting in the inability to cough effectively to clear secretions. Edema and bleeding can also compromise the airway and compress the spinal cord.
Question 2 of 5
Which of the following would the nurse identify as the highest priority when documenting the postoperative circulation status of the recently casted extremity?
Correct Answer: A
Rationale: Adequate neurovascular functioning (circulation, sensation, and movement) is the highest priority to ensure no complications like compartment syndrome or vascular compromise, which can lead to tissue damage. Pain, vital signs, and drainage are secondary.
Question 3 of 5
Which response by the nurse would be most accurate?
Correct Answer: B
Rationale: Phantom pain is common post-amputation, arising from nerve endings.
Question 4 of 5
What is the most important factor for the nurse to consider when teaching the child who has CP?
Correct Answer: D
Rationale: Developmental level is critical to tailor teaching to the child's cognitive and physical abilities.
Question 5 of 5
The client has a fractured right ankle that has just been casted. The nurse is instructing the client in crutch walking techniques. Which method is most appropriate?
Correct Answer: A
Rationale: The correct crutch walking technique (three-point gait) involves moving the right crutch, then the left foot, followed by the left crutch, and finally the right foot, protecting the fractured ankle.