NCLEX-PN
Med Surg Musculoskeletal NCLEX Questions Questions
Extract:
Question 1 of 5
The nurse is assessing the client who is postoperative total knee replacement. Which assessment data warrant immediate intervention?
Correct Answer: B
Rationale: Pain on dorsiflexion (Homans’ sign) suggests DVT, a serious post-TKR complication requiring immediate intervention. Normal vitals, bowel sounds, and abdominal pain are less urgent.
Question 2 of 5
Which assessment finding most likely indicates that a client has osteoporosis?
Correct Answer: C
Rationale: Spinal deformity, such as kyphosis, is a common sign of osteoporosis due to vertebral compression fractures from reduced bone density. Swollen joints, discomfort, or low energy are less specific.
Question 3 of 5
Which evidence is the best indication that the client who had a knee arthroplasty is recovering according to expected outcomes and no longer needs the continuous passive motion (CPM) machine?
Correct Answer: B
Rationale: Achieving 90-degree knee flexion is a key milestone post-knee arthroplasty, indicating sufficient joint mobility to discontinue the CPM machine. Pain and wound healing are important but less specific to CPM use.
Question 4 of 5
When the nurse observes the client walking, which assessment finding indicates the need for more instruction regarding the use of the cane?
Correct Answer: C
Rationale: The cane should be used on the unaffected side to support the painful hip.
Question 5 of 5
The nurse is caring for an 80-year-old client admitted with a fractured right femoral neck who is oriented x3. Which intervention should the nurse implement first?
Correct Answer: C
Rationale: Confirming baseline orientation ensures accurate neurological assessment in an elderly fracture patient. Homans’ sign, breathing exercises, and traction monitoring follow.