Musculoskeletal NCLEX Questions

Extract:

Question 1 of 5

The nurse is caring for a client in a hip spica cast. Which intervention should the nurse include in the plan of care?

Correct Answer: D

Rationale: Distention and vomiting indicate GI complications (e.g., ileus) in a hip spica cast, requiring assessment. Pulses are accessible, elevation is impractical, and ambulation is limited.

Question 2 of 5

The 75-year-old client continues to experience phantom limb pain following an AKA, despite being given the prescribed morphine sulfate and using distraction. Which interventions, if prescribed by the HCP, should the nurse plan to implement? Select all that apply.

A. Apply lidocaine patch 5% to the residual limb B. Start transcutaneous electrical nerve stimulation (TENS) C. Give atenolol 12.5 mg orally twice daily with food D. Give oxcarbazepine 300 mg orally twice daily E. Limit the client's activity until the sensations resolve

Correct Answer: A,B,C,D

Rationale: A. A local anesthetic provides pain relief for some with phantom limb pain. B. A TENS unit sends stimulating pulses across the skin surface and along the nerve to help prevent pain signals from reaching the brain. C. Beta blockers such as atenolol (Tenormin) may relieve dull, burning discomfort. D. Antiseizure medication such as oxcarbazepine (Trileptal) has been shown to control stabbing and cramping pain.

Question 3 of 5

Which intervention should the nurse include for a client diagnosed with carpal tunnel syndrome?

A. Teach hyperextension exercises to increase flexibility. B. Monitor safety during occupational hazards. C. Prepare for the insertions of pins or screws. D. Monitor dressing and drain after the fasciotomy.

Correct Answer: B

Rationale: Monitoring occupational hazards (e.g., repetitive tasks) prevents carpal tunnel exacerbation. Hyperextension worsens symptoms, and surgical interventions are not first-line.

Question 4 of 5

What should the nurse do after noting serosanguineous drainage on the cast of a child with myelodysplasia post-TEV repair?

A. Cut a window where the drainage is seeping through the cast. B. Petal the cast to minimize skin irritation and decrease leakage. C. Measure the area of drainage on the cast and document this. D. Telephone the surgeon to report the serosanguineous drainage.

Correct Answer: C

Rationale: Measuring and documenting the drainage allows monitoring without compromising the cast's integrity.

Question 5 of 5

The nurse is administering 0730 medications to clients on a medical orthopedic unit. Which medication should be administered first?

A. The daily cardiac glycoside to a client diagnosed with back pain and heart failure. B. The routine insulin to a client diagnosed with neck strain and type 1 diabetes. C. The oral proton pump inhibitor to a client scheduled for a laminectomy this a.m. D. The fourth dose of IV antibiotic for a client diagnosed with a surgical infection.

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.

Musculoskeletal NCLEX Questions | Nurselytic

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