NCLEX-PN
Musculoskeletal NCLEX Questions Questions
Extract:
Question 1 of 5
The nurse is caring for a client six (6) hours postoperative right total knee replacement. Which data should the nurse report to the surgeon?
Correct Answer: C
Rationale: Cool toes and pale nailbeds suggest vascular compromise, requiring surgeon notification. Expected drainage, pain relief, and low urine output are less urgent.
Question 2 of 5
The nurse is caring for the client 2 days post-right THR in which the traditional posterior approach was used. Which interventions should the nurse implement?
Correct Answer: A
Rationale: A. The client should be able to ambulate with the use of a walker. An elevated toilet seat is used to prevent hip flexion of greater than 90 degrees when the client sits.
Question 3 of 5
What should the nurse do after noting serosanguineous drainage on the cast of a child with myelodysplasia post-TEV repair?
Correct Answer: C
Rationale: Measuring and documenting the drainage allows monitoring without compromising the cast's integrity.
Question 4 of 5
If the client is typical of others with a herniated disk, the nurse would expect the client to report which additional symptom?
Correct Answer: A
Rationale: A herniated lumbar disk commonly causes sciatica, with pain radiating into the buttocks and leg due to nerve root compression. Other symptoms are less typical or specific.
Question 5 of 5
Which neural tube defect is the nurse describing when stating that the vertebral arch fails to close and the spinal cord and meninges stay within the vertebral canal?
Correct Answer: B
Rationale: Spina bifida occulta involves a failure of the vertebral arch to close, with the spinal cord and meninges remaining within the vertebral canal.