NCLEX Questions for Musculoskeletal Disorders

Extract:

Question 1 of 5

The nurse is caring for a client who has just had a cast applied. Which statement best describes the expected client outcome relative to the circulatory system for a client with a cast?

Correct Answer: B

Rationale: The primary circulatory outcome is preventing impairment, such as swelling or color changes. Pain relates to neurological issues, cast integrity is unrelated to circulation, and skin irritation is not a circulatory indicator.

Question 2 of 5

The experienced nurse observes the new nurse caring for the client who is in skeletal traction to stabilize a proximal femur fracture prior to surgery. Which observation by the experienced nurse indicates the new nurse needs additional orientation?

A. Positions the client so the client's feet stay clear of the bottom of the bed B. Checks ropes so that they are positioned in the wheel groves of the pulleys C. Removes weights from ropes until the weights hang free of the bed frame D. Performs pin site care with chlorhexidine solution once during the 8-hour shift

Correct Answer: C

Rationale: C. Weights should be hanging freely, but weights should never be removed (unless a life-threatening situation occurs) because removal could result in injury and defeats the purpose of the traction. The lengths of the ropes need to be adjusted so the weights do not rest on the bed frame.

Question 3 of 5

A femoral head replacement was performed on an elderly client. Postoperatively, the nurse positions the client with an abductor pillow between the client's legs. What is the primary reason for this?

A. This position will promote greater comfort. B. Abduction promotes greater circulation to the hip joint. C. Abduction will prevent the prosthesis from snapping out of the socket. D. This position will help to prevent pressure on the sciatic nerve.

Correct Answer: C

Rationale: An abductor pillow maintains abduction, preventing prosthesis dislocation post-femoral head replacement.

Question 4 of 5

Postoperatively, the client screams obscenities at the nurse after realizing that the injured forearm is missing. Which nursing action is most appropriate at this time?

A. Leave until the client works through the anger. B. Stay quietly with the client at the bedside. C. Tell the client to gain emotional control. D. Call the physician and request a sedative.

Correct Answer: B

Rationale: Staying quietly with the client provides emotional support during a grief reaction to amputation, promoting trust. Leaving, reprimanding, or medicating without engagement dismisses the client's feelings.

Question 5 of 5

A young adult is discharged to home with crutches. Which exercise should the nurse teach the client in order to strengthen the hand muscles for crutch walking?

A. Pushing the buttocks up off the mattress B. Pulling the body up, using an overhead trapeze C. Raising the legs straight up and down D. Squeezing a rubber ball in each hand

Correct Answer: D

Rationale: Squeezing a rubber ball strengthens hand muscles, essential for gripping crutches during walking.

NCLEX Questions for Musculoskeletal Disorders | Nurselytic

Nurselytic

NCLEX-PN

NCLEX-PN