NCLEX-PN
Med Surg Musculoskeletal NCLEX Questions Questions
Extract:
Question 1 of 5
The nurse is caring for a client with a left fractured humerus. Which data warrant intervention by the nurse?
Correct Answer: C
Rationale: Edema and purple discoloration indicate neurovascular compromise, requiring immediate intervention. Normal refill, unrelieved pain, and warm skin are less urgent.
Question 2 of 5
Which question best helps the nurse determine whether the client is experiencing an adverse effect from taking nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen?
Correct Answer: A
Rationale: NSAIDs like ibuprofen commonly cause gastrointestinal adverse effects, such as stomach pain or dark stools (indicating bleeding). These are more specific than headaches, swelling, or sleep issues.
Question 3 of 5
When planning the client's postoperative care, which is the least desirable position in which the nurse can place the client?
Correct Answer: C
Rationale: Prone positioning stresses the stump and impairs healing.
Question 4 of 5
The client with a right AKA is being taught how to toughen the residual limb. Which intervention should the nurse implement?
Correct Answer: A
Rationale: Pushing the residual limb against a pillow toughens skin for prosthesis use. Elastic bandages reduce edema, vitamin B12 is irrelevant, and elevation is for swelling, not toughening.
Question 5 of 5
The nurse knows that a client who sustains multiple fractures of long bones is at risk for developing fat embolism syndrome. Which findings suggest that the client is developing this complication? Select all that apply.
Correct Answer: B,C,D
Rationale: Fat embolism syndrome typically presents with petechiae (small red spots from fat emboli in the skin), dyspnea (from pulmonary involvement), and mental status changes (from cerebral hypoxia). Bradycardia, hypertension, and hematuria are not characteristic.