NCLEX-PN
Med Surg Musculoskeletal NCLEX Questions Questions
Extract:
Question 1 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.
Question 2 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 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
Which assessment finding is the best indication that the client in halo traction is developing a serious complication?
Correct Answer: C
Rationale: Inability to open the mouth widely may indicate cranial nerve compression or device misalignment, a serious complication requiring immediate attention. The other findings are less urgent or unrelated.
Question 5 of 5
The recovery room nurse is caring for a client who has just had a left BKA. Which intervention should the nurse implement?
Correct Answer: A
Rationale: Frequent dressing assessment detects bleeding, a critical post-BKA risk. Hiding the limb is inappropriate, tourniquets are for emergencies, and ROM is premature in recovery.