Musculoskeletal Disorders NCLEX Questions

Extract:

Question 1 of 5

The nurse is caring for clients on an orthopedic floor. Which client should be assessed first?

Correct Answer: C

Rationale: Fever, tachycardia, and tachypnea post-disk fusion suggest infection or complications, requiring urgent assessment. Mild pain, headache, and discharge are lower priority.

Question 2 of 5

A person's right thumb was accidentally severed with an axe. The amputated right thumb was recovered. Which action by the nurse preserves the thumb so it could possibly be reattached in surgery?

A. Place the right thumb directly on ice. B. Put the right thumb in a glass of warm water. C. Wrap the thumb in a clean piece of material. D. Secure the thumb in a plastic bag and place on ice.

Correct Answer: D

Rationale: Wrapping the thumb and placing it in a bag on ice preserves viability for reattachment without freezing tissue. Direct ice causes frostbite, warm water promotes decay, and wrapping alone is insufficient.

Question 3 of 5

Which interventions are appropriate for an adolescent experiencing a seizure?

A. A tongue blade inserted into the adolescent's mouth during a seizure can cause injury. B. Padding protects the adolescent's limbs from injury against the hard side rails during a seizure. C. Airway obstruction can occur during or after the seizure. An oropharyngeal airway should be available but should not be inserted during the seizure. If the seizure has commenced, nothing should be forced into the adolescent's mouth. D. The etiology is unknown. Only if an airborne or droplet infectious disease were suspected as the cause would droplet precautions be considered. E. Suctioning equipment may be needed to clear secretions after the seizure.

Correct Answer: B,C,E

Rationale: Padding protects limbs from injury, an oropharyngeal airway should be available but not inserted during a seizure, and suctioning equipment may be needed post-seizure to clear secretions.

Question 4 of 5

The nurse assesses that the client has some finger swelling of a newly casted right arm fracture with no other abnormal findings. Which is the nurse's priority action?

A. Notify the HCP immediately. B. Split the cast to prevent constriction. C. Elevate the casted arm on pillows. D. Document the degree of finger swelling.

Correct Answer: C

Rationale: C. Swelling is an expected finding; elevating the extremity decreases edema.

Question 5 of 5

Which statement should the nurse include in the instructions for parents of an infant with osteogenesis imperfecta (OI)?

A. "Check the color of your infant's nailbeds and mucous membranes for signs of circulatory impairment." B. "If you note signs of infection, bring your infant to the clinic because the infant has a significant immune dysfunction." C. "Protect your infant from injury and handle your baby carefully because your infant's bones can break very easily." D. "Notify your physician if your infant does not respond to sound because the infant's CNS fails to develop completely."

Correct Answer: C

Rationale: OI causes brittle bones, so careful handling is essential to prevent fractures.

Musculoskeletal Disorders NCLEX Questions | Nurselytic

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