NCLEX-PN
Musculoskeletal Disorders NCLEX Questions Questions
Extract:
Question 1 of 5
The nurse is caring for the client following a knee arthroscopy. What information should the nurse teach? Select all that apply.
Correct Answer: A,C,E
Rationale: A. Elevation will help to decrease edema. C. Severe joint pain may indicate a possible complication and should be reported immediately. E. Usually a mild analgesic such as acetaminophen (Tylenol) is sufficient for pain control following a diagnostic arthroscopy.
Question 2 of 5
The nurse is caring for an elderly client diagnosed with a herniated nucleus pulposus of L4-5. Which scientific rationale explains the incidence of a ruptured disk in the elderly?
Correct Answer: D
Rationale: Intervertebral disk degeneration with aging reduces disk hydration and elasticity, increasing rupture risk. Poor body mechanics is a risk but not the primary cause, blood supply decreases, and atherosclerosis affects joints differently.
Question 3 of 5
After assessing the client's cast, what action should the nurse take next?
Correct Answer: B
Rationale: Bloody drainage seeping through a cast suggests potential complications like infection or tissue damage, requiring immediate physician notification for evaluation. Documentation and ice application are secondary, and the third option is unclear.
Question 4 of 5
Which risk factor found in the client's medical record does the nurse identify as most significant for sustaining a hip fracture?
Correct Answer: A
Rationale: Postmenopausal status is the most significant risk factor for hip fractures due to estrogen loss, which accelerates bone density reduction, increasing fracture risk. Obesity, diabetes, and lactose intolerance are less directly related.
Question 5 of 5
Which explanation most accurately explains to the client the primary purpose of the splints?
Correct Answer: B
Rationale: Splints immobilize joints to reduce inflammation and slow deterioration.