Musculoskeletal Questions NCLEX | Nurselytic

Questions 53

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Musculoskeletal Questions NCLEX Questions

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Question 1 of 5

The nurse is caring for the client who had a surgical repair of a right Dupuytren's contracture. Which intervention should the nurse plan?

Correct Answer: B

Rationale: B. Independent self-care is impaired for a few days after surgery because the hand is bandaged. The nurse should plan that the client receive assistance with personal care and ADLs.

Question 2 of 5

The nurse is preparing to teach the family of an infant with developmental dysplasia of the hip how to apply the Pavlik harness illustrated that has white velcro straps. Place the steps for applying the Pavlik harness in the correct sequence.

Order the Items

Source Container

Connect the chest halter and leg straps in front.
Position the legs and feet in the stirrups.
Connect the chest halter and leg straps in back.
Position the chest halter at nipple line and fasten with Velcro.
Be sure the hips are flexed and abducted before fastening with Velcro.

Correct Answer: D,B,E,A,C

Rationale: The correct sequence ensures proper positioning and secure application of the Pavlik harness.

Question 3 of 5

The client is ordered to be in a semi-reclining position following a myelogram. The nurse understands that the primary reason for this is which of the following?

Correct Answer: B

Rationale: A semi-reclining position post-myelogram prevents spinal headache by reducing cerebrospinal fluid leakage.

Question 4 of 5

The client is being evaluated for osteoporosis. Which diagnostic test is the most accurate when diagnosing osteoporosis?

Correct Answer: C

Rationale: DEXA is the gold standard for osteoporosis diagnosis, measuring bone mineral density. X-rays detect fractures, alkaline phosphatase is nonspecific, and bone Gla-protein is not diagnostic.

Question 5 of 5

The client who underwent a left above-the-knee amputation as a result of uncontrolled diabetes questions the nurse, asking, 'Why did this happen to me? I have always been a good person.' Which is the nurse’s most therapeutic response?

Correct Answer: D

Rationale: Acknowledging distress and offering to talk is therapeutic, validating emotions. Blaming the client, claiming empathy, or questioning beliefs is less supportive.

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