NCLEX-PN
Med Surg Musculoskeletal NCLEX Questions Questions
Extract:
Question 1 of 5
The nurse is discharging a client who had a total hip replacement. Which statement indicates further teaching is needed?
Correct Answer: D
Rationale: Infection risk persists beyond 3 weeks post-THR; this statement requires correction. Avoiding leg crossing, reporting pain, and proper seating are correct.
Question 2 of 5
The nurse is assessing the client who is postoperative total knee replacement. Which assessment data warrant immediate intervention?
Correct Answer: B
Rationale: Pain on dorsiflexion (Homans’ sign) suggests DVT, a serious post-TKR complication requiring immediate intervention. Normal vitals, bowel sounds, and abdominal pain are less urgent.
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
Which of the following might interfere with the effectiveness of Russell's traction?
Correct Answer: C
Rationale: A knotted rope at the pulley disrupts smooth movement, reducing traction effectiveness by altering the pull. Taut ropes, a properly placed trapeze, and weights hanging freely are correct for effective traction.