Musculoskeletal Questions NCLEX

Extract:

Question 1 of 5

The nurse is discussing the importance of an exercise program for pain control to a client diagnosed with OA. Which intervention should the nurse include in the teaching?

Correct Answer: D

Rationale: Walking 30 minutes thrice weekly reduces OA pain and stiffness through low-impact exercise. Supportive shoes are helpful but secondary, carbohydrates are irrelevant, and jogging may worsen OA.

Question 2 of 5

The client with rheumatoid arthritis has been taking 15 to 20 extra-strength aspirin a day. Which additional statement that the client makes would be of greatest concern to the nurse?

A. I sometimes have ringing in my ears.' B. I have a rash under my arms.' C. My fingers are swollen sometimes.' D. I don't have very much energy.'

Correct Answer: A

Rationale: Ringing in the ears (tinnitus) is a sign of aspirin toxicity, a serious concern requiring immediate attention.

Question 3 of 5

Which technique is the best strategy for assessing circulation in the leg in Buck's traction?

A. Observe whether the client can wiggle or move the toes. B. Palpate for pulsation of the dorsalis pedis artery. C. Take the client's blood pressure with a thigh cuff positioned on the affected leg. D. Determine whether the client can feel sharp and dull sensations.

Correct Answer: B

Rationale: Palpating the dorsalis pedis pulse directly assesses arterial circulation in the leg, providing the most accurate indication of blood flow.
Toe movement and sensation are less specific, and blood pressure measurement is not relevant.

Question 4 of 5

Which statements made by a parent indicate that appropriate care is being provided for a 4-year-old with spastic-type CP?

A. "I perform range of motion (ROM) exercises every 4 hours to help prevent contractures." B. "I give my child a therapeutic massage after the stretching exercises to help manage pain." C. "I minimize the calories I provide with meals because my child is more prone to obesity." D. "I have my child wear a helmet during the day because of chronic tonic-clonic seizures." E. "Using utensils with large, padded handles makes it easier for my child to feed himself."

Correct Answer: A,B,D,E

Rationale: ROM exercises, therapeutic massage, helmet use for seizures, and adaptive utensils indicate appropriate care for spastic CP.

Question 5 of 5

Which instruction should the nurse include when reinforcing teaching with the parents about safety considerations for a child with a surgically corrected myelomeningocele?

A. Make sure braces lie smoothly against the child's skin. B. Ensure that the child shifts position at least every 3 hours. C. Place a blanket between the child and the wheelchair seat. D. Check all of the child's skin daily for redness or irritation.

Correct Answer: D

Rationale: Daily skin checks are essential to prevent pressure ulcers and other skin complications in children with myelomeningocele.

Musculoskeletal Questions NCLEX | Nurselytic

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NCLEX-PN

NCLEX-PN