NCLEX-PN
Musculoskeletal NCLEX Questions Questions
Extract:
Question 1 of 5
The nurse is preparing the care plan for a client with a fractured lower extremity. Which outcome is most appropriate for the client?
Correct Answer: A
Rationale: Maintaining leg function is the primary goal for fracture recovery. Ambulation, turning, and infection prevention are interventions, not outcomes.
Question 2 of 5
Which area of health teaching is essential to include in the discharge instructions for a client who has undergone a total hip replacement?
Correct Answer: A
Rationale: Modifying clothing application (e.g., avoiding bending or crossing legs) prevents hip dislocation, making it essential for discharge teaching. Vigorous walks are contraindicated, and the other options are less critical.
Question 3 of 5
The nurse would be correct to request a consultation with a dietitian if the client chooses a meal that includes which food?
Correct Answer: D
Rationale: Liver is high in purines, which exacerbate gout.
Question 4 of 5
The nurse is caring for a client in a hip spica cast. Which intervention should the nurse include in the plan of care?
Correct Answer: D
Rationale: Distention and vomiting indicate GI complications (e.g., ileus) in a hip spica cast, requiring assessment. Pulses are accessible, elevation is impractical, and ambulation is limited.
Question 5 of 5
Which client symptom indicates that the nurse should discontinue the medication and notify the physician even if the client's pain is unrelieved?
Correct Answer: A
Rationale: Vomiting is a sign of colchicine toxicity, requiring immediate discontinuation and physician notification, as it can precede serious complications like bone marrow suppression. Other symptoms are less urgent.