NCLEX-PN
Musculoskeletal NCLEX Questions Questions
Extract:
Question 1 of 5
The nurse is preparing the plan of care for the client with a closed fracture of the right arm. Which problem is most appropriate for the nurse to identify?
Correct Answer: B
Rationale: Compartment syndrome is a critical risk in closed fractures due to swelling, threatening limb viability. Coping, infection (more for open fractures), and general complications are secondary.
Question 2 of 5
If the client is in shock, how should the nurse position the client while continuing to assess and provide care?
Correct Answer: C
Rationale: In shock, positioning the client supine with legs elevated improves venous return and cerebral perfusion, stabilizing blood pressure. Other positions are less effective or contraindicated.
Question 3 of 5
Which explanation by the nurse can best help this client understand the injury that has occurred?
Correct Answer: C
Rationale: A comminuted fracture involves the bone breaking into multiple fragments, often without an open skin break. The description 'no open break in the skin' distinguishes it from a compound fracture, while the other options describe impacted or avulsion fractures.
Question 4 of 5
The client continues to recover following a below-the-knee amputation. What nursing action should the nurse employ to help prevent the most common complication following leg amputation?
Correct Answer: B
Rationale: Lying prone prevents hip flexion contractures, the most common complication post-amputation.
Question 5 of 5
The nurse is preparing the plan of care for the client with a closed fracture of the right arm. Which problem is most appropriate for the nurse to identify?
Correct Answer: B
Rationale: Compartment syndrome is a critical risk in closed fractures due to swelling, threatening limb viability. Coping, infection (more for open fractures), and general complications are secondary.