Musculoskeletal Questions NCLEX

Extract:

Question 1 of 5

The nurse is preparing the preoperative client for a total hip replacement (THR). Which intervention should the nursing implement postoperatively?

Correct Answer: A

Rationale: An abduction pillow prevents hip dislocation post-THR, a critical complication. Coughing, turning, and chair positioning are important but secondary.

Question 2 of 5

The nursing student is caring for the client who had a right TKR 1 day ago. Which action by the student requires the nurse to intervene?

A. Hands the client the control for the continuous passive motion (CPM) machine B. Offers the client an analgesic when pain is rated at 3 on a 0 to 10 scale C. Repositions the leg to insert an abductor pillow between the client's legs D. Places an ice pack wrapped within a towel on the client's operative knee

Correct Answer: C

Rationale: C. Attempting to insert an abductor pillow may cause knee misalignment. An abductor pillow may be used for the client following a THR.

Question 3 of 5

Which nursing instruction about heating pads is essential to include in the client's teaching plan?

A. Set the heating pad to the highest setting. B. Place the heating pad directly on the skin. C. Cover the heating pad with plastic during use. D. Apply the heating pad for 2 hours at a time.

Correct Answer: A

Rationale: A low setting prevents burns while providing therapeutic heat.

Question 4 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 5 of 5

Which statement should the nurse include when teaching parents about bacterial meningitis?

A. Symptoms of meningitis often develop over time, making it easier to diagnose than other infections. B. Having a seizure associated with a high temperature usually indicates a problem other than meningitis. C. High-risk children 2 to 10 years and other children 11 years and older should receive the meningococcal conjugate vaccine (MCV4). D. Intravenous antibiotics are administered to family members who may have been in close contact with the child.

Correct Answer: C

Rationale: The meningococcal conjugate vaccine (MCV4) is recommended for high-risk children and those 11 years and older to prevent bacterial meningitis.

Musculoskeletal Questions NCLEX | Nurselytic

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NCLEX-PN

NCLEX-PN