Musculoskeletal Questions NCLEX

Extract:

Question 1 of 5

The nurse is preparing to teach the family of an infant with developmental dysplasia of the hip how to apply the Pavlik harness illustrated that has white velcro straps. Place the steps for applying the Pavlik harness in the correct sequence.

Correct Answer: D,B,E,A,C

Rationale: The correct sequence ensures proper positioning and secure application of the Pavlik harness.

Question 2 of 5

The nurse explains that the primary reason for the client's increased risk for altered skin integrity due to a T12 SCI is which factor?

A. The inability to perceive extremes in temperature leading to burns B. The inability to feel skin irritation such as wrinkled linens or clothing C. The increased likelihood of bowel and bladder dysfunction and skin irritation D. The circulatory changes that cause vasoconstriction and decreased blood supply

Correct Answer: B

Rationale: Loss of sensation below T12 prevents the perception of skin irritants, increasing the risk of pressure ulcers.

Question 3 of 5

When implementing the care plan, the nurse should encourage the major intake of fluids at which time of the day?

A. Before bedtime B. Early evening C. In the morning D. Midafternoon

Correct Answer: C

Rationale: Morning fluid intake promotes hydration and uric acid excretion throughout the day.

Question 4 of 5

The occupational health nurse is planning health promotion activities for a group of factory workers. Which activity is an example of primary prevention for clients at risk for low back pain?

A. Teach back exercises to workers after returning from an injury. B. Place signs in the work area about how to perform first aid. C. Start a weight-reduction group to meet at lunchtime. D. Administer a nonnarcotic analgesic to a client complaining of back pain.

Correct Answer: C

Rationale: Weight reduction reduces spinal stress, a primary prevention strategy for low back pain. Post-injury exercises are secondary, first aid signs are tertiary, and analgesics treat symptoms, not prevent.

Question 5 of 5

Which statement reflects the most widely recognized theory for the use of transcutaneous electric nerve stimulation (TENS)?

A. The sensation created by the TENS unit blocks the brain's perception of pain impulses. B. The sensation created by the TENS unit travels to the nerve root of the injury. C. The sensation created by the TENS unit destroys the brain's pain center. D. The sensation created by the TENS unit weakens nociceptor sensory nerves.

Correct Answer: A

Rationale: The gate control theory posits that TENS blocks pain impulses by stimulating non-pain sensory nerves, reducing the brain's perception of pain from the injured area.

Musculoskeletal Questions NCLEX | Nurselytic

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