Musculoskeletal NCLEX Questions

Extract:

Question 1 of 5

The nurse is reviewing the serum laboratory results of the client with DM prior to surgical removal of pins used to stabilize a compound ankle fracture. Based on the results, which action should the nurse take?

Correct Answer: A

Rationale: A. The elevated WBC indicates that the client may have an infection, which increases the risk of developing osteomyelitis. DM and a compound fracture also increase the client's risk for osteomyelitis.

Question 2 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?

A. The client will maintain function of the leg. B. The client will ambulate with assistance. C. The client will be turned every two (2) hours. D. The client will have no infection.

Correct Answer: A

Rationale: Maintaining leg function is the primary goal for fracture recovery. Ambulation, turning, and infection prevention are interventions, not outcomes.

Question 3 of 5

Which client goal is most appropriate for a client diagnosed with OA?

A. Perform passive range-of-motion exercises. B. Maintain optimal functional ability. C. Client will walk three (3) miles every day. D. Client will join a health club.

Correct Answer: B

Rationale: Maintaining optimal function aligns with OA management, promoting mobility and independence. Passive ROM is inappropriate, 3 miles daily is unrealistic, and joining a health club is nonspecific.

Question 4 of 5

The nurse is caring for the client 2 days post-right THR in which the traditional posterior approach was used. Which interventions should the nurse implement?

A. Checks that an elevated toilet seat is in place and assists the client to the bathroom using a walker B. Removes the wedge pillow at the client's request and places pillows to maintain right leg adduction C. Reinfuses the 400-mL wound autotransfusion drainage system returns that collected in the past 24 hours D. Assists the client to get out of bed on the left side so the client can stand to place and use the urinal

Correct Answer: A

Rationale: A. The client should be able to ambulate with the use of a walker. An elevated toilet seat is used to prevent hip flexion of greater than 90 degrees when the client sits.

Question 5 of 5

Which type of seizure involves a brief loss of awareness and minor motor movements such as eye blinking?

A. Myoclonic seizure involves muscle movement and not just loss of awareness. B. Febrile seizures occur when the child's temperature is excessively elevated and usually includes tonic-clonic muscle movement. C. An absence seizure is a generalized seizure (involving loss of awareness) that might involve minor motor movements (e.g., eye blinking). The child appears to be staring. D. Atonic means absence of tone and would involve loss of muscle control and not eye blinking, which requires muscle control.

Correct Answer: C

Rationale: Absence seizures are characterized by brief loss of awareness and minor motor movements like eye blinking, with the child appearing to stare.

Musculoskeletal NCLEX Questions | Nurselytic

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