NCLEX-PN
NCLEX Questions for Musculoskeletal Disorders Questions
Extract:
Question 1 of 5
The nurse is teaching the client with gout about a diet low in purines. Which of the following is lowest in purine?
Correct Answer: D
Rationale: Scrambled eggs are low in purines, suitable for a gout diet, unlike high-purine foods like liver and shrimp.
Question 2 of 5
The client with a pelvic fracture developed a fat embolism. The nurse should assess the client for which specific sign?
Correct Answer: D
Rationale: D. The nurse should assess for petechiae. Petechiae (small purplish hemorrhagic spots on the skin) are thought to be due to transient thrombocytopenia. They can occur over the chest, anterior axillary folds, hard palate, buccal membranes, and conjunctival sacs.
Question 3 of 5
The client is taking calcium carbonate (Tums) to help prevent further development of osteoporosis. Which teaching should the nurse implement?
Correct Answer: A
Rationale: Taking Tums with water ensures proper absorption and prevents GI irritation. Timing with meals is flexible, pre-meal timing is unnecessary, and monthly calcium levels are not routine.
Question 4 of 5
If the client is allergic to penicillin, the nurse must question a medical order for which type of antibiotic?
Correct Answer: B
Rationale: Cephalosporins (e.g., cefaclor) have a cross-sensitivity with penicillin, risking allergic reactions in penicillin-allergic clients. The other antibiotics listed do not share this cross-reactivity.
Question 5 of 5
The nurse is teaching the client with gout about a diet low in purines. Which of the following is lowest in purine?
Correct Answer: D
Rationale: Scrambled eggs are low in purines, suitable for a gout diet, unlike high-purine foods like liver and shrimp.