NCLEX-PN
Musculoskeletal NCLEX Practice Questions Questions
Extract:
Question 1 of 5
The nurse is working on an orthopedic floor. Which client should the nurse assess first after the change-of-shift report?
Correct Answer: B
Rationale: Confusion post-TKR may indicate neurological or metabolic complications, requiring urgent assessment. Fractures, THR, and CPM use are stable.
Question 2 of 5
The client is prescribed Fosamax, a bisphosphonate. Which information should the nurse teach?
Correct Answer: A
Rationale: Fosamax is taken with water to prevent esophageal irritation. Food reduces absorption, photosensitivity is not a side effect, and it inhibits bone resorption, not calcium reabsorption.
Question 3 of 5
The physician orders that the client with a hip prosthesis may be out of bed to sit in a chair. How should the nurse position the chair to facilitate transferring the client to the side?
Correct Answer: C
Rationale: Positioning the chair parallel to the bed allows the client to transfer safely to the nonoperative side, maintaining hip alignment and minimizing the risk of dislocation during the transfer.
Question 4 of 5
Until a translator is available, which nursing action is best when teaching the client who speaks English as a second language about body mechanics?
Correct Answer: A
Rationale: Speaking slowly while maintaining eye contact enhances comprehension for a non-native speaker, using nonverbal cues to reinforce verbal instructions until a translator is available.
Question 5 of 5
While teaching the client, what can the nurse explain about the purpose of stump bandaging?
Correct Answer: C
Rationale: Stump bandaging shapes the residual limb into a conical form, facilitating prosthetic fitting and reducing swelling. It does not primarily tone muscles, maintain flexibility, or absorb drainage.