Med Surg Musculoskeletal NCLEX Questions

Extract:

Question 1 of 5

The nurse knows that a client who sustains multiple fractures of long bones is at risk for developing fat embolism syndrome. Which findings suggest that the client is developing this complication? Select all that apply.

Correct Answer: B,C,D

Rationale: Fat embolism syndrome typically presents with petechiae (small red spots from fat emboli in the skin), dyspnea (from pulmonary involvement), and mental status changes (from cerebral hypoxia). Bradycardia, hypertension, and hematuria are not characteristic.

Question 2 of 5

Which statement regarding the performance of ROM exercises is correct?

A. ROM exercises should be completed independently with verbal cues from the nurse. B. Force may be needed during ROM exercises to achieve maximum benefit. C. Support should be maintained to the proximal and distal areas of the joint during movement. D. ROM exercises should be performed until the client verbalizes discomfort.

Correct Answer: C

Rationale: Supporting the joint's proximal and distal areas prevents strain during ROM.

Question 3 of 5

Postoperatively, which intervention should be completed before turning the client onto the nonoperative side?

A. Placing pillows between the client's legs B. Having the client point the toes downward C. Having the client's knee on the side D. Elevating the head of the client's bed

Correct Answer: A

Rationale: Placing pillows between the legs before turning prevents adduction of the operative hip, reducing the risk of dislocation in a client with a hip prosthesis. The other actions do not directly address hip stability.

Question 4 of 5

What is the best technique a nurse can use for drying the wet plaster arm cast?

A. Leave the casted arm uncovered. B. Apply a heating blanket to the cast. C. Use a hair dryer to blow hot air onto the cast. D. Place a heat lamp directly above the cast.

Correct Answer: A

Rationale: Leaving the cast uncovered allows natural air drying, which is the safest and most effective method for plaster casts. Heat sources like blankets, dryers, or lamps can cause burns or uneven drying, risking skin damage.

Question 5 of 5

The nurse is admitting a female client who is complaining of severe back pain radiating down the left leg whenever she tries to ambulate. The concepts of impaired mobility and comfort are implemented on the care map. Which nursing interventions should the nurse implement?

A. Assist the client when ambulating to the bathroom and administer medications based on the pain scale. B. Place the client on strict bedrest and have the client use a regular bedpan for elimination of urine and feces. C. Ambulate the client in the hallway at least four (4) times per day and discourage the use of pharmacological pain relief. D. Request the health-care provider (HCP) to assist the client in ambulating in the hallway so the HCP can observe the client’s pain.

Correct Answer: A

Rationale: Assisting with ambulation and pain medication addresses mobility and comfort in sciatica. Strict bedrest hinders recovery, excessive ambulation without pain control is unsafe, and HCP observation is unnecessary.

Med Surg Musculoskeletal NCLEX Questions | Nurselytic

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