Musculoskeletal Disorders NCLEX Questions

Extract:

Question 1 of 5

The nurse knows that elevated findings on which laboratory test typically validate a diagnosis of gout?

Correct Answer: C

Rationale: Elevated serum uric acid confirms gout, as it causes crystal formation.

Question 2 of 5

Which interventions are appropriate for an adolescent experiencing a seizure?

A. A tongue blade inserted into the adolescent's mouth during a seizure can cause injury. B. Padding protects the adolescent's limbs from injury against the hard side rails during a seizure. C. Airway obstruction can occur during or after the seizure. An oropharyngeal airway should be available but should not be inserted during the seizure. If the seizure has commenced, nothing should be forced into the adolescent's mouth. D. The etiology is unknown. Only if an airborne or droplet infectious disease were suspected as the cause would droplet precautions be considered. E. Suctioning equipment may be needed to clear secretions after the seizure.

Correct Answer: B,C,E

Rationale: Padding protects limbs from injury, an oropharyngeal airway should be available but not inserted during a seizure, and suctioning equipment may be needed post-seizure to clear secretions.

Question 3 of 5

Which most immediate treatment by the HCP should the nurse anticipate for a child with a dislocated kneecap?

A. Open surgical intervention to repair the kneecap B. Arthroscopy to surgically repair the torn cartilage C. Realignment of the kneecap by sliding it back into position D. Application of a cast to the affected leg until the kneecap heals

Correct Answer: C

Rationale: Immediate treatment for a dislocated kneecap involves manual realignment to restore position.

Question 4 of 5

A person's right thumb was accidentally severed with an axe. The amputated right thumb was recovered. Which action by the nurse preserves the thumb so it could possibly be reattached in surgery?

A. Place the right thumb directly on ice. B. Put the right thumb in a glass of warm water. C. Wrap the thumb in a clean piece of material. D. Secure the thumb in a plastic bag and place on ice.

Correct Answer: D

Rationale: Wrapping the thumb and placing it in a bag on ice preserves viability for reattachment without freezing tissue. Direct ice causes frostbite, warm water promotes decay, and wrapping alone is insufficient.

Question 5 of 5

The nurse is discharging the client home with a plaster of Paris cast to the lower leg. Which self-care recommendation should the nurse include?

A. Sprinkle powder in the cast to decrease moisture from sweating. B. Direct cool air from a hair dryer into the cast to relieve itching. C. Cover the cast with a plastic wrap before you bathe in a tub. D. Use hot, soapy water to wash the cast if it becomes very soiled.

Correct Answer: B

Rationale: B. Cool air from a hair dryer helps to control itching on the skin within a cast. Hot air is not recommended because it could burn the skin.

Musculoskeletal Disorders NCLEX Questions | Nurselytic

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