NCLEX-PN
Musculoskeletal NCLEX Questions with Rationale 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 levels confirm gout, as they reflect the hyperuricemia leading to crystal formation in joints. Other tests are not specific to gout diagnosis.
Question 2 of 5
The elderly client is admitted to the hospital for severe back pain. Which data should the nurse assess first during the admission assessment?
Correct Answer: B
Rationale: Pain level assessment is the priority in severe back pain to guide treatment. Herbs, orientation, and self-care are secondary.
Question 3 of 5
Which nursing intervention is most appropriate for preventing a pathological fracture?
Correct Answer: C
Rationale: Supporting the limb during movement minimizes stress on the necrotic bone, reducing the risk of a pathological fracture in osteomyelitis. Fluid, diet, and pressure relief are less directly preventive.
Question 4 of 5
What equipment is best for preventing external rotation of the operative leg when caring for a client with a total hip replacement?
Correct Answer: B
Rationale: A trochanter roll prevents external rotation, maintaining hip alignment.
Question 5 of 5
The nurse is working with an unlicensed assistive personnel (UAP). Which action by the UAP warrants immediate intervention?
Correct Answer: A
Rationale: A regular diet post-cervical laminectomy risks aspiration if swallowing is impaired; this requires immediate intervention. Calling for help, assisting a heavy client, and placing the call light are appropriate.