NCLEX Questions Musculoskeletal

Extract:

Question 1 of 5

The nurse writes a concept of 'impaired mobility' for a client diagnosed with a fractured right hip. Which would the nurse include in the plan of care? Select all that apply.

Correct Answer: A,B,C,D

Rationale: PT referral, enoxaparin, gait belt, and pain assessment promote mobility and prevent complications in hip fracture. High-carb/fat/sodium diet is inappropriate.

Question 2 of 5

The client has returned to the nursing unit following a right below-the-knee amputation. How should the nurse position the client?

A. Supine with head turned to the side B. With shock blocks placed under the foot of the bed C. Semi-sitting position with knees bent D. Left lateral with pillows between the knees

Correct Answer: C

Rationale: A semi-sitting position promotes comfort, reduces edema, and facilitates breathing post-amputation.

Question 3 of 5

The client with arthritis is receiving sodium salicylate and asks the nurse what the drug will do for her. The nurse's reply should include information that the drug is given for which of the following effects?

A. Antipyretic B. Antibiotic C. Anticoagulant D. Anti-inflammatory

Correct Answer: D

Rationale: Sodium salicylate is primarily used for its anti-inflammatory effects in arthritis, reducing joint pain and swelling.

Question 4 of 5

The HCP prescribes glucosamine and chondroitin for a client diagnosed with OA. What is the scientific rationale for prescribing this medication?

A. It will help decrease the inflammation in the joints. B. It improves tissue function and retards breakdown of cartilage. C. It is a potent medication which decreases the client's joint pain. D. It increases the production of synovial fluid in the joint.

Correct Answer: B

Rationale: Glucosamine and chondroitin support cartilage health, slowing OA progression. They have limited anti-inflammatory effects, are not potent analgesics, and do not increase synovial fluid.

Question 5 of 5

Which finding should the nurse report as a sign of increased intracranial pressure (ICP)?

A. While an increasing temperature may be associated with ICP, it may also be due to an infection. It is more important for the nurse to report the widened pulse pressure as a sign of increased ICP. B. A widened pulse pressure (increased systolic BP and a decreased diastolic BP) is one of the signs of Cushing's triad and is indicative of ICP. C. Bradycardia (not tachycardia) is associated with ICP. D. An increased systolic BP (not decreased systolic BP) is another sign of Cushing's triad.

Correct Answer: B

Rationale: Widened pulse pressure is a hallmark of Cushing's triad, indicating increased ICP.

NCLEX Questions Musculoskeletal | Nurselytic

Nurselytic

NCLEX-PN

NCLEX-PN