NCLEX Questions Musculoskeletal

Extract:

Question 1 of 5

The physician orders prednisone for a client with rheumatoid arthritis for painful wrists and joints. Which instruction is it essential for the nurse to give the client?

Correct Answer: A

Rationale: Taking prednisone with food or milk reduces gastrointestinal irritation, a key instruction for safe administration.

Question 2 of 5

Which of the following would the nurse identify as the highest priority when documenting the postoperative circulation status of the recently casted extremity?

A. Adequate neurovascular functioning B. Minimal pain on movement C. Vital signs within normal limits D. No drainage noted on the cast

Correct Answer: A

Rationale: Adequate neurovascular functioning (circulation, sensation, and movement) is the highest priority to ensure no complications like compartment syndrome or vascular compromise, which can lead to tissue damage. Pain, vital signs, and drainage are secondary.

Question 3 of 5

The physician orders passive range-of-motion (ROM) exercises for an elderly client on bed rest. 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 proximal and distal areas of the joint during passive ROM exercises ensures controlled, safe movement, preventing injury. Independent completion, force, or continuing until discomfort risks harm.

Question 4 of 5

Which nursing intervention is most important after the client returns from the myelogram?

A. Turning off the room's bright lights B. Withholding food and fluids for 12 hours C. Administering sedatives every 6 hours D. Encouraging a high fluid intake

Correct Answer: D

Rationale: A high fluid intake post-myelogram with water-soluble dye helps excrete the contrast, reducing the risk of complications like seizures or renal issues. Other interventions are less critical.

Question 5 of 5

The client with a cervical neck injury as a result of a motor-vehicle accident is complaining of unrelieved pain after administration of a narcotic analgesic. Which alternative method of pain control is an independent nursing action?

A. Medicate the client with a muscle relaxant. B. Heat alternating with ice applied by a physical therapist. C. Watch television or listen to music. D. Discuss surgical options with the health-care provider.

Correct Answer: C

Rationale: Distraction via TV or music is an independent nursing action to manage pain. Muscle relaxants require a prescription, heat/ice involves PT, and surgical discussions are physician-driven.

NCLEX Questions Musculoskeletal | Nurselytic

Nurselytic

NCLEX-PN

NCLEX-PN