NCLEX-PN
NCLEX Questions Musculoskeletal Questions
Extract:
Question 1 of 5
The unlicensed assistive personnel (UAP) reports a client with a fractured femur has 'fatty globules' floating in the urinal. What intervention should the nurse implement first?
Correct Answer: A
Rationale: Fatty globules in urine suggest fat embolism syndrome; assessing for dyspnea and altered mental status (respiratory/neurological signs) is the priority. Diagnostics and bedrest follow.
Question 2 of 5
Which action by the nurse would be most appropriate for a child newly diagnosed with Reye's syndrome?
Correct Answer: D
Rationale: Assessing for bleeding is critical in Reye's syndrome due to liver dysfunction and potential coagulopathy.
Question 3 of 5
Which nursing intervention is most important after the client returns from the myelogram?
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 4 of 5
In which conditions might the nurse assess for the presence of papilledema?
Correct Answer: B,C,D
Rationale: Papilledema, indicating increased intracranial pressure, can be associated with craniosynostosis, shaken baby syndrome, and hydrocephalus.
Question 5 of 5
The nurse teaches the trainers that adolescent soccer players are at increased risk for which abnormality?
Correct Answer: A
Rationale: Adolescent soccer players are at risk for varus knee deformities due to repetitive stress on the knees.