Musculoskeletal Disorders NCLEX Questions

Extract:

Question 1 of 5

To immobilize the suspected fracture, how should the nurse apply a splint?

Correct Answer: C

Rationale: A suspected tibia fracture requires splinting from above the ankle to below the knee to stabilize the fracture site without unnecessarily immobilizing the hip or knee, which could restrict mobility or complicate transport.

Question 2 of 5

When planning the client's discharge, the nurse must help the client obtain which essential piece of equipment for home care?

A. A wheelchair B. A hospital bed C. A raised toilet seat D. A mechanical lift

Correct Answer: C

Rationale: A raised toilet seat maintains hip angles below 90 degrees, preventing dislocation during toileting, which is essential for safe home care post-hip replacement.

Question 3 of 5

A cast has just been applied to a client's left forearm, and he has 10 lbs of Russell's traction on his left leg. Which of the following nursing concerns takes priority in the care of this client?

A. The casted extremity may swell, and the cast will become a tourniquet. B. Heat conduction from the wet cast can cause burning to the skin below. C. Muscle atrophy of the areas involved can lead to decreased muscle tone. D. Skin irritation from the cast edges can cause abrasions.

Correct Answer: A

Rationale: Swelling in a newly casted extremity can cause the cast to act as a tourniquet, compromising circulation, which is the priority concern. Heat from a wet cast does not burn skin, muscle atrophy is a long-term issue, and skin irritation is less urgent.

Question 4 of 5

The client diagnosed with OA is prescribed a nonsteroidal anti-inflammatory drug (NSAID). Which instruction should the nurse teach the client?

A. Take the medication on an empty stomach. B. Make sure to taper the medication when discontinuing. C. Apply the medication topically over the affected joints. D. Notify the health-care provider if vomiting blood.

Correct Answer: D

Rationale: Vomiting blood indicates GI bleeding, a serious NSAID side effect requiring immediate HCP notification. NSAIDs should be taken with food, tapering is not typical, and topical NSAIDs are distinct.

Question 5 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.

Musculoskeletal Disorders NCLEX Questions | Nurselytic

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