Med Surg Musculoskeletal NCLEX Questions

Extract:

Question 1 of 5

When planning the client's postoperative care, which is the least desirable position in which the nurse can place the client?

Correct Answer: C

Rationale: Prone positioning stresses the stump and impairs healing.

Question 2 of 5

The client with a right AKA is being taught how to toughen the residual limb. Which intervention should the nurse implement?

A. Instruct the client to push the residual limb against a pillow. B. Demonstrate how to apply an elastic bandage around the residual limb. C. Encourage the client to apply vitamin B12 to the surgical incision. D. Teach the client to elevate the residual limb at least three (3) times a day.

Correct Answer: A

Rationale: Pushing the residual limb against a pillow toughens skin for prosthesis use. Elastic bandages reduce edema, vitamin B12 is irrelevant, and elevation is for swelling, not toughening.

Question 3 of 5

Which of the following might interfere with the effectiveness of Russell's traction?

A. The rope is strung tautly from pulley to pulley. B. The trapeze is hanging above the client's chest. C. The rope is knotted at the location of a pulley. D. The weight is about 24'' (61 cm) from the floor.

Correct Answer: C

Rationale: A knotted rope at the pulley disrupts smooth movement, reducing traction effectiveness by altering the pull. Taut ropes, a properly placed trapeze, and weights hanging freely are correct for effective traction.

Question 4 of 5

The nurse is admitting a female client who is complaining of severe back pain radiating down the left leg whenever she tries to ambulate. The concepts of impaired mobility and comfort are implemented on the care map. Which nursing interventions should the nurse implement?

A. Assist the client when ambulating to the bathroom and administer medications based on the pain scale. B. Place the client on strict bedrest and have the client use a regular bedpan for elimination of urine and feces. C. Ambulate the client in the hallway at least four (4) times per day and discourage the use of pharmacological pain relief. D. Request the health-care provider (HCP) to assist the client in ambulating in the hallway so the HCP can observe the client’s pain.

Correct Answer: A

Rationale: Assisting with ambulation and pain medication addresses mobility and comfort in sciatica. Strict bedrest hinders recovery, excessive ambulation without pain control is unsafe, and HCP observation is unnecessary.

Question 5 of 5

Which evidence is the best indication that the client who had a knee arthroplasty is recovering according to expected outcomes and no longer needs the continuous passive motion (CPM) machine?

A. The client has minimal pain when ambulating. B. The client can flex the operative knee 90 degrees. C. The client can be given to the operation of the client's surgical wound is approximated. D. None of the above

Correct Answer: B

Rationale: Achieving 90-degree knee flexion is a key milestone post-knee arthroplasty, indicating sufficient joint mobility to discontinue the CPM machine. Pain and wound healing are important but less specific to CPM use.

Med Surg Musculoskeletal NCLEX Questions | Nurselytic

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