NCLEX-PN
Musculoskeletal NCLEX Practice Questions Questions
Extract:
Question 1 of 5
When the client asks the nurse what is meant by the term manipulation, which explanation is most accurate?
Correct Answer: C
Rationale: Manipulation for a dislocated shoulder involves manually repositioning the bone ends into their normal alignment without surgical intervention. Incisions or pins are used in surgical procedures, and exercise is for rehabilitation, not repositioning.
Question 2 of 5
Of the following emergency measures, which one should the nurse perform first?
Correct Answer: A
Rationale: In an emergency, the nurse must first assess the victim's breathing to ensure airway patency and adequate oxygenation, following the ABCs (Airway, Breathing, Circulation) of basic life support. Other actions are secondary.
Question 3 of 5
The physician orders that the client with a hip prosthesis may be out of bed to sit in a chair. How should the nurse position the chair to facilitate transferring the client to the side?
Correct Answer: C
Rationale: Positioning the chair parallel to the bed allows the client to transfer safely to the nonoperative side, maintaining hip alignment and minimizing the risk of dislocation during the transfer.
Question 4 of 5
Which is the best method to assess circulation in the casted extremity?
Correct Answer: C
Rationale: Depressing the nail beds to assess capillary refill (color return within 2-3 seconds) is the most reliable method to evaluate circulation in a casted extremity, indicating adequate blood flow. Wiggling fingers assesses motor function, not circulation directly, and the other options are less specific.
Question 5 of 5
Which nursing action is appropriate while the client is being transported?
Correct Answer: B
Rationale: Removing the weights during transport prevents unintended movement or injury while maintaining the leg's position. Leaving traction as is or resting weights risks disrupting alignment, and removing the leg negates traction benefits.