NCLEX-PN
Med Surg Musculoskeletal NCLEX Questions Questions
Extract:
Question 1 of 5
When the nurse assesses the client, which finding is the best indication that the shoulder has been dislocated?
Correct Answer: D
Rationale: A dislocated shoulder often results in the affected arm appearing longer due to the humeral head being displaced from the glenoid fossa, altering the arm's alignment. Pain and hesitancy to move are common but less specific, and 'receiving intense pain' is a typographical error.
Question 2 of 5
The nurse knows that a client who sustains multiple fractures of long bones is at risk for developing fat embolism syndrome. Which findings suggest that the client is developing this complication? Select all that apply.
Correct Answer: B,C,D
Rationale: Fat embolism syndrome typically presents with petechiae (small red spots from fat emboli in the skin), dyspnea (from pulmonary involvement), and mental status changes (from cerebral hypoxia). Bradycardia, hypertension, and hematuria are not characteristic.
Question 3 of 5
Postoperatively, which intervention should be completed before turning the client onto the nonoperative side?
Correct Answer: A
Rationale: Placing pillows between the legs before turning prevents adduction of the operative hip, reducing the risk of dislocation in a client with a hip prosthesis. The other actions do not directly address hip stability.
Question 4 of 5
What is the best technique a nurse can use for drying the wet plaster arm cast?
Correct Answer: A
Rationale: Leaving the cast uncovered allows natural air drying, which is the safest and most effective method for plaster casts. Heat sources like blankets, dryers, or lamps can cause burns or uneven drying, risking skin damage.
Question 5 of 5
Which of the following might interfere with the effectiveness of Russell's traction?
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.