NCLEX-PN
Musculoskeletal NCLEX Questions with Rationale Questions
Extract:
Question 1 of 5
When the nurse examines the client, which body part is usually affected by gout?
Correct Answer: A
Rationale: The great toe is commonly affected in gout due to uric acid crystal deposition.
Question 2 of 5
The school nurse is completing spinal screenings. Which data require a referral to an HCP?
Correct Answer: D
Rationale: Asymmetrical arm positioning (right lower than left) suggests scoliosis, requiring HCP referral. Symmetrical arms, resolving deformities, and equal spacing are normal.
Question 3 of 5
The elderly client is admitted to the hospital for severe back pain. Which data should the nurse assess first during the admission assessment?
Correct Answer: B
Rationale: Pain level assessment is the priority in severe back pain to guide treatment. Herbs, orientation, and self-care are secondary.
Question 4 of 5
The nurse is caring for the following clients. After receiving the shift report, which client should the nurse assess first?
Correct Answer: A
Rationale: A cold foot post-knee replacement suggests vascular compromise, requiring urgent assessment to prevent tissue damage. Stiff joints, antibiotics, and myelogram prep are lower priority.
Question 5 of 5
The nurse is preparing to administer subcutaneous Lovenox, a low molecular weight heparin. Which intervention should the nurse implement?
Correct Answer: D
Rationale: Lovenox is administered in the anterolateral abdomen for optimal absorption. aPTT is for unfractionated heparin, fluids are unrelated, and vitamin K affects warfarin.