NCLEX-PN
NCLEX Questions Musculoskeletal Questions
Extract:
Question 1 of 5
When the nurse is documenting the client's progress while using a continuous passive motion (CPM) machine, which assessment data are essential to include?
Correct Answer: B
Rationale: Documenting the degree of flexion, number of cycles, and time used on the CPM machine tracks progress in restoring joint function. Incision condition, drainage, or pulses are monitored separately.
Question 2 of 5
The client one (1) day postoperative total hip replacement complains of hearing a 'popping sound' when turning. Which assessment data should the nurse report immediately to the surgeon?
Correct Answer: C
Rationale: Groin pain with a popping sound suggests hip dislocation, requiring immediate surgeon notification. Discoloration, equal leg length, and edema are less urgent.
Question 3 of 5
When the nurse is documenting the client's progress while using a continuous passive motion (CPM) machine, which assessment data are essential to include?
Correct Answer: B
Rationale: Documenting the degree of flexion, number of cycles, and time used on the CPM machine tracks progress in restoring joint function. Incision condition, drainage, or pulses are monitored separately.
Question 4 of 5
Which is the best material for the nurse to place under a wet cast immediately after application?
Correct Answer: D
Rationale: Several pillows elevate the casted extremity, promoting venous return and reducing swelling while the cast dries, without absorbing moisture or causing pressure points. Sheepskin and vinyl are less effective, and absorbent pads may retain moisture.
Question 5 of 5
Which intervention for bladder emptying should the nurse plan to implement for a 14-year-old with a neurogenic bladder from an SCI with a lower motor neuron lesion?
Correct Answer: A
Rationale: Intermittent catheterizationelevation is preferred for neurogenic bladder due to lower motor neuron lesions to prevent urinary retention.