NCLEX-PN
Med Surg Musculoskeletal NCLEX Questions Questions
Extract:
Question 1 of 5
When the nurse observes the client walking, which assessment finding indicates the need for more instruction regarding the use of the cane?
Correct Answer: C
Rationale: The cane should be used on the unaffected side to support the painful hip.
Question 2 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 3 of 5
The nurse is discharging a client who had a total hip replacement. Which statement indicates further teaching is needed?
Correct Answer: D
Rationale: Infection risk persists beyond 3 weeks post-THR; this statement requires correction. Avoiding leg crossing, reporting pain, and proper seating are correct.
Question 4 of 5
Before turning the client postoperatively, which nursing instruction is especially important to prevent postoperative complications?
Correct Answer: D
Rationale: Log-rolling maintains spinal alignment during turning post-laminectomy, preventing strain on the surgical site and reducing complications like nerve damage or incision dehiscence.
Question 5 of 5
Which intervention is an example of a secondary nursing intervention when discussing osteoporosis?
Correct Answer: A
Rationale: Bone density testing (e.g., DEX
A) is secondary prevention, detecting osteoporosis early. Calcium intake and smoking cessation are primary, and non-weight-bearing exercises are less effective.