NCLEX Questions Musculoskeletal

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, distributing weight appropriately. Using it on the painful side reduces its effectiveness, requiring further instruction.

Question 2 of 5

The LPN is reporting observations and cares to the RN. Based on the LPN's report, which client should the RN assess immediately?

A. The client, 2 hours post-total knee replacement, has 100 mL bloody drainage in the autotransfusion drainage system container. B. The client with a crush injury to the arm was given another analgesic and a skeletal muscle relaxant for throbbing, unrelenting pain. C. The client in a new body cast was turned every 2 hours and is being supported with waterproof pillows. D. The client with a left leg external fixator has serous drainage from the pin sites, and pulses are present by Doppler.

Correct Answer: B

Rationale: B. The RN should assess this client immediately. Throbbing, unrelenting pain could be the first sign of compartment syndrome. The neurovascular status of the extremity should be assessed. Unrelieved pressure can lead to compromised circulation and avascular necrosis.

Question 3 of 5

In which conditions might the nurse assess for the presence of papilledema?

A. Eczema B. Craniosynostosis C. Shaken baby syndrome D. Hydrocephalus E. Chest trauma

Correct Answer: B,C,D

Rationale: Papilledema, indicating increased intracranial pressure, can be associated with craniosynostosis, shaken baby syndrome, and hydrocephalus.

Question 4 of 5

Which is the best material for the nurse to place under a wet cast immediately after application?

A. Synthetic sheepskin B. A vinyl sheet C. An absorbent pad D. Several pillows

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

The physician orders passive range-of-motion (ROM) exercises for an elderly client on bed rest. Which statement regarding the performance of ROM exercises is correct?

A. ROM exercises should be completed independently with verbal cues from the nurse. B. Force may be needed during ROM exercises to achieve maximum benefit. C. Support should be maintained to the proximal and distal areas of the joint during movement. D. ROM exercises should be performed until the client verbalizes discomfort.

Correct Answer: C

Rationale: Supporting the proximal and distal areas of the joint during passive ROM exercises ensures controlled, safe movement, preventing injury. Independent completion, force, or continuing until discomfort risks harm.

NCLEX Questions Musculoskeletal | Nurselytic

Nurselytic

NCLEX-PN

NCLEX-PN