NCLEX-PN
Musculoskeletal NCLEX Questions Questions
Extract:
Question 1 of 5
Which area of health teaching is essential to include in the discharge instructions for a client who has undergone a total hip replacement?
Correct Answer: A
Rationale: Modifying clothing application (e.g., avoiding bending or crossing legs) prevents hip dislocation, making it essential for discharge teaching. Vigorous walks are contraindicated, and the other options are less critical.
Question 2 of 5
Which area of health teaching is essential to include in the discharge instructions for a client who has undergone a total hip replacement?
Correct Answer: A
Rationale: Modifying clothing application (e.g., avoiding bending or crossing legs) prevents hip dislocation, making it essential for discharge teaching. Vigorous walks are contraindicated, and the other options are less critical.
Question 3 of 5
Which explanation by the nurse can best help this client understand the injury that has occurred?
Correct Answer: C
Rationale: A comminuted fracture involves the bone breaking into multiple fragments, often without an open skin break. The description 'no open break in the skin' distinguishes it from a compound fracture, while the other options describe impacted or avulsion fractures.
Question 4 of 5
Which client symptom indicates that the nurse should discontinue the medication and notify the physician even if the client's pain is unrelieved?
Correct Answer: A
Rationale: Vomiting is a sign of colchicine toxicity, requiring immediate discontinuation and physician notification, as it can precede serious complications like bone marrow suppression. Other symptoms are less urgent.
Question 5 of 5
The nurse is administering 0730 medications to clients on a medical orthopedic unit. Which medication should be administered first?
Correct Answer: B
Rationale: Insulin for type 1 diabetes prevents hyperglycemia, a life-threatening risk, and takes priority. Cardiac glycoside, PPI, and antibiotics are important but less urgent.