NCLEX-PN
NCLEX Questions for Musculoskeletal Disorders 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 prevents excessive hip flexion.
Question 2 of 5
Which assessment finding would the nurse consider a likely adverse effect of the client's methotrexate therapy?
Correct Answer: C
Rationale: Mouth sores are a common side effect of methotrexate due to its effect on mucosal cells.
Question 3 of 5
The nurse assesses the client 4 hours following a left TKR. The client has a knee immobilizer in place with medial and lateral packs that are warm. An autotransfusion wound drainage system has 350 mL collected. The client has not voided since before surgery but does not express a need. Which interventions should the nurse plan to implement at this time? Select all that apply.
Correct Answer: A,E
Rationale: A. An autotransfusion drainage system is used in the immediate postoperative period if extensive bleeding is anticipated. Collected drainage can be reinfused up to 6 hours postoperative. E. Ice packs, used to reduce swelling and control bleeding, are replaced every 2 hours. If they have warmed, they need to be replaced.
Question 4 of 5
The physician directs the nurse to wrap the client's lower extremity with an elastic bandage. Where should the nurse begin applying the bandage?
Correct Answer: D
Rationale: Starting the elastic bandage at the metatarsals (the foot's midsection) ensures distal-to-proximal compression, promoting venous return and reducing swelling effectively. Beginning higher up, such as below the knee or above the ankle, may not adequately address swelling in the foot, and starting at the phalanges is too distal.
Question 5 of 5
The nurse writes the problem of 'pain' for a client diagnosed with lumbar strain. Which nursing interventions should be included in the plan of care? Select all that apply.
Correct Answer: A,B,E
Rationale: Pain assessment, PRN medication, and log rolling address pain and prevent exacerbation in lumbar strain. Bedpans are unnecessary, and surgical dressings are irrelevant without surgery.