NCLEX-PN
Med Surg Musculoskeletal NCLEX Questions Questions
Extract:
Question 1 of 5
Which assessment finding is the best indication that the client in halo traction is developing a serious complication?
Correct Answer: C
Rationale: Inability to open the mouth widely may indicate cranial nerve compression or device misalignment, a serious complication requiring immediate attention. The other findings are less urgent or unrelated.
Question 2 of 5
The nurse is assessing the client who is postoperative total knee replacement. Which assessment data warrant immediate intervention?
Correct Answer: B
Rationale: Pain on dorsiflexion (Homans’ sign) suggests DVT, a serious post-TKR complication requiring immediate intervention. Normal vitals, bowel sounds, and abdominal pain are less urgent.
Question 3 of 5
Which of the following might interfere with the effectiveness of Russell's traction?
Correct Answer: C
Rationale: A knotted rope at the pulley disrupts smooth movement, reducing traction effectiveness by altering the pull. Taut ropes, a properly placed trapeze, and weights hanging freely are correct for effective traction.
Question 4 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 5 of 5
Which evidence is the best indication that the client who had a knee arthroplasty is recovering according to expected outcomes and no longer needs the continuous passive motion (CPM) machine?
Correct Answer: B
Rationale: Achieving 90-degree knee flexion is a key milestone post-knee arthroplasty, indicating sufficient joint mobility to discontinue the CPM machine. Pain and wound healing are important but less specific to CPM use.