Musculoskeletal NCLEX Questions with Rationale

Extract:

Question 1 of 5

Which assessment finding is the best indication that the client is experiencing secondary complications from the fractured ribs?

Correct Answer: E

Rationale: Fractured ribs can cause complications like pneumothorax or hemothorax, leading to difficulty breathing when lying flat. The client's preference to sit upright suggests respiratory distress, a secondary complication. Leg findings are unrelated to rib fractures, and irregular pulse is less specific.

Question 2 of 5

Which assessment finding is the best indication that the client is experiencing secondary complications from the fractured ribs?

A. Irregular pulse rate B. The client's affected leg is shorter than her unaffected leg. C. The client's affected leg is shorter than her unaffected leg. D. The client's affected leg is executed leg is externally rotated. E. The client prefers to sit rather than lie flat.

Correct Answer: E

Rationale: Fractured ribs can cause complications like pneumothorax or hemothorax, leading to difficulty breathing when lying flat. The client's preference to sit upright suggests respiratory distress, a secondary complication. Leg findings are unrelated to rib fractures, and irregular pulse is less specific.

Question 3 of 5

Which statement made by the family member indicates the need for further teaching?

A. The hand should be elevated higher than the elbow. B. The knot should be tied at the back of the neck. C. The elbow should be flexed within the sling. D. The sling is used to elevate and support the arm.

Correct Answer: B

Rationale: Tying the knot at the back of the neck may cause discomfort or pressure on the cervical spine. The knot should be tied to the side to avoid this. The other statements correctly describe the proper use of a triangular sling for shoulder immobilization.

Question 4 of 5

The elderly client is admitted to the hospital for severe back pain. Which data should the nurse assess first during the admission assessment?

A. The client’s use of herbs. B. The client’s current pain level. C. The client’s sexual orientation. D. The client’s ability to care for self.

Correct Answer: B

Rationale: Pain level assessment is the priority in severe back pain to guide treatment. Herbs, orientation, and self-care are secondary.

Question 5 of 5

The nurse is preparing to administer subcutaneous Lovenox, a low molecular weight heparin. Which intervention should the nurse implement?

A. Monitor the client’s serum aPTT. B. Encourage oral and intravenous fluids. C. Do not eat foods high in vitamin K. D. Administer in the anterolateral upper abdomen.

Correct Answer: D

Rationale: Lovenox is administered in the anterolateral abdomen for optimal absorption. aPTT is for unfractionated heparin, fluids are unrelated, and vitamin K affects warfarin.

Musculoskeletal NCLEX Questions with Rationale | Nurselytic

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