NCLEX-PN
Musculoskeletal NCLEX Questions Questions
Extract:
Question 1 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 2 of 5
The Jewish client with peripheral vascular disease is scheduled for a left AKA. Which question is most important for the operating room nurse to ask the client?
Correct Answer: A
Rationale: Jewish cultural practices may require special handling of amputated limbs (e.g., burial); this question respects beliefs. Food, rabbi visits, and foot checks are secondary.
Question 3 of 5
The nurse is caring for a client with a newly applied plaster cast. How should the nurse touch and move the wet cast?
Correct Answer: A
Rationale: Using the palms prevents indentations in a wet cast, which could cause skin irritation. Fingertips create indentations, a towel sling is inappropriate, and petaling occurs after drying.
Question 4 of 5
Which nursing assessment finding is the best indication that the client has an infection at the pin site?
Correct Answer: D
Rationale: Purulent (pus-like) drainage is the clearest sign of infection at the pin site, indicating bacterial presence. Serous, bloody, or mucoid drainage is less specific to infection.
Question 5 of 5
The client continues to recover following a below-the-knee amputation. What nursing action should the nurse employ to help prevent the most common complication following leg amputation?
Correct Answer: B
Rationale: Lying prone prevents hip flexion contractures, the most common complication post-amputation.