Musculoskeletal NCLEX Questions with Rationale

Extract:

Question 1 of 5

Which diagnostic test result should the nurse monitor when assessing for evidence of metastasis?

Correct Answer: A

Rationale: A lung scan can detect metastasis of a skeletal tumor to the lungs, a common site for bone cancer spread. Urinalysis, spinal tap, and blood glucose are less relevant for metastasis.

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 return demonstration indicates that the client has understood the correct way to ambulate with the walker?

A. The client advances the walker and operative leg while putting most of the weight on the walker's handgrips. B. The client advances the walker and operative leg while putting most of the weight on the back legs of the walker. C. The client advances the walker and operative leg while putting most of the weight on the toes of the operative leg. D. The client advances the walker and operative leg while putting most of the weight on the heel of the nonoperative leg.

Correct Answer: D

Rationale: In a three-point partial weight-bearing gait, the client advances the walker and operative leg together, placing most weight on the nonoperative leg's heel to minimize stress on the operative hip, ensuring stability and safety.

Question 4 of 5

The 32-year-old male client with a traumatic left AKA is being discharged from the rehabilitation department. Which discharge instructions should be included in the teaching? Select all that apply.

A. Report any pain not relieved with analgesics. B. Eat a well-balanced diet and increase protein intake. C. Be sure to attend all outpatient rehabilitation appointments. D. Encourage the client to attend a support group for amputations. E. Stay at home as much as possible for the first couple of months.

Correct Answer: A,B,C,D

Rationale: Reporting unrelieved pain, high-protein diet, rehab appointments, and support groups promote healing and adaptation. Staying home hinders recovery and socialization.

Question 5 of 5

The nurse identifies the concept of impaired functional ability for a client diagnosed with rheumatoid arthritis. Which intervention should the nurse implement?

A. Teach the client to apply antiembolism (TED) hose. B. Administer the nonsteroidal medication before the morning meal. C. Encourage the client to perform low-impact exercises daily. D. Refer the client to occupational therapy for gait training.

Correct Answer: C

Rationale: Low-impact exercises maintain joint function in RA, addressing impaired ability. TED hose are for DVT, NSAIDs are for pain, and OT is for specific tasks, not gait.

Musculoskeletal NCLEX Questions with Rationale | Nurselytic

Nurselytic

NCLEX-PN

NCLEX-PN