Musculoskeletal NCLEX Practice Questions

Extract:

Question 1 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: 90-degree knee flexion indicates restored joint function, a key recovery milestone.

Question 2 of 5

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

A. Lung scan B. Urinalysis C. Spinal tap D. Blood glucose

Correct Answer: A

Rationale: A lung scan detects metastasis, as skeletal tumors often spread to the lungs.

Question 3 of 5

Which nursing action is appropriate while the client is being transported?

A. The nurse leaves the traction as is. B. The nurse removes the weights during the transport. C. The nurse rests the weights on the end of the bed. D. The nurse takes the client's leg out of the traction.

Correct Answer: B

Rationale: Removing the weights during transport prevents unintended movement or injury while maintaining the leg's position. Leaving traction as is or resting weights risks disrupting alignment, and removing the leg negates traction benefits.

Question 4 of 5

The client who has sustained a left-sided cerebrovascular accident (stroke) has residual right-sided paralysis. The nurse identifies a concept of impaired functional ability. Which should be included in the care map? Select all that apply.

A. Refer to the occupational therapist. B. Assess the client for neglect of the right side. C. Place the client in a room where the door is on the left side. D. Teach the client to call for assistance prior to getting out of bed. E. Encourage the client to participate in physical therapy daily.

Correct Answer: A,B,D,E

Rationale: OT referral, neglect assessment, fall prevention, and PT promote functional ability post-stroke. Room orientation is less critical.

Question 5 of 5

The client is prescribed Fosamax, a bisphosphonate. Which information should the nurse teach?

A. Take this medication with a full glass of water. B. Take with breakfast to prevent gastrointestinal upset. C. Use sunscreen to prevent sensitivity to sunlight. D. This medication increases calcium reabsorption.

Correct Answer: A

Rationale: Fosamax is taken with water to prevent esophageal irritation. Food reduces absorption, photosensitivity is not a side effect, and it inhibits bone resorption, not calcium reabsorption.

Musculoskeletal NCLEX Practice Questions | Nurselytic

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