NCLEX-PN
Med Surg Musculoskeletal NCLEX Questions 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: 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.
Question 2 of 5
Which assessment finding most likely indicates that a client has osteoporosis?
Correct Answer: C
Rationale: Spinal deformity, such as kyphosis, is a common sign of osteoporosis due to vertebral compression fractures from reduced bone density. Swollen joints, discomfort, or low energy are less specific.
Question 3 of 5
Which activity is best to begin implementing immediately after the client's surgery?
Correct Answer: C
Rationale: Lifting with a trapeze strengthens upper body muscles safely immediately post-surgery, preparing for crutch use without stressing the stump. Other activities are more advanced.
Question 4 of 5
Before turning the client postoperatively, which nursing instruction is especially important to prevent postoperative complications?
Correct Answer: D
Rationale: Log-rolling maintains spinal alignment during turning post-laminectomy, preventing strain on the surgical site and reducing complications like nerve damage or incision dehiscence.
Question 5 of 5
When the nurse observes the client walking, which assessment finding indicates the need for more instruction regarding the use of the cane?
Correct Answer: C
Rationale: The cane should be used on the unaffected side to support the painful hip.