NCLEX-PN
Musculoskeletal NCLEX Questions Questions
Extract:
Question 1 of 5
Which explanation by the nurse can best help this client understand the injury that has occurred?
Correct Answer: C
Rationale: A comminuted fracture involves the bone breaking into multiple fragments, often without an open skin break. The description 'no open break in the skin' distinguishes it from a compound fracture, while the other options describe impacted or avulsion fractures.
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
If the client is in shock, how should the nurse position the client while continuing to assess and provide care?
Correct Answer: C
Rationale: In shock, positioning the client supine with legs elevated improves venous return and cerebral perfusion, stabilizing blood pressure. Other positions are less effective or contraindicated.
Question 4 of 5
The emergency department nurse is caring for a client with a compound fracture of the right ulna. Which interventions should the nurse implement? List in order of priority.
Order the Items
Source Container
Correct Answer: C,A,D,B,E
Rationale: Priority: 1) Assess fingers (neurovascular status); 2) Cover wound with sterile gauze (prevent infection); 3) Stabilize arm (reduce damage); 4) X-ray (confirm fracture); 5) Tetanus (prevent infection).
Question 5 of 5
Which area of health teaching is essential to include in the discharge instructions for a client who has undergone a total hip replacement?
Correct Answer: A
Rationale: Modifying clothing application (e.g., avoiding bending or crossing legs) prevents hip dislocation, making it essential for discharge teaching. Vigorous walks are contraindicated, and the other options are less critical.