NCLEX-PN
NCLEX Questions Musculoskeletal Questions
Extract:
Question 1 of 5
Which finding should the nurse report as a sign of increased intracranial pressure (ICP)?
Correct Answer: B
Rationale: Widened pulse pressure is a hallmark of Cushing's triad, indicating increased ICP.
Question 2 of 5
The nurse writes a concept of 'impaired mobility' for a client diagnosed with a fractured right hip. Which would the nurse include in the plan of care? Select all that apply.
Correct Answer: A,B,C,D
Rationale: PT referral, enoxaparin, gait belt, and pain assessment promote mobility and prevent complications in hip fracture. High-carb/fat/sodium diet is inappropriate.
Question 3 of 5
Which action by the nurse would be most appropriate for a child newly diagnosed with Reye's syndrome?
Correct Answer: D
Rationale: Assessing for bleeding is critical in Reye's syndrome due to liver dysfunction and potential coagulopathy.
Question 4 of 5
Which response by the nurse would be most accurate?
Correct Answer: B
Rationale: Phantom pain is common post-amputation, arising from nerve endings.
Question 5 of 5
The nurse is assessing the client diagnosed with a left femoral neck fracture. Which findings should the nurse expect? Select all that apply.
Correct Answer: B,C,E
Rationale: B. With a left femoral neck fracture, the leg is externally rotated. C. With a left femoral neck fracture, the leg is shortened. E. With a left femoral neck fracture, pain is experienced in the groin area.