NCLEX-PN
Musculoskeletal Disorders NCLEX Questions Questions
Extract:
Question 1 of 5
Which illustration demonstrates abduction for a 10-year-old who had an SCI?
Correct Answer: A
Rationale: Abduction involves moving a limb away from the body's midline, as shown in the correct illustration.
Question 2 of 5
The nurse is caring for an elderly client diagnosed with a herniated nucleus pulposus of L4-5. Which scientific rationale explains the incidence of a ruptured disk in the elderly?
Correct Answer: D
Rationale: Intervertebral disk degeneration with aging reduces disk hydration and elasticity, increasing rupture risk. Poor body mechanics is a risk but not the primary cause, blood supply decreases, and atherosclerosis affects joints differently.
Question 3 of 5
Which statement indicates that the client understands the restrictions to be followed?
Correct Answer: B
Rationale: Crossing legs can dislocate the hip prosthesis.
Question 4 of 5
After the client's total hip replacement surgery, which nursing actions are essential? Select all that apply.
Correct Answer: A,B,C
Rationale:
To prevent dislocation after total hip replacement, keep knees apart (using an abductor pillow), avoid hip flexion beyond 90 degrees, and use a raised toilet seat to maintain safe hip angles. Raising the bed 90 degrees or placing pillows under knees risks dislocation, and internal rotation is contraindicated.
Question 5 of 5
A cast has just been applied to a client's left forearm, and he has 10 lbs of Russell's traction on his left leg. Which of the following nursing concerns takes priority in the care of this client?
Correct Answer: A
Rationale: Swelling in a newly casted extremity can cause the cast to act as a tourniquet, compromising circulation, which is the priority concern. Heat from a wet cast does not burn skin, muscle atrophy is a long-term issue, and skin irritation is less urgent.