NCLEX Questions for Musculoskeletal Disorders

Extract:

Question 1 of 5

Which instruction should the nurse reinforce to ensure that the exercises are done correctly?

Correct Answer: B

Rationale: Isometric quadriceps-setting exercises involve contracting and relaxing the thigh muscles without joint movement, strengthening the muscle while minimizing stress on the surgical site. The other options describe different movements.

Question 2 of 5

The nurse identifies a concept of impaired mobility for a male client with degenerative disk disease. Which assessment data best support this concept?

A. The client reports a history of chronic back pain and multiple back surgeries. B. The client reports that taking NSAIDs caused the development of peptic ulcers. C. The client reports a three (3)-year history of difficulty initiating a urinary stream. D. The client states he fell a year ago and had to have a cast on the right arm for a month.

Correct Answer: A

Rationale: Chronic back pain and surgeries directly impair mobility in degenerative disk disease. Ulcers, urinary issues, and past arm fractures are unrelated to current mobility.

Question 3 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?

A. Modifying ways of donning clothing B. Using special equipment for bathing C. Taking vigorous daily walks D. Receiving a daily stool softener

Correct Answer: A

Rationale: Modifying clothing application prevents excessive hip flexion.

Question 4 of 5

Which response by the nurse is most appropriate when the mother, concerned about her unborn daughter developing DMD, states that her brother and son have DMD?

A. "You already have one child with muscular dystrophy; it's unlikely you'll have another." B. "Your brother and son have DMD; it's unlikely that you'll have another child with DMD." C. "As many as one-third of children born with DMD have no family history of the disease." D. "If your unborn child is a girl, she may carry the gene, but she will not develop DMD."

Correct Answer: D

Rationale: DMD is X-linked; females may be carriers but do not develop the disease.

Question 5 of 5

The nurse is caring for a client diagnosed with a fracture of the right distal humerus. Which data indicate a complication? Select all that apply.

A. Numbness and mottled cyanosis. B. Paresthesia and paralysis. C. Proximal pulses and point tenderness. D. Coldness of the extremity and crepitus. E. Palpable radial pulse and functional movement.

Correct Answer: A,B,D

Rationale: Numbness, cyanosis, paresthesia, paralysis, coldness, and crepitus indicate compartment syndrome or neurovascular compromise, serious fracture complications. Pulses and tenderness are expected.

NCLEX Questions for Musculoskeletal Disorders | Nurselytic

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NCLEX-PN

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