NCLEX-PN
Musculoskeletal NCLEX Questions with Rationale Questions
Extract:
Question 1 of 5
Which interventions should be included in the discharge teaching for a client who had a total hip replacement? Select all that apply.
Correct Answer: A,B,C
Rationale: Weight-bearing limits, assistive device use, and gradual activity prevent complications post-THR. Pain medication aids ambulation, and open-toed shoes are unsafe.
Question 2 of 5
Which nursing intervention is most appropriate for preventing a pathological fracture?
Correct Answer: C
Rationale: Supporting the limb during movement minimizes stress on the necrotic bone, reducing the risk of a pathological fracture in osteomyelitis. Fluid, diet, and pressure relief are less directly preventive.
Question 3 of 5
When the nurse examines the client, which body part is usually affected by gout?
Correct Answer: A
Rationale: The great toe is commonly affected in gout due to uric acid crystal deposition.
Question 4 of 5
The school nurse is completing spinal screenings. Which data require a referral to an HCP?
Correct Answer: D
Rationale: Asymmetrical arm positioning (right lower than left) suggests scoliosis, requiring HCP referral. Symmetrical arms, resolving deformities, and equal spacing are normal.
Question 5 of 5
The 32-year-old male client with a traumatic left AKA is being discharged from the rehabilitation department. Which discharge instructions should be included in the teaching? Select all that apply.
Correct Answer: A,B,C,D
Rationale: Reporting unrelieved pain, high-protein diet, rehab appointments, and support groups promote healing and adaptation. Staying home hinders recovery and socialization.