NCLEX Questions for Musculoskeletal Disorders

Extract:

Question 1 of 5

Which interventions should the nurse implement for the client diagnosed with an open fracture of the left ankle? Select all that apply.

Correct Answer: B,D,E

Rationale: Ice reduces swelling, x-ray confirms fracture, and tetanus prevents infection in open fractures. Tight immobilizers risk neurovascular compromise, and dependent positioning worsens edema.

Question 2 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 3 of 5

The experienced nurse observes the new nurse caring for the client who is in skeletal traction to stabilize a proximal femur fracture prior to surgery. Which observation by the experienced nurse indicates the new nurse needs additional orientation?

A. Positions the client so the client's feet stay clear of the bottom of the bed B. Checks ropes so that they are positioned in the wheel groves of the pulleys C. Removes weights from ropes until the weights hang free of the bed frame D. Performs pin site care with chlorhexidine solution once during the 8-hour shift

Correct Answer: C

Rationale: C. Weights should be hanging freely, but weights should never be removed (unless a life-threatening situation occurs) because removal could result in injury and defeats the purpose of the traction. The lengths of the ropes need to be adjusted so the weights do not rest on the bed frame.

Question 4 of 5

Which client symptom indicates that the nurse should discontinue the medication and notify the physician even if the client's pain is unrelieved?

A. Vomiting B. Dizziness C. Drowsiness D. Headache

Correct Answer: A

Rationale: Vomiting is a sign of colchicine toxicity, requiring immediate cessation.

Question 5 of 5

If the client is allergic to penicillin, the nurse must question a medical order for which type of antibiotic?

A. An aminoglycoside such as gentamicin sulfate (Garamycin) B. A cephalosporin such as cefaclor (Ceclor) C. A tetracycline such as doxycycline (Vibramycin) D. A sulfonamide such as trimethoprim/sulfamethoxazole (Bactrim)

Correct Answer: B

Rationale: Cephalosporins (e.g., cefaclor) have a cross-sensitivity with penicillin, risking allergic reactions in penicillin-allergic clients. The other antibiotics listed do not share this cross-reactivity.

NCLEX Questions for Musculoskeletal Disorders | Nurselytic

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