NCLEX-PN
NCLEX Questions Musculoskeletal Questions
Extract:
Question 1 of 5
Which interventions should the nurse implement for a child with a newly applied fiberglass hip-Spica cast?
Correct Answer: C,D,E
Rationale: Pillows provide support, turning prevents pressure sores, and petaling protects skin around cast edges.
Question 2 of 5
The client is a 73-year-old woman who fell in her home and suffered a right hip fracture. She tells the nurse that she was walking across the kitchen and felt something 'snap' in her hip and this made her fall. What type of fracture is the client most likely to have?
Correct Answer: D
Rationale: A 'snap' before falling suggests a pathological fracture, likely due to weakened bone (e.g., osteoporosis) in an elderly woman.
Question 3 of 5
While caring for multiple clients, the nurse delegates client skin care to the UAP on a musculoskeletal unit. Which client is most appropriate for the nurse to delegate skin care to the UAP?
Correct Answer: B
Rationale: B. Buck's traction is skin traction. Because there is no open site that needs care with this type of traction, it would be appropriate to delegate skin care.
Question 4 of 5
The nurse is caring for clients on a surgical unit. Which nursing task is most appropriate for the nurse to delegate to an unlicensed assistive personnel (UAP)?
Correct Answer: D
Rationale: Transporting a client to PT is within UAP scope. Prosthesis application, blood verification, and dressing changes require nursing judgment.
Question 5 of 5
The nurse is assessing the client immediately following a C5-C6 anterior cervical discectomy. Which potential problem should be the nurse's priority?
Correct Answer: A
Rationale: A. Retractors used during surgery can injure the recurrent laryngeal nerve, resulting in the inability to cough effectively to clear secretions. Edema and bleeding can also compromise the airway and compress the spinal cord.