NCLEX Questions Musculoskeletal

Extract:

Question 1 of 5

Which is the best material for the nurse to place under a wet cast immediately after application?

Correct Answer: D

Rationale: Several pillows elevate the casted extremity, promoting venous return and reducing swelling while the cast dries, without absorbing moisture or causing pressure points. Sheepskin and vinyl are less effective, and absorbent pads may retain moisture.

Question 2 of 5

The client with a cervical neck injury as a result of a motor-vehicle accident is complaining of unrelieved pain after administration of a narcotic analgesic. Which alternative method of pain control is an independent nursing action?

A. Medicate the client with a muscle relaxant. B. Heat alternating with ice applied by a physical therapist. C. Watch television or listen to music. D. Discuss surgical options with the health-care provider.

Correct Answer: C

Rationale: Distraction via TV or music is an independent nursing action to manage pain. Muscle relaxants require a prescription, heat/ice involves PT, and surgical discussions are physician-driven.

Question 3 of 5

An adolescent male was in an accident and is hospitalized with multiple fractures. The nurse enters the room and observes that he has his back to the door and is staring at the wall with a sad expression on his face. What is the best response for the nurse to make at this time?

A. You seem sad.' B. Don't be too down on yourself.' C. I know it is hard to be out of school.' D. Do you miss your family and friends?'

Correct Answer: A

Rationale: Acknowledging the client's sadness ('You seem sad') is therapeutic, encouraging expression of feelings. Other responses assume causes or dismiss emotions, which are less supportive.

Question 4 of 5

When the nurse is documenting the client's progress while using a continuous passive motion (CPM) machine, which assessment data are essential to include?

A. Degree of flexion, number of cycles, and condition of the incision B. Degree of flexion, number of cycles, and amount of time the client used the machine C. Degree of flexion, number of cycles, and characteristics of drainage from the wound D. Degree of flexion, number of cycles, and presence and quality of arterial pulses

Correct Answer: B

Rationale: Documenting the degree of flexion, number of cycles, and time used on the CPM machine tracks progress in restoring joint function. Incision condition, drainage, or pulses are monitored separately.

Question 5 of 5

The 10-year-old, who is Chinese, is scheduled to receive methotrexate to treat IRA. Which information in the medical record of a 10-year-old Chinese child scheduled to receive methotrexate for JRA should prompt the nurse to withhold the dose and contact the HCP?

A. H&P documentation B. Laboratory findings C. Vital signs abnormalities D. Physical assessment findings

Correct Answer: B

Rationale: Abnormal laboratory findings, such as liver or kidney dysfunction, may contraindicate methotrexate administration.

NCLEX Questions Musculoskeletal | Nurselytic

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