NCLEX-PN
NCLEX Questions for Musculoskeletal Disorders Questions
Extract:
Question 1 of 5
Which nursing instruction about heating pads is essential to include in the client's teaching plan?
Correct Answer: A
Rationale: Using the lowest setting on the heating pad minimizes the risk of burns, especially in older clients with potentially reduced skin sensitivity. Direct skin contact, plastic covers, or prolonged use increase burn risk.
Question 2 of 5
A femoral head replacement was performed on an elderly client. Postoperatively, the nurse positions the client with an abductor pillow between the client's legs. What is the primary reason for this?
Correct Answer: C
Rationale: An abductor pillow maintains abduction, preventing prosthesis dislocation post-femoral head replacement.
Question 3 of 5
Which staff nurse should the charge nurse assign to the client recovering from a repair of the hallux valgus?
Correct Answer: B
Rationale: An experienced nurse is best suited for postoperative hallux valgus care, requiring skilled assessment. New graduates lack experience, NPs focus on advanced care, and UAPs cannot assess.
Question 4 of 5
The nurse assesses the client 6 hours following a lumbar spinal fusion. The client has a throbbing headache, but VS and CMS of the lower extremities are WNL. The lungs have fine basilar crackles. The back dressing has a dime-sized bloody spot surrounded by clear yellow drainage. Which nursing action demonstrates the nurse's best clinical judgment?
Correct Answer: D
Rationale: D. A bloody area surrounded by clear yellowish fluid on the dressing and the client's headache suggest a CSF leak. The nurse should notify the HCP.
Question 5 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?
Correct Answer: A
Rationale: Vomiting is a sign of colchicine toxicity, requiring immediate cessation.