NCLEX-PN
Musculoskeletal Disorders NCLEX Questions Questions
Extract:
Question 1 of 5
Which nursing intervention is most appropriate for preventing a pathological fracture?
Correct Answer: C
Rationale: Supporting the limb prevents stress on weakened bone, reducing fracture risk.
Question 2 of 5
When planning the client's discharge, the nurse must help the client obtain which essential piece of equipment for home care?
Correct Answer: C
Rationale: A raised toilet seat maintains hip angles below 90 degrees, preventing dislocation during toileting, which is essential for safe home care post-hip replacement.
Question 3 of 5
After the client's total hip replacement surgery, which nursing actions are essential? Select all that apply.
Correct Answer: A,B,C
Rationale:
To prevent dislocation after total hip replacement, keep knees apart (using an abductor pillow), avoid hip flexion beyond 90 degrees, and use a raised toilet seat to maintain safe hip angles. Raising the bed 90 degrees or placing pillows under knees risks dislocation, and internal rotation is contraindicated.
Question 4 of 5
The client just underwent a left THR. After a family member assists the client with repositioning in bed, the client states hearing a 'pop' and has increased pain at the surgical site. Which is the most appropriate initial action by the nurse?
Correct Answer: A
Rationale: A. The nurse's initial action should be to check the extremity's position. Improper movement and repositioning can cause prosthesis dislocation; an audible pop and increased pain are signs of possible dislocation.
Question 5 of 5
The HCP prescribes cyclobenzaprine 30 mg orally tid for the client hospitalized with acute cervical neck pain. The pharmacy supplied 10-mg tablets. Which action by the nurse is best?
Correct Answer: B
Rationale: B. The nurse should call the HCP to question the dose. If carried out as prescribed, the client would receive a total daily dose of 90 mg of cyclobenzaprine (Flexeril). The total daily dose should not exceed 60 mg.