NCLEX-PN
NCLEX Questions Musculoskeletal Questions
Extract:
Question 1 of 5
Which nursing observation provides the best indication that the halo-cervical traction device is applied appropriately?
Correct Answer: D
Rationale: The ability to see straight ahead indicates proper alignment of the halo device, ensuring the cervical spine is stabilized correctly. Full neck motion contradicts the purpose, and pain or speech/hearing are less specific.
Question 2 of 5
The nurse documents the admission assessment for the client who is to have a left total hip arthroplasty to treat chronic degenerative joint disease. Which statements indicate that the client uses alternative therapies for CA treatment? Select all that apply.
Correct Answer: B,C,D
Rationale: B. Wearing a copper bracelet is an alternative therapy used by some with CA for pain control and reduction of joint stiffness. C. Taking glucosamine sulfate is an alternative therapy used by some with CA. Glucosamine is taken to modify cartilage structure, but studies supporting this have been inconclusive. D. Using magnets designed for body application is an alternative therapy used by some with CA for pain control and reduction of joint stiffness.
Question 3 of 5
Which intervention for bladder emptying should the nurse plan to implement for a 14-year-old with a neurogenic bladder from an SCI with a lower motor neuron lesion?
Correct Answer: A
Rationale: Intermittent catheterizationelevation is preferred for neurogenic bladder due to lower motor neuron lesions to prevent urinary retention.
Question 4 of 5
The nurse instructs the client with a right BKA to lie on the stomach for at least 30 minutes a day. The client asks the nurse, 'Why do I need to lie on my stomach?' Which statement is the most appropriate statement by the nurse?
Correct Answer: B
Rationale: Prone positioning prevents hip flexor contractures post-BKA, promoting mobility. Lung expansion, pain relief, and pressure relief are secondary or unrelated.
Question 5 of 5
To prevent skin breakdown while the client is in Russell's traction, the nurse must frequently inspect the skin in which area?
Correct Answer: B
Rationale: Russell's traction involves a sling under the knee, placing pressure on the popliteal space, which is prone to skin breakdown due to prolonged contact and immobility. Frequent inspection here prevents pressure ulcers.