NCLEX Questions Musculoskeletal

Extract:

Question 1 of 5

Which of the following would the nurse identify as the highest priority when documenting the postoperative circulation status of the recently casted extremity?

Correct Answer: A

Rationale: Adequate neurovascular functioning (circulation, sensation, and movement) is the highest priority to ensure no complications like compartment syndrome or vascular compromise, which can lead to tissue damage. Pain, vital signs, and drainage are secondary.

Question 2 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?

A. The client with osteomyelitis of the tibia who needs a wound dressing change B. The client with an inoperable hip fracture who is in Buck's traction C. The client with a pelvic fracture who is in skeletal traction D. The client with a femur fracture who has an external fixator in place

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 3 of 5

When planning the client's postoperative care, which is the least desirable position in which the nurse can place the client?

A. Lying supine B. Sitting in a chair C. Lying on the side D. Standing to shower

Correct Answer: D

Rationale: Standing to shower is least desirable post-below-the-knee amputation due to the risk of falls and weight-bearing on the stump, which could disrupt healing. Other positions are safer.

Question 4 of 5

The nurse is teaching the client with carpal tunnel syndrome how best to utilize a wrist splint. Which statement is most appropriate for the nurse to include in the teaching?

A. Leave the splint in place even when bathing. B. Wear the splint as tight as can be tolerated. C. Remove the splint intermittently throughout the day. D. Only wear the splint when doing work that stresses the fingers.

Correct Answer: C

Rationale: C. Although the splint decreases swelling and promotes healing and is necessary in the management of the pain with carpal tunnel syndrome, it should be removed intermittently during the day to exercise the wrist and bathe.

Question 5 of 5

A client sustained a fractured femur in a motor-vehicle accident. Which data require immediate intervention by the nurse? Select all that apply.

A. The client requests pain medication to sleep. B. The client has eupnea and normal sinus rhythm. C. The client has petechiae over the neck and chest. D. The client has a high arterial oxygen level. E. The client has yellow globules floating in the urine.

Correct Answer: C,E

Rationale: Petechiae and yellow globules suggest fat embolism syndrome, requiring immediate intervention. Pain medication, normal breathing, and high oxygen are not urgent.

NCLEX Questions Musculoskeletal | Nurselytic

Nurselytic

NCLEX-PN

NCLEX-PN