Med Surg Musculoskeletal NCLEX Questions

Extract:

Question 1 of 5

Which priority intervention should the day surgery nurse implement for a client who has had right knee arthroscopy?

Correct Answer: C

Rationale: Checking distal pulses and toes assesses for neurovascular compromise, a priority post-arthroscopy. ROM, urine, and vitals are secondary.

Question 2 of 5

The nurse is admitting a female client who is complaining of severe back pain radiating down the left leg whenever she tries to ambulate. The concepts of impaired mobility and comfort are implemented on the care map. Which nursing interventions should the nurse implement?

A. Assist the client when ambulating to the bathroom and administer medications based on the pain scale. B. Place the client on strict bedrest and have the client use a regular bedpan for elimination of urine and feces. C. Ambulate the client in the hallway at least four (4) times per day and discourage the use of pharmacological pain relief. D. Request the health-care provider (HCP) to assist the client in ambulating in the hallway so the HCP can observe the client’s pain.

Correct Answer: A

Rationale: Assisting with ambulation and pain medication addresses mobility and comfort in sciatica. Strict bedrest hinders recovery, excessive ambulation without pain control is unsafe, and HCP observation is unnecessary.

Question 3 of 5

The nurse is discharging a client who had a total hip replacement. Which statement indicates further teaching is needed?

A. I should not cross my legs because my hip may come out of the socket.' B. I will call my HCP if I have a sudden increase in pain.' C. I will sit on a chair with arms and a firm seat.' D. After three (3) weeks, I don’t have to worry about infection.'

Correct Answer: D

Rationale: Infection risk persists beyond 3 weeks post-THR; this statement requires correction. Avoiding leg crossing, reporting pain, and proper seating are correct.

Question 4 of 5

When the nurse observes the client walking, which assessment finding indicates the need for more instruction regarding the use of the cane?

A. The tip of the cane is covered with a rubber cap. B. The client wears athletic shoes with nonskid soles. C. The client uses the cane on the painful side. D. The client looks straight ahead when walking.

Correct Answer: C

Rationale: The cane should be used on the unaffected side to support the painful hip.

Question 5 of 5

The client diagnosed with cervical disk degeneration has undergone a laminectomy. Which interventions should the nurse implement?

A. Position the client prone with the knees slightly elevated. B. Assess the client for difficulty speaking or breathing. C. Measure the drainage in the Jackson Pratt bulb every day. D. Encourage the client to postpone the use of narcotic medications.

Correct Answer: B

Rationale: Cervical laminectomy risks airway or neurological complications; assessing speech and breathing is critical. Prone positioning is inappropriate, JP drainage is routine, and delaying narcotics is unsafe.

Med Surg Musculoskeletal NCLEX Questions | Nurselytic

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