Med Surg Musculoskeletal NCLEX Questions

Extract:

Question 1 of 5

Which question best helps the nurse determine whether the client is experiencing an adverse effect from taking nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen?

Correct Answer: A

Rationale: NSAIDs like ibuprofen commonly cause gastrointestinal adverse effects, such as stomach pain or dark stools (indicating bleeding). These are more specific than headaches, swelling, or sleep issues.

Question 2 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 3 of 5

What is the best technique a nurse can use for drying the wet plaster arm cast?

A. Leave the casted arm uncovered. B. Apply a heating blanket to the cast. C. Use a hair dryer to blow hot air onto the cast. D. Place a heat lamp directly above the cast.

Correct Answer: A

Rationale: Leaving the cast uncovered allows natural air drying, which is the safest and most effective method for plaster casts. Heat sources like blankets, dryers, or lamps can cause burns or uneven drying, risking skin damage.

Question 4 of 5

Which statement regarding the performance of ROM exercises is correct?

A. ROM exercises should be completed independently with verbal cues from the nurse. B. Force may be needed during ROM exercises to achieve maximum benefit. C. Support should be maintained to the proximal and distal areas of the joint during movement. D. ROM exercises should be performed until the client verbalizes discomfort.

Correct Answer: C

Rationale: Supporting the joint's proximal and distal areas prevents strain during ROM.

Question 5 of 5

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

A. Encourage the client to perform range-of-motion exercises. B. Monitor the amount and color of the urine. C. Check the client’s pulses distally and assess the toes. D. Monitor the client’s vital signs.

Correct Answer: C

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

Med Surg Musculoskeletal NCLEX Questions | Nurselytic

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