NCLEX Questions for Musculoskeletal Disorders

Extract:

Question 1 of 5

Which staff nurse should the charge nurse assign to the client recovering from a repair of the hallux valgus?

Correct Answer: B

Rationale: An experienced nurse is best suited for postoperative hallux valgus care, requiring skilled assessment. New graduates lack experience, NPs focus on advanced care, and UAPs cannot assess.

Question 2 of 5

When implementing the care plan, the nurse should encourage the major intake of fluids at which time of the day?

A. Before bedtime B. Early evening C. In the morning D. Midafternoon

Correct Answer: C

Rationale: Encouraging fluid intake in the morning promotes hydration throughout the day, aiding uric acid excretion to prevent kidney stones in gout. Bedtime intake may disrupt sleep due to urination.

Question 3 of 5

The HCP's progress note states that the infant with meningitis is in an opisthotonus position. What should the nurse observe when performing an assessment?

A. Resistance with specific leg movement B. Knee or hip flexion with head flexion C. A high-pitched cry with neck flexion D. Hyperextension of the head and neck

Correct Answer: D

Rationale: Opisthotonus is characterized by severe hyperextension of the head and neck, often seen in meningitis.

Question 4 of 5

The client with a lower leg amputation has edema, so the NA elevates the client's residual left limb on pillows. What is the most appropriate action by the nurse when observing that the client's leg has been elevated?

A. Thank the nursing assistant (NA) for being so observant and intervening appropriately to treat the client's edema of the residual limb. B. Remove the pillows, raise the foot of the bed, and inform the NA that the limb should not be elevated on pillows because it could cause a flexion contracture. C. Inform the NA that this was the correct action at this time in the client's recovery, but once the client's incision heals, the leg should not be elevated. D. Report the incident to the surgeon and tell the NA to complete a variance report because the client's leg should not have been elevated.

Correct Answer: B

Rationale: B. The nurse should perform this action. Flexion, abduction, and external rotation of the residual lower limb are avoided to prevent hip contracture.

Question 5 of 5

The nurse assesses the client 4 hours following a left TKR. The client has a knee immobilizer in place with medial and lateral packs that are warm. An autotransfusion wound drainage system has 350 mL collected. The client has not voided since before surgery but does not express a need. Which interventions should the nurse plan to implement at this time? Select all that apply.

A. Reinfuse the salvaged blood from the wound drainage system. B. Remove the immobilizer to place the knee in 90-degree flexion. C. Stand the client at the bedside to facilitate bladder emptying. D. Place the left leg in a continuous passive motion device (CPM). E. Replace the warm packs in the knee immobilizer with ice packs.

Correct Answer: A,E

Rationale: A. An autotransfusion drainage system is used in the immediate postoperative period if extensive bleeding is anticipated. Collected drainage can be reinfused up to 6 hours postoperative. E. Ice packs, used to reduce swelling and control bleeding, are replaced every 2 hours. If they have warmed, they need to be replaced.

NCLEX Questions for Musculoskeletal Disorders | Nurselytic

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