NCLEX-PN
Musculoskeletal NCLEX Questions with Rationale Questions
Extract:
Question 1 of 5
Which statement by the nurse about fiberglass casts is most accurate?
Correct Answer: B
Rationale: Fiberglass casts are lightweight compared to plaster, making them more comfortable for clients. They are not necessarily less expensive, flexible, or less restrictive, as both types immobilize effectively.
Question 2 of 5
The nurse is providing discharge teaching to the 12-year-old with a fractured humerus and the parents. Which information should the nurse include regarding cast care?
Correct Answer: A
Rationale: Keeping the arm at heart level reduces edema in a casted humerus. Wire hangers risk skin damage, ice is for swelling not itching, and foul smells indicate infection.
Question 3 of 5
Which substances should the nurse advise the client to avoid?
Correct Answer: B
Rationale:
Tobacco and carbonated beverages reduce bone density, worsening osteoporosis.
Question 4 of 5
Which diagnostic test result should the nurse monitor when assessing for evidence of metastasis?
Correct Answer: A
Rationale: A lung scan can detect metastasis of a skeletal tumor to the lungs, a common site for bone cancer spread. Urinalysis, spinal tap, and blood glucose are less relevant for metastasis.
Question 5 of 5
Which nursing intervention is most appropriate for preventing a pathological fracture?
Correct Answer: C
Rationale: Supporting the limb during movement minimizes stress on the necrotic bone, reducing the risk of a pathological fracture in osteomyelitis. Fluid, diet, and pressure relief are less directly preventive.