NCLEX-PN
Musculoskeletal NCLEX Questions with Rationale Questions
Extract:
Question 1 of 5
Which statement made by the family member indicates the need for further teaching?
Correct Answer: B
Rationale: Tying the knot at the back of the neck may cause discomfort or pressure on the cervical spine. The knot should be tied to the side to avoid this. The other statements correctly describe the proper use of a triangular sling for shoulder immobilization.
Question 2 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 3 of 5
What equipment is best for preventing external rotation of the operative leg when caring for a client with a total hip replacement?
Correct Answer: B
Rationale: A trochanter roll prevents external rotation, maintaining hip alignment.
Question 4 of 5
The elderly client is admitted to the hospital for severe back pain. Which data should the nurse assess first during the admission assessment?
Correct Answer: B
Rationale: Pain level assessment is the priority in severe back pain to guide treatment. Herbs, orientation, and self-care are secondary.
Question 5 of 5
The nurse is preparing to administer subcutaneous Lovenox, a low molecular weight heparin. Which intervention should the nurse implement?
Correct Answer: D
Rationale: Lovenox is administered in the anterolateral abdomen for optimal absorption. aPTT is for unfractionated heparin, fluids are unrelated, and vitamin K affects warfarin.