NCLEX-PN
Musculoskeletal Questions NCLEX Questions
Extract:
Question 1 of 5
Which statement reflects the most widely recognized theory for the use of transcutaneous electric nerve stimulation (TENS)?
Correct Answer: A
Rationale: The gate control theory posits that TENS blocks pain impulses by stimulating non-pain sensory nerves, reducing the brain's perception of pain from the injured area.
Question 2 of 5
The nurse correctly instructs the client to avoid which type of fluid?
Correct Answer: B
Rationale: Alcohol, especially beer, increases uric acid production and reduces its excretion, worsening gout. Milk, cranberry juice, and carbonated drinks are generally safe unless otherwise contraindicated.
Question 3 of 5
Postoperatively, the client screams obscenities at the nurse after realizing that the injured forearm is missing. Which nursing action is most appropriate at this time?
Correct Answer: B
Rationale: Staying quietly supports the client emotionally during grief.
Question 4 of 5
The nurse starting the shift is determining priorities for the day. Prioritize the order that the nurse should plan to assess the four clients.
Correct Answer: B,A,D,C
Rationale: B. The client who has a right lower leg cast whose right foot is cold to the touch should be assessed first. The data could indicate compartment syndrome, which is an emergent condition. A. The client who had a left BKA and has left foot pain of 6 on a 0 to 10 scale should be assessed second because pain is a priority in a postoperative client and should be addressed in a timely manner, but this is not an emergent situation. D. The client who had a spinal fusion and has not voided since the urinary catheter removal 4 hours ago should be assessed third for the presence of urinary retention. Usually the client should void within 6 hours after a urinary catheter has been removed. C. The client who had a THR and 200-mL wound drain output during the past 8 hours should be assessed last. This amount of output is a common finding following a THR due to the vascular nature of the operative site.
Question 5 of 5
Which statement by the nurse provides the best explanation about the purpose of antiembolism stockings?
Correct Answer: A
Rationale: Antiembolism stockings apply graduated compression to promote venous return, preventing blood pooling and reducing the risk of deep vein thrombosis in immobile clients. The other options are inaccurate.