NCLEX-PN
Musculoskeletal Disorders NCLEX Questions Questions
Extract:
Question 1 of 5
Which statement to the nurse indicates a good understanding by the client of the use of methotrexate and cyclosporine?
Correct Answer: D
Rationale: Severe symptoms may necessitate combination therapy with methotrexate and cyclosporine, both potent immunosuppressants, to control rheumatoid arthritis. Cyclosporine does not enhance methotrexate, and side effects are not necessarily reduced.
Question 2 of 5
When reviewing the chart of a 25-year-old male, the nurse reads that the client was diagnosed with an osteosarcoma of the distal femur. Which statement indicates the nurse's correct interpretation of the client's diagnosis?
Correct Answer: B
Rationale: B. Osteosarcoma is a malignant primary tumor of the bone, appearing most frequently in males between 10 and 25 years (when bones grow rapidly). Prognosis depends on whether the tumor has metastasized to the lungs, but it is often fatal.
Question 3 of 5
Which information should the nurse teach the client regarding sports injuries?
Correct Answer: D
Rationale: Immobilization and elevation reduce swelling in sports injuries. Heat worsens swelling, movement does not rule out severity, and cold feet are a late sign.
Question 4 of 5
The 50-year-old female client is being evaluated for osteoporosis. Which data should the nurse assess? Select all that apply.
Correct Answer: A,B,C,D,E
Rationale: Family history, hormonal deficits, smoking, exercise, and alcohol are all risk factors for osteoporosis, requiring comprehensive assessment.
Question 5 of 5
Which statement made by the client to the nurse provides the best evidence that the client understands the therapeutic plan?
Correct Answer: B
Rationale: Tenosynovitis involves inflammation of the tendon sheath, often exacerbated by repetitive wrist motion. The physician recommends avoiding such motions temporarily. Stopping golf, which involves repetitive wrist actions, directly aligns with this plan, unlike miniature golf, which still requires wrist movement, or wearing a glove, which does not address motion.