NCLEX-PN
Musculoskeletal Questions NCLEX Questions
Extract:
Question 1 of 5
Which technique is the best strategy for assessing circulation in the leg in Buck's traction?
Correct Answer: B
Rationale: Palpating the dorsalis pedis pulse directly assesses arterial circulation in the leg, providing the most accurate indication of blood flow.
Toe movement and sensation are less specific, and blood pressure measurement is not relevant.
Question 2 of 5
Which statement should the nurse include when teaching parents about bacterial meningitis?
Correct Answer: C
Rationale: The meningococcal conjugate vaccine (MCV4) is recommended for high-risk children and those 11 years and older to prevent bacterial meningitis.
Question 3 of 5
Later the client says, 'I know my arm isn't there, but I feel it throbbing.' Which response by the nurse would be most accurate?
Correct Answer: B
Rationale: Phantom pain is a common sensation of pain in the amputated limb due to nerve endings firing, accurately describing the client's experience. The other options misattribute the cause.
Question 4 of 5
The nurse is preparing the preoperative client for a total hip replacement (THR). Which intervention should the nursing implement postoperatively?
Correct Answer: A
Rationale: An abduction pillow prevents hip dislocation post-THR, a critical complication. Coughing, turning, and chair positioning are important but secondary.
Question 5 of 5
After the arm cast has been applied, which nursing observation is the best indication that the client may be developing compartment syndrome?
Correct Answer: A
Rationale: Severe pain disproportionate to the injury is a hallmark of compartment syndrome, indicating increased pressure within the cast compromising neurovascular status. Redness, spasms, or a bounding pulse are less specific.