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Musculoskeletal NCLEX Questions With Complete Solutions Graded A+
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A. 1 week Answer- The nurse is caring for a patient who has experienced a stroke. The nurse has implemented range-of-motion exercises. The nurse recognizes that contractures may begin within what time period? A.1 week B.1 month C. 2 weeks D. 24 hours A. "I should hold the muscle in contraction for at least a minute." Answer- A patient on bed rest has been instructed on performing quadriceps setting exercises. What statement by the patient indicates the need for further instruction? A. "I should hold the muscle in contraction for at least a minute." B. "I should release the muscle and count to five before contracting again." C."The exercises will benefit me most if I perform them three to four times a day." D. "These exercises are good to recondition my muscles in preparation for getting out of bed." C. The patient initially advances the left crutch. Answer- The nurse is assisting the patient to use the 4-point gait with crutches. Which behavior by the patient demonstrates understanding? A. The patient initially advances the left foot. B.The patient initially advances the right foot. C. The patient initially advances the left crutch. D. The patient initially advances the right crutch. D. The extent of the patient's disability or paralysis Answer- For the patient who needs the support of a crutch while walking, the type of crutch selected will depend on which assessment? A. The gait the patient will use B. What is most comfortable for the patient C.The availability of insurance reimbursement D. The extent of the patient's disability or paralysis D. Assess temperature trends and sniff around the cast for signs of foul odor. Answer- Which nursing action is most appropriate for monitoring a patient with a casted lower extremity for infection? A. Assess vital signs every hour while the patient is awake.
B. Remove the cast weekly to check the wound for signs of infection. C. Remove the cast bi-weekly to check the wound for signs of infection. D. Assess temperature trends and sniff around the cast for signs of foul odor. This study source was downloaded by 100000899868517 from nursinghero.com on 07-03-2025 01:24:31 GMT -05:
apply.) A. Loss of bone mass B. Decrease in height C. Increased circulation D. Decreased muscle mass E. Increased mineral exchange This study source was downloaded by 100000899868517 from nursinghero.com on 07-03-2025 01:24:31 GMT -05:
had a knee replacement. Within 2 to 3 days, the LPN/LVN can likely anticipate which change in the plan of care? A. Walker training B. Enemas until clear C. Quadriceps setting exercises D. Cessation of pain medication C. Weight-bearing exercises Answer- LPNs/LVNs can do much to decrease the incidence of osteoporosis by teaching all female patients that preventive measures include sufficient calcium intake and which other intervention? A. Sufficient fluid intake B. Supplemental B vitamins C. Weight-bearing exercises D. Total avoidance of alcohol C. Swelling and pain in the big toe or other joint Answer- When assigned to care for a patient who has gout, the LPN/LVN should assess for which condition? A. Evidence of unilateral joint deformity B. Decreased range-of-motion of most joints C. Swelling and pain in the big toe or other joint D. Signs of compression of the spine from collapsed vertebrae D. Secure the abduction wedge between the legs until the surgeon requests removal. Answer- The LPN/LVN is caring for a patient who has had a total hip replacement. Which intervention should be implemented for this patient to help prevent dislocation? A. Adjust the patient's chair so that the hips are flexed in a normal position. B. Ensure the surgical bone cement remains firmly bonded with the prosthesis. C. Assist the patient to bear weight on the operative side within the first 24 hours. D. Secure the abduction wedge between the legs until the surgeon requests removal. B. Fat embolism Answer- The appearance of a petechial rash and respiratory distress 2 to 3 days after a fracture should be reported promptly because they may be symptomatic of which life-threatening complication? A. Infection B. Fat embolism C. Nerve damage D. Vitamin deficiency A. It has a high risk of infection. Answer- The nurse is preparing to care for a patient who requires skeletal traction. The nurse knows which statement is true regarding skeletal traction? C. Quadriceps setting exercises Answer- The nurse is caring for a patient who has
D. Torn anterior cruciate ligament injury Answer- The patient presents to the emergency department after a soccer game. The patient reports that she made a sharp turn and heard and felt a large pop from her knee. The patient reports, "Now, when I'm walking, it feels like my knee just gives out, and I almost fall. Plus, it's twice the size of my other knee, and I can't straighten it all the way." The nurse recognizes that these symptoms correspond with which injury? A. Torn meniscus B. Dislocated patella C. Torn quadriceps muscle D. Torn anterior cruciate ligament injury C. 5-second nail bed capillary refill Answer- The patient in the outpatient surgery center has just returned from surgery to decompress the medial nerve as treatment for carpal tunnel syndrome. Which assessment finding immediately after surgery would alert the nurse to a possible complication? A. Nail beds that are pink B. Numbness of the fingertips C. 5-second nail bed capillary refill D. Fingertips that are warm to the touch A. "Rest your ankle as much as possible." B. "Prop your ankle on pillows while resting." C. "You should wrap your ankle with an elastic bandage." Answer- The patient presents to the clinic after falling from her bike and is diagnosed with a Grade II ankle sprain. The nurse should make which statements to the patient regarding the treatment of her sprained ankle? (Select all that apply.) A. "Rest your ankle as much as possible." B. "Prop your ankle on pillows while resting." C. "You should wrap your ankle with an elastic bandage." D. "Take stimulant laxatives with your narcotic pain medication." E. "Place an ice pack on your ankle for 30 minutes every 4 hours." F. "Begin walking on your injured ankle after 24 hours, and increase your ambulation as tolerated." B. Tetanus booster D. Intravenous (IV) morphine E. IV antibiotics Answer- The patient presents to the clinic with a compound fracture of the right leg. The nurse anticipates the administration of which classes of medications? (Select all that apply.) A. Aspirin B. Tetanus booster C. Hepatitis B vaccine D. Intravenous (IV) morphine E. IV antibiotics
D. stay with the person and encourage the person to remain still Answer- The nurse is one of several people who witnesses a vehicle hit pedestrian at a fairly low speed on a small street. The individual is dazed and tired to get up and the leg appears fractured. The nurse should plan to preform which action? A. Try to manually reduce the fracture
C. doing quadriceps-setting and gluteal-setting exercises D. preforming active range of motion to the right ankle and knee C. presence of a hot spot on the cast Answer- The nurse is checking the casted extremity of a client. The nurse should check for which sign indicative of infection? A. dependent edema B. diminished distal pulse C. presence of a hot spot on the cast
D. coolness and pallor of extremity C. impaired tissue perfusion Answer- A client has sustained a closed fracture and has just has a cast applied to the affected arm. The client is complaining of intense pain. The nurse has elevated the limb applied an ice bag, and administered an analgesic, which was ineffective in relieving the pain. The nurse interprets that this pain may be caused by what condition? A. Infection under the cast B. the anxiety of the client C. impaired tissue perfusion D. the newness of the fracture D. elevate the leg on pillows continuously for 24-48 hours Answer- The nurse is assigned to care for a client with multiple traumas who is admitted to the hospital. The client has a leg fracture, and a plaster cast has been applied. In positioning the casted leg, the nurse should preform which intervention? A. keep the leg in a level position B. elevate the leg for 3 hours, and put it flat for 1 hour C. keep the leg level for 3 hours, and elevate it for one hour D. elevate the leg on pillows continuously for 24-48 hours A. keep the cast and extremity elevated B. the cast needs to be kept clean and dry C. allow the wet cast 24 to 72 hours to dry Answer- The nurse is preparing a list of cast care instructions for a client who just had a plaster cast applied to his right forearm. Which instructions should the nurse include on the list? (select all that apply) A. keep the cast and extremity elevated B. the cast needs to be kept clean and dry C. allow the wet cast 24 to 72 hours to dry D. expect tingling and numbness in the extremity E. use a hair dryer set on a warm to hot setting to dry the cast F. use a soft padded object that will fit under the cast to scratch the skin under the cast B. 8 inchess to the front and side of the clients toes Answer- The nurse is planning to reinforce instructions to the client about how to stand on crutches. In the instructions the nurse should plan to tell the client to place the crutches in which position? A. 3 inches to the front and side of the clients toes B. 8 inches to the front and side of the clients toes C. 15 inches to the front and side of the clients toes D. 20 inches to the front and side of the clients toes B. moves the cane when the right leg is moved Answer- The nurse is evaluating the clients use of a cane for left-sided weakness. The nurse should intervene
D. keeps the cane 6 inches out to the side of the right foot A. elevating the limb and applying ice to the affected leg Answer- The nurse is caring for a client with fresh application of a plaster leg cast. The nurse should plan to prevent the development of compartment syndrome by which action? A. elevating the limb and applying ice to the affected leg B. elevating the limb and covering the limb with bath blankets C. keeping the leg horizontal and applying ice to the affected leg D. placing the leg in a slightly depended position and applying ice A. I need to avoid getting the cast wet Answer- A client is being discharged home after application of a plaster leg cast. The nurse determines that the client understands proper care of the cast if the client makes which statement? A. i need to avoid getting the cast wet B. I will use my fingertips to lift and move the leg C. I need to cover the casted leg with warm blankets D. I can use a padded coat hanger end to scratch under the cast B. petaling the cast edges with adhesive tape Answer- A client is complaining of skin irritation from the edges of a cast applied the previous day. The nurse should plan for which intervention? A. massaging the skin at the rim of the cast B. petaling the cast edges with adhesive tape C. using a rough file to smooth the cast edges D. applying lotion to the skin at the rim of the cast