RN NCLEX Questions for Musculoskeletal Disorders
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Question 1 of 5.
A nurse is caring for a client admitted to the emergency department with suspected rhabdomyolysis. Which of the following findings would the nurse anticipate in a client with this condition?
A. Elevated creatinine kinase (CK) levels
B. Decreased serum potassium levels
C. Hypertension and bradycardia
D. Clear urine output
Explanation: Rhabdomyolysis causes muscle breakdown, releasing creatinine kinase (CK) into the blood, elevating levels. Potassium levels typically rise, blood pressure and heart rate vary, and urine is dark from myoglobin.
Question 2 of 5.
The nurse in the emergency department is presented with two severed fingers from a client who experienced a traumatic amputation. What should the nurse do to properly preserve the severed fingers for possible reattachment?
A. Apply direct pressure to the severed fingers and wrap them in gauze.
B. Irrigate the amputated fingers with sterile saline.
C. Place the amputated fingers directly on ice.
D. Wrap the fingers in gauze, put it in a plastic bag, and then place the bag in ice water.
Explanation: To preserve severed fingers for potential reattachment, wrap them in sterile gauze, place them in a sealed plastic bag, and then place the bag in ice water. Direct pressure is for bleeding control, not preservation. Irrigation is appropriate but incomplete. Direct ice contact can cause tissue damage from freezing.
Question 3 of 5.
The nurse is developing a care plan for a client following a lumbar laminectomy. The nurse should plan to
A. Log roll the client.
B. Apply a cervical collar.
C. Place an overhead trapeze on the bed.
D. Keep the client in high-Fowler's position while in bed.
Explanation: Log rolling maintains spinal alignment and prevents strain after a lumbar laminectomy. A cervical collar is for neck injuries, a trapeze aids mobility but isn't primary, and high-Fowler's position may stress the surgical site.
Question 4 of 5.
For each of the statements made by the client, click to specify whether the statement indicates an understanding or requires follow-up of the discharge teaching provided.
| Description | Options |
|---|---|
| Lorem ipsum dolor sit amet consectetur. |
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| Lorem ipsum dolor sit amet consectetur. |
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| Lorem ipsum dolor sit amet consectetur. |
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| Lorem ipsum dolor sit amet consectetur. |
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Explanation: A: Proper foot hygiene prevents infection. B: Daily, not bi-weekly, inspection is needed with diabetes. C: Corn/callous removers risk skin breakdown. D: Compression socks and good shoes aid circulation. E: Blood sugar control reduces complication risk.
Question 5 of 5.
The nurse is caring for a client diagnosed with osteomalacia. The nurse is correct in characterizing osteomalacia as
A. Bone softening from insufficient levels of vitamin D.
B. Invasion of bacteria into the bone.
C. Decreased bone mass caused by a deficiency of calcium.
D. A bone fracture caused by minimal trauma.
Explanation: Osteomalacia is bone softening due to inadequate vitamin D, impairing calcium absorption and mineralization. Bacterial invasion is osteomyelitis, decreased bone mass is osteoporosis, and minimal trauma fractures are not osteomalacia.