NCLEX Questions for Musculoskeletal Disorders
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Question 1 of 5.
The client with a lower leg amputation has edema, so the NA elevates the client's residual left limb on pillows. What is the most appropriate action by the nurse when observing that the client's leg has been elevated?
A. Thank the nursing assistant (NA) for being so observant and intervening appropriately to treat the client's edema of the residual limb.
B. Remove the pillows, raise the foot of the bed, and inform the NA that the limb should not be elevated on pillows because it could cause a flexion contracture.
C. Inform the NA that this was the correct action at this time in the client's recovery, but once the client's incision heals, the leg should not be elevated.
D. Report the incident to the surgeon and tell the NA to complete a variance report because the client's leg should not have been elevated.
Explanation: B. The nurse should perform this action. Flexion, abduction, and external rotation of the residual lower limb are avoided to prevent hip contracture.
Question 2 of 5.
The occupational health nurse is preparing an in-service for a group of workers in a warehouse. Which information should be included to help prevent on-the-job injuries?
A. Increase sodium and potassium in the diet during the winter months.
B. Use the large thigh muscles when lifting and hold the weight near the body.
C. Use soft-cushioned chairs when performing desk duties.
D. Have the employee arrange for assistance with household chores.
Explanation: Using thigh muscles and keeping weight close to the body promotes proper lifting mechanics, reducing back strain. Diet, chair cushioning, and household chores are unrelated to workplace injury prevention.
Question 3 of 5.
The nurse writes the problem of 'pain' for a client diagnosed with lumbar strain. Which nursing interventions should be included in the plan of care? Select all that apply.
A. Assess pain on a 1-to-10 scale.
B. Administer pain medication prn.
C. Provide a regular bedpan for elimination.
D. Assess surgical dressing every four (4) hours.
E. Perform a position change by the log roll method every two (2) hours.
Explanation: Pain assessment, PRN medication, and log rolling address pain and prevent exacerbation in lumbar strain. Bedpans are unnecessary, and surgical dressings are irrelevant without surgery.
Question 4 of 5.
To which member of the health-care team should the nurse refer the client diagnosed with OA who is complaining of not being able to get in and out of the bathtub?
A. Physiatrist.
B. Social worker.
C. Physical therapist.
D. Counselor.
Explanation: A physical therapist can teach adaptive techniques and exercises to improve bathtub mobility for OA. Physiatrists focus on rehabilitation plans, social workers address resources, and counselors focus on mental health.
Question 5 of 5.
Which signs/symptoms indicate to the nurse the client has developed osteoporosis?
A. The client has lost one (1) inch in height.
B. The client has lost 12 pounds in the last year.
C. The client's hands are painful to the touch.
D. The client's serum uric acid level is elevated.
Explanation: Height loss indicates vertebral compression fractures, a common osteoporosis sign. Weight loss, hand pain, and uric acid elevation are unrelated.
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