NCLEX Questions for Musculoskeletal Disorders
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Question 1 of 5.
The nurse assesses the client 6 hours following a lumbar spinal fusion. The client has a throbbing headache, but VS and CMS of the lower extremities are WNL. The lungs have fine basilar crackles. The back dressing has a dime-sized bloody spot surrounded by clear yellow drainage. Which nursing action demonstrates the nurse's best clinical judgment?
A. Give prescribed morphine sulfate IV
B. Have the client cough and deep breathe
C. Reinforce the incisional dressing
D. Notify the health care provider
Explanation: D. A bloody area surrounded by clear yellowish fluid on the dressing and the client's headache suggest a CSF leak. The nurse should notify the HCP.
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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