RN NCLEX Questions for Musculoskeletal Disorders
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Question 1 of 5.
The nurse educates a client about the application of a plaster cast to a fractured radius. Which of the following statements by the client would require follow-up?
A. If my arm feels itchy, I can use a hair dryer on the cool setting for relief.'
B. I can reduce my arm's swelling by elevating it with a pillow.'
C. I should be okay to shower with my cast.'
D. It will be normal for me to feel heat after the cast is applied.'
Explanation: Showering with a plaster cast risks wetting it, leading to breakdown or infection, requiring follow-up. Cool air for itching, elevation for swelling, and initial heat from cast setting are appropriate.
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. |
|
| Lorem ipsum dolor sit amet consectetur. |
|
| Lorem ipsum dolor sit amet consectetur. |
|
| Lorem ipsum dolor sit amet consectetur. |
|
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.