NCLEX Questions for Musculoskeletal Disorders
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Question 1 of 5.
The nurse is caring for the client 24 hours following total hip arthroplasty using the traditional posterior approach. Which interventions should the nurse plan to implement? Select all that apply.
A. Place pillows or a wedge pillow between the client's legs to keep them abducted.
B. Have the client flex the unaffected hip and use the trapeze to help move up in bed.
C. Raise the head of the bed to no more than 90 degrees when the bed is placed contour.
D. Place a pillow between the client's knees when initially assisting the client out of bed.
E. Applies antiembolism stockings that should not be removed for 24 hours postoperatively.
Explanation: A. A pillow should be used to maintain abduction to prevent dislocation. B. Using the trapeze and flexing the unaffected legs while keeping the affected leg straight help prevent flexion with position changes. The client's hip should not be flexed more than 90 degrees. D. In initial transfers, a pillow is used to remind the client to maintain abduction and prevent internal and external hip rotation.
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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