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NCLEX PN· Musculoskeletal · NCLEX Questions for Musculoskeletal Disorders

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Showing all 5 practice questions with expert explanatory rationales.

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.

Expert Explanatory Rationale

Correct Answer: 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.

Question 2 of 5

Which client symptom indicates that the nurse should discontinue the medication and notify the physician even if the client's pain is unrelieved?

A. Vomiting
B. Dizziness
C. Drowsiness
D. Headache

Expert Explanatory Rationale

Correct Answer: Vomiting

Question 3 of 5

A young adult is discharged to home with crutches. Which exercise should the nurse teach the client in order to strengthen the hand muscles for crutch walking?

A. Pushing the buttocks up off the mattress
B. Pulling the body up, using an overhead trapeze
C. Raising the legs straight up and down
D. Squeezing a rubber ball in each hand

Expert Explanatory Rationale

Correct Answer: Squeezing a rubber ball in each hand

Question 4 of 5

Which assessment finding warrants immediate action by the nurse when a client is in Buck's traction?

A. The traction weights are hanging above the floor.
B. The leg is in line with the pull of the traction.
C. The right is about is to be the two.
D. The rope is in the groove of the traction pulley.

Expert Explanatory Rationale

Correct Answer: The traction weights are hanging above the floor.

Question 5 of 5

If the client is in shock, how should the nurse position the client while continuing to assess and provide care?

A. Prone with the arm supported
B. In Fowler's position with the knees flexed
C. Supine with the legs elevated
D. Lateral with the back extended

Expert Explanatory Rationale

Correct Answer: Supine with the legs elevated