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NCLEX RN· RN Musculoskeletal · Musculoskeletal RN NCLEX Questions

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

The nurse is caring for a client who sustained a fractured tibia and fibula and has a cast applied to the extremity. Which of the following findings would indicate the client has developed compartment syndrome?

A. The development of petechiae over the chest
B. A new onset of dyspnea and chest pain
C. Severe pain that is unrelieved by an opioid analgesic
D. Localized bone pain with a fever

Expert Explanatory Rationale

Correct Answer: Severe pain that is unrelieved by an opioid analgesic

Question 2 of 5

The nurse is developing a self-management teaching plan for a client with low back pain. Which of the following should the nurse include?

A. Avoid bending at the waist and lifting heavy objects.'
B. Weight-bearing exercises are recommended.'
C. Wear shoes with a higher heel.'
D. Lay on your stomach four times daily and flex your legs.'

Expert Explanatory Rationale

Correct Answer: Avoid bending at the waist and lifting heavy objects.'

Question 3 of 5

The nurse is planning care for a client with a newly diagnosed fractured pelvis. Which action would lessen the risk of fat embolism syndrome (FES)?

A. Request a prescription for enoxaparin.
B. Alternate with the application of ice and heat.
C. Educate the client on pelvic immobilization.
D. Encourage passive range of motion of the lower legs.

Expert Explanatory Rationale

Correct Answer: Educate the client on pelvic immobilization.

Question 4 of 5

The client is demonstrating signs and symptoms of

A. Pulmonary embolism
B. Myocardial infarction
C. Fat embolism syndrome
D. Compartment syndrome

Expert Explanatory Rationale

Correct Answer: Fat embolism syndrome

Question 5 of 5

The nurse is caring for a client diagnosed with chronic gout. The nurse anticipates a prescription for which medication to lower uric acid levels?

A. colchicine
B. allopurinol
C. naproxen
D. prednisone

Expert Explanatory Rationale

Correct Answer: allopurinol

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