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NCLEX RN· RN Musculoskeletal · RN NCLEX Questions for Musculoskeletal Disorders

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 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.

Expert Explanatory Rationale

Correct Answer: Log roll the client.

Question 2 of 5

The nurse performs a focused assessment on a casted patient experiencing increased pain in the affected limb. The nurse notes pallor and swelling distal to the cast area. The patient reports increased pain upon passively moving the extremity. Which of the following fracture-related complications should the nurse be concerned about?

A. Fat embolism
B. Infection
C. Pulmonary embolism
D. Compartment syndrome

Expert Explanatory Rationale

Correct Answer: Compartment syndrome

Question 3 of 5

The nurse is caring for a client who is bedbound. Which intervention should the nurse implement to reduce this client's risk of developing contractures?

A. Apply sequential compression devices to the lower extremities
B. Perform passive range of motion exercises
C. Obtain a specialty low-air loss mattress
D. Turn the client every two hours

Expert Explanatory Rationale

Correct Answer: Perform passive range of motion exercises

Question 4 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.

Expert Explanatory Rationale

Correct Answer: Wrap the fingers in gauze, put it in a plastic bag, and then place the bag in ice water.

Question 5 of 5

The nurse is caring for a client with a femur fracture. The client reports chest pain, restlessness, and dyspnea. The nurse suspects that the client has developed fat embolism syndrome (FES). The nurse should take which action?

A. Place the extremity in a dependent position
B. Obtain a prescription for hypertonic intravenous fluids
C. Loosen any dressings on the extremity
D. Notify the physician

Expert Explanatory Rationale

Correct Answer: Notify the physician

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