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NCLEX ?'s Musculoskeletal

Total questions: 18

Worksheet time: 7mins

Name
Class
Date
1.

Which nursing intervention is appropriate for a client with musculoskeletal trauma?

a)

Encourage the client to rest and avoid movement

b)

Administer pain medication as needed

c)

Apply heat to the affected area

d)

Encourage the client to bear weight on the affected limb

2.

A client has just arrived to the ED with a fracture femur. Which of the following nursing care tasks should be prioritized? Select all that apply

a)

Performing range of motion exercises

b)

Preparing the patient for surgery

c)

Providing emotional support

d)

Assessing neurovascular status

e)

Administering pain medication


3.

A nurse is completing discharge teaching with a client following arthroscopic knee surgery. Which of the following instructions should the nurse include in the teaching?

a)

Remain on bedrest for the first 24 hr.

b)

Keep the leg in a dependent position.

c)

Apply ice to the affected area.

d)

Apply ice to the affected area.

4.

A nurse is caring for a client who has a Jackson-Pratt (JP) drain in place after surgery for an open reduction and internal fixation. The nurse should understand that the JP drain was placed for which of the following purposes?

a)

To prevent fluid from accumulating in the wound

b)

To limit the amount of bleeding from the surgical site

c)

To provide a means for medication administration

d)

To eliminate the need for wound irrigations

5.

A nurse is caring for a client who sustained a femur fracture in an automobile accident and is placed into skeletal traction. The nurse may remove the weights from the traction device if which of the following occurs?

a)

The client complains of pain.

b)

The client develops a life-threatening situation

c)

The client needs to have an x-ray of the femur performed

d)

The client has to be repositioned in the bed.

6.

A nurse is caring for a client who is postoperative following an open reduction and internal fixation of a fractured femur. Which of the following actions is the most important for the nurse to complete in the postoperative period

a)

Medicate the client for pain.

b)

Instruct the client on use of crutches.

c)

Perform neurovascular checks of the extremities.

d)

Direct the client to perform exercises of the ankle and toes.

7.



A nurse is caring for a client who has an unrepaired femur fracture of the midshaft. Which of the following techniques should the nurse use when performing an assessment of the client's neurovascular status?

a)

Measure the circumference of the thigh

b)

Palpate the femoral pulse.

c)

Monitor the client's calf for edema.

d)

Instruct the client to wiggle his toes.

8.

A nurse is caring for a client who is postoperative and in skeletal traction. When assessing the client, the nurse should expect which of the following findings? (Select all that apply.)

a)

Movement of the pin at the insertion site

b)

Slight pain at the insertion site

c)

Elastic bandages secure around the traction ropes

d)

Serous drainage on the dressing

e)

Minimal edema around the pin

9.

A nurse in an urgent care center is caring for a client who experienced an ankle injury. Prior to examination by the provider, which of the following nursing actions should the nurse perform? (Select all that apply.)

a)

Apply ice to the affected area.

b)

Elevate the foot.

c)

Encourage range of motion of the foot.

d)

Provide the client with a light snack.

e)

Apply a compression bandage.

10.

A nurse is caring for a client who is 2 days postoperative following an above-the knee-amputation. Which of the following is an appropriate nursing intervention for this client at this time?

a)

Elevate the foot of the bed.

b)

Encourage the client to sit up as much as possible.

c)

Elevate the client's residual limb on a pillow.

d)

Have the client lie prone every 3 hr for 20 min at a time.

11.

A nurse is providing discharge teaching to a client following hip arthroplasty. Which of the following pieces of furniture should the nurse instruct the client to sit in at home?

a)

A reclining chair with an ottoman

b)

A straight-backed chair with an elevated seat

c)

A couch with plush cushions

d)

A rocking chair with a curved back

12.

A nurse is caring for a client who has a femur fracture. The nurse suspects that the client has fat embolism syndrome. Which of the following findings should the nurse identify as an early manifestation of fat embolism syndrome?

a)

Petechiae

b)

Hypoxemia

c)

Headache

d)

Precordial chest pain

13.

A nurse is caring for a client who has multiple long bone fractures caused by a motor-vehicle crash that happened 24 hr ago. The client tells the nurse he is short of breath and experiencing chest pain. The nurse should assess the client further for which of the following potential complications?

a)

Hypovolemic shock

b)

Fat embolism syndrome

c)

Compartment syndrome

d)

Venous thromboembolism

14.

A nurse is assessing a client who has a hip fracture. Which of the following findings should the nurse expect?

a)

Leg lengthening

b)

Hip pallor

c)

Muscle spasms

d)

Leg abduction

15.

A nurse is teaching an older adult client who has an intracapsular fracture of the right hip following a fall about the purpose of Buck’s traction. The nurse should include which of the following information in the teaching?

a)

Buck’s traction will reduce the fracture.

b)

Buck’s traction will relieve muscle spasms.

c)

Buck’s traction will maintain alignment of the pins.

d)

Buck’s traction will allow supported movement of the extremity.

16.

Which type of muscle is under voluntary control?

a)

Smooth muscle

b)

Cardiac muscle

c)

Skeletal muscle

d)

Ligament

17.

What is the role of ligaments?

a)

To connect muscle to bone

b)

To connect bone to bone

c)

To contract and produce movement

d)

To protect internal organs

18.

What is the term for the growth plate found in long bones?

a)

Epiphyseal plate

b)

Periosteum

c)

Endosteum

d)

Medullary cavity