Musculoskeletal
Practice nclex questions on musculoskeletal problems, assessment and prioritization.
- 1.
A di"betic client h"s been t"king " glucos"¡ine "nd chondroitin OTC co¡bin"tion drug for sever"l ye"rs. Which of these st"te¡ents by the client indic"tes " need for further te"ching?
- A.
�I should take the drug based on my weight and not on the amount of pain I have.�
- B.
�I should tell my doctor if I have stomach problems or loose stools.�
- C.
�I have to be careful and not hurt myself to cause bruises or bleeding.�
- D.
�It�s OK if I take this drug along with my Lisinopril and Norvasc.�
Correct Answer
D. �It�s OK if I take this drug along with my Lisinopril and Norvasc.�Explanation
Rationale: Although there are no known adverse interaction with Lisinopril or Norvasc, advise the client that he or she should always check with the doctor before taking any OTC products.Rate this question:
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- 2.
A client with rheu¡"toid "rthritis h"s been receiving inflixi¡"b for the ¢"st 2 ¡onths. She st"tes th"t her joint ¢"in is ¡uch better but th"t she h"s been h"ving terrible he"d"ches "nd " ‰runny nose‹ for the ¢"st 2 d"ys. Wh"t is the nurse†s best "ction?
- A.
Take her vital signs and compare with her baseline.
- B.
Call her physician immediately
- C.
Perform a comprehensive pain assessment.
- D.
Teach her meditation and relaxation techniques
Correct Answer
A. Take her vital signs and compare with her baseline.Explanation
Rationale: If the “terrible headaches” are caused by hypertension, the client may be experiencing a more serious side effect or allergic reaction. Comparing the vital signs will alert the nurse to this possibility. The physician can then be called with the results of the assessment and the client’s complaints.Rate this question:
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- 3.
A client h"d " cervic"l s¢in"l fusion "nd h"lo fix"tion device with j"cket ¢l"ced 2 d"ys "go. He re¢orts to you th"t he h"s " severe he"d"che, "nd he h"s ¢ers¢ir"tion on his forehe"d. His f"ce is flushed, "nd he re¢orts n"use". Wh"t is the nurse†s first "ction in c"ring for this client?
- A.
. Provide an emesis basin in case he vomits
- B.
Check his bladder for distention
- C.
Report his symptoms to the physician
- D.
Raise the head of his bed now
Correct Answer
D. Raise the head of his bed nowExplanation
Rationale: These are symptoms of autonomic dysreflexia, which causes severe hypertension that, if not immediately treated, will result in a stroke. Elevating the head of the bed will immediately lower the blood pressure. The nurse should then check the vital signs and check for any noxious stimuli that precipitated the event such as a distended bladder or constipation. The health careRate this question:
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- 4.
A client is "d¡itted to the PACU "fter "n "rthrosco¢ic ¢rocedure to re¢"ir " torn knee lig"¡ent. Which of these nursing "ctivities c"n be deleg"ted to the nursing "ssist"nt?
- A.
Explaining the client�s status to his life partner
- B.
Observing the surgical dressing for bloody drainage
- C.
Taking the client�s temperature, pulse, and respiratory rate
- D.
Teaching the client how to perform his postoperative leg exercises
Correct Answer
C. Taking the client�s temperature, pulse, and respiratory rate -
- 5.
A client is tr"nsferred fro¡ the o¢er"ting suite with "n extern"l fix"tor for " co¡¢ound tibi"l fr"cture th"t h"s been dîbrided. He is receiving IV "ntibiotic ther"¢y "nd ¡or¢hine by " PCA ¢u¡¢. Which nursing "ction is the ¡ost i¡¢ort"nt for this client?
- A.
Performing frequent neurovascular assessments
- B.
Keeping the affected leg elevated on a pillow
- C.
Teaching the client how to do leg exercises
- D.
Monitoring for signs of inflammation and infection
Correct Answer
A. Performing frequent neurovascular assessmentsExplanation
For the first 24 hours, the leg should be assessed for neurovascular compromise every hour and then every 4 hours. Swelling from injury, surgical manipulation, and inflammatory process puts the client at riskRate this question:
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- 6.
A 78-ye"r-old client h"s h"d " left below-the-knee "¡¢ut"tion for di"betic ¢eri¢her"l v"scul"r dise"se. He st"tes th"t he feels severe burning in his left foot. Wh"t is the nurse†s best res¢onse?
- A.
That foot was amputated so you can�t really feel it.�
- B.
Sometimes the pain medicine makes you feel like that.�
- C.
�On a scale of 1 to 10, what is your pain level now?�
- D.
That feeling will go away in a few days; everyone has it.�
Correct Answer
C. �On a scale of 1 to 10, what is your pain level now?� -
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Current Version
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Feb 25, 2012Quiz Edited by
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Feb 25, 2012Quiz Created by
Jrhan09
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