Musculoskeletal NCLEX Questions

Musculoskeletal NCLEX Questions

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• 1 weekThe nurse is caring for a patient who has experienced a stroke. The nurse has

implemented range-of-motion exercises. The nurse recognizes that contractures may begin within what time period?

• 1 week
• 1 month
• 2 weeks
• 24 hours
• "I should hold the muscle in contraction for at least a

minute." A patient on bed rest has been instructed on performing quadriceps setting exercises. What statement by the patient indicates the need for further instruction?

• "I should hold the muscle in contraction for at least a minute."
• "I should release the muscle and count to five before contracting again."

C."The exercises will benefit me most if I perform them three to four times a day."

• "These exercises are good to recondition my muscles in preparation for getting

out of bed."

• The patient initially advances the left crutch. The nurse is assisting the patient to use the 4-point gait with crutches. Which

behavior by the patient demonstrates understanding?

• The patient initially advances the left foot.

B.The patient initially advances the right foot.

• The patient initially advances the left crutch.
• The patient initially advances the right crutch.
• The extent of the patient's disability or paralysis For the patient who needs the support of a crutch while walking, the type of

crutch selected will depend on which assessment?

• The gait the patient will use
• What is most comfortable for the patient

C.The availability of insurance reimbursement

• The extent of the patient's disability or paralysis

• Assess temperature trends and sniff around the cast for

signs of foul odor.Which nursing action is most appropriate for monitoring a patient with a casted lower extremity for infection?

• Assess vital signs every hour while the patient is awake.
• Remove the cast weekly to check the wound for signs of infection.
• Remove the cast bi-weekly to check the wound for signs of infection.
• Assess temperature trends and sniff around the cast for signs of foul odor.
• 1 cup low-fat yogurtThe nurse is educating the patient with osteoporosis on the best diet choices to

improve bone density. The patient would demonstrate an understanding of the teaching by selecting which food choice that has the highest calcium content?

• 1 cup spinach
• 1 cup chopped kale
• 1 cup low-fat yogurt
• 1 ounce sliced carrots
• Bone densityThe patient presents to the clinic with symptoms indicative of osteoporosis. The

nurse anticipates which study will be performed in order to confirm the diagnosis?

• Chest x-ray
• Nuclear scan
• Bone density
• Computed tomography (CT) scan
• Smoking increases the risk of developing osteoporosis.The nurse is assessing injuries on a patient admitted to the unit who had fallen at

home several hours ago. When looking at the patient's history, the nurse notices that he has smoked at least four packs of cigarettes per day for the past 60 years.What impact does smoking have on the musculoskeletal health of a patient?

• Smoking increases the risk of more falls in the elderly.
• Smoking increases the risk of developing osteoporosis.
• Smoking decreases the risk of developing osteoporosis.
• Smoking decreases the risk of a hip fracture as you age
• Pain
• Difficulty providing own hygiene
• Difficulty moving about the house and/or work

setting(s) The nurse is participating in a patient care conference to plan the care for a patient with osteoporosis. Which issues should be discussed for inclusion in this patient's care plan? (Select all that apply.)

• Pain
• Difficulty breathing
• Potential for excessive fluid
• Difficulty providing own hygiene
• Difficulty moving about the house and/or work setting(s)
• Loss of bone mass
• Decrease in height
• Decreased muscle mass

The nurse is providing education to a middle-aged female about her changing health needs. The nurse should be sure to include information on which age- related changes? (Select all that apply.)

• Loss of bone mass
• Decrease in height
• Increased circulation
• Decreased muscle mass
• Increased mineral exchange

• Quadriceps setting exercisesThe nurse is caring for a patient who has had a knee replacement. Within 2 to 3

days, the LPN/LVN can likely anticipate which change in the plan of care?

• Walker training
• Enemas until clear
• Quadriceps setting exercises
• Cessation of pain medication
• Weight-bearing exercisesLPNs/LVNs can do much to decrease the incidence of osteoporosis by teaching

all female patients that preventive measures include sufficient calcium intake and which other intervention?

• Sufficient fluid intake
• Supplemental B vitamins
• Weight-bearing exercises
• Total avoidance of alcohol
• Swelling and pain in the big toe or other joint When assigned to care for a patient who has gout, the LPN/LVN should assess for

which condition?

• Evidence of unilateral joint deformity
• Decreased range-of-motion of most joints
• Swelling and pain in the big toe or other joint
• Signs of compression of the spine from collapsed vertebrae
• Secure the abduction wedge between the legs until

the surgeon requests removal.The LPN/LVN is caring for a patient who has had a total hip replacement. Which intervention should be implemented for this patient to help prevent dislocation?

• Adjust the patient's chair so that the hips are flexed in a normal position.
• Ensure the surgical bone cement remains firmly bonded with the prosthesis.
• Assist the patient to bear weight on the operative side within the first 24 hours.
• Secure the abduction wedge between the legs until the surgeon requests

removal.

• Fat embolismThe appearance of a petechial rash and respiratory distress 2 to 3 days after a

fracture should be reported promptly because they may be symptomatic of which life-threatening complication?

• Infection
• Fat embolism
• Nerve damage
• Vitamin deficiency
• It has a high risk of infection.The nurse is preparing to care for a patient who requires skeletal traction. The

nurse knows which statement is true regarding skeletal traction?

• It has a high risk of infection.
• It is used for only fractures of the lower extremity bones.
• It uses a series of removable pins, ropes, and weights to realign bones.
• It requires nurses to frequently assess and modify the amount of weight applied

• Torn anterior cruciate ligament injuryThe patient presents to the emergency department after a soccer game. The

patient reports that she made a sharp turn and heard and felt a large pop from her knee. The patient reports, "Now, when I'm walking, it feels like my knee just gives out, and I almost fall. Plus, it's twice the size of my other knee, and I can't straighten it all the way." The nurse recognizes that these symptoms correspond with which injury?

• Torn meniscus
• Dislocated patella
• Torn quadriceps muscle
• Torn anterior cruciate ligament injury
• 5-second nail bed capillary refillThe patient in the outpatient surgery center has just returned from surgery to

decompress the medial nerve as treatment for carpal tunnel syndrome. Which assessment finding immediately after surgery would alert the nurse to a possible complication?

• Nail beds that are pink
• Numbness of the fingertips
• 5-second nail bed capillary refill
• Fingertips that are warm to the touch
• "Rest your ankle as much as possible."
• "Prop your ankle on pillows while resting."
• "You should wrap your ankle with an elastic bandage."

The patient presents to the clinic after falling from her bike and is diagnosed with a Grade II ankle sprain. The nurse should make which statements to the patient regarding the treatment of her sprained ankle? (Select all that apply.)

• "Rest your ankle as much as possible."
• "Prop your ankle on pillows while resting."
• "You should wrap your ankle with an elastic bandage."
• "Take stimulant laxatives with your narcotic pain medication."
• "Place an ice pack on your ankle for 30 minutes every 4 hours."
• "Begin walking on your injured ankle after 24 hours, and increase your

ambulation as tolerated."

• Tetanus booster
• Intravenous (IV) morphine
• IV antibiotics

The patient presents to the clinic with a compound fracture of the right leg. The nurse anticipates the administration of which classes of medications? (Select all that apply.)

• Aspirin
• Tetanus booster
• Hepatitis B vaccine
• Intravenous (IV) morphine
• IV antibiotics
• stay with the person and encourage the person to

remain still The nurse is one of several people who witnesses a vehicle hit pedestrian at a fairly low speed on a small street. The individual is dazed and tired to get up and the leg appears fractured. The nurse should plan to preform which action ?

• Try to manually reduce the fracture
• assist the person to get up and walk to the sidewalk
• leave the person for a few moments to call an ambulance
• stay with the person and encourage the person to remain still