SAUNDERS NCLEX MUSCULOSKELETAL EXAM

SAUNDERS NCLEX MUSCULOSKELETAL EXAM

(ACTUAL 2025/2026) QUESTIONS AND VERIFIED

ANSWERS.

The nurse is conducting health screening for osteoporosis.Which client is at greatest risk of developing this disorder?

1.A 25-year-old woman who runs 2.A 36-year-old man who has asthma 3.A 70-year-old man who consumes excess alcohol 4.A sedentary 65-year-old woman who smokes cigarettes A sedentary 65-year-old woman who smokes cigarettes

Risk factors for osteoporosis include female gender, being postmenopausal, advanced age, a low-calcium diet, excessive alcohol intake, being sedentary, and smoking cigarettes.Long-term use of corticosteroids, anticonvulsants, and/or furosemide also increases the risk. 1 / 4

The nurse is caring for an older adult who has been placed in Buck's extension traction after a hip fracture. On assessment of the client, the nurse notes that the client is disoriented.What is the best nursing action based on this information?

1.Apply restraints to the client.

2.Ask the family to stay with the client.

3.Place a clock and calendar in the client's room.

4.Ask the laboratory to perform electrolyte studies.Place a clock and calendar in the client's room.

An inactive older adult may become disoriented because of lack of sensory stimulation. The most appropriate nursing intervention would be to reorient the client frequently and to place objects such as a clock and a calendar in the client's room to maintain orientation. Restraints may cause further disorientation and should not be applied unless specifically prescribed; agency policies and procedures should be followed before the application of restraints. The family can assist with orientation of the client, but it is inappropriate to 2 / 4

ask the family to stay with the client. It is not within the scope of nursing practice to prescribe laboratory studies.

The nurse is creating a plan of care for a client in skin traction. The nurse should monitor for which priority finding in this client?

1.Urinary incontinence 2.Signs of skin breakdown 3.The presence of bowel sounds 4.Signs of infection around the pin sites Signs of skin breakdown

Skin traction is achieved by Ace wraps, boots, or slings that apply a direct force on the client's skin. Traction is maintained with 5 to 8 lb (2.3 to 3.6 kg) of weight, and this type of traction can cause skin breakdown. Urinary incontinence is not related to the use of skin traction. Although constipation can occur as a result of immobility and monitoring bowel sounds may be a component of the assessment, this 3 / 4

intervention is not the priority assessment. There are no pin sites with skin traction.

The home care nurse is visiting a client who is in a body cast.While performing an assessment, the nurse plans to evaluate the psychosocial adjustment of the client to the cast. What is the most appropriate assessment for this client?

1.The need for sensory stimulation 2.The amount of home care support available 3.The ability to perform activities of daily living 4.The type of transportation available for follow-up care The need for sensory stimulation

A psychosocial assessment of a client who is immobilized would most appropriately include the need for sensory stimulation. This assessment should also include such factors as body image, past and present coping skills, and coping methods used during the period of immobilization. Although

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