NCLEX 10000 Musculoskeletal Disorders Exam
Latest Update
A client comes to the emergency department reporting pain in the right leg. When
obtaining the history, the nurse learns that the client has a history of obesity and
hypertension. Based on this information the nurse anticipates the client having which
musculoskeletal disorder?
a) Degenerative joint disease
b) Paget's disease
c) Muscular dystrophy
d) Scoliosis - ANSWER Degenerative joint disease
Correct
Explanation:
Obesity predisposes the client to degenerative joint disease. Obesity isn't a
predisposing factor for muscular dystrophy, scoliosis, or Paget's disease
In preparation for total knee surgery, a 200-lb (90.7 kg) client with osteoarthritis must
lose weight. Which exercise should the nurse recommend as best if the client has no
contraindications?
a) weight lifting
b) aquatic exercise
c) walking
d) tai chi exercise - ANSWER aquatic exercise
Correct
Explanation:
When combined with a weight loss program, aquatic exercise would be best because it
cushions the joints and allows the client to burn off calories. Aquatic exercise promotes
, circulation, muscle toning, and lung expansion, which promote healthy preoperative
conditioning.
During a routine physical examination on a 75-year-old female client, a nurse notes that
the client is 5 feet, 3/8 inches (1.6 m) tall. The client states, "How is that possible? I was
always 5 feet and 1/2 inches (1.7 m) tall." Which statement is the best response by the
nurse?
a) "After age 40, height may show a gradual decrease as a result of spinal
compression"
b) "After menopause, the body's bone density declines, resulting in a gradual loss of
height."
c) "The posture begins to stoop after middle age."
d) "There may be some slight discrepancy between the measuring tools used." -
ANSWER "After menopause, the body's bone density declines, resulting in a gradual
loss of height."
Correct
Explanation:
The nurse should tell the client that after menopause, the loss of estrogen leads to a loss
in bone density, resulting in a loss of height
To ensure safe postoperative care of a client after a total hip arthroplasty, which actions
are most appropriate for the nurse to perform? Select all that apply.
a) Teach the client not to cross their legs.
b) Use a pillow under the knees to prevent hip flexion.
c) Limit movements resulting in internal rotation and adduction of the affected hip.
d) Reduce extension and hyperextension of the affected hip.
e) Elevate the client's legs above the level of the heart. - ANSWER • Limit movements
resulting in internal rotation and adduction of the affected hip.
• Teach the client not to cross their legs.
Latest Update
A client comes to the emergency department reporting pain in the right leg. When
obtaining the history, the nurse learns that the client has a history of obesity and
hypertension. Based on this information the nurse anticipates the client having which
musculoskeletal disorder?
a) Degenerative joint disease
b) Paget's disease
c) Muscular dystrophy
d) Scoliosis - ANSWER Degenerative joint disease
Correct
Explanation:
Obesity predisposes the client to degenerative joint disease. Obesity isn't a
predisposing factor for muscular dystrophy, scoliosis, or Paget's disease
In preparation for total knee surgery, a 200-lb (90.7 kg) client with osteoarthritis must
lose weight. Which exercise should the nurse recommend as best if the client has no
contraindications?
a) weight lifting
b) aquatic exercise
c) walking
d) tai chi exercise - ANSWER aquatic exercise
Correct
Explanation:
When combined with a weight loss program, aquatic exercise would be best because it
cushions the joints and allows the client to burn off calories. Aquatic exercise promotes
, circulation, muscle toning, and lung expansion, which promote healthy preoperative
conditioning.
During a routine physical examination on a 75-year-old female client, a nurse notes that
the client is 5 feet, 3/8 inches (1.6 m) tall. The client states, "How is that possible? I was
always 5 feet and 1/2 inches (1.7 m) tall." Which statement is the best response by the
nurse?
a) "After age 40, height may show a gradual decrease as a result of spinal
compression"
b) "After menopause, the body's bone density declines, resulting in a gradual loss of
height."
c) "The posture begins to stoop after middle age."
d) "There may be some slight discrepancy between the measuring tools used." -
ANSWER "After menopause, the body's bone density declines, resulting in a gradual
loss of height."
Correct
Explanation:
The nurse should tell the client that after menopause, the loss of estrogen leads to a loss
in bone density, resulting in a loss of height
To ensure safe postoperative care of a client after a total hip arthroplasty, which actions
are most appropriate for the nurse to perform? Select all that apply.
a) Teach the client not to cross their legs.
b) Use a pillow under the knees to prevent hip flexion.
c) Limit movements resulting in internal rotation and adduction of the affected hip.
d) Reduce extension and hyperextension of the affected hip.
e) Elevate the client's legs above the level of the heart. - ANSWER • Limit movements
resulting in internal rotation and adduction of the affected hip.
• Teach the client not to cross their legs.
