NCLEX Florida Focus: Musculoskeletal Disorders Updated
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A nurse is caring for a client with a fractured femur placed in traction. Which
assessment finding requires immediate intervention?
A. Slight redness at the pin site
B. Client reports mild discomfort
C. Pulley system is not freely moving
D. Muscle spasms in the affected limb
Answer: C. Pulley system is not freely moving
Rationale: Traction must remain continuous and unobstructed to maintain proper
alignment. A pulley that is not moving freely disrupts traction, risking further injury and
impaired healing. Mild discomfort and spasms are expected, while slight redness may
occur but requires monitoring, not immediate intervention.
A client with osteoporosis asks how to prevent fractures. Which instruction is most
appropriate?
A. Increase caffeine intake
B. Engage in weight-bearing exercises
C. Avoid calcium-rich foods
D. Limit sunlight exposure
Answer: B. Engage in weight-bearing exercises
Rationale: Weight-bearing exercises strengthen bones and reduce fracture risk.
Calcium intake and sunlight (vitamin D) should be encouraged, while caffeine can
decrease calcium absorption.
A nurse is assessing a client with compartment syndrome. Which finding is an early
sign?
A. Paralysis
,B. Pulselessness
C. Severe pain unrelieved by medication
D. Cool, pale skin
Answer: C. Severe pain unrelieved by medication
Rationale: Severe, unrelieved pain—especially with passive movement—is the earliest
indicator of compartment syndrome. Paralysis and pulselessness are late signs and
indicate severe damage.
A client is postoperative following a total hip replacement. Which action should the
nurse include in care?
A. Encourage crossing legs
B. Maintain hip flexion beyond 90 degrees
C. Use an abduction pillow
D. Place the client in a low Fowler’s position
Answer: C. Use an abduction pillow
Rationale: An abduction pillow prevents hip dislocation by maintaining proper alignment.
Crossing legs and excessive hip flexion increase dislocation risk.
A nurse is teaching a client about gout management. Which dietary choice indicates
understanding?
A. Liver and organ meats
B. Shellfish
C. Low-fat dairy products
D. Alcoholic beverages
Answer: C. Low-fat dairy products
Rationale: Low-fat dairy may reduce uric acid levels. Organ meats, shellfish, and
alcohol are high in purines and should be avoided.
A client with a cast reports numbness and tingling in the fingers. What is the nurse’s
priority action?
A. Elevate the extremity
B. Notify the provider
C. Apply ice
D. Encourage movement
,Answer: B. Notify the provider
Rationale: Numbness and tingling suggest neurovascular compromise. Immediate
provider notification is necessary to prevent permanent damage.
Which finding indicates proper crutch use?
A. Leaning body weight on axillae
B. Elbows fully extended
C. Weight supported by hands
D. Crutches placed far ahead
Answer: C. Weight supported by hands
Rationale: Proper crutch use involves supporting weight with the hands, not the axillae,
to prevent nerve damage.
A client has rheumatoid arthritis. Which symptom is expected?
A. Asymmetric joint involvement
B. Morning stiffness lasting over an hour
C. Pain relieved by rest
D. Non-inflammatory joint changes
Answer: B. Morning stiffness lasting over an hour
Rationale: Rheumatoid arthritis is an autoimmune inflammatory condition characterized
by prolonged morning stiffness and symmetrical joint involvement.
A nurse is caring for a client with osteomyelitis. Which treatment is priority?
A. Oral antibiotics for 3 days
B. Long-term IV antibiotics
C. Bed rest only
D. High-protein diet only
Answer: B. Long-term IV antibiotics
Rationale: Osteomyelitis requires prolonged IV antibiotic therapy to eradicate infection
effectively.
A client with a below-knee amputation reports phantom limb pain. What is the best
nursing response?
A. “That pain is not real.”
, B. “You are imagining it.”
C. “Phantom pain is common after amputation.”
D. “It will go away immediately.”
Answer: C. “Phantom pain is common after amputation.”
Rationale: Phantom pain is a real and common experience. Acknowledging it helps
provide emotional support and validation.
A nurse is caring for a client with a herniated disc. Which symptom is expected?
A. Increased reflexes
B. Localized pain only
C. Radiating pain down the leg
D. Absence of muscle weakness
Answer: C. Radiating pain down the leg
Rationale: Herniated discs often compress nerves, causing radicular pain (e.g.,
sciatica).
Which intervention is appropriate for a client with scoliosis?
A. Encourage heavy lifting
B. Use a brace as prescribed
C. Avoid all physical activity
D. Maintain poor posture
Answer: B. Use a brace as prescribed
Rationale: Bracing helps prevent progression of spinal curvature in scoliosis.
A client with a fracture develops fat embolism syndrome. Which symptom is most
concerning?
A. Mild fever
B. Rash on chest
C. Respiratory distress
D. Joint pain
Answer: C. Respiratory distress
Rationale: Respiratory compromise is the most life-threatening sign of fat embolism
syndrome.
most Frequent Tested Exam 2026 WITH Recent Newest
Verified And Well Analyzed Exam Questions (Actual Exam
2026-2027) Correct Detailed & Verified ANSWERS (100%
Accurate Solutions) ALREADY GRADED A+||NEWEST
VERSION Of The Exam Guarantee Pass!!
A nurse is caring for a client with a fractured femur placed in traction. Which
assessment finding requires immediate intervention?
A. Slight redness at the pin site
B. Client reports mild discomfort
C. Pulley system is not freely moving
D. Muscle spasms in the affected limb
Answer: C. Pulley system is not freely moving
Rationale: Traction must remain continuous and unobstructed to maintain proper
alignment. A pulley that is not moving freely disrupts traction, risking further injury and
impaired healing. Mild discomfort and spasms are expected, while slight redness may
occur but requires monitoring, not immediate intervention.
A client with osteoporosis asks how to prevent fractures. Which instruction is most
appropriate?
A. Increase caffeine intake
B. Engage in weight-bearing exercises
C. Avoid calcium-rich foods
D. Limit sunlight exposure
Answer: B. Engage in weight-bearing exercises
Rationale: Weight-bearing exercises strengthen bones and reduce fracture risk.
Calcium intake and sunlight (vitamin D) should be encouraged, while caffeine can
decrease calcium absorption.
A nurse is assessing a client with compartment syndrome. Which finding is an early
sign?
A. Paralysis
,B. Pulselessness
C. Severe pain unrelieved by medication
D. Cool, pale skin
Answer: C. Severe pain unrelieved by medication
Rationale: Severe, unrelieved pain—especially with passive movement—is the earliest
indicator of compartment syndrome. Paralysis and pulselessness are late signs and
indicate severe damage.
A client is postoperative following a total hip replacement. Which action should the
nurse include in care?
A. Encourage crossing legs
B. Maintain hip flexion beyond 90 degrees
C. Use an abduction pillow
D. Place the client in a low Fowler’s position
Answer: C. Use an abduction pillow
Rationale: An abduction pillow prevents hip dislocation by maintaining proper alignment.
Crossing legs and excessive hip flexion increase dislocation risk.
A nurse is teaching a client about gout management. Which dietary choice indicates
understanding?
A. Liver and organ meats
B. Shellfish
C. Low-fat dairy products
D. Alcoholic beverages
Answer: C. Low-fat dairy products
Rationale: Low-fat dairy may reduce uric acid levels. Organ meats, shellfish, and
alcohol are high in purines and should be avoided.
A client with a cast reports numbness and tingling in the fingers. What is the nurse’s
priority action?
A. Elevate the extremity
B. Notify the provider
C. Apply ice
D. Encourage movement
,Answer: B. Notify the provider
Rationale: Numbness and tingling suggest neurovascular compromise. Immediate
provider notification is necessary to prevent permanent damage.
Which finding indicates proper crutch use?
A. Leaning body weight on axillae
B. Elbows fully extended
C. Weight supported by hands
D. Crutches placed far ahead
Answer: C. Weight supported by hands
Rationale: Proper crutch use involves supporting weight with the hands, not the axillae,
to prevent nerve damage.
A client has rheumatoid arthritis. Which symptom is expected?
A. Asymmetric joint involvement
B. Morning stiffness lasting over an hour
C. Pain relieved by rest
D. Non-inflammatory joint changes
Answer: B. Morning stiffness lasting over an hour
Rationale: Rheumatoid arthritis is an autoimmune inflammatory condition characterized
by prolonged morning stiffness and symmetrical joint involvement.
A nurse is caring for a client with osteomyelitis. Which treatment is priority?
A. Oral antibiotics for 3 days
B. Long-term IV antibiotics
C. Bed rest only
D. High-protein diet only
Answer: B. Long-term IV antibiotics
Rationale: Osteomyelitis requires prolonged IV antibiotic therapy to eradicate infection
effectively.
A client with a below-knee amputation reports phantom limb pain. What is the best
nursing response?
A. “That pain is not real.”
, B. “You are imagining it.”
C. “Phantom pain is common after amputation.”
D. “It will go away immediately.”
Answer: C. “Phantom pain is common after amputation.”
Rationale: Phantom pain is a real and common experience. Acknowledging it helps
provide emotional support and validation.
A nurse is caring for a client with a herniated disc. Which symptom is expected?
A. Increased reflexes
B. Localized pain only
C. Radiating pain down the leg
D. Absence of muscle weakness
Answer: C. Radiating pain down the leg
Rationale: Herniated discs often compress nerves, causing radicular pain (e.g.,
sciatica).
Which intervention is appropriate for a client with scoliosis?
A. Encourage heavy lifting
B. Use a brace as prescribed
C. Avoid all physical activity
D. Maintain poor posture
Answer: B. Use a brace as prescribed
Rationale: Bracing helps prevent progression of spinal curvature in scoliosis.
A client with a fracture develops fat embolism syndrome. Which symptom is most
concerning?
A. Mild fever
B. Rash on chest
C. Respiratory distress
D. Joint pain
Answer: C. Respiratory distress
Rationale: Respiratory compromise is the most life-threatening sign of fat embolism
syndrome.
