NCLEX 10000 MUSCULOSKELETAL DISORDERS
A client has a C7 spinal cord injury. Which would be the most important nursing
intervention during the acute stage of the injury? - maintain a patent airway
A client undergoes total hip replacement. After surgery, the client questions why he
must go to a rehabilitation center because he has family who can care for him. Which
response by the nurse is best? - the rehabilitation staff can evaluate your progress
Which goal is the priority for a client with a fractured femur who is in traction at this
time? - prevent effects of immobility while in traction
Which equipment should the nurse plan to use to help prevent external rotation of the
client's right leg postoperatively? - sandbags
A client was undergoing conservative treatment for a herniated nucleus pulposus, at L5
- S1, which was diagnosed by magnetic resonance imaging. Because of increasing
neurological symptoms, the client undergoes lumbar laminectomy. The nurse should
take which step during the immediate postoperative period? - legroom the client from
side to side
A client returns from the first session of scheduled physical therapy following total knee
replacement surgery. The nurse assesses that the client's knee is swollen, slightly
erythematous, and painful. The client rates the pain as 7 out of 10 and has not had any
scheduled or PRN pain medication today. What should the nurse do? Select all that
apply. - administer pain med
elevate the leg and apply a cold pack
After a person experiences a closure of the epiphyses, which statement is true? - no
further increase in bone length occurs
On a visit to the family physician, a client is diagnosed with a bunion on the lateral side
of the great toe, at the metatarsophalangeal joint. Which statement should the nurse
include in the teaching session? - some bunions are congenital
A client seeks care for lower back pain of 2 weeks' duration. Which assessment finding
suggests a herniated intervertebral disk? - pain radiating down the posterior thigh
The client with an above-the-knee amputation is to be fitted with a functioning
prosthesis. The nurse has been teaching the client how to care for the residual limb.
Which behavior would demonstrate that the client has an understanding of proper
residual limb care? The client: - washes and dries the residual limb daily
, What would be the most important nursing intervention in caring for the client's residual
limb during the first 24 hours after amputation of the left leg? - elevate the residual limb
on a pillow
The client sustained an open fracture of the femur from an automobile accident. The
nurse should assess the client for which type of shock? - hypovolemic
The nurse is caring for a client on a second course of antibiotics to eliminate
osteomyelitis. It is most essential for the nurse to instruct on which aspect of daily care?
- a diet high in protein and nutrients
A client has been diagnosed with osteoporosis after a bone density test and is asking
what has caused it. Discussion of risk factors would include which of the following? -
heavy smoking
Which discharge instruction should a nurse give a client who's had surgery to repair a
hip fracture? - dont flex your hip more than 90 degrees
After a right total knee replacement, the client's right leg is placed in a continuous
passive motion (CPM) machine. Nursing responsibilities when caring for a client with
this apparatus should include: - maintaining proper positioning of the leg on the CPM
machine
The nurse is assisting a client who has had a spinal fusion apply a back brace. In which
order of priority should the nurse assist the client applying the brace? All options must
be used. - verify
have the client
assist the client
ask the client
A client has a left tibial fracture that required casting. Approximately 5 hours later, the
client has increasing pain distal to the fracture despite the morphine injection
administered 30 minutes previously. Which area should be the nurse's next
assessment? - distal pulse
The intended outcome of the use of treatment with skeletal traction for a client who has
had a femoral fracture is: - to align injured bones
To protect a client's skin under a back brace, the nurse should: - have the client wear a
think cotton shirt
A client has a C7 spinal cord injury. Which would be the most important nursing
intervention during the acute stage of the injury? - maintain a patent airway
A client undergoes total hip replacement. After surgery, the client questions why he
must go to a rehabilitation center because he has family who can care for him. Which
response by the nurse is best? - the rehabilitation staff can evaluate your progress
Which goal is the priority for a client with a fractured femur who is in traction at this
time? - prevent effects of immobility while in traction
Which equipment should the nurse plan to use to help prevent external rotation of the
client's right leg postoperatively? - sandbags
A client was undergoing conservative treatment for a herniated nucleus pulposus, at L5
- S1, which was diagnosed by magnetic resonance imaging. Because of increasing
neurological symptoms, the client undergoes lumbar laminectomy. The nurse should
take which step during the immediate postoperative period? - legroom the client from
side to side
A client returns from the first session of scheduled physical therapy following total knee
replacement surgery. The nurse assesses that the client's knee is swollen, slightly
erythematous, and painful. The client rates the pain as 7 out of 10 and has not had any
scheduled or PRN pain medication today. What should the nurse do? Select all that
apply. - administer pain med
elevate the leg and apply a cold pack
After a person experiences a closure of the epiphyses, which statement is true? - no
further increase in bone length occurs
On a visit to the family physician, a client is diagnosed with a bunion on the lateral side
of the great toe, at the metatarsophalangeal joint. Which statement should the nurse
include in the teaching session? - some bunions are congenital
A client seeks care for lower back pain of 2 weeks' duration. Which assessment finding
suggests a herniated intervertebral disk? - pain radiating down the posterior thigh
The client with an above-the-knee amputation is to be fitted with a functioning
prosthesis. The nurse has been teaching the client how to care for the residual limb.
Which behavior would demonstrate that the client has an understanding of proper
residual limb care? The client: - washes and dries the residual limb daily
, What would be the most important nursing intervention in caring for the client's residual
limb during the first 24 hours after amputation of the left leg? - elevate the residual limb
on a pillow
The client sustained an open fracture of the femur from an automobile accident. The
nurse should assess the client for which type of shock? - hypovolemic
The nurse is caring for a client on a second course of antibiotics to eliminate
osteomyelitis. It is most essential for the nurse to instruct on which aspect of daily care?
- a diet high in protein and nutrients
A client has been diagnosed with osteoporosis after a bone density test and is asking
what has caused it. Discussion of risk factors would include which of the following? -
heavy smoking
Which discharge instruction should a nurse give a client who's had surgery to repair a
hip fracture? - dont flex your hip more than 90 degrees
After a right total knee replacement, the client's right leg is placed in a continuous
passive motion (CPM) machine. Nursing responsibilities when caring for a client with
this apparatus should include: - maintaining proper positioning of the leg on the CPM
machine
The nurse is assisting a client who has had a spinal fusion apply a back brace. In which
order of priority should the nurse assist the client applying the brace? All options must
be used. - verify
have the client
assist the client
ask the client
A client has a left tibial fracture that required casting. Approximately 5 hours later, the
client has increasing pain distal to the fracture despite the morphine injection
administered 30 minutes previously. Which area should be the nurse's next
assessment? - distal pulse
The intended outcome of the use of treatment with skeletal traction for a client who has
had a femoral fracture is: - to align injured bones
To protect a client's skin under a back brace, the nurse should: - have the client wear a
think cotton shirt
