Musculoskeletal NCLEX Exam 2025; Brand
New Actual Exam Questions With Correct
Verified Answers
The nurse is one of several people who witness a vehicle hit a pedestrian at a
fairly low speed on a small street. The individual is dazed and tries to get up, and
the leg appears fractured. The nurse should plan to perform which action? -
Correct-answer-Stay with the person and encourage the person to remain still.
The nurse witnesses a client sustain a fall and suspects that the client's leg may be
fractured. Which action is the priority? - Correct-answer-Immobilize the leg
before moving the client.
A client with a hip fracture asks the nurse why Buck's extension traction is being
applied before surgery. The nurse's response is based on the understanding that
Buck's extension traction has which primary function? - Correct-answer-Provides
comfort by reducing muscle spasms and provides fracture immobilization
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The nurse is evaluating the pin sites of a client in skeletal traction. The nurse
would be least concerned with which finding? - Correct-answer-Serous drainage
The nurse is caring for the client who has had skeletal traction applied to the left
leg. The client is complaining of severe left leg pain. Which action should the
nurse take first? - Correct-answer-Check the client's alignment in bed.
The nurse has provided instructions regarding specific leg exercises for the client
immobilized in right skeletal lower leg traction. The nurse determines that the
client needs further teaching if the nurse observes the client doing which activity?
- Correct-answer-Performing active range of motion (ROM) to the right ankle and
knee
The nurse is checking the casted extremity of a client. The nurse should check for
which sign indicative of infection? - Correct-answer-Presence of a "hot spot" on
the cast
A client has sustained a closed fracture and has just had a cast applied to the
affected arm. The client is complaining of intense pain. The nurse has elevated
the limb, applied an ice bag, and administered an analgesic, which was ineffective
in relieving the pain. The nurse interprets that this pain may be caused by which
condition? - Correct-answer-Impaired tissue perfusion
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The nurse is assigned to care for a client with multiple traumas who is admitted to
the hospital. The client has a leg fracture, and a plaster cast has been applied. In
positioning the casted leg, the nurse should perform which intervention? -
Correct-answer-Elevate the leg on pillows continuously for 24 to 48 hours.
A client is complaining of skin irritation from the edges of a cast applied the
previous day. The nurse should plan for which intervention? - Correct-answer-
Petaling the cast edges with adhesive tape
The nurse is preparing a list of cast care instructions for a client who just had a
plaster cast applied to his right forearm. Which instructions should the nurse
include on the list? Select all that apply. - Correct-answer-Keep the cast and
extremity elevated.
The cast needs to be kept clean and dry.
Allow the wet cast 24 to 72 hours to dry.
The nurse is planning to reinforce instructions to the client about how to stand on
crutches. In the instructions, the nurse should plan to tell the client to place the
crutches in which position? - Correct-answer-8 inches to the front and side of the
client's toes