1. A. 1 week The nurse is caring for a patient who has experienced a
stroke. The nurse has implemented range-of-motion exer-
cises. The nurse recognizes that contractures may begin
within what time period?
A. 1 week
B. 1 month
C. 2 weeks
D. 24 hours
2. A. "I should hold A patient on bed rest has been instructed on performing
the muscle in quadriceps setting exercises. What statement by the pa-
contraction for at tient indicates the need for further instruction?
least a minute." A. "I should hold the muscle in contraction for at least
a minute."
B. "I should release the muscle and count to five
before contracting again."
C. "The exercises will benefit me most if I perform
them three to four times a day."
D. "These exercises are good to recondition my muscles
in preparation for getting out of bed."
3. C. The patient The nurse is assisting the patient to use the 4-point gait
initially advances with crutches. Which behavior by the patient demonstrates
the left crutch. understanding?
A. The patient initially advances the left foot.
B. The patient initially advances the right foot.
C. The patient initially advances the left crutch.
D. The patient initially advances the right crutch.
4. D. The extent of For the patient who needs the support of a crutch while
the patient's dis- walking, the type of crutch selected will depend on which
ability or paraly- assessment?
sis A. The gait the patient will use
B. What is most comfortable for the patient
C. The availability of insurance reimbursement
D. The extent of the patient's disability or paralysis
5. D. Assess tem- Which nursing action is most appropriate for monitoring a
perature trends patient with a casted lower extremity for infection?
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, Musculoskeletal NCLEX Questions and Answers 100% Pass
and sniff around A. Assess vital signs every hour while the patient is awake.
the cast for signs B. Remove the cast weekly to check the wound for signs
of foul odor. of infection.
C. Remove the cast bi-weekly to check the wound
for signs of infection.
D. Assess temperature trends and sniff around the cast
for signs of foul odor.
6. C. 1 cup low-fat The nurse is educating the patient with osteoporosis on
yogurt the best diet choices to improve bone density. The patient
would demonstrate an understanding of the teaching by
selecting which food choice that has the highest calcium
content?
A. 1 cup spinach
B. 1 cup chopped kale
C.1 cup low-fat yogurt
D.1 ounce sliced carrots
7. C. Bone density The patient presents to the clinic with symptoms indicative
of osteoporosis. The nurse anticipates which study will be
performed in order to confirm the diagnosis?
A. Chest x-ray
B. Nuclear scan
C. Bone density
D. Computed tomography (CT) scan
8. B. Smoking in- The nurse is assessing injuries on a patient admitted to
creases the risk the unit who had fallen at home several hours ago. When
of developing os- looking at the patient's history, the nurse notices that he
teoporosis. has smoked at least four packs of cigarettes per day for
the past 60 years. What impact does smoking have on the
musculoskeletal health of a patient?
A. Smoking increases the risk of more falls in the elderly.
B. Smoking increases the risk of developing osteoporosis.
C. Smoking decreases the risk of developing
osteoporo- sis.
D. Smoking decreases the risk of a hip fracture as you age
9. A. Pain The nurse is participating in a patient care conference to
D. Difficulty pro- plan the care for a patient with osteoporosis. Which issues
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