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.
C
LE
ST
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.
BE
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
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.
C
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?
LE
- Correct Answer--Performing active range of motion (ROM) to the right ankle and knee
ST
BE
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
,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.
C
LE
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
ST
BE
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
, The nurse is evaluating the client's use of a cane for left-sided weakness. The nurse should
intervene and correct the client if the nurse observed that the client performed which action? -
Correct Answer--Moves the cane when the right leg is moved
C
LE
The nurse is caring for a client with fresh application of a plaster leg cast. The nurse should plan
to prevent the development of compartment syndrome by which action? - Correct Answer--
ST
Elevating the limb and applying ice to the affected leg
BE
A client is being discharged home after application of a plaster leg cast. The nurse determines
that the client understands proper care of the cast if the client makes which statement? - Correct
Answer--"I need to avoid getting the cast wet."
The nurse is caring for a client who has had spinal fusion with insertion of hardware. The nurse
should be especially concerned with which finding? - Correct Answer--An oral temperature of
101° F orally
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.
C
LE
ST
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.
BE
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
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.
C
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?
LE
- Correct Answer--Performing active range of motion (ROM) to the right ankle and knee
ST
BE
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
,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.
C
LE
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
ST
BE
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
, The nurse is evaluating the client's use of a cane for left-sided weakness. The nurse should
intervene and correct the client if the nurse observed that the client performed which action? -
Correct Answer--Moves the cane when the right leg is moved
C
LE
The nurse is caring for a client with fresh application of a plaster leg cast. The nurse should plan
to prevent the development of compartment syndrome by which action? - Correct Answer--
ST
Elevating the limb and applying ice to the affected leg
BE
A client is being discharged home after application of a plaster leg cast. The nurse determines
that the client understands proper care of the cast if the client makes which statement? - Correct
Answer--"I need to avoid getting the cast wet."
The nurse is caring for a client who has had spinal fusion with insertion of hardware. The nurse
should be especially concerned with which finding? - Correct Answer--An oral temperature of
101° F orally
