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MusculoskeletalNCLEXQuestions79 u u u
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A nurse is performing a musculoskeletal assessment on an older adult living independently. What normal
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physiologic changes of aging does the nurse expect? (Select all that apply.)
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a. Muscle atrophy u
b. Slowed movement u
c. Scoliosis
d. Arthritis
e. Widened gait - ANSWER A,B,D,E u u u u
A client returns to the postanesthesia care unit (PACU) after an arthroscopy to prepare a knee injury. What
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is the nurse's priority when caring for this client?
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a. Perform passive range-of-motion exercises.
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b. Keep the affected leg immobilized.
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c. Ensure that the patient uses the patient-controlled analgesia (PCA) pump.
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d. Check the neurovascular status of the affected leg and foot. - ANSWER D
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A client who has a plaster leg splint reports a painful pressure sensation under the elastic wrap that is
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holding the splint in place. What is the nurse's best initial action?
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a. Remove the splint to reduce skin pressure.
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b. Perform a neurovascular assessment.
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c. Report the client's concern to the primary health care provider.
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d. Inspect the skin under the elastic bandage. - ANSWER B.
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,Musculoskeletal NCLEX Questions 79
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A client has a synthetic cast placed for a right wrist fracture in the emergency room. What priority health
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teaching is important for the nurse to provide for this client before returning home? (Select all that apply.)
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a. "Keep your right arm below the level of your heart as often as possible."
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b. "Use an ice pack for the first 24 hours to decrease tissue swelling."
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c. "Move the fingers of the right hand frequently to promote blood flow."
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d. "Report coolness or discoloration of your right hand to your doctor."
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e. "Don't place any device under the case to scratch the skin if it itches." - ANSWER B,C,D,E
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A client who had an elective below-the-knee amputation (BKA) reports pain in the foot that was
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amputated last week. What is the nurse's most appropriate response to the client's pain?
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a. "The pain will go away after the swelling decreases."
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b. "That's phantom limb pain and every amputee has that."
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c. "Your foot has been amputated, so it's in your head."
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d. "On a scale of 0 to 10, how would you rate your pain?" - ANSWER D.
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What is the nurse's priority when doing an admission for a client who returned directly from the operating
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suite after a carpal tunnel repair?
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a. Monitor vital signs, including pulse oximetry. u u u u u
b. Check the surgical dressing to ensure it is intact.
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c. Assess neurovascular assessment in the affected arm.
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d. Monitor intake and output. - ANSWER A. u u u u u u
The nurse plans to use which tool to measure joint range of motion (ROM)?
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A. Doppler device u
B. Goniometer
, Musculoskeletal NCLEX Questions 79
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C. Reflex hammer u
D. Tonometer - ANSWER B. u u u
A nursing student is studying the skeletal system. Which statement best indicates to the nursing instructor
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that the student understands a normal physiologic function of the skeletal system?
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A. "Volkmann's canals connect osteoblasts and osteoclasts." u u u u u
B. "In the deepest layer of the periosteum is the cortex, which consists of dense, compact bone tissue."
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C. "The matrix of the bone is where deposits of calcium and magnesium are present."
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D. "Hematopoiesis occurs in the red marrow, which is where blood cells are produced." - ANSWER D. u u u u u u u u u u u u u u u
The nurse is completing an admission assessment on a client scheduled for arthroscopic knee surgery.
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Which information will be most essential for the nurse to report to the health care provider?
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A. Knee pain at a level of 9 (0-to-10 scale)
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B. Warm, red, and swollen knee u u u u
C. Allergy to shellfish and iodine u u u u
D. Previous surgery on the other knee - ANSWER B. u u u u u u u u
Which client information is most essential for the nurse to report to the health care provider before a client
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with knee pain undergoes magnetic resonance imaging (MRI)?
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A. Daily use of aspirin u u u
B. Swollen and tender knee u u u
C. Presence of a permanent pacemaker u u u u
D. History of claustrophobia - ANSWER C. u u u u u
When assessing a female client, the nurse learns that the client has several risk factors for osteoporosis.
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Which risk factor will be the priority for client teaching?
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A. Low calcium and vitamin D intake
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B. Postmenopausal status u
C. Positive family history u u