NCLEX MUSCULOSKELETAL TEST QUESTIONS WITH 100%
VERIFED ANSWERS
1. The nurse is one of several people who witness a Stay with the person
vehicle hit a pedestrian at a fairly low speed on a and encourage the per-
small street. The individual is dazed and tries to son to remain still.
get up, and the leg appears fractured. The nurse
should plan to perform which action?
2. The nurse witnesses a client sustain a fall and Immobilize the leg be-
suspects that the client's leg may be fractured. fore moving the client.
Which action is the priority?
3. A client with a hip fracture asks the nurse why Provides comfort by re-
Buck's extension traction is being applied be- ducing muscle spasms
fore surgery. The nurse's response is based on and provides fracture
the understanding that Buck's extension traction immobilization
has which primary function?
4. The nurse is evaluating the pin sites of a client in Serous drainage
skeletal traction. The nurse would be least con-
cerned with which finding?
5. The nurse is caring for the client who has had Check the client's
skeletal traction applied to the left leg. The client alignment in bed.
is complaining of severe left leg pain. Which ac-
tion should the nurse take first?
6. The nurse has provided instructions regarding Performing active
specific leg exercises for the client immobilized range of motion (ROM)
in right skeletal lower leg traction. The nurse de- to the right ankle and
termines that the client needs further teaching if knee
the nurse observes the client doing which activ-
ity?
7. The nurse is checking the casted extremity of Presence of a "hot
a client. The nurse should check for which sign spot" on the cast
indicative of infection?
8. A client has sustained a closed fracture and has Impaired tissue perfu-
just had a cast applied to the affected arm. The sion
client is complaining of intense pain. The nurse
has elevated the limb, applied an ice bag, and
, NCLEX MUSCULOSKELETAL TEST QUESTIONS WITH 100%
VERIFED ANSWERS
administered an analgesic, which was ineffective
in relieving the pain. The nurse interprets that this
pain may be caused by which condition?
9. The nurse is assigned to care for a client with Elevate the leg on pil-
multiple traumas who is admitted to the hospital. lows continuously for
The client has a leg fracture, and a plaster cast 24 to 48 hours.
has been applied. In positioning the casted leg,
the nurse should perform which intervention?
10. A client is complaining of skin irritation from the Petaling the cast edges
edges of a cast applied the previous day. The with adhesive tape
nurse should plan for which intervention?
11. The nurse is preparing a list of cast care instruc- Keep the cast and ex-
tions for a client who just had a plaster cast tremity elevated.
applied to his right forearm. Which instructions The cast needs to be
should the nurse include on the list? Select all kept clean and dry.
that apply. Allow the wet cast 24 to
72 hours to dry.
12. The nurse is planning to reinforce instructions 8 inches to the front
to the client about how to stand on crutches. In and side of the client's
the instructions, the nurse should plan to tell the toes
client to place the crutches in which position?
13. The nurse is evaluating the client's use of a cane Moves the cane when
for left-sided weakness. The nurse should inter- the right leg is moved
vene and correct the client if the nurse observed
that the client performed which action?
14. The nurse is caring for a client with fresh ap- Elevating the limb and
plication of a plaster leg cast. The nurse should applying ice to the af-
plan to prevent the development of compartment fected leg
syndrome by which action?
15. A client is being discharged home after applica- "I need to avoid getting
tion of a plaster leg cast. The nurse determines the cast wet."
that the client understands proper care of the
cast if the client makes which statement?
, NCLEX MUSCULOSKELETAL TEST QUESTIONS WITH 100%
VERIFED ANSWERS
16. A client has just had a cast removed and the "I need to scrub the
underlying skin is yellow-brown and crusted. The skin vigorously with
nurse determines that further skin care instruc- soap and water."
tions are required if the client makes which state-
ment?
17. A client has had skeletal traction applied to the Left heel
right leg and has an overhead trapeze available
for use. The nurse should monitor which as a
high-risk area for pressure and breakdown?
18. A client has been placed in Buck's extension Slightly elevating the
traction. Which technique provided by the nurse foot of the bed
will provide countertraction?
19. A client with diabetes mellitus has had a right Separation of wound
below-knee amputation. The nurse should be es- edges
pecially vigilant in monitoring for which compli-
cation related to the client's history?
20. A client is admitted to the nursing unit after a "It is a normal re-
left below-knee amputation following a crush in- sponse and indicates
jury to the foot and lower leg. The client tells the presence of phan-
the nurse, "I think I'm going crazy. I can feel my tom limb sensation."
left foot itching." How does the nurse correctly
interpret the client's statement?
21. The nurse has provided instructions to a client Get out of bed by sitting
with a herniated lumbar disk about proper body straight up and swing-
mechanics and other items pertinent to low back ing the legs over the
care. The nurse determines that the client needs side of the bed.
further teaching if the client verbalizes which
should be done?
22. A client with a left arm fracture exhibits loss of Notify the registered
sensation in the left fingers, pallor, slow refill, and nurse.
diminished left radial pulse. The nurse should
take which action?
VERIFED ANSWERS
1. The nurse is one of several people who witness a Stay with the person
vehicle hit a pedestrian at a fairly low speed on a and encourage the per-
small street. The individual is dazed and tries to son to remain still.
get up, and the leg appears fractured. The nurse
should plan to perform which action?
2. The nurse witnesses a client sustain a fall and Immobilize the leg be-
suspects that the client's leg may be fractured. fore moving the client.
Which action is the priority?
3. A client with a hip fracture asks the nurse why Provides comfort by re-
Buck's extension traction is being applied be- ducing muscle spasms
fore surgery. The nurse's response is based on and provides fracture
the understanding that Buck's extension traction immobilization
has which primary function?
4. The nurse is evaluating the pin sites of a client in Serous drainage
skeletal traction. The nurse would be least con-
cerned with which finding?
5. The nurse is caring for the client who has had Check the client's
skeletal traction applied to the left leg. The client alignment in bed.
is complaining of severe left leg pain. Which ac-
tion should the nurse take first?
6. The nurse has provided instructions regarding Performing active
specific leg exercises for the client immobilized range of motion (ROM)
in right skeletal lower leg traction. The nurse de- to the right ankle and
termines that the client needs further teaching if knee
the nurse observes the client doing which activ-
ity?
7. The nurse is checking the casted extremity of Presence of a "hot
a client. The nurse should check for which sign spot" on the cast
indicative of infection?
8. A client has sustained a closed fracture and has Impaired tissue perfu-
just had a cast applied to the affected arm. The sion
client is complaining of intense pain. The nurse
has elevated the limb, applied an ice bag, and
, NCLEX MUSCULOSKELETAL TEST QUESTIONS WITH 100%
VERIFED ANSWERS
administered an analgesic, which was ineffective
in relieving the pain. The nurse interprets that this
pain may be caused by which condition?
9. The nurse is assigned to care for a client with Elevate the leg on pil-
multiple traumas who is admitted to the hospital. lows continuously for
The client has a leg fracture, and a plaster cast 24 to 48 hours.
has been applied. In positioning the casted leg,
the nurse should perform which intervention?
10. A client is complaining of skin irritation from the Petaling the cast edges
edges of a cast applied the previous day. The with adhesive tape
nurse should plan for which intervention?
11. The nurse is preparing a list of cast care instruc- Keep the cast and ex-
tions for a client who just had a plaster cast tremity elevated.
applied to his right forearm. Which instructions The cast needs to be
should the nurse include on the list? Select all kept clean and dry.
that apply. Allow the wet cast 24 to
72 hours to dry.
12. The nurse is planning to reinforce instructions 8 inches to the front
to the client about how to stand on crutches. In and side of the client's
the instructions, the nurse should plan to tell the toes
client to place the crutches in which position?
13. The nurse is evaluating the client's use of a cane Moves the cane when
for left-sided weakness. The nurse should inter- the right leg is moved
vene and correct the client if the nurse observed
that the client performed which action?
14. The nurse is caring for a client with fresh ap- Elevating the limb and
plication of a plaster leg cast. The nurse should applying ice to the af-
plan to prevent the development of compartment fected leg
syndrome by which action?
15. A client is being discharged home after applica- "I need to avoid getting
tion of a plaster leg cast. The nurse determines the cast wet."
that the client understands proper care of the
cast if the client makes which statement?
, NCLEX MUSCULOSKELETAL TEST QUESTIONS WITH 100%
VERIFED ANSWERS
16. A client has just had a cast removed and the "I need to scrub the
underlying skin is yellow-brown and crusted. The skin vigorously with
nurse determines that further skin care instruc- soap and water."
tions are required if the client makes which state-
ment?
17. A client has had skeletal traction applied to the Left heel
right leg and has an overhead trapeze available
for use. The nurse should monitor which as a
high-risk area for pressure and breakdown?
18. A client has been placed in Buck's extension Slightly elevating the
traction. Which technique provided by the nurse foot of the bed
will provide countertraction?
19. A client with diabetes mellitus has had a right Separation of wound
below-knee amputation. The nurse should be es- edges
pecially vigilant in monitoring for which compli-
cation related to the client's history?
20. A client is admitted to the nursing unit after a "It is a normal re-
left below-knee amputation following a crush in- sponse and indicates
jury to the foot and lower leg. The client tells the presence of phan-
the nurse, "I think I'm going crazy. I can feel my tom limb sensation."
left foot itching." How does the nurse correctly
interpret the client's statement?
21. The nurse has provided instructions to a client Get out of bed by sitting
with a herniated lumbar disk about proper body straight up and swing-
mechanics and other items pertinent to low back ing the legs over the
care. The nurse determines that the client needs side of the bed.
further teaching if the client verbalizes which
should be done?
22. A client with a left arm fracture exhibits loss of Notify the registered
sensation in the left fingers, pallor, slow refill, and nurse.
diminished left radial pulse. The nurse should
take which action?
