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Exam (elaborations)

Musculoskeletal NCLEX Questions – 79 Verified Questions with Correct Solutions (2025 Updated Edition)

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INSTANT PDF DOWNLOAD. This Musculoskeletal NCLEX Questions study guide includes 79 verified questions and correct solutions designed to help nursing students master musculoskeletal system concepts for the NCLEX exam. It covers fracture management, orthopedic surgery, traction care, joint replacement, amputation, and postoperative nursing interventions. Each question includes accurate answers and rationales to strengthen understanding and improve test performance. Perfect for RN and PN students preparing for the NCLEX-RN or NCLEX-PN exams.

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Musculoskeletal NCLEX
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Musculoskeletal NCLEX










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Institution
Musculoskeletal NCLEX
Course
Musculoskeletal NCLEX

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Uploaded on
November 7, 2025
Number of pages
22
Written in
2025/2026
Type
Exam (elaborations)
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Musculoskeletal NCLEX Questions 79
correct solutions.
MusculoskeletalNCLEXQuestions79 u u u




correct solutions.
u u




A nurse is performing a musculoskeletal assessment on an older adult living independently. What normal
u u u u u u u u u u u u u u



physiologic changes of aging does the nurse expect? (Select all that apply.)
u u u u u u u u u u u u




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
u u u u u u u u u u u u u u u u u



is the nurse's priority when caring for this client?
u u u u u u u u u




a. Perform passive range-of-motion exercises.
u u u




b. Keep the affected leg immobilized.
u u u u




c. Ensure that the patient uses the patient-controlled analgesia (PCA) pump.
u u u u u u u u u




d. Check the neurovascular status of the affected leg and foot. - ANSWER D
u u u u u u u u u u u u




A client who has a plaster leg splint reports a painful pressure sensation under the elastic wrap that is
u u u u u u u u u u u u u u u u u u



holding the splint in place. What is the nurse's best initial action?
u u u u u u u u u u u u




a. Remove the splint to reduce skin pressure.
u u u u u u




b. Perform a neurovascular assessment.
u u u




c. Report the client's concern to the primary health care provider.
u u u u u u u u u




d. Inspect the skin under the elastic bandage. - ANSWER B.
u u u u u u u u u

,Musculoskeletal NCLEX Questions 79
correct solutions.
A client has a synthetic cast placed for a right wrist fracture in the emergency room. What priority health
u u u u u u u u u u u u u u u u u u



teaching is important for the nurse to provide for this client before returning home? (Select all that apply.)
u u u u u u u u u u u u u u u u u u




a. "Keep your right arm below the level of your heart as often as possible."
u u u u u u u u u u u u u




b. "Use an ice pack for the first 24 hours to decrease tissue swelling."
u u u u u u u u u u u u




c. "Move the fingers of the right hand frequently to promote blood flow."
u u u u u u u u u u u




d. "Report coolness or discoloration of your right hand to your doctor."
u u u u u u u u u u




e. "Don't place any device under the case to scratch the skin if it itches." - ANSWER B,C,D,E
u u u u u u u u u u u u u u u u




A client who had an elective below-the-knee amputation (BKA) reports pain in the foot that was
u u u u u u u u u u u u u u u



amputated last week. What is the nurse's most appropriate response to the client's pain?
u u u u u u u u u u u u u u




a. "The pain will go away after the swelling decreases."
u u u u u u u u




b. "That's phantom limb pain and every amputee has that."
u u u u u u u u




c. "Your foot has been amputated, so it's in your head."
u u u u u u u u u




d. "On a scale of 0 to 10, how would you rate your pain?" - ANSWER D.
u u u u u u u u u u u u u u u




What is the nurse's priority when doing an admission for a client who returned directly from the operating
u u u u u u u u u u u u u u u u u



suite after a carpal tunnel repair?
u u u u u u




a. Monitor vital signs, including pulse oximetry. u u u u u




b. Check the surgical dressing to ensure it is intact.
u u u u u u u u




c. Assess neurovascular assessment in the affected arm.
u u u u u u




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)?
u u u u u u u u u u u u u




A. Doppler device u




B. Goniometer

, Musculoskeletal NCLEX Questions 79
correct solutions.
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
u u u u u u u u u u u u u u u



that the student understands a normal physiologic function of the skeletal system?
u u u u u u u u u u u u




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."
u u u u u u u u u u u u u u u u




C. "The matrix of the bone is where deposits of calcium and magnesium are present."
u u u u u u u u u u u u u




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.
u u u u u u u u u u u u u u



Which information will be most essential for the nurse to report to the health care provider?
u u u u u u u u u u u u u u u u




A. Knee pain at a level of 9 (0-to-10 scale)
u u u u u u u u




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
u u u u u u u u u u u u u u u u u u



with knee pain undergoes magnetic resonance imaging (MRI)?
u u u u u u u u




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.
u u u u u u u u u u u u u u u u



Which risk factor will be the priority for client teaching?
u u u u u u u u u u




A. Low calcium and vitamin D intake
u u u u u




B. Postmenopausal status u




C. Positive family history u u

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