©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
252 - NCLEX Questions for
Musculoskeletal with Complete
Solutions
When counseling an older patient about ways to prevent fractures, which
information will the nurse include?
a.
Tacking down scatter rugs in the home is recommended.
b.
Occasional weight-bearing exercise will improve muscle and bone strength.
c.
Most falls happen outside the home.
d.
Buying shoes that provide good support and are comfortable to wear is
recommended. - ✔✔Correct Answer: D
Rationale: Comfortable shoes with good support will help to decrease the
risk for falls. Scatter rugs should be eliminated, not just tacked down.
Regular weight-bearing exercise will improve strength, but occasional
,©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
exercise is not helpful in improving strength. Falls inside the home are
responsible for many injuries.
Cognitive Level: Application Text Reference: p. 1630
Nursing Process: Implementation
NCLEX: Health Promotion and Maintenance
A patient is seen at the urgent care center after falling on the right arm and
shoulder. It will be most important for the nurse to determine
a.
whether there is bruising at the shoulder area.
b.
whether the right arm is shorter than the left.
c.
the amount of pain the patient is experiencing.
d.
how much range of motion (ROM) is present. - ✔✔Correct Answer: B
Rationale: A shorter limb after a fall indicates a possible dislocation, which
is an orthopedic emergency. The nurse will expect bruising and pain at the
area, even without an injury that requires surgery. The shoulder should be
immobilized until it is evaluated by the health care provider.
,©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
3. A checkout clerk in a grocery store has muscle and tendon tears that
have become inflamed, causing pain and weakness in the left hand and
elbow. The nurse identifies these symptoms as related to
a.
muscle spasms.
b.
meniscus injury.
c.
repetitive strain injury.
d.
carpal tunnel syndrome. - ✔✔Correct Answer: C
Rationale: The patient's occupation and the inflammation, pain, and
weakness in the elbow and hand suggest a repetitive strain injury. Muscle
spasms would be characterized by a palpable, firm muscle mass during the
spasm. Meniscus injury would affect the knee. Carpal tunnel syndrome is
characterized by weakness and numbness of the hand.
4. When working with a patient whose job involves many hours of word
processing, the nurse will teach the patient about the need to
a.
do stretching and warm-up exercises before starting work.
, ©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
b.
wrap the wrists with a compression bandage every morning.
c.
use acetaminophen (Tylenol) instead of NSAIDs for wrist pain.
d.
obtain a keyboard pad to support the wrist while word processing. -
✔✔Correct Answer: D
Rationale: Repetitive strain injuries caused by prolonged times working at a
keyboard can be prevented by the use of a pad that will keep the wrists in a
straight position. Stretching exercises during the day may be helpful, but
these would not be needed before starting. Use of a compression bandage
is not needed, although a splint may be used for carpal tunnel syndrome.
NSAIDs are appropriate to use to decrease swelling.
Cognitive Level: Application Text Reference: p. 1633
Nursing Process: Implementation
NCLEX: Health Promotion and Maintenance
A patient arrives in the emergency department with ankle swelling and
severe pain after twisting the ankle playing soccer. All of the following
252 - NCLEX Questions for
Musculoskeletal with Complete
Solutions
When counseling an older patient about ways to prevent fractures, which
information will the nurse include?
a.
Tacking down scatter rugs in the home is recommended.
b.
Occasional weight-bearing exercise will improve muscle and bone strength.
c.
Most falls happen outside the home.
d.
Buying shoes that provide good support and are comfortable to wear is
recommended. - ✔✔Correct Answer: D
Rationale: Comfortable shoes with good support will help to decrease the
risk for falls. Scatter rugs should be eliminated, not just tacked down.
Regular weight-bearing exercise will improve strength, but occasional
,©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
exercise is not helpful in improving strength. Falls inside the home are
responsible for many injuries.
Cognitive Level: Application Text Reference: p. 1630
Nursing Process: Implementation
NCLEX: Health Promotion and Maintenance
A patient is seen at the urgent care center after falling on the right arm and
shoulder. It will be most important for the nurse to determine
a.
whether there is bruising at the shoulder area.
b.
whether the right arm is shorter than the left.
c.
the amount of pain the patient is experiencing.
d.
how much range of motion (ROM) is present. - ✔✔Correct Answer: B
Rationale: A shorter limb after a fall indicates a possible dislocation, which
is an orthopedic emergency. The nurse will expect bruising and pain at the
area, even without an injury that requires surgery. The shoulder should be
immobilized until it is evaluated by the health care provider.
,©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
3. A checkout clerk in a grocery store has muscle and tendon tears that
have become inflamed, causing pain and weakness in the left hand and
elbow. The nurse identifies these symptoms as related to
a.
muscle spasms.
b.
meniscus injury.
c.
repetitive strain injury.
d.
carpal tunnel syndrome. - ✔✔Correct Answer: C
Rationale: The patient's occupation and the inflammation, pain, and
weakness in the elbow and hand suggest a repetitive strain injury. Muscle
spasms would be characterized by a palpable, firm muscle mass during the
spasm. Meniscus injury would affect the knee. Carpal tunnel syndrome is
characterized by weakness and numbness of the hand.
4. When working with a patient whose job involves many hours of word
processing, the nurse will teach the patient about the need to
a.
do stretching and warm-up exercises before starting work.
, ©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
b.
wrap the wrists with a compression bandage every morning.
c.
use acetaminophen (Tylenol) instead of NSAIDs for wrist pain.
d.
obtain a keyboard pad to support the wrist while word processing. -
✔✔Correct Answer: D
Rationale: Repetitive strain injuries caused by prolonged times working at a
keyboard can be prevented by the use of a pad that will keep the wrists in a
straight position. Stretching exercises during the day may be helpful, but
these would not be needed before starting. Use of a compression bandage
is not needed, although a splint may be used for carpal tunnel syndrome.
NSAIDs are appropriate to use to decrease swelling.
Cognitive Level: Application Text Reference: p. 1633
Nursing Process: Implementation
NCLEX: Health Promotion and Maintenance
A patient arrives in the emergency department with ankle swelling and
severe pain after twisting the ankle playing soccer. All of the following
