NCLEX EXAM zm
Exam Solution zm
Registered Nurse RN & Lippincott Musculoskeletal Tes zm zm zm zm zm zm
t Bank Musculoskeletal Health Problems ALL COMBINE
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D 2026 A+ GRADE ASSURED COMPLETE SOLUTIONS AN
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D VERIFIED ANSWERS (D92DC)
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QUESTION 1 zm
While your patient is ambulating with crutches he moves both crutches forward along
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mwith the injured leg and then moves the non-
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injured forward. When you document you will note that the patient used what type of
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mgait while ambulating with crutches?
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A. Two-point gait
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B. Three-point gait
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C. Four-point gait
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D. Swing-to-gait
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ANSWER
B. Three-point gait This describes the three-point gait while using crutches.
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QUESTION 2 zm
While using crutches the patient moves both crutches forward and then moves both le
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gs forward past the placement of the crutches. This is known as the:
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A. Two-point gait
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B. Swing-to-gait
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C. Swing-through-gait
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D. Three-point gait
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ANSWER
C. Swing-through-gait This description is known as the swing-through-
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gait. The key word to let you know it is the swing-through-
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gait is that the patient moves both legs PAST the placement of the crutches. It would have been the
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mswing-to-gait if both legs moved forward to the same point as the crutch placement.
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,QUESTION 3 zm
True or False: When using the swing-
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to gait with crutches, the patient will move both crutches forward, and then will move
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both legs forward to the same point as the crutches.
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ANSWER
The answer is true. This description describes the swing-to-gait.
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QUESTION 4 zm
While going down the stairs with crutches the patient will move the crutches down on
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to the step followed by?
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A. moving the non-injured leg down onto the step.
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B. moving the injured leg down onto the step.
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C. moving both legs down onto the step.
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ANSWER
B. moving the injured leg down onto the step. When going down the stairs with crutches, the patien
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t will move the crutches down first onto the step followed by moving the INJURED leg and then the
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mpatient will move the non-injured leg down.
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QUESTION 5 zm
Figure 1 represents what type of bone fracture: This is a fracture that is slanted acros
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s the bone shaft.
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A. Transverse Fracture
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B. Spiral Fracture
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C. Oblique Fracture
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D. Compound Fracture
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ANSWER
C. Oblique Fracture
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QUESTION 6 zm
Figure 2 represents what type of bone fracture: The fractured bone is broken into ma
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ny fragments (3 or more).
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A. Open Fracture
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B. Greenstick Fracture
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C. Oblique Fracture
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D. Comminuted Fracture
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ANSWER
D. Comminuted Fracture
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, QUESTION 7 zm
Figure 3 represents what type of bone fracture: This a fractured bone that breaks thr
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ough the skin. zm zm
A. Closed Fracture
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B. Compound Fracture
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C. Greenstick Fracture
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D. Transverse Fracture
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ANSWER
B. Compound Fracture
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QUESTION 8 zm
You're caring for a patient who has experienced a fracture to the right arm that is rep
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resented in Figure 3. What nursing intervention will you take with this type of fractur
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e?
A. Cover the fracture with a sterile dressing
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B. Place the arm below the heart level.
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C. Attempt bone reduction by manually readjusting the bone.
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D. Place a tight compression bandage over the fracture.
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ANSWER
A. Cover the fracture with a sterile dressing Figure 3 represents a compound fracture (also called an
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open fracture). Due to the nature of this fracture, the patient is at major risk for infection because
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the skin is no longer intact. Therefore, the nurse should cover the fracture site with a sterile dressin
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g. NEVER attempt a bone reduction. In addition, avoid a tight compression bandage due to the devel
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opment of ischemia. Instead, you would want to immobilize the extremities and splint it.
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QUESTION 9 zm
Which statement by a patient, who just received a cast on the right arm for a fracture
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, requires you to notify the physician immediately?
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A. "It is really itchy inside my cast!"
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B. "My pain is so severe that it hurts to stretch or elevate my arm."
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C. "I can feel my fingers and move them."
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D. "I've been using ice packs to reduce swelling."
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ANSWER
B. "My pain is so severe that it hurts to stretch or elevate my arm." This statement is very concerni
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ng and may represent a condition called compartment syndrome. Compartment syndrome is where t
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he nerves and blood vessels are becoming compromised due to increasing pressure in the compartm
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ents within the fascia (remember fascia doesn't expand, so if there is building pressure within the c
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ompartments of muscle from bleeding etc. it will compromise circulation and nerve function). Reme
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Exam Solution zm
Registered Nurse RN & Lippincott Musculoskeletal Tes zm zm zm zm zm zm
t Bank Musculoskeletal Health Problems ALL COMBINE
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D 2026 A+ GRADE ASSURED COMPLETE SOLUTIONS AN
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D VERIFIED ANSWERS (D92DC)
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QUESTION 1 zm
While your patient is ambulating with crutches he moves both crutches forward along
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mwith the injured leg and then moves the non-
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injured forward. When you document you will note that the patient used what type of
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mgait while ambulating with crutches?
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A. Two-point gait
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B. Three-point gait
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C. Four-point gait
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D. Swing-to-gait
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ANSWER
B. Three-point gait This describes the three-point gait while using crutches.
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QUESTION 2 zm
While using crutches the patient moves both crutches forward and then moves both le
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gs forward past the placement of the crutches. This is known as the:
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A. Two-point gait
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B. Swing-to-gait
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C. Swing-through-gait
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D. Three-point gait
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ANSWER
C. Swing-through-gait This description is known as the swing-through-
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gait. The key word to let you know it is the swing-through-
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gait is that the patient moves both legs PAST the placement of the crutches. It would have been the
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mswing-to-gait if both legs moved forward to the same point as the crutch placement.
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,QUESTION 3 zm
True or False: When using the swing-
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to gait with crutches, the patient will move both crutches forward, and then will move
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both legs forward to the same point as the crutches.
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ANSWER
The answer is true. This description describes the swing-to-gait.
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QUESTION 4 zm
While going down the stairs with crutches the patient will move the crutches down on
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to the step followed by?
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A. moving the non-injured leg down onto the step.
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B. moving the injured leg down onto the step.
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C. moving both legs down onto the step.
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ANSWER
B. moving the injured leg down onto the step. When going down the stairs with crutches, the patien
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t will move the crutches down first onto the step followed by moving the INJURED leg and then the
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mpatient will move the non-injured leg down.
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QUESTION 5 zm
Figure 1 represents what type of bone fracture: This is a fracture that is slanted acros
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s the bone shaft.
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A. Transverse Fracture
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B. Spiral Fracture
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C. Oblique Fracture
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D. Compound Fracture
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ANSWER
C. Oblique Fracture
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QUESTION 6 zm
Figure 2 represents what type of bone fracture: The fractured bone is broken into ma
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ny fragments (3 or more).
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A. Open Fracture
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B. Greenstick Fracture
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C. Oblique Fracture
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D. Comminuted Fracture
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ANSWER
D. Comminuted Fracture
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, QUESTION 7 zm
Figure 3 represents what type of bone fracture: This a fractured bone that breaks thr
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ough the skin. zm zm
A. Closed Fracture
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B. Compound Fracture
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C. Greenstick Fracture
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D. Transverse Fracture
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ANSWER
B. Compound Fracture
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QUESTION 8 zm
You're caring for a patient who has experienced a fracture to the right arm that is rep
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resented in Figure 3. What nursing intervention will you take with this type of fractur
zm zm zm zm zm zm zm zm zm zm zm zm zm zm
e?
A. Cover the fracture with a sterile dressing
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B. Place the arm below the heart level.
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C. Attempt bone reduction by manually readjusting the bone.
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D. Place a tight compression bandage over the fracture.
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ANSWER
A. Cover the fracture with a sterile dressing Figure 3 represents a compound fracture (also called an
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open fracture). Due to the nature of this fracture, the patient is at major risk for infection because
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the skin is no longer intact. Therefore, the nurse should cover the fracture site with a sterile dressin
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g. NEVER attempt a bone reduction. In addition, avoid a tight compression bandage due to the devel
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opment of ischemia. Instead, you would want to immobilize the extremities and splint it.
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QUESTION 9 zm
Which statement by a patient, who just received a cast on the right arm for a fracture
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, requires you to notify the physician immediately?
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A. "It is really itchy inside my cast!"
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B. "My pain is so severe that it hurts to stretch or elevate my arm."
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C. "I can feel my fingers and move them."
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D. "I've been using ice packs to reduce swelling."
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ANSWER
B. "My pain is so severe that it hurts to stretch or elevate my arm." This statement is very concerni
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
ng and may represent a condition called compartment syndrome. Compartment syndrome is where t
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he nerves and blood vessels are becoming compromised due to increasing pressure in the compartm
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ents within the fascia (remember fascia doesn't expand, so if there is building pressure within the c
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ompartments of muscle from bleeding etc. it will compromise circulation and nerve function). Reme
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