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NCLEX-PN MUSCULOSKELETAL EXAM (ACTUAL) QUESTIONS WITH ANSWERS
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NCLEX-PN MUSCULOSKELETAL EXAM (ACTUAL) QUESTIONS WITH ANSWERS
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NCLEX-PN MUSCULOSKELETAL EXAM(ACTUAL2024-2025) QUESTIONS WITH
ANSWERS
The nurse is caring for a client with diabetes mellitus who is
scheduled to have a right below-knee amputation. The nurse
assesses which factors that can put this client at risk for
amputation? *Select all that apply.*
1.
Psoriasis
2.
Bony deformity
3.
Limited joint mobility
4.
Peripheral neuropathy
5.
Peripheral vascular disease
6.
, NCLEX-PN MUSCULOSKELETAL EXAM
(ACTUAL2024-2025) QUESTIONS WITH
ANSWERS
History of skin ulcers or previous amputation -
<,Answers>>2,3,4,5,6
(Rationale:
Certain conditions place clients with diabetes at increased risk
for amputation. These factors include peripheral neuropathy,
limited joint mobility, bony deformity, peripheral vascular
disease, and a history of skin ulcers or previous amputation.
The nurse needs to observe for changes that indicate
peripheral neuropathy or vascular insufficiency.)
The nurse is caring for a client with a diagnosis of
osteoarthritis. Which actions would be least helpful for the
client?
1.
Gentle regular exercise
2.
A warm bath or shower early in the day
3.
Increasingly vigorous and high-impact exercise
, NCLEX-PN MUSCULOSKELETAL EXAM
(ACTUAL2024-2025) QUESTIONS WITH
ANSWERS
4.
An individualized program of pain medication administration
- <,Answers>>3
(Rationale:
Vigorous or high-impact exercise could be damaging to
articulating surfaces within joints and should be avoided by
clients with osteoarthritis. The other actions may be helpful in
promoting joint mobility.)
The nurse is preparing to reinforce instructions to a client
regarding how to safely use crutches. Before initiating the
teaching, the nurse collects data on the client. Which
*priority* data should be included?
1.
The client's fear related to the use of the crutches
2.
The client's feelings about the restricted mobility
3.
The client's understanding of the need for increased mobility
, NCLEX-PN MUSCULOSKELETAL EXAM
(ACTUAL2024-2025) QUESTIONS WITH
ANSWERS
4.
The client's vital signs, muscle strength, and previous activity
level - <,Answers>>4
(Rationale:
Priority data related to vital signs, muscle strength, and
previous activity level would be included. Vital signs provide
a baseline to determine how well the client will tolerate
activity. Assessing muscle strength will help determine if the
client has enough strength for crutch walking and if muscle-
strengthening exercises are necessary. The previous activity
level will provide information related to the tolerance of
activity. The other data are also important, but physiological
needs take precedence over psychosocial needs.)
The nurse is preparing a plan of care for a client in skeletal leg
traction with an over bed frame. Which nursing intervention
should be included in the plan of care to assist the client with
positioning in bed?
1.
Use the assistance of four nurses to reposition the client.
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