Musculoskeletal NCLEX Questions

NCLEX musculoskeletal practice questions on herniated discs, hip fractures, Buck’s traction, post-op care, and compartment syndrome with rationales to support nursing knowledge.

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Musculoskeletal NCLEX Questions1.While playing tennis, a patient suffers an injury to the knee. Which diagnostic test would the nurse anticipate thehealth care provider ordering to identify a soft tissue injury?a.X-rayb.MRIc.Arthroscopy and thermography of jointd.Duplex venous Doppler2.A patient is scheduled for an open MRI to evaluate for left tibia osteomyelitis. Which information obtained by the nurseindicates that the nurse should consult with the healthcare provider before scheduling an open MRI? Select all thatapply.a.Patient is pregnant.b.Patient is claustrophobicc.Patient is allergic to shellfish.d.Patient had a mitral valve replacement.e.Patient wears a hearing aid and contact lensesf.Patient has in implanted insulin pump.3.Following a lumbar laminectomy, the postoperative patient continues to complain of the same low back pain that hehad before surgery. The nurse knows that this finding is caused by what problem?a.Failure of the surgeon to remove the patient s herniated disk.b.Swelling in the operative area, which compresses adjacent structures.c.Twisting of the patient's spine when he turns side to side.d.Limitation of movement resulting of spinal fusion.4.The nurse is caring for a patient with a herniated disc. What intervention is considered a part of conservativetreatment of a herniated disk?a.Left lateral Sim s position with bathroom privileges.b.Bed rest and methocarbamol (Robaxin) to decrease muscle spasms.c.Small incision in the spinal column to remove the diskd.Daily physical therapy and ambulation with crutches.5.What evaluation is important in the preoperative nursing assessment of a patient with a severely herniated lumbardisk?a.Movement and sensation in the lower extremities.b.Leg pain that radiates to both lower extremities.c.Reflexes in upper extremities.d.Pupillary reaction to light6.In the immediate postoperative period after a lumbar laminectomy, what is a priority nursing action?a.Checking for bladder distention.b.Ambulating the patient.c.Changing the surgical dressing.

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