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2024 NCLEX MUSCULOSKELETAL TRAMA AND ORTHOPEDIC SURGERY EXAM QUESTIONS WITH CORRECT ANSWERS
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2024 NCLEX MUSCULOSKELETAL TRAMA AND ORTHOPEDIC SURGERY EXAM QUESTIONS WITH CORRECT ANSWERS
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2024 NCLEXMUSCULOSKELETAL TRAMA
AND ORTHOPEDIC SURGERY
EXAM QUESTIONS WITH
CORRECT ANSWERS
When teaching seniors at a community recreation center, which information
will the nurse include about ways to prevent fractures?
a. Tack down scatter rugs in the home.
b. Most falls happen outside the home.
c. Buy shoes that provide good support and are comfortable to wear.
d. Range-of-motion exercises should be taught by a physical therapist. -
CORRECT ANSWERS-ANS: C
Comfortable shoes with good support will help decrease the risk for falls.
Scatter rugs should be eliminated, not just tacked down. Activities of daily
living provide range of motion exercise; these do not need to be taught by a
physical therapist. Falls inside the home are responsible for many injuries
Which finding in a patient with a Colles' fracture of the left wrist is most
important to communicate to the health care provider?
a. Swelling is noted around the wrist.
b. The patient is reporting severe pain.
c. The wrist has a deformed appearance.
d. Capillary refill to the fingers is prolonged. - CORRECT ANSWERS-ANS: D
Swelling, pain, and deformity are common findings with a Colles' fracture.
Prolonged capillary refill indicates decreased circulation and risk for
ischemia. This is not an expected finding and should be immediately
reported
Which information obtained by the nurse about a 29-year-old patient with a
lumbar vertebral compression fracture is most important to report to the
health care provider?
a. Patient refuses to be turned due to back pain.
b. Patient has been incontinent of urine and stool.
c. Patient reports lumbar area tenderness to palpation.
d. Patient frequently uses oral corticosteroids to treat asthma. - CORRECT
ANSWERS-ANS: B
, Changes in bowel or bladder function indicate possible spinal cord
compression and should be reported immediately because surgical
intervention may be needed. The other findings are also pertinent but are
consistent with the patient's diagnosis and do not require immediate
intervention.
When a patient arrives in the emergency department with a facial fracture,
which action will the nurse take first?
a. Assess for nasal bleeding and pain.
b. Apply ice to the face to reduce swelling.
c. Use a cervical collar to stabilize the spine.
d. Check the patient's alertness and orientation. - CORRECT ANSWERS-ANS:
C
Patients who have facial fractures are at risk for cervical spine injury and
should be treated as if they have a cervical spine injury until this is ruled out.
The other actions are also necessary, but the most important action is to
prevent cervical spine injury.
A factory line worker has repetitive strain syndrome in the left elbow. The
nurse will plan to teach the patient about
a. surgical options.
b. elbow injections.
c. wearing a left wrist splint.
d. modifying arm movements. - CORRECT ANSWERS-ANS: D
Treatment for repetitive strain syndrome includes changing the ergonomics
of the activity. Elbow injections and surgery are not initial options for this
type of injury. A wrist splint might be used for hand or wrist pain.
The occupational health nurse will teach the patient whose job involves
many hours of typing about the need to
a. obtain a keyboard pad to support the wrist.
b. do stretching exercises before starting work.
c. wrap the wrists with compression bandages every morning.
d. avoid using nonsteroidal antiinflammatory drugs (NSAIDs) for pain. -
CORRECT ANSWERS-ANS: A
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.
Which discharge instruction will the emergency department nurse include for
a patient with a sprained ankle?
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