Sample NCLEX Questions
1. A client in balanced suspension traction for a fractured femur needs to be repositioned toward the head of the bed. During repositioning the nurse should:
a. Place slight additional tension on the traction cords.
b. Release the weights and replace immediately after positioning.
c. Lift the traction and the client during positioning.
d. Maintain the same degree of traction tension.
Answer: D
Rationale: Traction is used to reduce the fracture and must be maintained at all times, including during repositioning. It is not appropriate to increase traction tension or release or lift the traction during repositioning.
2. Which of the following is an abnormal finding in the physical assessment of the musculoskeletal system?
a. Upper extremities having symmetric, equal muscles
b. Gait balanced, stride smooth and regular
c. Flexion, extension, and rotation of the neck
d. Opposition of three of the four fingers to the thumb
Answer D
Rationale: Opposition of three of the four fingers to the thumb is an abnormal finding in the physical assessment of the musculoskeletal system. A client should be able to do this without difficulty and easy flexibility.
3. Which of the following mobilization devices is usually preferred for the older adult?
a. Crutches
b. Cane
c. Walker
d. Wheelchair
Answer C
Rationale: Walker-mechanical device with four legs for support this type of device is more supportive and has less expandable energy by the older adult than crutches or a cane. More independence is required than the wheelchair.
4. Nursing diagnosis for the child with a disorder of the musculoskeletal system includes:
a. High risk for activity intolerance, pain, high risk for injury.
b. Pain, high risk for weight gain, high risk for abuse.
c. High risk for altered tissue profusion, high risk for deformity.
d. Pain, low risk for skin integrity problems; low risk for injury.
Answer A
Rationale: Nursing diagnosis for a child with a disorder of the musculoskeletal system may include: high risk for activity intolerance, pain, divers ional activity deficit, high risk for injury, impaired physical mobility, self-care deficit, body image disturbance, high risk for impaired skin integrity, and altered tissue perfusion peripheral.
5. Which is the traction that is used primarily for children due to the factor infants and toddlers do not have enough body weight?
a. Milwaukee traction
b. Open traction
c. Bryant’s traction
d. Jones’ traction
Answer C
Rationale: Bryant’s traction is used where the body is its own counterweight; both legs are at 90-degree angles to the bed; buttocks must be slightly off mattress; used with children under 2 years whose weight is under 30 lbs. (14kg); used for fractured femur and dislocated hip.
NCLEX Questions for Basic Care and Comfort 1/4
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