NCLEX Questions

A client is treated in the emergency department for acute muscle strain in the left leg caused by trying a new exercise. During discharge preparation, the nurse should provide which instruction?

"Apply ice packs for the first 24 to 48 hours, and then apply heat packs."

When teaching a client about levodopa and carbidopa (Sinemet) therapy for Parkinson's disease, the nurse should include which instruction?

"Be aware that your urine may appear darker than usual."

The X-rays of a client who was brought to the emergency department after falling on ice reveal a leg fracture. After a cast is applied and allowed to dry, the nurse teaches the client how to use crutches. Which instruction should the nurse provide about climbing stairs?

"Place the unaffected leg on the first step, followed by the crutches and the injured leg, which should move together."

A client has an exacerbation of multiple sclerosis accompanied by leg spasticity. The physician prescribes dantrolene sodium (Dantrium), 25 mg by mouth daily. How soon after administration can the nurse expect to see a significant reduction in spasticity?

1 to 2 weeks

The nurse is caring for a client with burns on his legs. Which nursing intervention will help prevent leg contractures

Applying knee splints

After total hip replacement, a client is receiving epidural analgesia to relieve pain. Which of the following is a nursing priority for this client?

Assessing for sensation in the legs

A client has a Fiberglas cast on the right arm. Which action should the nurse include in the plan of care?

Assessing movement and sensation in the fingers of the right hand

The nurse is caring for a client placed in traction to treat a fractured femur. Which nursing intervention has the highest priority?

Assessing the extremity for neurovascular integrity

A nurse is teaching a class about osteoporosis. Which factors place a client at greater risk for developing this disease? Select all that apply

Being postmenopausal Long-term use of corticosteroids Sedentary lifestyle

A client with a suspected fracture of the right hip is in the emergency department. Which data collection findings would the nurse expect to see in the client's right leg?

In a hip fracture, the affected leg is shorter, adducted, and externally rotated.

Which nursing diagnosis takes highest priority for a client with Parkinson's crisis?

Ineffective airway clearance

A client is about to undergo total hip replacement surgery. Before the surgery, the nurse conducts a preoperative teaching session with him. The nurse can tell that her teaching has been effective when the client verbalizes the importance of avoiding which actions?

Internally rotating the feet Bending to pick items up from the floor

Before a client undergoes arthroscopy, the nurse reviews the data collection findings for contraindications for this procedure. Which finding is a contraindication?

Joint flexion of less than 50%

Which of these findings best correlates with a diagnosis of osteoarthritis?

Joint stiffness that decreases with activity

At a health fair, a woman, age 43, with a family history of osteoporosis asks the nurse how much calcium she should consume. The nurse tells her that the recommended daily calcium intake for premenopausal women is:

Most authorities recommend that premenopausal women consume 1,000 to 1,200 mg of calcium daily.

The nurse is planning care for a client with multiple sclerosis. Which problems should the nurse expect the client to experience?

Multiple sclerosis, a neuromuscular disorder, may cause visual disturbances, balance problems, and mood disorders. Multiple sclerosis doesn't cause coagulation abnormalities or immunity problems

Which nursing intervention is essential in caring for a client with compartment syndrome?

Removing all external sources of pressure, such as clothing and jewelry

The nurse is giving instructions to a client who's going home with a cast on his leg. Which point is most critical?

Reporting signs of impaired circulation

A client with respiratory complications of multiple sclerosis (MS) is admitted to the medical-surgical unit. Which equipment is most important for the nurse to keep at the client's bedside?

Suction machine with catheters

A 78-year-old client has a history of osteoarthritis. Which signs and symptoms would the nurse expect to find on physical assessment?

Swelling, joint pain, and tenderness on palpation

The nurse is teaching a female client about preventing osteoporosis. Which of the following teaching points is correct?

The recommended daily allowance of calcium may be found in a wide variety of foods.

A client undergoes hip-pinning surgery to treat an intertrochanteric fracture of the right hip. The nurse should include which intervention in the postoperative plan of care?

Turning the client from side to side every 2 hours

The nurse is collecting data on a 38-year-old client diagnosed with multiple sclerosis. Which of the following symptoms would the nurse expect to find?

Vision changes

After surgery to treat a hip fracture, a client returns from the postanesthesia care unit to the medical-surgical unit. Postoperatively, how should the nurse position the client?

With the leg on the affected side abducted

To assess the joints, the nurse asks a client to perform various movements. As the client moves the arm away from the midline, the nurse evaluates the ability to perform:

abduction

The nurse is managing the care of a client with osteoarthritis. Appropriate treatment strategies for osteoarthritis include:

administration of nonsteroidal anti-inflammatory drugs (NSAIDs).

The nurse is assessing a client with possible osteoarthritis. The most significant risk factor for osteoarthritis is:

age

A client with Parkinson's disease visits the physician's office for a routine checkup. The nurse notes that the client takes benztropine (Cogentin), 0.5 mg by mouth daily, and asks when the client takes the drug each day. Which response indicates that the client understands when to take benztropine?

I take the medication at bedtime."

After a person experiences a closure of the epiphyses, which of the following is true?

No further increase in bone length occurs

The nurse is developing a teaching plan for a client diagnosed with osteoarthritis. To minimize the risk of injury to the osteoarthritic client, the nurse should instruct the client to:

install safety devices in the home.

The nurse is caring for a client who recently underwent a total hip replacement. The nurse should:

instruct the client to limit hip flexion while sitting.

client with possible osteoarthritis is having X-rays performed on both knees. X-rays of an osteoarthritic joint reveal:

osteophyte formation.