NCLEX-Style Musculoskeletal Challenge

Froggy Jumps

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ATI-inspired nursing exam practice.

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Danielle Kendricks

United States

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NCLEX-Style Musculoskeletal Challenge


Froggy Jumps NCLEX-Style Musculoskeletal ChallengeOnline version ATI-inspired nursing exam practice. by Danielle Kendricks 1 What does PRICE stand for in initial strain/sprain care? a Protect, Rest, Immobolize, Cold, Elevate b Prevent, Rest, Ice, Compress, Elevate c Protect, Rest, Ice, Compress, Elevate 2 Which injury occurs when a joint's ligaments are stretched or torn? a Strain b Sprain c Dislocation 3 Which assessment finding suggests a fracture? a Headache only b Pain, swelling, deformity c Numbness only 4 What is typical first-line imaging for suspected fracture? a X-ray b CT scan c MRI only 5 Which device immobilizes a fracture temporarily? a traction b Splint c cast 6 Which symptom suggests a suspected Achilles tendon rupture? a Only ankle swelling b Loud pop at injury c Gradual pain onset 7 Which intervention is part of fracture management to restore alignment? a Traction or reduction b Applying ice only c Immediate full weight bearing 8 Hip precautions primarily aim to prevent what complication? a Knee stiffness b Infection c Hip dislocation 9 Which sign indicates carpal tunnel syndrome on exam? a Romberg sign b Tinel’s or Phalen’s sign c Babinski sign 10 What should you monitor for after a cast is applied? a Only pain level b Hair color change c Circulation and neurovascular status 11 Which therapy helps reduce edema after a fracture? a Massage only b Elevation c Hot packs 12 What is a key nursing goal after hip arthroplasty? a Prevent dislocation b Encourage hip flexion > 90° c Immediate heavy lifting 13 Which test detects bone density loss but not fracture healing? a Bone scintigraphy b MRI c DEXA scan 14 Which is NOT a fracture complication? a Hyperglycemia b Infection c Fat embolism 15 Which movement is restricted after hip replacement? a Hip adduction and internal rotation b Knee flexion c Shoulder abduction 16 What characterizes a second-degree sprain? a Partial tearing of ligaments b Complete rupture of bone c Severe nerve damage 17 Which location is most prone to soft tissue injuries like strains? a Upper back only b Neck only c Ankles, knees, wrists 18 What is a common sign of compartment syndrome? a Severe pain disproportionate to exam b Mild itching c Fever only 19 Which nursing action helps prevent DVT after fracture? a Complete bed rest b Early ambulation when safe c No fluids 20 Which intervention is critical if a cast is too tight? a Ignore and wait b Notify provider immediately c Remove cast yourself 21 Which symptom is typical after rotator cuff tear? a Heel pain b Shoulder pain with limited mobility c Abdominal pain 22 Which management modality is common for tendonitis? a Only surgery b Rest and progressive exercise c Continuous hopping 23 What is the primary goal of fracture immobilization? a Prevent movement and promote healing b Increase mobility immediately c Cause bone shortening 24 Which sign is typical for a dislocated shoulder? a Normal ROM b No swelling c Visible deformity or asymmetry 25 What class of medication is often used after fracture to manage pain and inflammation? a Antibiotics b Opioids only c NSAIDs 26 Which nursing measure supports limb elevation? a Reduce swelling and pain b Cause numbness c Delay therapy 27 Which test confirms a ligament injury in the knee? a Ultrasound only b ECG c MRI 28 What should be avoided in hip precautions after surgery? a Walking with crutches b Light ROM exercises c Adduction and flexion past 90° 29 Which fracture type involves bone through the skin? a Open fracture b Greenstick c Closed fracture 30 Which symptom suggests a dislocated hip after surgery? a Only fever b Mild itching c Severe leg pain with abnormal leg position 31 Which sign is used to diagnose tendon issues like carpal tunnel? a Babinski sign b Tinel’s or Phalen’s sign c Romberg sign 32 Which intervention helps a patient with a new cast? a Place near heat source b Massage cast edges c Keep limb elevated 33 What is a typical clinical feature of a fracture? a Headache only b Global numbness c Localized tenderness 34 Which therapy aims to reestablish functional bone continuity? a Topical steroids b Hydration therapy c Reduction and fixation 35 Which condition is commonly treated with corticosteroid injections? a Torsion sleep disorder b Rotator cuff inflammation c Fractured rib 36 Which is a common cause of hip fracture in the elderly? a Car accident b Falls c Sports injury 37 What nursing action supports mobility after fracture? a Avoid all movement b Allow unrestricted activity c Encourage safe ambulation 38 Which nursing assessment is crucial post-arthroscopy? a Vision assessment b Blood typing c Neurovascular checks 39 Which sign indicates nerve involvement after injury? a Excessive sweating b Skin dryness c Numbness or tingling 40 Which is an appropriate response to pain after fracture? a Increase activity immediately b Administer prescribed analgesics c Ignore pain 41 Which nutrition is emphasized for bone healing? a No fluids b Calcium and vitamin D c Low protein only 42 Which device might be used after a hip fracture? a Total hip arthroplasty prosthesis b External fixator only c Brace without surgery 43 What is a goal in early fracture rehabilitation? a Maintain immobilization forever b Ignore pain signals c Restore range of motion safely 44 Which finding is NOT typical after fracture? a Pain at injury site b Swelling c Normal limb alignment 45 Which is a common preventative measure for fractures in older adults? a Avoid all activity b Only rest c Fall prevention and bone health 46 Which sign suggests a fracture in the tibia/fibia region? a Nasal congestion b Headache c Localized tenderness and deformity 47 Which is true about nail or screw fixation? a It causes immediate mobility b Internal/external fixation stabilizes bones c It dissolves bone tissue 48 Which symptom would prompt urgent neurovascular assessment? a Mild redness b Color change or pulselessness distal to injury c Itching at site 49 What is the purpose of traction in fractures? a Increase swelling b Realign bone fragments c Heal without alignment 50 Which statement best describes a fracture healing timeline? a Immediate full healing in days b Progressive bone union over weeks to months c Healing never occurs 51 Which energy mechanism commonly causes dislocations? a Allergy reaction b Low altitude pressure c Trauma with joint overload 52 Which scenario requires immobilization and rest? a Chronic sprain only b Non-traumatic fever c Acute sprain 53 Which is an expected finding after a cast is removed? a Muscle atrophy risk assessment b Immediately full strength c No rehab needed 54 Which action supports bone health in older adults? a Avoid all dairy b Calcium and vitamin D supplementation as ordered c Ignore bone health 55 Which sign differentiates tendonitis from a fracture? a Decreased heart rate b Severe bone deformity c Pain with tendon use, not focal bone pain 56 Which test assesses soft tissue integrity around joints? a Ultrasound only b EKG c MRI 57 Which factor worsens fracture healing if uncontrolled? a Adequate nutrition b Early mobilization c Infection 58 Which is a risk with prolonged immobilization? a Venous thromboembolism b Hyperkalemia c Hyperglycemia 59 Which is a non-surgical fracture treatment option? a Total joint replacement b Closed reduction and casting c Chemotherapy 60 Which occurs when a bone ends out of alignment after fracture? a Inflation b Displacement c Consolidation 61 Which statement best describes osteoporosis management for fractures? a No exercise b Calcium, vitamin D, weight-bearing exercise c High-fat diet only 62 What is a common consequence of hip fracture in elderly? a Immediate full recovery b No risk to mobility c Immobility-related complications 63 Which nursing action is essential after knee arthroscopy? a Leg elevation and cold packs b Ice on unaffected leg only c Immediate running program 64 Which activity should be minimized early after hip surgery? a Seated rest b Light ambulation c Hip flexion beyond 90 degrees 65 Which sign warrants immediate evaluation after fracture? a Stable pain b Worsening pain with numbness distal to injury c No sensation change 66 What is the nursing role in fracture prevention at home? a Limit physical activity entirely b Ignore home safety c Identify hazards and promote safe mobility 67 Which nerve-related finding requires prompt attention after injury? a Weakness or numbness distal to injury b Normal sensation c Increased hair growth 68 Which management step is essential for suspected tendon rupture? a No treatment b Immediate surgery in all cases c Immobilization and referral 69 Which factor contributes to delayed bone healing? a Early mobilization b Adequate nutrition c Infection 70 Which is a typical finding in a dislocated joint? a Normal ROM b Severe pain and deformity c No pain 71 Which component is key in post-arthroscopy nursing care? a No monitoring b Analgesia and elevation c Antibiotics only 72 Which best describes a closed fracture? a Dislocation without break b Bone break without skin open c Bone break with skin opening 73 Which is the most immediate concern after a cast is applied? a Ignore edema b Daily X-ray only c Circulation and sensation checks 74 Which is NOT a common knee ligament injury management? a Oral antibiotics b NSAIDs c Immobilization 75 What is essential in fracture Vital signs monitoring? a Only blood pressure b Pain, pulse, color, movement distal to injury c Only temperature 76 Which describes a qualitative sign of tendonitis? a Pain with repetitive motion b Pain only at rest c Pain during eating 77 Which condition increases fracture risk in elderly a Osteoporosis b Asthma c Hyperthyroidism

NCLEX-Style Musculoskeletal Challenge

Froggy Jumps

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NCLEX-Style Musculoskeletal ChallengeOnline version

by Danielle Kendricks

What does PRICE stand for in initial strain/sprain care?

Which injury occurs when a joint's ligaments are stretched or torn?

Which assessment finding suggests a fracture?

What is typical first-line imaging for suspected fracture?

Which device immobilizes a fracture temporarily?

Which symptom suggests a suspected Achilles tendon rupture?

Which intervention is part of fracture management to restore alignment?

Hip precautions primarily aim to prevent what complication?

Which sign indicates carpal tunnel syndrome on exam?

What should you monitor for after a cast is applied?

Which therapy helps reduce edema after a fracture?

What is a key nursing goal after hip arthroplasty?

Which test detects bone density loss but not fracture healing?

Which is NOT a fracture complication?

Which movement is restricted after hip replacement?

What characterizes a second-degree sprain?

Which location is most prone to soft tissue injuries like strains?

What is a common sign of compartment syndrome?

Which nursing action helps prevent DVT after fracture?

Which intervention is critical if a cast is too tight?

Which symptom is typical after rotator cuff tear?

Which management modality is common for tendonitis?

What is the primary goal of fracture immobilization?

Which sign is typical for a dislocated shoulder?

What class of medication is often used after fracture to manage pain and inflammation?

Which nursing measure supports limb elevation?

Which test confirms a ligament injury in the knee?

What should be avoided in hip precautions after surgery?

Which fracture type involves bone through the skin?

Which symptom suggests a dislocated hip after surgery?

Which sign is used to diagnose tendon issues like carpal tunnel?

Which intervention helps a patient with a new cast?

What is a typical clinical feature of a fracture?

Which therapy aims to reestablish functional bone continuity?

Which condition is commonly treated with corticosteroid injections?

Which is a common cause of hip fracture in the elderly?

What nursing action supports mobility after fracture?

Which nursing assessment is crucial post-arthroscopy?

Which sign indicates nerve involvement after injury?

Which is an appropriate response to pain after fracture?

Which nutrition is emphasized for bone healing?

Which device might be used after a hip fracture?

What is a goal in early fracture rehabilitation?

Which finding is NOT typical after fracture?

Which is a common preventative measure for fractures in older adults?

Which sign suggests a fracture in the tibia/fibia region?

Which is true about nail or screw fixation?

Which symptom would prompt urgent neurovascular assessment?

What is the purpose of traction in fractures?

Which statement best describes a fracture healing timeline?

Which energy mechanism commonly causes dislocations?

Which scenario requires immobilization and rest?

Which is an expected finding after a cast is removed?

Which action supports bone health in older adults?

Which sign differentiates tendonitis from a fracture?

Which test assesses soft tissue integrity around joints?

Which factor worsens fracture healing if uncontrolled?

Which is a risk with prolonged immobilization?

Which is a non-surgical fracture treatment option?

Which occurs when a bone ends out of alignment after fracture?

Which statement best describes osteoporosis management for fractures?