NCLEX CRUSADE ACADEMY TEST - 1 MUSCULOSKELETAL DISORDERS

1. Which structure forms the socket portion of the hip joint?. Femoral neck. Acetabulum. Greater trochanter. Femoral shaft.

2. What is the primary function of articular cartilage in a synovial joint?. Produce red blood cells. Absorb shock and reduce friction. Provide nerve supply. Produce synovial fluid.

3. Synovial fluid primarily serves which function?. Stabilizes ligaments. Maintains bone density. Lubricates the joint. Produces immune cells.

4. Which type of hip dislocation is most common?. Inferior. Posterior. Lateral. Superior.

5. A patient with hip dislocation is at highest risk for damage to which nerve?. Femoral nerve. Obturator nerve. Sciatic nerve. Tibial nerve.

6. What clinical finding strongly suggests a hip dislocation?. External rotation of the leg. Internal rotation with toes pointing inward. Absence of pain. Equal leg length.

7. What is the gold standard diagnostic test to confirm hip fracture or dislocation?. MRI. CT scan. Ultrasound. X ray.

8. Which population is most commonly affected by hip fractures?. Young athletes. Middle aged men. Older adults with osteoporosis. Pediatric patients.

9. Intracapsular hip fractures are particularly dangerous because they can cause: Compartment syndrome. Osteomyelitis. Avascular necrosis. Bone tumors.

10. Which intervention is a priority during the preoperative phase of a hip fracture?. Encourage ambulation. Apply Bucks traction. Begin physical therapy. Remove IV access.

11. Which postoperative goal is most important within the first 24 hours after hip surgery?. Strict bed rest. Early mobilization. Remove dressings. High protein diet.

12. Which action violates hip precautions after hip replacement?. Using a raised toilet seat. Crossing the legs. Using an abduction pillow. Keeping toes forward.

13. Which hip movement should be avoided after total hip replacement?. Hip flexion beyond 90. Hip extension. Shoulder rotation. Ankle flexion.

14. Which complication is associated with prolonged immobility after orthopedic surgery?. Hyperthyroidism. Deep vein thrombosis. Diabetes. Hepatitis.

15. Which respiratory complication is common in immobile postoperative patients?. Asthma. Atelectasis. Bronchitis. Lung cancer.

16. Which neurological complication is common in elderly hospitalized patients?. Stroke. Delirium. Parkinson disease. Multiple sclerosis.

17. Avascular necrosis occurs when: Bone loses calcium. Bone loses blood supply. Bone fractures repeatedly. Cartilage thickens.

18. Which diagnostic test is best for early detection of avascular necrosis?. CT scan. MRI. X ray. Bone biopsy.

19. Which medication class is commonly used to treat osteoporosis?. Beta blockers. Bisphosphonates. ACE inhibitors. Corticosteroids.

20. Which instruction is essential when taking bisphosphonates?. Take with food. Lie down after taking. Take with a full glass of water and remain upright. Take before bed.

21. A patient using a PCA pump should understand that: Family members can administer doses. Nurses control all doses. Only the patient should press the button. Doses are unlimited.

22. What is the primary safety feature of PCA pumps?. Automatic shutoff. Lockout interval. Continuous infusion. Alarm silence.

23. Which assessment is most critical when monitoring a patient receiving opioid PCA?. Blood pressure. Respiratory rate. Temperature. Pulse strength.

24. A respiratory rate below which value suggests opioid toxicity?. 20 breaths/min. 16 breaths/min. 12 breaths/min. 10 breaths/min.

25. Which medication reverses opioid overdose?. Epinephrine. Naloxone. Atropine. Dopamine.

26. According to NCLEX prioritization principles, which patient should be seen first?. Patient with expected pain after surgery. Patient with chronic joint stiffness. Patient with unexpected fever after procedure. Patient requesting medication refill.