NUR 254 - MEDICAL-SURGICAL NURSING II - EXAM 3
2026/2027 – 70 Questions & Answers 100% Pass
OVERVIEW
This Exam 3 covers Units 7-10: Musculoskeletal disorders - fractures, compartment
syndrome, osteoporosis, amputation; Integumentary - burns, pressure injuries, cellulitis;
Oncology - cancer, chemotherapy, radiation, oncologic emergencies; Immune disorders
- HIV, lupus, rheumatoid arthritis. Emphasis on neurovascular checks, infection control,
pain management, fluid resuscitation, wound care, immunosuppression, and patient
education for chronic and emergent medical-surgical conditions. Correct answers bold
Green.
TOPICS COVERED:
Unit 7: Musculoskeletal Q1-26
Unit 8: Integumentary & Burns Q27-45
Unit 9: Oncology Q46-60
Unit 10: Immune Q61-75
UNIT 7: MUSCULOSKELETAL Q1-26
1. 5 P's for compartment syndrome are:
A. Pain out of proportion, Pallor, Paresthesia, Pulselessness late, Paralysis late
B. No pain
C. Only edema
D. Only redness
Rationale: Increased pressure impairs perfusion.
2. Early sign of compartment syndrome is:
A. Pulselessness
B. Paralysis
C. No pain
D. Pain out of proportion not relieved by meds, paresthesia
Rationale: Pain and tingling earliest.
3. Action for compartment syndrome:
A. Apply ice and elevate above heart
B. No action needed
C. Give more pain meds only
D. Do NOT elevate above heart, loosen dressing, keep limb at heart level, notify
provider, prepare for fasciotomy
Rationale: Elevation decreases arterial flow.
4. Fat embolism signs after fracture:
A. No SOB
, B. Only leg pain
C. No petechiae
D. Tachycardia, tachypnea, dyspnea, chest pain, confusion, petechiae on
chest/axilla, hypoxia
Rationale: Fat globules block pulmonary vessels 24-72 hrs post fracture.
5. Fat embolism priority is:
A. Stay with patient, O2, maintain IV, stay calm, notify provider, prepare for
possible intubation
B. No O2 needed
C. Leave alone
D. Give fluids only
Rationale: Airway emergency.
6. Osteoporosis risk factors:
A. Young age, male
B. High calcium diet
C. Weight-bearing exercise protects
D. Postmenopausal women, low Ca, smoking, steroids, sedentary, family history
Rationale: Bone density loss.
7. Osteoporosis teaching includes:
A. No exercise
B. Low Ca diet
C. Weight-bearing exercise, Ca 1200mg, Vit D, stop smoking, no alcohol excess,
fall prevention
D. No Vit D needed
Rationale: Strengthens bone.
8. Traction care includes:
A. Remove weights for comfort
B. Weights on floor
C. No pin care
D. Weights hanging free, not on floor, no removal, pin care, skin care,
neurovascular checks q4h
Rationale: Maintains alignment.
9. Hip replacement - dislocation precautions:
A. No flexion >90 deg, no adduction, no internal rotation, abduction pillow, raised
toilet seat
B. Cross legs freely
C. Bend to tie shoes
D. Sit low chairs
Rationale: Prevents prosthesis dislocation.
10. Amputation - phantom pain is:
A. Not real
B. Only infection
C. Made up by patient
D. Real sensation of pain in removed limb, due to nerve regeneration, needs
treatment
Rationale: Neuropathic pain.
2026/2027 – 70 Questions & Answers 100% Pass
OVERVIEW
This Exam 3 covers Units 7-10: Musculoskeletal disorders - fractures, compartment
syndrome, osteoporosis, amputation; Integumentary - burns, pressure injuries, cellulitis;
Oncology - cancer, chemotherapy, radiation, oncologic emergencies; Immune disorders
- HIV, lupus, rheumatoid arthritis. Emphasis on neurovascular checks, infection control,
pain management, fluid resuscitation, wound care, immunosuppression, and patient
education for chronic and emergent medical-surgical conditions. Correct answers bold
Green.
TOPICS COVERED:
Unit 7: Musculoskeletal Q1-26
Unit 8: Integumentary & Burns Q27-45
Unit 9: Oncology Q46-60
Unit 10: Immune Q61-75
UNIT 7: MUSCULOSKELETAL Q1-26
1. 5 P's for compartment syndrome are:
A. Pain out of proportion, Pallor, Paresthesia, Pulselessness late, Paralysis late
B. No pain
C. Only edema
D. Only redness
Rationale: Increased pressure impairs perfusion.
2. Early sign of compartment syndrome is:
A. Pulselessness
B. Paralysis
C. No pain
D. Pain out of proportion not relieved by meds, paresthesia
Rationale: Pain and tingling earliest.
3. Action for compartment syndrome:
A. Apply ice and elevate above heart
B. No action needed
C. Give more pain meds only
D. Do NOT elevate above heart, loosen dressing, keep limb at heart level, notify
provider, prepare for fasciotomy
Rationale: Elevation decreases arterial flow.
4. Fat embolism signs after fracture:
A. No SOB
, B. Only leg pain
C. No petechiae
D. Tachycardia, tachypnea, dyspnea, chest pain, confusion, petechiae on
chest/axilla, hypoxia
Rationale: Fat globules block pulmonary vessels 24-72 hrs post fracture.
5. Fat embolism priority is:
A. Stay with patient, O2, maintain IV, stay calm, notify provider, prepare for
possible intubation
B. No O2 needed
C. Leave alone
D. Give fluids only
Rationale: Airway emergency.
6. Osteoporosis risk factors:
A. Young age, male
B. High calcium diet
C. Weight-bearing exercise protects
D. Postmenopausal women, low Ca, smoking, steroids, sedentary, family history
Rationale: Bone density loss.
7. Osteoporosis teaching includes:
A. No exercise
B. Low Ca diet
C. Weight-bearing exercise, Ca 1200mg, Vit D, stop smoking, no alcohol excess,
fall prevention
D. No Vit D needed
Rationale: Strengthens bone.
8. Traction care includes:
A. Remove weights for comfort
B. Weights on floor
C. No pin care
D. Weights hanging free, not on floor, no removal, pin care, skin care,
neurovascular checks q4h
Rationale: Maintains alignment.
9. Hip replacement - dislocation precautions:
A. No flexion >90 deg, no adduction, no internal rotation, abduction pillow, raised
toilet seat
B. Cross legs freely
C. Bend to tie shoes
D. Sit low chairs
Rationale: Prevents prosthesis dislocation.
10. Amputation - phantom pain is:
A. Not real
B. Only infection
C. Made up by patient
D. Real sensation of pain in removed limb, due to nerve regeneration, needs
treatment
Rationale: Neuropathic pain.
