NUR 211 EXAM 2 WITH ALL CORRECT ANSWERS
1. A patient arrives to the ED with a suspected femur fracture after an MVA. What is the nurse's
PRIORITY action? (ANSWER) Monitor ABC
2. Which assessment finding suggests compartment syndrome? (ANSWER) Severe pain unre- @#$%^&lieved by
*(*&^trdf
medication cghj
3. A patient with a long bone fracture suddenly develops dyspnea, confusion, and tachycardia. What
complication should the nurse suspect? (ANSWER) Fat Embolism Syn- drome
4. Which findings are expected with an open fracture? Select all that apply. (ANSWER) Bone visible
through skin
Increased infection risk
Bleeding
Required sterile dressing
5. The nurse is caring for a patient in a Buck's traction. Which finding requires intervention?
(ANSWER) Weight resting on the floor
6. Which patient is at highest risk for pathological fracture? (ANSWER) 70-year-old with osteoprosis
7. A patient reports numbness and tingling distal to a cast. What should the nurse do FIRST?
(ANSWER) Assess capillary refill
8. Which instructions should the nurse include for cast care? Select all that apply (ANSWER)
Keep cast dry
Check for foul odor Report
numbness
Elevate extremity above heart initially
9. A patient taking long-term NSAIDs for fracture pain should be monitored for? (ANSWER)
Delayed bone healing
10. Which assessment indicates possible DT? (ANSWER) Warm, swollen calf
11. The nurse is delegating care to a UAP for a patient with a fracture. Which task is appropriate to
delegate? (ANSWER) Assist with repositioning using log roll
12. Which finding requires immediate provider notification in a patient with skeletal traction?
(ANSWER) Pin site redness with purulent drainage
13. A greenstick fracture is most commonly seen in (ANSWER) (ANSWER) Children
14. Which intervention helps prevent constipation in a patient taking opioids for fracture pain?
(ANSWER) Stool Softeners
, NUR 211 EXAM 2 WITH ALL CORRECT ANSWERS
15. A patient with a hip fracture is restless, confused, and tachypneic. What is the nurse's priority
action? (ANSWER) Assess oxygen saturation
16. Which findings are consistent with compartment syndrome? Select all that apply (ANSWER) @#$%^&
*(*&^trdf
Pallor
cghj
Paresthesia Paralysis
Pulselessness
17. A patient asks why biphosphonates are prescribed. The nurse responds (ANSWER) (ANSWER)
"They
slow down bone breakdown."
18. Which patient should the nurse see FIRST? (ANSWER) ORIF patient with a temp of 99.0F
19. Which diagnostic test confirms a fracture initally? (ANSWER) X-RAY
20. A patient with an open tibia fracture arrives in the ED What interventions are appropriate? Select all
that apply (ANSWER) Cover with sterile dressing
Apply pressure to bleeding Monitor for
neurovascular status Stablize limb
21. What ICP reading indicates a medical emergency? (ANSWER) 22 mmHg
22. Which assessment finding is an EARLY sign of increased ICP? (ANSWER) Restlessness
23. A patient with IICP develops BP 190/90, HR 48, and irregular respirations. What is this called?
(ANSWER) Cushing's Triad
24. Which interventions help reduce ICP? Select all that apply (ANSWER) Elevate HOB to 30 Cluster
nursing care
Decrease environmental stimuli Maintain
neutral head alignment
25. The nurse is caring for a patient receiving mannitol. What is the intended
effect? (ANSWER) Reduce cerebral edema
26. Which patient should the nurse assess FIRST? (ANSWER) ICP 21 mmHg with confusion
27. A patient has clear drainage from the nose after a head injury What should the nurse do?
(ANSWER) Test drainage for glucose (positive CSF)
28. Which actions increase ICP? Select all that apply (ANSWER) Straining during bowel movement Sneezing
, NUR 211 EXAM 2 WITH ALL CORRECT ANSWERS
Bending at the waist High
emotional stress
29. The Monro-Kellie hypothesis states that (ANSWER) (ANSWER) Brain, Blood, and CSF volumes most@#$%^&
remain balanced
*(*&^trdf
30. A patient with IICP begins projectile vomiting. What does this indicate? (ANSWER) Wors- cghj ening
ICP
31. Which position is BEST for a patient with IICP? (ANSWER) HOB 30
32. Which medication helps prevent seizures in IICP? (ANSWER) Phenytoin
33. A patient receiving mechanical ventilation for IICP suddenly becomes agitat- ed. What is the
priority action? (ANSWER) Assess O2
34. Which finding requires immediate intervention? (ANSWER) Sudden unequal pupils
35. The nurse is teaching family about preventing ICP spikes. Which statements are correct? Select all
that apply (ANSWER) Avoid coughing forcefully
Avoid nose blowing Reduce
emotional stress Use stool
softners
36. Which diagnostic test is commonly used first to evaluate IICP? (ANSWER) CT
37. A patient with IICP develops a temperature of 102F. Why is this concerning?-
(ANSWER) Fevere increases metabolic demand and ICP
38. Which nursing action is appropriate for ICP monitoring? (ANSWER) Zero transducer at foramen of Monro
39. Which patient is at highest risk for IICP? (ANSWER) A patient with TBI
40. A patient is receiving antihypertensives for IICP. What is the goal? (ANSWER) Control blood pressure to
prevent worsening ICP
41. Which finding suggests worsening neurological status? (ANSWER) Decreasing LOC
42. The nurse is delegating care. Which task is appropriate for a UAP? (ANSWER) Reposition patient
with neutral alignment
43. Which electrolyte or lab value is important to monitor with mannitol thera- py? (ANSWER) Serum
osmolaity
44. A patient suddenly develops seizures. What is the nurse's FIRST action? (ANSWER) Protect from
injury
45. Which findings indicate possible herniation? Select all that apply (ANSWER) Unilateral dilated pupil
1. A patient arrives to the ED with a suspected femur fracture after an MVA. What is the nurse's
PRIORITY action? (ANSWER) Monitor ABC
2. Which assessment finding suggests compartment syndrome? (ANSWER) Severe pain unre- @#$%^&lieved by
*(*&^trdf
medication cghj
3. A patient with a long bone fracture suddenly develops dyspnea, confusion, and tachycardia. What
complication should the nurse suspect? (ANSWER) Fat Embolism Syn- drome
4. Which findings are expected with an open fracture? Select all that apply. (ANSWER) Bone visible
through skin
Increased infection risk
Bleeding
Required sterile dressing
5. The nurse is caring for a patient in a Buck's traction. Which finding requires intervention?
(ANSWER) Weight resting on the floor
6. Which patient is at highest risk for pathological fracture? (ANSWER) 70-year-old with osteoprosis
7. A patient reports numbness and tingling distal to a cast. What should the nurse do FIRST?
(ANSWER) Assess capillary refill
8. Which instructions should the nurse include for cast care? Select all that apply (ANSWER)
Keep cast dry
Check for foul odor Report
numbness
Elevate extremity above heart initially
9. A patient taking long-term NSAIDs for fracture pain should be monitored for? (ANSWER)
Delayed bone healing
10. Which assessment indicates possible DT? (ANSWER) Warm, swollen calf
11. The nurse is delegating care to a UAP for a patient with a fracture. Which task is appropriate to
delegate? (ANSWER) Assist with repositioning using log roll
12. Which finding requires immediate provider notification in a patient with skeletal traction?
(ANSWER) Pin site redness with purulent drainage
13. A greenstick fracture is most commonly seen in (ANSWER) (ANSWER) Children
14. Which intervention helps prevent constipation in a patient taking opioids for fracture pain?
(ANSWER) Stool Softeners
, NUR 211 EXAM 2 WITH ALL CORRECT ANSWERS
15. A patient with a hip fracture is restless, confused, and tachypneic. What is the nurse's priority
action? (ANSWER) Assess oxygen saturation
16. Which findings are consistent with compartment syndrome? Select all that apply (ANSWER) @#$%^&
*(*&^trdf
Pallor
cghj
Paresthesia Paralysis
Pulselessness
17. A patient asks why biphosphonates are prescribed. The nurse responds (ANSWER) (ANSWER)
"They
slow down bone breakdown."
18. Which patient should the nurse see FIRST? (ANSWER) ORIF patient with a temp of 99.0F
19. Which diagnostic test confirms a fracture initally? (ANSWER) X-RAY
20. A patient with an open tibia fracture arrives in the ED What interventions are appropriate? Select all
that apply (ANSWER) Cover with sterile dressing
Apply pressure to bleeding Monitor for
neurovascular status Stablize limb
21. What ICP reading indicates a medical emergency? (ANSWER) 22 mmHg
22. Which assessment finding is an EARLY sign of increased ICP? (ANSWER) Restlessness
23. A patient with IICP develops BP 190/90, HR 48, and irregular respirations. What is this called?
(ANSWER) Cushing's Triad
24. Which interventions help reduce ICP? Select all that apply (ANSWER) Elevate HOB to 30 Cluster
nursing care
Decrease environmental stimuli Maintain
neutral head alignment
25. The nurse is caring for a patient receiving mannitol. What is the intended
effect? (ANSWER) Reduce cerebral edema
26. Which patient should the nurse assess FIRST? (ANSWER) ICP 21 mmHg with confusion
27. A patient has clear drainage from the nose after a head injury What should the nurse do?
(ANSWER) Test drainage for glucose (positive CSF)
28. Which actions increase ICP? Select all that apply (ANSWER) Straining during bowel movement Sneezing
, NUR 211 EXAM 2 WITH ALL CORRECT ANSWERS
Bending at the waist High
emotional stress
29. The Monro-Kellie hypothesis states that (ANSWER) (ANSWER) Brain, Blood, and CSF volumes most@#$%^&
remain balanced
*(*&^trdf
30. A patient with IICP begins projectile vomiting. What does this indicate? (ANSWER) Wors- cghj ening
ICP
31. Which position is BEST for a patient with IICP? (ANSWER) HOB 30
32. Which medication helps prevent seizures in IICP? (ANSWER) Phenytoin
33. A patient receiving mechanical ventilation for IICP suddenly becomes agitat- ed. What is the
priority action? (ANSWER) Assess O2
34. Which finding requires immediate intervention? (ANSWER) Sudden unequal pupils
35. The nurse is teaching family about preventing ICP spikes. Which statements are correct? Select all
that apply (ANSWER) Avoid coughing forcefully
Avoid nose blowing Reduce
emotional stress Use stool
softners
36. Which diagnostic test is commonly used first to evaluate IICP? (ANSWER) CT
37. A patient with IICP develops a temperature of 102F. Why is this concerning?-
(ANSWER) Fevere increases metabolic demand and ICP
38. Which nursing action is appropriate for ICP monitoring? (ANSWER) Zero transducer at foramen of Monro
39. Which patient is at highest risk for IICP? (ANSWER) A patient with TBI
40. A patient is receiving antihypertensives for IICP. What is the goal? (ANSWER) Control blood pressure to
prevent worsening ICP
41. Which finding suggests worsening neurological status? (ANSWER) Decreasing LOC
42. The nurse is delegating care. Which task is appropriate for a UAP? (ANSWER) Reposition patient
with neutral alignment
43. Which electrolyte or lab value is important to monitor with mannitol thera- py? (ANSWER) Serum
osmolaity
44. A patient suddenly develops seizures. What is the nurse's FIRST action? (ANSWER) Protect from
injury
45. Which findings indicate possible herniation? Select all that apply (ANSWER) Unilateral dilated pupil
