NSG 430 Exam 3 – GCU Adult Health Nursing II – (2026) Actual Questions &
Answers.
NSG 430 Exam 3 – Adult Health Nursing II (GCU, 2026) – 200 Practice Questions
with Answers & Rationales
SECTION 1: MUSCULOSKELETAL DISORDERS AND TRAUMA (Questions 1-50)
1. A patient with a fractured femur is in skeletal traction. Which finding requires
immediate intervention?
A) Pin site with slight serous drainage
B) Patient reports pain rated 3 on a 0-10 scale
C) Toes on the affected leg are pale and cool
D) Traction weights resting on the floor
Answer: C) Toes on the affected leg are pale and cool
,Rationale: Pale, cool toes indicate compromised circulation, possibly from traction
pressure or compartment syndrome. This requires immediate assessment and
intervention. Slight serous drainage at pin sites is expected; pain 3/10 is
manageable; weights should never rest on the floor, but circulatory compromise
is the priority .
2. Which information would the nurse teach older adults at a community
recreation center about ways to prevent fractures?
A) Tack down scatter rugs on the floor in the home
B) Expect most falls to happen outside the home in the yard
C) Buy supportive nonskid shoes that are comfortable to wear
D) Get instruction in range-of-motion exercises from a physical therapist
Answer: C) Buy supportive nonskid shoes that are comfortable to wear
,Rationale: Comfortable nonskid shoes with good support decrease fall risk.
Scatter rugs should be eliminated, not just tacked down. Falls inside the home are
responsible for many injuries. Activities of daily living provide adequate exercise .
3. A factory line worker has developed repetitive strain injury in the left elbow.
Which topic would the nurse plan to include in patient teaching?
A) Surgical options
B) Elbow injections
C) Wearing a left wrist splint
D) Modifying arm movements
Answer: D) Modifying arm movements
Rationale: Treatment for repetitive strain injury includes changing the ergonomics
of the activity. Elbow injections and surgery are not initial options. A wrist splint
might be used for hand or wrist pain, not elbow pain .
, 4. Which recommendation would the occupational health nurse provide to a
patient whose job involves many hours of typing?
A) Obtain a keyboard pad to support the wrist
B) Do stretching exercises before starting work
C) Wrap the wrists with compression bandages each morning
D) Avoid using nonsteroidal anti-inflammatory drugs (NSAIDs)
Answer: A) Obtain a keyboard pad to support the wrist
Rationale: Repetitive strain injuries from prolonged keyboard work can be
prevented by using a pad to keep wrists in a straight position. Stretching during
the day may help; NSAIDs are appropriate to decrease swelling if needed .
5. Which discharge instruction would the emergency department nurse include
for a patient with a sprained ankle?
Answers.
NSG 430 Exam 3 – Adult Health Nursing II (GCU, 2026) – 200 Practice Questions
with Answers & Rationales
SECTION 1: MUSCULOSKELETAL DISORDERS AND TRAUMA (Questions 1-50)
1. A patient with a fractured femur is in skeletal traction. Which finding requires
immediate intervention?
A) Pin site with slight serous drainage
B) Patient reports pain rated 3 on a 0-10 scale
C) Toes on the affected leg are pale and cool
D) Traction weights resting on the floor
Answer: C) Toes on the affected leg are pale and cool
,Rationale: Pale, cool toes indicate compromised circulation, possibly from traction
pressure or compartment syndrome. This requires immediate assessment and
intervention. Slight serous drainage at pin sites is expected; pain 3/10 is
manageable; weights should never rest on the floor, but circulatory compromise
is the priority .
2. Which information would the nurse teach older adults at a community
recreation center about ways to prevent fractures?
A) Tack down scatter rugs on the floor in the home
B) Expect most falls to happen outside the home in the yard
C) Buy supportive nonskid shoes that are comfortable to wear
D) Get instruction in range-of-motion exercises from a physical therapist
Answer: C) Buy supportive nonskid shoes that are comfortable to wear
,Rationale: Comfortable nonskid shoes with good support decrease fall risk.
Scatter rugs should be eliminated, not just tacked down. Falls inside the home are
responsible for many injuries. Activities of daily living provide adequate exercise .
3. A factory line worker has developed repetitive strain injury in the left elbow.
Which topic would the nurse plan to include in patient teaching?
A) Surgical options
B) Elbow injections
C) Wearing a left wrist splint
D) Modifying arm movements
Answer: D) Modifying arm movements
Rationale: Treatment for repetitive strain injury includes changing the ergonomics
of the activity. Elbow injections and surgery are not initial options. A wrist splint
might be used for hand or wrist pain, not elbow pain .
, 4. Which recommendation would the occupational health nurse provide to a
patient whose job involves many hours of typing?
A) Obtain a keyboard pad to support the wrist
B) Do stretching exercises before starting work
C) Wrap the wrists with compression bandages each morning
D) Avoid using nonsteroidal anti-inflammatory drugs (NSAIDs)
Answer: A) Obtain a keyboard pad to support the wrist
Rationale: Repetitive strain injuries from prolonged keyboard work can be
prevented by using a pad to keep wrists in a straight position. Stretching during
the day may help; NSAIDs are appropriate to decrease swelling if needed .
5. Which discharge instruction would the emergency department nurse include
for a patient with a sprained ankle?
