Fractures and Amputations Exam/61 Q’s and
A’s
Which description accurately defines a closed reduction? - -Process where
the ends of the bones are manually pulled and realigned.
-A patient with bone cancer is susceptible to which type of fracture? - -
spontaneous fracture
-A patient with a fracture in which location would be examined while in a
seated or a standing position? - -upper arm
-Which term is used to describe the sensation that is felt in an amputated
part immediately after surgery? - -phantom limb pain
-During which stage of bone healing does callus form? - -Stage 3
-The incidence of which type of fracture is highest in older adults? - -hip
-What type of fracture extends through the skin? - -compound
-Which procedure involves injecting bone cement through the skin directly
into the fracture site to treat vertebral compression fractures? - -
vertebroplasty
-Which bone fracture complication is also known as ischemia-edema cycle? -
-acute compartment syndrome
-Which type of fracture does not divide the bone into two portions because
the break is through only part of the bone? - -incomplete
-Which type of injury may require the use of Buck extension traction? - -
Fracture of the hip before surgery.
-Which finding would indicate the presence of fat embolism syndrome.
(select all that apply) - -decreased platelet count
decreased red blood cell count
increased erythrocyte sedimentation rate
-Which statement about the use of noninvasive techniques to assess the
viability of a patient's limb is correct? - -Transcutaneous oxygen pressure is
reliable for predicting healing.
-Which statement about chronic complications from fractures is correct? - -
Avascular necrosis is a chronic complication of fracture.
, -Which assessment finding typically indicates there is a fracture of the hip? -
-groin pain
-Which advantage is seen with open reduction and external fixation over
other surgical techniques? (select all that apply) - -Stabilizes comminuted
fractures requiring bone grafting.
Maintains closed fracture alignment not possible with a cast.
Facilitates early ambulation and exercise while relieving pain.
Promotes minimal blood loss compared with internal fixation.
-Place in order the nursing actions, from first to last in priority, that should
be taken when caring for a patient who sustained a traumatic amputation of
the arm. - -1. Assess the patient for breathing problems.
2. Examine the amputation site.
3. Apply direct pressure to the amputated site.
4. Elevate the extremity above the patient's heart.
-Which class of drugs would be administered to a patient experiencing a
constant, dull, burning, phantom limb pain? - -beta blockers
-Which health care team member would the nurse anticipate working with
when providing collaborative care for a patient with a traumatic amputation
of the right hand? (select all that apply) - -psychologist
physical therapy
occupational therapy
-Which time frame would be the estimated period for healing to take place
for a 70 year old patient who has an infected lower extremity fracture? - -90
days
-Which patient is at risk for a fatigue fracture? - -A patient who runs every
day.
-The nurse would advise a patient with a lower extremity fracture to take a
multivitamin with iron after eating to prevent which condition? - -nausea
-Which intervention would the nurse include in the plan of care for a patient
in skeletal traction? - -Inspect the skin at least every 8 hours.
-Arrange the steps in the order in which bone healing occurs. - -1.
Formation of hematoma.
2. Formation of fibrocartilage.
3. Formation of callus.
4. Resorption of callus.
5. Consolidation and remodeling.
A’s
Which description accurately defines a closed reduction? - -Process where
the ends of the bones are manually pulled and realigned.
-A patient with bone cancer is susceptible to which type of fracture? - -
spontaneous fracture
-A patient with a fracture in which location would be examined while in a
seated or a standing position? - -upper arm
-Which term is used to describe the sensation that is felt in an amputated
part immediately after surgery? - -phantom limb pain
-During which stage of bone healing does callus form? - -Stage 3
-The incidence of which type of fracture is highest in older adults? - -hip
-What type of fracture extends through the skin? - -compound
-Which procedure involves injecting bone cement through the skin directly
into the fracture site to treat vertebral compression fractures? - -
vertebroplasty
-Which bone fracture complication is also known as ischemia-edema cycle? -
-acute compartment syndrome
-Which type of fracture does not divide the bone into two portions because
the break is through only part of the bone? - -incomplete
-Which type of injury may require the use of Buck extension traction? - -
Fracture of the hip before surgery.
-Which finding would indicate the presence of fat embolism syndrome.
(select all that apply) - -decreased platelet count
decreased red blood cell count
increased erythrocyte sedimentation rate
-Which statement about the use of noninvasive techniques to assess the
viability of a patient's limb is correct? - -Transcutaneous oxygen pressure is
reliable for predicting healing.
-Which statement about chronic complications from fractures is correct? - -
Avascular necrosis is a chronic complication of fracture.
, -Which assessment finding typically indicates there is a fracture of the hip? -
-groin pain
-Which advantage is seen with open reduction and external fixation over
other surgical techniques? (select all that apply) - -Stabilizes comminuted
fractures requiring bone grafting.
Maintains closed fracture alignment not possible with a cast.
Facilitates early ambulation and exercise while relieving pain.
Promotes minimal blood loss compared with internal fixation.
-Place in order the nursing actions, from first to last in priority, that should
be taken when caring for a patient who sustained a traumatic amputation of
the arm. - -1. Assess the patient for breathing problems.
2. Examine the amputation site.
3. Apply direct pressure to the amputated site.
4. Elevate the extremity above the patient's heart.
-Which class of drugs would be administered to a patient experiencing a
constant, dull, burning, phantom limb pain? - -beta blockers
-Which health care team member would the nurse anticipate working with
when providing collaborative care for a patient with a traumatic amputation
of the right hand? (select all that apply) - -psychologist
physical therapy
occupational therapy
-Which time frame would be the estimated period for healing to take place
for a 70 year old patient who has an infected lower extremity fracture? - -90
days
-Which patient is at risk for a fatigue fracture? - -A patient who runs every
day.
-The nurse would advise a patient with a lower extremity fracture to take a
multivitamin with iron after eating to prevent which condition? - -nausea
-Which intervention would the nurse include in the plan of care for a patient
in skeletal traction? - -Inspect the skin at least every 8 hours.
-Arrange the steps in the order in which bone healing occurs. - -1.
Formation of hematoma.
2. Formation of fibrocartilage.
3. Formation of callus.
4. Resorption of callus.
5. Consolidation and remodeling.
