NURS 212 EXAM TWO 2026 Questions
and Answers
pediatric differences in bones - Correct answer--growth plates (physis)
-periosteum: thicker
medications that increase fracture risk - Correct answer--proton pump inhibitors
(GERD, reflux)
-depo provera (adolescents)
medication to treat muscle spasms - Correct answer-lorazepam (Ativan)
5 P's neurovascular assessment - Correct answer-pain
pulse
pallor (pale)
paresthesia (feel)
paralysis (move)
PRICE - Correct answer-protect
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,rest
ice
compress
elevate
most common fracture site= - Correct answer-forearm
is it a fracture? - Correct answer--generalized swelling
-pain or tenderness
-deformity
-diminished function of limb or digit
-refusal to bear weight
-may also note bruising, muscular rigidity, and crepitus
plastic deformity fracture - Correct answer-bending of bone, remains intact
*childrens bones can bend up to 45 degrees
greenstick fracture - Correct answer-one side of bone yields; the other breaks
torus or buckle fracture - Correct answer-one side of a bone bends, raising a little
buckle, without breaking the other side of the bone
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,spiral fracture - Correct answer-twisting
*rule out non-accidental trauma
example of a growth plate injury - Correct answer-salter harris classification
-may not be detected on x-ray
-tenderness to pressure
-more severe may lead to growth plate arrest
salter-harris classification - Correct answer-1-growth plate is a little squished
*crack starts in the growth plate and then goes into the bone and then.....
2-away from the ankle joint
3-into the ankle joint
4-away from the ankle joint AND into the ankle joint
5-growth plate is totally smashed
dislocation - Correct answer-nursemaids elbow
-radial head dislocation (common in toddlers)
plaster casting material - Correct answer--preferred because it molds closely to
body part, takes longer to dry
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, -a fiberglass cast overlay can be placed over a plaster cast for stability
fiberglass - Correct answer--doesn't mold as closely to body part; dries faster,
lighter
-easy to clean, cute designs/colors for kids to choose from
hip spica cast - Correct answer-the style of cast that is applied to the trunk , around
the affecting leg, and around half of the unaffected leg
considerations for child after cast placement - Correct answer--assess circulation
(neuro checks every 2 hours for first 24 hours, use palms of hands, should be able
to place two fingers between cast and skin)
-integumentary (risk for skin breakdown, turn every 2 hours, itchy)
-comfort (oxycodone initially then NSAIDs)
-gastrointestinal (dietary considerations to prevent constipation)
compartment syndrome - Correct answer--compression of tissues inside a closed
space (cast)
-check circulation using the "5 P's"! Note sings of impaired circulation quickly!
-increase in pain (unrelieved)....especially if increases with passive movement of
extremity
©COPYRIGHT 2025, ALL RIGHTS RESERVED 4
and Answers
pediatric differences in bones - Correct answer--growth plates (physis)
-periosteum: thicker
medications that increase fracture risk - Correct answer--proton pump inhibitors
(GERD, reflux)
-depo provera (adolescents)
medication to treat muscle spasms - Correct answer-lorazepam (Ativan)
5 P's neurovascular assessment - Correct answer-pain
pulse
pallor (pale)
paresthesia (feel)
paralysis (move)
PRICE - Correct answer-protect
©COPYRIGHT 2025, ALL RIGHTS RESERVED 1
,rest
ice
compress
elevate
most common fracture site= - Correct answer-forearm
is it a fracture? - Correct answer--generalized swelling
-pain or tenderness
-deformity
-diminished function of limb or digit
-refusal to bear weight
-may also note bruising, muscular rigidity, and crepitus
plastic deformity fracture - Correct answer-bending of bone, remains intact
*childrens bones can bend up to 45 degrees
greenstick fracture - Correct answer-one side of bone yields; the other breaks
torus or buckle fracture - Correct answer-one side of a bone bends, raising a little
buckle, without breaking the other side of the bone
©COPYRIGHT 2025, ALL RIGHTS RESERVED 2
,spiral fracture - Correct answer-twisting
*rule out non-accidental trauma
example of a growth plate injury - Correct answer-salter harris classification
-may not be detected on x-ray
-tenderness to pressure
-more severe may lead to growth plate arrest
salter-harris classification - Correct answer-1-growth plate is a little squished
*crack starts in the growth plate and then goes into the bone and then.....
2-away from the ankle joint
3-into the ankle joint
4-away from the ankle joint AND into the ankle joint
5-growth plate is totally smashed
dislocation - Correct answer-nursemaids elbow
-radial head dislocation (common in toddlers)
plaster casting material - Correct answer--preferred because it molds closely to
body part, takes longer to dry
©COPYRIGHT 2025, ALL RIGHTS RESERVED 3
, -a fiberglass cast overlay can be placed over a plaster cast for stability
fiberglass - Correct answer--doesn't mold as closely to body part; dries faster,
lighter
-easy to clean, cute designs/colors for kids to choose from
hip spica cast - Correct answer-the style of cast that is applied to the trunk , around
the affecting leg, and around half of the unaffected leg
considerations for child after cast placement - Correct answer--assess circulation
(neuro checks every 2 hours for first 24 hours, use palms of hands, should be able
to place two fingers between cast and skin)
-integumentary (risk for skin breakdown, turn every 2 hours, itchy)
-comfort (oxycodone initially then NSAIDs)
-gastrointestinal (dietary considerations to prevent constipation)
compartment syndrome - Correct answer--compression of tissues inside a closed
space (cast)
-check circulation using the "5 P's"! Note sings of impaired circulation quickly!
-increase in pain (unrelieved)....especially if increases with passive movement of
extremity
©COPYRIGHT 2025, ALL RIGHTS RESERVED 4
