NRSG 357 Exam 4 Questions and
Answers Graded A+
An ambulance arrives at the ER bringing a patient rescued from a high-velocity
motor vehicle accident. Just by looking at the patient's leg you see:
A. Pathological fracture
B. Spiral fracture
C. Nondisplaced fracture
D. Open fracture - Correct answer-D. Open fracture
A 59 yr-old patient has stage 4 kidney cancer with metastasis to right femur. She
arrived at the ER after feeling excruciating pain at the R leg, that started while she
was brushing her teeth. She refers numbness and difficulty moving the limb. These
clinical signs and symptoms indicates she might have:
A. Open fracture
B. Pathological fracture
C. Greenstick fracture - Correct answer-B. Pathological fracture
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,The X-ray of a hockey player injured during a game is an example of:
A. Transverse, displaced
B. Transverse, nondisplaced
C. Oblique displaced
D. Linear, displaced - Correct answer-C. Oblique displaced
Which statement by a patient, who just received a cast on the right arm for a
fracture, requires you to notify the physician immediately?
A. "It is really itchy inside my cast!"
B. "My pain is so severe that it hurts to stretch or elevate my arm."
C. "I can feel my fingers and move them."
D. "I've been using ice packs to reduce swelling." - Correct answer-B. "My pain is
so severe that it hurts to stretch or elevate my arm."
Select all the signs and symptoms that will present in compartment syndrome?
A. Capillary refill less than 2 seconds
B. Pallor
C. Pain relief with medication
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,D. Feeling of tingling in the extremity
E. Affected extremity feels cooler to the touch than the unaffected extremity -
Correct answer-B. Pallor
D. Feeling of tingling in the extremity
E. Affected extremity feels cooler to the touch than the unaffected extremity
A patient sustained a fracture to the femur. The patient has suddenly become
confused, restless, and has a respiratory rate of 30 breaths per minute. Based on the
location of fracture and the presenting symptoms, this patient may be experiencing
what type of complication?
A. Compartment Syndrome
B. Osteomyelitis
C. Fat embolism
D. Hypovolemia - Correct answer-C. Fat embolism
Which assessment finding found while assessing a patient with a fracture who has
traction requires immediate intervention?
A. The weights are freely hanging on the floor.
B. Pin sites are free from drainage.
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, C. Patient uses the overhead trapeze bar to move around in the bed.
D. Patient's extremities have a capillary refill of less than 2 seconds. - Correct
answer-A. The weights are freely hanging on the floor.
Your patient is 2 hours post-op from a cast placement on the right leg. The patient
has family in the room. Which action by the significant other requires you to re-
educate the patient and family about cast care?
A. Gently moving the cast with the fingertips of the hands every 2 hours to help
with drying.
B. Elevating the cast above heart level with pillows.
C. Checking the color and temperature of the right foot.
D. Using a hair dryer on the cool setting to help with drying and itching. - Correct
answer-A. Gently moving the cast with the fingertips of the hands every 2 hours to
help with drying.
Which patient below is at lower risk for osteoporosis?
A. A 50 year old female whose last menstrual period was 7 years ago.
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Answers Graded A+
An ambulance arrives at the ER bringing a patient rescued from a high-velocity
motor vehicle accident. Just by looking at the patient's leg you see:
A. Pathological fracture
B. Spiral fracture
C. Nondisplaced fracture
D. Open fracture - Correct answer-D. Open fracture
A 59 yr-old patient has stage 4 kidney cancer with metastasis to right femur. She
arrived at the ER after feeling excruciating pain at the R leg, that started while she
was brushing her teeth. She refers numbness and difficulty moving the limb. These
clinical signs and symptoms indicates she might have:
A. Open fracture
B. Pathological fracture
C. Greenstick fracture - Correct answer-B. Pathological fracture
©COPYRIGHT 2025, ALL RIGHTS RESERVED 1
,The X-ray of a hockey player injured during a game is an example of:
A. Transverse, displaced
B. Transverse, nondisplaced
C. Oblique displaced
D. Linear, displaced - Correct answer-C. Oblique displaced
Which statement by a patient, who just received a cast on the right arm for a
fracture, requires you to notify the physician immediately?
A. "It is really itchy inside my cast!"
B. "My pain is so severe that it hurts to stretch or elevate my arm."
C. "I can feel my fingers and move them."
D. "I've been using ice packs to reduce swelling." - Correct answer-B. "My pain is
so severe that it hurts to stretch or elevate my arm."
Select all the signs and symptoms that will present in compartment syndrome?
A. Capillary refill less than 2 seconds
B. Pallor
C. Pain relief with medication
©COPYRIGHT 2025, ALL RIGHTS RESERVED 2
,D. Feeling of tingling in the extremity
E. Affected extremity feels cooler to the touch than the unaffected extremity -
Correct answer-B. Pallor
D. Feeling of tingling in the extremity
E. Affected extremity feels cooler to the touch than the unaffected extremity
A patient sustained a fracture to the femur. The patient has suddenly become
confused, restless, and has a respiratory rate of 30 breaths per minute. Based on the
location of fracture and the presenting symptoms, this patient may be experiencing
what type of complication?
A. Compartment Syndrome
B. Osteomyelitis
C. Fat embolism
D. Hypovolemia - Correct answer-C. Fat embolism
Which assessment finding found while assessing a patient with a fracture who has
traction requires immediate intervention?
A. The weights are freely hanging on the floor.
B. Pin sites are free from drainage.
©COPYRIGHT 2025, ALL RIGHTS RESERVED 3
, C. Patient uses the overhead trapeze bar to move around in the bed.
D. Patient's extremities have a capillary refill of less than 2 seconds. - Correct
answer-A. The weights are freely hanging on the floor.
Your patient is 2 hours post-op from a cast placement on the right leg. The patient
has family in the room. Which action by the significant other requires you to re-
educate the patient and family about cast care?
A. Gently moving the cast with the fingertips of the hands every 2 hours to help
with drying.
B. Elevating the cast above heart level with pillows.
C. Checking the color and temperature of the right foot.
D. Using a hair dryer on the cool setting to help with drying and itching. - Correct
answer-A. Gently moving the cast with the fingertips of the hands every 2 hours to
help with drying.
Which patient below is at lower risk for osteoporosis?
A. A 50 year old female whose last menstrual period was 7 years ago.
©COPYRIGHT 2025, ALL RIGHTS RESERVED 4
