NUR 317 FINAL EXAM 2026/2027 – QUESTIONS, STUDY GUIDE &
PRACTICE REVIEW
When giving him extra care instructions to a patient who has comminuted forearm fractures
and a long arm cast on the left arm, which info should the nurse include?
A. Keep the left shoulder elevated on a pillow or cushion
B. Keep the hand immobile to prevent soft tissue swelling
C. Call the HCP for increasing swelling or numbness of the hand
D. A kind NSAIDS for 24 hours after the injury - Correct answer ✔✔ C. Call the HCP for
increasing swelling or numbness of the hand
When assessing for Tinsel's sign in a patient with possible right sided carpal tunnel syndrome,
the nurse will ask the patient about what?
A. Weakness in the right little finger
B. Tingling in the right thumb and fingers
C. Burning in the right elbow and forearm
D. Tremor when gripping with the right hand - Correct answer ✔✔ B. Tingling in the right thumb
and fingers
A 75 yo patient who has had an open reduction and internal fixation of the left leg fractures
continues to complain of severe pain in the leg 15 minute after receiving IV morphing. Pulses
are faintly palpable and the foot is cool. Which action should the nurse take next?
A. Notify the health care provider
B. Assess the incision for redness.
C. Reposition the left leg on a pillow
, D. Check the patient BP - Correct answer ✔✔ A. Notify the health care provider
Which action should the nurse delegate to the UAP who are working in the orthopedic unit?
A. Grade leg muscle strength for a patois today with back pain
B. Obtain blood ample for Uric acid from a patient with gout
C. Perform straight leg raise test for a patient with sciatica
D. Check for knee joint crepitation before arthroscopic surgery. - Correct answer ✔✔ B. Obtain
blood ample for Uric acid from a patient with gout
A nurse in the ED is planning care for a patient who has a right hip fracture. Which of the
following immobilization devices should the nurse anticipate in the plan of care?
A. Skeletal traction
B. Bucks traction
C. Halo traction
D. Bryant's traction - Correct answer ✔✔ B. Bucks traction
A nurse is assessing a patient who has a casted fracture of the femur. Which of the following
findings is a manifestation of a FE
A. altered mental status
B. Reduced bowel sounds
C. Swelling of the toes distal to the injury
D. Pain with passive movement of the foot distal to the injury. - Correct answer ✔✔ A. altered
mental status
PRACTICE REVIEW
When giving him extra care instructions to a patient who has comminuted forearm fractures
and a long arm cast on the left arm, which info should the nurse include?
A. Keep the left shoulder elevated on a pillow or cushion
B. Keep the hand immobile to prevent soft tissue swelling
C. Call the HCP for increasing swelling or numbness of the hand
D. A kind NSAIDS for 24 hours after the injury - Correct answer ✔✔ C. Call the HCP for
increasing swelling or numbness of the hand
When assessing for Tinsel's sign in a patient with possible right sided carpal tunnel syndrome,
the nurse will ask the patient about what?
A. Weakness in the right little finger
B. Tingling in the right thumb and fingers
C. Burning in the right elbow and forearm
D. Tremor when gripping with the right hand - Correct answer ✔✔ B. Tingling in the right thumb
and fingers
A 75 yo patient who has had an open reduction and internal fixation of the left leg fractures
continues to complain of severe pain in the leg 15 minute after receiving IV morphing. Pulses
are faintly palpable and the foot is cool. Which action should the nurse take next?
A. Notify the health care provider
B. Assess the incision for redness.
C. Reposition the left leg on a pillow
, D. Check the patient BP - Correct answer ✔✔ A. Notify the health care provider
Which action should the nurse delegate to the UAP who are working in the orthopedic unit?
A. Grade leg muscle strength for a patois today with back pain
B. Obtain blood ample for Uric acid from a patient with gout
C. Perform straight leg raise test for a patient with sciatica
D. Check for knee joint crepitation before arthroscopic surgery. - Correct answer ✔✔ B. Obtain
blood ample for Uric acid from a patient with gout
A nurse in the ED is planning care for a patient who has a right hip fracture. Which of the
following immobilization devices should the nurse anticipate in the plan of care?
A. Skeletal traction
B. Bucks traction
C. Halo traction
D. Bryant's traction - Correct answer ✔✔ B. Bucks traction
A nurse is assessing a patient who has a casted fracture of the femur. Which of the following
findings is a manifestation of a FE
A. altered mental status
B. Reduced bowel sounds
C. Swelling of the toes distal to the injury
D. Pain with passive movement of the foot distal to the injury. - Correct answer ✔✔ A. altered
mental status
