NSG 229: Final Exam Review
Questions with Correct Answers 2025-
2026 Updated.
What discharge education would you provide to your patient regarding treatment of a sprain? -
Answer -Elevate for swelling above the heart level for 24 to 48 hours
-Ice for the first 24 to 48 hours
-Rest the affected extremity/keep it immobile
-Use a compression band
What education should you provide to someone who strained themselves while at work and
they are now returning to work? - Answer -Take breaks
-Modify arm movements
-Tell them if they continue doing what they've been doing then they will get hurt again
What are ways that carpal tunnel can be prevented? - Answer -Elevate ergonomics of
equipment being used (for example: elevated chair height, switch side that you would normally
use your mouse on)
-Take periodic breaks
-Stretch your fingers/wrists (maybe every hour)
-Take precautions while doing things
- (They can take pain medication, but it won't prevent this from happening)
What does normal synovial fluid look like? - Answer -Scant amount
-pale/yellow/ straw colored
- (if it is cloudy, it is not normal)
If a patient comes into the emergency department with a right lower leg fracture, what should
we assess first? - Answer Pedal pulses
If a fracture is suspected, other than assessing pedal pulses, what should you also do? - Answer
Immobilize the extremity
, What is closed reduction? What should we teach the patient about this procedure? - Answer
Putting dislocated bone back into place without opening the patient up; provide education on
conscious sedation and that it will make them feel loopy
If someone is using traction to treat a fracture, are they able to get in and out of bed? - Answer
No, they need to be immobile
What patient education should you provide about treatment to a patient who is being
discharged home with a fracture? - Answer -Take pain medication as prescribed
-Elevate with pillows
-Use ice packs to help with swelling
If a patient gets a cast from a broken bone, what should we teach them to avoid doing if the
cast is itchy? - Answer Avoid sticking anything down the cast to scratch it to avoid causing
any open areas underneath the cast (could cause infection if skin is broken)
What is some discharge teaching you would provide to someone who just had a cast placed for
a broken bone? - Answer -Elevate for the first few days to help decrease swelling (we don't
want compartment syndrome to occur)
-Don't get cast wet
-Move joints above and below cast to help prevent clots and contractures
-Don't insert any object down the cast to scratch an itch
If a patient has an external fixation device attached to their fracture to stabilize it, what
discharge education would we provide to them? - Answer -Check and clean the pin sites
daily
-Elevate for the first few days to help with swelling
-They can get in and out of bed as tolerated
-Only the doctor can remove the fixation device
If a patient has a pelvic fracture and is on bed rest and there are signs and symptoms of a
complication occurring, what are we going to assess for? - Answer -Auscultation of bowel
sounds for at least 3 to 5 minutes before saying they are absent
-Palpate for tenderness/pain/mass
-Inspect abdomen for distinction/wound
Questions with Correct Answers 2025-
2026 Updated.
What discharge education would you provide to your patient regarding treatment of a sprain? -
Answer -Elevate for swelling above the heart level for 24 to 48 hours
-Ice for the first 24 to 48 hours
-Rest the affected extremity/keep it immobile
-Use a compression band
What education should you provide to someone who strained themselves while at work and
they are now returning to work? - Answer -Take breaks
-Modify arm movements
-Tell them if they continue doing what they've been doing then they will get hurt again
What are ways that carpal tunnel can be prevented? - Answer -Elevate ergonomics of
equipment being used (for example: elevated chair height, switch side that you would normally
use your mouse on)
-Take periodic breaks
-Stretch your fingers/wrists (maybe every hour)
-Take precautions while doing things
- (They can take pain medication, but it won't prevent this from happening)
What does normal synovial fluid look like? - Answer -Scant amount
-pale/yellow/ straw colored
- (if it is cloudy, it is not normal)
If a patient comes into the emergency department with a right lower leg fracture, what should
we assess first? - Answer Pedal pulses
If a fracture is suspected, other than assessing pedal pulses, what should you also do? - Answer
Immobilize the extremity
, What is closed reduction? What should we teach the patient about this procedure? - Answer
Putting dislocated bone back into place without opening the patient up; provide education on
conscious sedation and that it will make them feel loopy
If someone is using traction to treat a fracture, are they able to get in and out of bed? - Answer
No, they need to be immobile
What patient education should you provide about treatment to a patient who is being
discharged home with a fracture? - Answer -Take pain medication as prescribed
-Elevate with pillows
-Use ice packs to help with swelling
If a patient gets a cast from a broken bone, what should we teach them to avoid doing if the
cast is itchy? - Answer Avoid sticking anything down the cast to scratch it to avoid causing
any open areas underneath the cast (could cause infection if skin is broken)
What is some discharge teaching you would provide to someone who just had a cast placed for
a broken bone? - Answer -Elevate for the first few days to help decrease swelling (we don't
want compartment syndrome to occur)
-Don't get cast wet
-Move joints above and below cast to help prevent clots and contractures
-Don't insert any object down the cast to scratch an itch
If a patient has an external fixation device attached to their fracture to stabilize it, what
discharge education would we provide to them? - Answer -Check and clean the pin sites
daily
-Elevate for the first few days to help with swelling
-They can get in and out of bed as tolerated
-Only the doctor can remove the fixation device
If a patient has a pelvic fracture and is on bed rest and there are signs and symptoms of a
complication occurring, what are we going to assess for? - Answer -Auscultation of bowel
sounds for at least 3 to 5 minutes before saying they are absent
-Palpate for tenderness/pain/mass
-Inspect abdomen for distinction/wound
