NUR 2356 / NUR2356: Multidimensional Care I / MDC 1 Exam 2
UPDATED ACTUAL Exam Questions and CORRECT Answers
Question 1.
A nurse is caring for a client placed in traction to treat a fractured femur. Which nursing
intervention has the highest priority?
A. Assessing the extremity for neurovascular integrity
B. Keeping the client from sliding to the foot of the bed C.Keeping the ropes over the
center of the pulley
D. Ensuring that the weights hang free at all times
Correct Answer: A. Assessing the extremity for neurovascular integrity
Question 2.
Which orthopedic surgery is done to correct and align a fracture after surgical dissection
and exposure of the fracture?
A.Arthrodesis B.Joint arthroplasty C.Total joint arthroplasty D.Open reduction
Correct Answer: D.Open reduction
Question 3.
The client displays manifestations of compartment syndrome. What treatment will the
nurse expect the client to be scheduled for?
A. An open reduction
B. A fasciotomy
C. A total hip replacement
D. A total knee replacement
Correct Answer: B. A fasciotomy
Question 4.
A client who is undergoing skeletal traction reports pressure on bony areas. Which
action would be most appropriate to provide comfort for the client?
A. Assisting with range-of-motion and isometric exercises.
B. Changing the client's position within prescribed limits.
C. Administering prescribed analgesics.
D. Applying warm compresses.
Correct Answer: B. Changing the client's position within prescribed limits.
Question 5.
A client's fracture was reduced by surgically exposing the bone and realigning it. What
type of treatment does the nurse identity this as?
A.Buck's traction B.Skeletal traction C.Internal fixation D.Open reduction
Correct Answer: D.Open reduction
,Question 6.
The nurse is checking the traction apparatus for a client in skin traction. Which finding
would require the nurse to intervene?
A.Body aligned opposite to line of traction pull B.Weights hanging and touching the floor
C.Pulleys without evidence of the obstruction D.Ropes freely moving over pulleys
Correct Answer: B.Weights hanging and touching the floor
Question 7.
A group of students is studying for a test on traction. The students demonstrate
understanding of the types of traction when they identify which of the following as an
example of skin traction?
A.Crutchfield tongs B.Thomas splint C.Buck's D.Balanced suspension
Correct Answer: C.Buck's
Question 8.
The nurse is providing instructions to the client who is being prepared for skeletal
traction. Which statement by the client indicates teaching was effective?
A."Metal pins will go through my skin to the bone." B."I will wear a boot with weights
attached." C."A belt will go around my pelvis and weights will be attached." D."The
traction can be removed once a day so I can shower."
Correct Answer: A."Metal pins will go through my skin to the bone."
Question 9.
A client is reporting pain following orthopedic surgery. Which intervention will help
relieve pain?
A.Elevate the affected extremity and use cold applications. B.Breathe deeply and cough
every 2 hours until ambulation is possible. C.Do ROM exercises as indicated. D.Apply
antiembolism stockings as indicated.
Correct Answer: A.Elevate the affected extremity and use cold applications.
Question 10.
A client has severe osteoarthritis in the left hip and is having surgery to replace both
articular surfaces of the hip. What type of surgical procedure will the nurse prepare the
client for?
A.Arthrodesis B.Hemiarthroplasty C.Total arthroplasty D.Osteotomy
Correct Answer: C.Total arthroplasty
• A client is brought to the emergency department by a softball team member
who states the client and another player ran into each other, and the client is
having severe pain in the right shoulder. What symptoms of a fractured
clavicle does the nurse recognize?
, A.Client complains of tingling and numbness in the right shoulder. B.Right
shoulder is elevated above the left. C.Client complains of pain in the
unaffected shoulder. D.Right shoulder slopes downward and droops inward.
-✓✓D.Right shoulder slopes downward and droops inward.
Question 11.
The nurse is preparing a client to have his cast cut off after having it for 6 weeks to treat
a fractured tibia. What should the nurse inform the client prior to the cast being
removed?
A.The leg will look as it did prior to the cast being applied. B.The leg will look moist and
will have small bumps that will go away in a few days. C.The skin may be covered with a
yellowish crust that will shed in a few days. D.The leg strength is enforced by the
wearing of the cast.
Correct Answer: C. The skin may be covered with a yellowish crust that will
shed in a few days.
Question 12.
A client was playing softball and dislocated four of his fingers when diving for a ball. The
physician manipulated the fingers into alignment and applied a splint to maintain
alignment. What type of procedure does the nurse document this as?
A.Open reduction B.Closed reduction C.Open reduction with internal fixation D.External
fixation
Correct Answer: B.Closed reduction
Question 13.
Which would be consistent as a component of self-care activities for the client with a
cast?
A.Cover the cast with plastic to insulate it B.Cushion rough edges of the cast with tape
C.Frequently place the casted extremity in a dependent position D.Use a plastic hanger
wrapped in gauze to scratch under the cast.
Correct Answer: B.Cushion rough edges of the cast with tape
Question 14.
A client with a long arm cast continues to complain of unrelieved throbbing pain even
after receiving opioid pain medication. Which is the priority action by the nurse?
A.Assess for complications. B.Assess for previous opioid drug use. C.Reposition the client
for comfort. D.Teach relaxation techniques.
Correct Answer: A.Assess for complications.
• A client arrives in the emergency department with a suspected bone fracture
of the right arm. How does the nurse expect the client to describe the pain?
A.A dull, deep, boring ache B.Sharp and piercing C.Similar to "muscle cramps"
UPDATED ACTUAL Exam Questions and CORRECT Answers
Question 1.
A nurse is caring for a client placed in traction to treat a fractured femur. Which nursing
intervention has the highest priority?
A. Assessing the extremity for neurovascular integrity
B. Keeping the client from sliding to the foot of the bed C.Keeping the ropes over the
center of the pulley
D. Ensuring that the weights hang free at all times
Correct Answer: A. Assessing the extremity for neurovascular integrity
Question 2.
Which orthopedic surgery is done to correct and align a fracture after surgical dissection
and exposure of the fracture?
A.Arthrodesis B.Joint arthroplasty C.Total joint arthroplasty D.Open reduction
Correct Answer: D.Open reduction
Question 3.
The client displays manifestations of compartment syndrome. What treatment will the
nurse expect the client to be scheduled for?
A. An open reduction
B. A fasciotomy
C. A total hip replacement
D. A total knee replacement
Correct Answer: B. A fasciotomy
Question 4.
A client who is undergoing skeletal traction reports pressure on bony areas. Which
action would be most appropriate to provide comfort for the client?
A. Assisting with range-of-motion and isometric exercises.
B. Changing the client's position within prescribed limits.
C. Administering prescribed analgesics.
D. Applying warm compresses.
Correct Answer: B. Changing the client's position within prescribed limits.
Question 5.
A client's fracture was reduced by surgically exposing the bone and realigning it. What
type of treatment does the nurse identity this as?
A.Buck's traction B.Skeletal traction C.Internal fixation D.Open reduction
Correct Answer: D.Open reduction
,Question 6.
The nurse is checking the traction apparatus for a client in skin traction. Which finding
would require the nurse to intervene?
A.Body aligned opposite to line of traction pull B.Weights hanging and touching the floor
C.Pulleys without evidence of the obstruction D.Ropes freely moving over pulleys
Correct Answer: B.Weights hanging and touching the floor
Question 7.
A group of students is studying for a test on traction. The students demonstrate
understanding of the types of traction when they identify which of the following as an
example of skin traction?
A.Crutchfield tongs B.Thomas splint C.Buck's D.Balanced suspension
Correct Answer: C.Buck's
Question 8.
The nurse is providing instructions to the client who is being prepared for skeletal
traction. Which statement by the client indicates teaching was effective?
A."Metal pins will go through my skin to the bone." B."I will wear a boot with weights
attached." C."A belt will go around my pelvis and weights will be attached." D."The
traction can be removed once a day so I can shower."
Correct Answer: A."Metal pins will go through my skin to the bone."
Question 9.
A client is reporting pain following orthopedic surgery. Which intervention will help
relieve pain?
A.Elevate the affected extremity and use cold applications. B.Breathe deeply and cough
every 2 hours until ambulation is possible. C.Do ROM exercises as indicated. D.Apply
antiembolism stockings as indicated.
Correct Answer: A.Elevate the affected extremity and use cold applications.
Question 10.
A client has severe osteoarthritis in the left hip and is having surgery to replace both
articular surfaces of the hip. What type of surgical procedure will the nurse prepare the
client for?
A.Arthrodesis B.Hemiarthroplasty C.Total arthroplasty D.Osteotomy
Correct Answer: C.Total arthroplasty
• A client is brought to the emergency department by a softball team member
who states the client and another player ran into each other, and the client is
having severe pain in the right shoulder. What symptoms of a fractured
clavicle does the nurse recognize?
, A.Client complains of tingling and numbness in the right shoulder. B.Right
shoulder is elevated above the left. C.Client complains of pain in the
unaffected shoulder. D.Right shoulder slopes downward and droops inward.
-✓✓D.Right shoulder slopes downward and droops inward.
Question 11.
The nurse is preparing a client to have his cast cut off after having it for 6 weeks to treat
a fractured tibia. What should the nurse inform the client prior to the cast being
removed?
A.The leg will look as it did prior to the cast being applied. B.The leg will look moist and
will have small bumps that will go away in a few days. C.The skin may be covered with a
yellowish crust that will shed in a few days. D.The leg strength is enforced by the
wearing of the cast.
Correct Answer: C. The skin may be covered with a yellowish crust that will
shed in a few days.
Question 12.
A client was playing softball and dislocated four of his fingers when diving for a ball. The
physician manipulated the fingers into alignment and applied a splint to maintain
alignment. What type of procedure does the nurse document this as?
A.Open reduction B.Closed reduction C.Open reduction with internal fixation D.External
fixation
Correct Answer: B.Closed reduction
Question 13.
Which would be consistent as a component of self-care activities for the client with a
cast?
A.Cover the cast with plastic to insulate it B.Cushion rough edges of the cast with tape
C.Frequently place the casted extremity in a dependent position D.Use a plastic hanger
wrapped in gauze to scratch under the cast.
Correct Answer: B.Cushion rough edges of the cast with tape
Question 14.
A client with a long arm cast continues to complain of unrelieved throbbing pain even
after receiving opioid pain medication. Which is the priority action by the nurse?
A.Assess for complications. B.Assess for previous opioid drug use. C.Reposition the client
for comfort. D.Teach relaxation techniques.
Correct Answer: A.Assess for complications.
• A client arrives in the emergency department with a suspected bone fracture
of the right arm. How does the nurse expect the client to describe the pain?
A.A dull, deep, boring ache B.Sharp and piercing C.Similar to "muscle cramps"
