NUR 4307 | Questions And Answers | Verified Study Solutions Latest
Updates William Paterson University
Fractures:
1. Figure 1 represents what type of bone fracture: This is a fracture that is slanted across
the bone shaft. *
A. Transverse Fracture
B. Spiral Fracture
C. Oblique Fracture
D. Compound Fracture
2. Figure 2 represents what type of bone fracture: The fractured bone is broken into many
fragments (3 or more).*
A. Open Fracture
B. Greenstick Fracture
C. Oblique Fracture
D. Comminuted Fracture
3. Figure 3 represents what type of bone fracture: This a fractured bone that breaks
through the skin.*
A. Closed Fracture
, B. Compound Fracture
C. Greenstick Fracture
D. Transverse Fracture
4. You're caring for a patient who has experienced a fracture to the right arm that is
represented in Figure 3. What nursing intervention will you take with this type of
fracture?*
A. Cover the fracture with a sterile dressing.
B. Place the arm below the heart level.
C. Attempt bone reduction by manually readjusting the bone.
D. Place a tight compression bandage over the fracture.
5. A 85-year-old patient has an accidental fall while going to the bathroom without
assistance. It appears the patient has sustained a bone fracture to the left leg. The
leg's shape is deformed and the patient is unable to move it. The patient is alert and
oriented but in pain. What will you do FIRST after confirming the patient is safe and
stable? *
A. Apply an ice pack covered with a towel to the site.
B. Immobilize the fracture with a splint.
C. Administer pain medication.
D. Elevate the extremity above heart level.
6. 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."
7. What is a late sign of compartment syndrome? *
A. Paralysis
B. Pain
C. Paresthesia
D. Pulselessness
8. 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
D. Feeling of tingling in the extremity
E. Affected extremity feels cooler to the touch than the unaffected extremity
, 9. 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.
10. 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
11. 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.
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.
12. A 5 year old has a fracture of the right upper arm. The x-ray showed that one side of
the bone is bent while the other is broken. This known as a __________ fracture?*
A. Spiral
B. Greenstick
C. Oblique
D. Transverse
Autonomic Dysreflexia
1. Which patient below is at MOST risk for developing a condition called autonomic
dysreflexia?*
A. A 24-year-old male patient with a traumatic brain injury.
B. A 15-year-old female patient with a spinal cord injury at C7.
C. A 35-year-old male patient with a spinal cord injury at L6.
D. A 42-year-old male patient recovering from a hemorrhagic stroke.
Updates William Paterson University
Fractures:
1. Figure 1 represents what type of bone fracture: This is a fracture that is slanted across
the bone shaft. *
A. Transverse Fracture
B. Spiral Fracture
C. Oblique Fracture
D. Compound Fracture
2. Figure 2 represents what type of bone fracture: The fractured bone is broken into many
fragments (3 or more).*
A. Open Fracture
B. Greenstick Fracture
C. Oblique Fracture
D. Comminuted Fracture
3. Figure 3 represents what type of bone fracture: This a fractured bone that breaks
through the skin.*
A. Closed Fracture
, B. Compound Fracture
C. Greenstick Fracture
D. Transverse Fracture
4. You're caring for a patient who has experienced a fracture to the right arm that is
represented in Figure 3. What nursing intervention will you take with this type of
fracture?*
A. Cover the fracture with a sterile dressing.
B. Place the arm below the heart level.
C. Attempt bone reduction by manually readjusting the bone.
D. Place a tight compression bandage over the fracture.
5. A 85-year-old patient has an accidental fall while going to the bathroom without
assistance. It appears the patient has sustained a bone fracture to the left leg. The
leg's shape is deformed and the patient is unable to move it. The patient is alert and
oriented but in pain. What will you do FIRST after confirming the patient is safe and
stable? *
A. Apply an ice pack covered with a towel to the site.
B. Immobilize the fracture with a splint.
C. Administer pain medication.
D. Elevate the extremity above heart level.
6. 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."
7. What is a late sign of compartment syndrome? *
A. Paralysis
B. Pain
C. Paresthesia
D. Pulselessness
8. 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
D. Feeling of tingling in the extremity
E. Affected extremity feels cooler to the touch than the unaffected extremity
, 9. 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.
10. 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
11. 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.
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.
12. A 5 year old has a fracture of the right upper arm. The x-ray showed that one side of
the bone is bent while the other is broken. This known as a __________ fracture?*
A. Spiral
B. Greenstick
C. Oblique
D. Transverse
Autonomic Dysreflexia
1. Which patient below is at MOST risk for developing a condition called autonomic
dysreflexia?*
A. A 24-year-old male patient with a traumatic brain injury.
B. A 15-year-old female patient with a spinal cord injury at C7.
C. A 35-year-old male patient with a spinal cord injury at L6.
D. A 42-year-old male patient recovering from a hemorrhagic stroke.
