NCLEX
Med Surg
Pediatrics
A&P
Miscellaneous
100
Clients with fracture of the long bones are more at risk for which of the following complications than people with fractures in non long bone locations. a. Anemia b. Hypocalcemia c. Fat Emboli d. Shock
c. Fat Emboli
100
A common symptom of fracture could be: a. Headaches b. Nausea c. Vomiting d. Swelling
d. swelling
100
When a child with a musculoskeletal injury on his foot is assessed, what would be most indicative of a fracture? a. Increased swelling after the injury is iced b. The presence of localized tenderness distal to the site c. The presence of an elevated temperature for 24 hours d. The inability of the child to bear weight
d.The inability of the child to bear weight
100
Name the 3 types of muscle.
skeletal, cardiac, and smooth
100
Which scale is used to check the neuromuscular status of a patient? a. Glasgow coma scale b. Lung sound assessment c. PEERLA d. Maslow's Hierarchy of Needs
What is glasgow coma scale.
200
When doing a neuromuscular assessment on a client with a fracture which of the folioing techniques is most important when assessing pulses. a. Press the area of the pulse in a firm manner with 2 fingers. b. Do all pulses on the unaffected side, then go to the affected side and do the same. c. Assess and compare a distal pulse on the unaffected side with the same pulse location on affected side. d. Double the findings when counting the pulse for 30 seconds or quadruple findings when using 15 seconds.
C. Assess and compare a distal pulse on the unaffected side with the same pulse location on affected side.
200
What is the purpose of an (ORIF) open-reduction internal fixation procedue? 1. Used when client is in too much pain to do a closed redution 2. Is completed whenever a client can not maintain long term immobility 3. Is necessary when no other realigment method can be completed 4. Is necessary when a cast would be too large to provide adequate mobility
Is necessary when no other realignment can be completed
200
When assessing a child for an upper extremity fracture, the nurse should know that these fractures most often result from: a. automobile accidents. b. physical abuse. c. falls. d. sports injuries.
c. falls
200
Ligaments connect ____ to bone.
Bone
200
This is rated on a scale of 1-10, described by its intensity, description (sharp, dull) frequency, and location. It is always subjective!
pain
300
When working with a client who has had a cast applied for a fracture within the past 48 hours, the nurse is most concerned about compartment syndrome for which of the following reasons? a. Cast is warm initially and may disturb blood flow b. Edema is usually at its peak within first 48 hours c. The client's movement is most limited during the first 48 hours d. Hidden internal bleeding may occur .
b. Edema is usually at its peak in 1st 48 hours.
300
The doctor orders morphine sulfate 5 mg IV every 4-6 hours, PRN. Your patient weighs 70 kg. Your drug reference book states that the appropriate dose is 0.05-0.1 mg/kg. The appropriate dose range for your patient is?
3.5-7mg
300
When infants are seen for fractures, which nursing intervention is a priority? a. No intervention is necessary. It is not uncommon for infants to fracture bones. b. Assess the family's safety practices. Fractures in infants usually result from falls. c. Assess for child abuse. Fractures in infants are often nonaccidental. d. Assess for genetic factors.
C. Assess for child abuse. Fractures in infants are often nonaccidental.
300
A cell from which bone develops; a bone-forming cell.
Osteoblasts
300
A client arrives at the clinic of knee pain. on assessment the nurse notes that the knee area is swollen. the nurse interprets the client's signs and symptoms likely indicate: a. osteoporosis b. a recent injury c. rheumatoid arthritis d. degenerative joint disease
b. a recent injury
400
When instructing a client with repetitive use injury about the use of NSAIDS, the nurse will advise the client to do which of the following things? a. Use NSAIDs sparingly b. Use the medication when the pain is moderate or worse. c. Take the NSAIDs around the clock as prescribed d. Do not use use NSAIDs with this type of injury.
c. Take the NSAIDs around the clock as prescribed
400
The nurse is repositioning the client who has returned to the nursing unit following an internal fixation of a fractured right hip. The nurse uses a: a. pillow to keep the right leg abducted during turning b. pillow to keep the right leg adducted c. trochanter roll to prevent external rotation while turning. d. trochanter roll to prevent abduction while turning.
A. Pillow to keep the right leg abducted during turning.
400
Which nursing intervention is appropriate to assess for neurovascular competency in a child who fell off the monkey bars at school and hurt his arm? a. The degree of motion and ability to position the extremity b. The length, diameter, and shape of the extremity c. The amount of swelling noted in the extremity and pain intensity d. The skin color, temperature, movement, sensation, and capillary refill of the extremity
D.The skin color, temperature, movement, sensation, and capillary refill of the extremity
400
The nurse is caring for a client after a motor vehicle accident. The client has a fractured tibia, and bone is noted protruding through the skin. Which action is of priority? A. Provide manual traction above and below the leg. B. Cover the bone area with a sterile dressing. C. Apply an Ace bandage around the entire lower limb. D. Apply an immobilizer to the area.
B. Cover the bone area with a sterile dressing.
400
The rehab nurse is providing home care instructions for a home care nurse for a client who has received a above the knee amputation of the right lower limb with a fitted prosthesis. The nurse determines the client needs further teaching when the client says which of the following statements? a. i will elevate the limb on a pillow b. i will change the residual limb sock everyday. c. i will check the residual limb for skin irritation daily. d. i will notify the doctor if my residual limb sock becomes stretched or ill-fitting.
a. i will elevate the limb on a pillow.
500
The nurse admits a client from the recovery room after a plaster cast has been applied. Approximately how much time must elapse before a nurse or anyone can touch the client's newly applied plaster cast. a. 2 hours b. 16 hours c. 32 hours d. 48 hours
d. 48 hours
500
What are the 5 P's related to compartment syndrome?
Pain, pallor, paralysis, parethesia, pulseless
500
A teenager who had a cast applied after a tibia fracture complains that his pain medication is not working and his pain is still a 9 or 10. The nurse notices some edema of the toes and a capillary refill of 6 seconds. The priority action of the nurse would be: a. call the health care provider immediately b. check if there is an order for a stronger pain medication c. try nonpharmacological techniques of pain relief d. explain to the teen that a new fracture is expected to be painful the first day
a. call the health care provider immediately
500
Which client would be at greatest risk for a fat emboli following a fracture? A. A 50-year-old with a fractured fibula B. A 20-year-old female with a wrist fracture C. A 21-year-old male with a fractured femur D. An 8-year-old with a fractured arm
C. A 21-year-old male with a fractured femur
500
The client with a fractured femur experiences sudden dyspnea. Which of the following components displays a fat embolus? a. ph- 7.32 b. PACO2- 43 c. PAo2- 58, d. HCO3- 20.
c. PAO2- 58
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