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2024 NUR 1024 NCLEX ON FRACTURES EXAM QUESTIONS WITH CORRECT ANSWERS
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2024 NUR 1024 NCLEX ON FRACTURES EXAM QUESTIONS WITH CORRECT ANSWERS
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2024 NUR 1024 NCLEX ONFRACTURES EXAM QUESTIONS
WITH CORRECT ANSWERS
The nurse who is caring for a client who has a fractured pelvis has determined that the client is experiencing acute pain. Which intervention should the nurse implement? (Select all that apply.)
A. Maintaining strict bedrest until the bone is fused
B. Elevating the affected extremity on a pillow
C. Playing the client's favorite music
D. Applying a hot pack to the site of the injury
E. Supporting the extremity above and below the fracture site when moving -
CORRECT ANSWERS-Answer: B, C, E
Rationale: Effective pain management for this client may involve administration of pain medication, distraction, relaxation, deep breathing, ice
to reduce swelling, and gentle movement while supporting the extremity above and below the fracture site to prevent displacement of bony fragments and nerve damage.
A client fell off a ladder and the healthcare provider suspects a fracture of the right wrist. Which manifestation should the nurse anticipate observing in the client? (Select all that apply.)
A. Crepitus
B. Visible deformity
C. Pain
D. Cyanosis of nail beds
E. Absence of radial pulse - CORRECT ANSWERS-Answer: A, B, C
Rationale: The manifestations of a fracture include visible deformity, swelling, pain, numbness, crepitus, hypovolemic shock, muscle spasms, or ecchymosis. A complication of a fracture, compartment syndrome, may occur if pressure from edema builds within the fascia, leading to decreased blood flow and potential muscle and nerve damage. Neurovascular changes may be noted when this occurs which can include absence of pulse and cyanosis of the nail beds.
Which statement by the nurse describes a comminuted fracture to the client?
A. The ends of the broken bones are forced together."
B. The bone is breaking through the skin."
C. The bone is broken into many pieces." D. A fragment of the bone is separated from the rest of the bone." - CORRECT ANSWERS-Answer: C
Rationale: In a comminuted fracture, the bone is broken into many pieces. The bone fragments may cause further injury or complications. An open or compound fracture involves bone breaking through the skin. An avulsion fracture involves a fragment of bone being separated from the rest of the bone. In an impacted or buckle fracture, the ends of the broken bones are forced together.
Which client should the nurse identify to be at a greater risk of fractures while reviewing their health records? (Select all that apply.)
A. The client with leukemia
B. The client with bone neoplasms
C. The client who is malnourished
D. The client with osteoporosis
E. The client with hypercalcemia - CORRECT ANSWERS-Answer: B, C, D
Rationale: The primary risk factors associated with bone fractures are age, presence of bone disease, bone cancer, and poor nutrition. Leukemia and hypercalcemia are not risk factors for fractures.
A client is recovering from a fractured radius that occurred 7 weeks ago. Which process of bone healing should the nurse anticipate the client to be experiencing?
A. Reparative phase
B. Remodeling phase
C. Inflammatory phase
D. Bony union phase - CORRECT ANSWERS-Answer: A
Rationale: The three stages of fracture healing are inflammatory, reparative, and remodeling. In the reparative phase, fibrocartilage forms a soft callus that joins the fractured bone. This phase usually lasts about 6-8 weeks after the fracture occurs. Bone union is a process that occurs and is not a phase of
healing.
Which statement concerning bone fractures is correct? (Select all that apply.)
A. "Bone fractures do not result from low bone density."
B. "Bone fractures may result from repetitive forces or twisting."
C. "A bone fracture can be the direct result of excess pressure in the fibrous membrane or fascia."
D. "Diseases such as neoplasms do not cause bone fractures."
E."The severity of a bone fracture depends on the force of the action against the bone and bone strength." - CORRECT ANSWERS-Answer: B, E
Rationale: The severity of a bone fracture depends on the force of the action against the bone and bone strength. Bone fractures may result from repetitive forces like running, twisting, or a direct blow to the bone. Low bone density is often a precursor to a fracture. Diseases such as neoplasms (bone cancer) or osteoporosis may weaken the bones and result in fractures.
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