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2024 NCLEX FRACTURES EXAM WITH CORRECT ANSWERS
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2024 NCLEX FRACTURES EXAM WITH CORRECT ANSWERS
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2024 NCLEX FRACTURES EXAMWITH CORRECT ANSWERS
The nurse is caring for a client being treated for fat
embolus after multiple fractures. Which data
would the nurse evaluate as the most favorable
indication of resolution of the fat embolus?
1. Clear mentation
2. Minimal dyspnea
3. Oxygen saturation of 85%
4. Arterial oxygen level of 78 mm Hg (10.3 kPa) - CORRECT ANSWERS-
ANSWER:1
The nurse is evaluating a client in skeletal traction.
When evaluating the pin sites, the nurse would be
most concerned with which finding?
1. Redness around the pin sites
2. Pain on palpation at the pin sites
3. Thick, yellow drainage from the pin sites
4. Clear, watery drainage from the pin sites - CORRECT ANSWERS-ANSWER:3
The nurse witnessed a vehicle hit a pedestrian.
The victim is dazed and tries to get up. Aleg appears
fractured. Which intervention should the nurse
take?
1. Try to reduce the fracture manually.
2. Assist the victim to get up and walk to the
sidewalk.
3. Leave the victim for a few moments to call an
ambulance.
4. Stay with the victim and encourage him or her
to remain still. - CORRECT ANSWERS-ANSWER:4
Rationale: With a suspected fracture, the victim is not moved unless it is dangerous to remain in that spot. The nurse should remain with the victim and have someone else call for emergency help. A fracture is not reduced at the scene. Before the
victim is moved, the site of fracture is immobilized to prevent further injury.
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Test-Taking Strategy: Eliminate options 1 and 2 first because they are comparable or alike in that either of these options could result in further injury to the victim. Of the remaining options, the more prudent action would be for the nurse to remain with the victim and have someone else call for emergency assistance.
Review: Immediate care of the victim with a fracture
Which cast care instructions should the nurse provide
to a client who just had a plaster cast applied
to the right forearm? Select all that apply.
1. Keep the cast clean and dry.
2. Allow the cast 24 to 72 hours to dry.
3. Keep the cast and extremity elevated.
4. Expect tingling and numbness in the extremity.
5. Use a hair dryer set on a warm to hot setting to dry the cast.
6. Use a soft, padded object that will fit under the cast to scratch the skin under the cast. - CORRECT ANSWERS-ANSWER:1, 2, 3
Rationale: A plaster cast takes 24 to 72 hours to dry (synthetic casts dry in 20 minutes). The cast and extremity should be elevated to reduce edema if prescribed. A wet cast is handled with the palms of the hand until it is dry, and the extremity is turned
(unless contraindicated) so that all sides of the wet cast will dry. A cool setting on the hair dryer can be used to dry a plaster cast (heat cannot be used on a plaster cast because the cast heats up and burns the skin). The cast needs to be kept clean and dry, and the client is instructed not to stick anything under the cast because of the risk of breaking skin integrity. The client is instructed to monitor the extremity for circulatory impairment,
such as pain, swelling, discoloration, tingling, numbness, coolness, or diminished pulse. The health care provider is notified immediately if circulatory impairment occurs.
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Test-Taking Strategy: Focus on the subject, a plaster cast. Recalling that edema occurs following a fracture and recalling the complications associated
with a cast will assist you in answering the question.
Review: Cast care instructions
Rationale: The nurse should monitor for signs of infection such as inflammation, purulent drainage, and pain at the pin site. However, some degree of inflammation, pain at the pin site, and serous drainage would be expected; the nurse should
correlate assessment findings with other clinical findings, such as fever, elevated white blood cell count, and changes in vital signs. Additionally, the nurse should compare any findings to baseline findings to determine if there were any changes.
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Test-Taking Strategy: Note the strategic word, most. Determine if an abnormality exists. Recall that purulent drainage is indicative of infection, and that some degree of pain, inflammation, and serous drainage should be expected.
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