ENA Musculoskeletal and Neurovascular Trauma Questions and Answers

ENA Musculoskeletal and Neurovascular Trauma Questions and Answers A traction splint is appropriate for a fracture of which site? A. Hip B. Knee C. Upper third of the tibia D. Fibula [Ans: - C. Upper third of the tibia When assessing for arterial injury, which factor should you consider? A. Arterial injuries may not require repair. B. Arterial injuries are associated with low-impact trauma. C. A distal pulse is not detectable if an arterial injury exists. D. Arterial injuries can result from compression due to prolonged skeletal traction. [Ans: - A. Arterial injuries may not require repair. Which intervention is indicated for a patient with an amputation? A. Maintain the limb in the correct anatomic position. B. Clean the amputated part with povidone-iodine (Betadine) solution. C. Soak the stump in distilled water. D. Place the amputated part directly in ice. [Ans: - A. Maintain the limb in the correct anatomic position. In a patient with a knee injury, which finding is of greatest concern? A. The knee has a large amount of swelling. B. Effective pain management requires opioids. C. The patient cannot extend the great toe. D. The patient has impaired mobility. [Ans: - C. The patient cannot extend the great toe. Which type of nerve injury causes an inability to extend the thumb in a hitchhiker's sign? A. Ulnar nerve B. Radial nerve C. Median nerve D. Peroneal nerve [Ans: - B. Radial nerve Which dislocation may cause neurovascular compromise of the brachial artery? A. Elbow dislocation B. Acromioclavicular dislocation C. Shoulder dislocation D. Wrist dislocation [Ans: - A. Elbow dislocation Which fracture is likely to cause arm shortening and rapid swelling? A. Clavicular fracture B. Humeral fracture C. Scapular fracture D. Elbow fracture [Ans: - D. Elbow fracture For a patient with a gunshot wound, which intervention is appropriate? A. Perform a neurovascular assessment of each limb. B. Estimate the amount of injury based on the wounds appearance. C. Remove projectiles with Kelly clamps and place them in a sterile container. D. Label the entrance and exits wounds. [Ans: - A. Perform a neurovascular assessment of each limb