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NUR 1024 NCLEX QUESTIONS ON FRACTURES AND ANSWERS LATEST 2024 VERSION VERIFIED
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NUR 1024 NCLEX QUESTIONS ON FRACTURES AND ANSWERS LATEST 2024 VERSION VERIFIED
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NUR 1024: NCLEX QUESTIONS ON FRACTURES ANDANSWERS LATEST 2024 VERSION VERIFIED
RATIONALE GRADED A+
A 4-year-old child is admitted with a radial head subluxation, or "nursemaid's elbow." Which intervention
should be taught to the caregivers to prevent such injury in the future?
A. Avoiding picking up children from under the arms
B. Avoiding swinging children by the hands
C. Avoiding sports where swinging of the arms is required
D. Not allowing children to play on the jungle gym - ansAnswers: B
Rationale: This injury is one that is common in toddlers and occurs when a caregiver pulls or swings a
child by the hand with a quick motion, resulting in a separation of the radiocapitellar joint. To prevent
this type of injury, the caregiver should be taught not to swing or pull the child by the hands or arms. The
child should be picked up from under the arms. Swinging the arms during activity such as sports or
playing on a jungle gym does not cause this type of injury, so this education is not indicated.
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 - ansAnswer: 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.
A client had a cast applied to a fractured limb, and the healthcare provider has ordered frequent
neurovascular checks. Which assessment should the nurse perform? (Select all that apply.)
A. Paresthesia
B. Pain
C. Position
, NUR 1024: NCLEX QUESTIONS ON FRACTURES AND
ANSWERS LATEST 2024 VERSION VERIFIED
RATIONALE GRADED A+
D. Color
E. Temperature - ansAnswer: A, B, D, E
Rationale: When conducting a neurovascular assessment, the 5 Ps should be evaluated. This includes
pain, pallor, pulse, paresthesia, and paralysis. Position is not part of the neurovascular assessment.
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 - ansAnswer: 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.
A client sustained a radial fracture and a cast was just applied. The client states that there is unrelieved
pain and numbness in the fingers on the affected side. Which intervention should be a priority?
A. Notifying the healthcare provider for cast removal
B. Elevating the extremity
C. Preparing for fasciotomy
D. Performing frequent neurovascular checks - ansAnswer: A
Rationale: Compartment syndrome occurs when edema and swelling cause increased pressure in a
muscle compartment, leading to decreased blood flow and potential muscle and nerve damage. This
leads to dilation of the blood vessels, causing more edema and increasing pressure in the limb. This is a
medical emergency; the first step in treatment is to remove the tight cast by notifying the healthcare
provider. A fasciotomy is indicated when internal pressure is causing the symptoms but would not be
indicated unless the cast removal did not relieve the pressure. Neurovascular checks would be
performed frequently, but cast removal is the priority. Elevating the extremity is indicated to prevent
compartment syndrome, not to treat the problem if it occurs. This would actually decrease circulation to
the extremity.
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