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NUR 1024: NCLEX Questions for
Osteoarthritis Questions and answers |
Updated RATED A+ 2026 already graded
A+
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 - - ANS✔️--Answer: 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
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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.
Which statement from the client regarding cast care requires additional teaching by the nurse?
A. "I can use plastic shields around the cast while showering or bathing."
B. "If the edges become rough and irritating, I can remove the rough edges."
C. "I can apply ice to the cast and elevate my arm to prevent swelling."
D. "I should never place objects in the cast to relieve itching." - - ANS✔️--Answer: B
Rationale: The client should be taught to protect the cast with plastic while showering or bathing.
No part of the cast, including rough edges, should be removed at any time. Ice and limb elevation
may help reduce swelling, and no objects should ever be inserted into the cast for any reason.
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 - - ANS✔️--Answers: 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
NUR 1024: NCLEX Questions for
Osteoarthritis Questions and answers |
Updated RATED A+ 2026 already graded
A+
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 - - ANS✔️--Answer: 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
, 2|Page
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.
Which statement from the client regarding cast care requires additional teaching by the nurse?
A. "I can use plastic shields around the cast while showering or bathing."
B. "If the edges become rough and irritating, I can remove the rough edges."
C. "I can apply ice to the cast and elevate my arm to prevent swelling."
D. "I should never place objects in the cast to relieve itching." - - ANS✔️--Answer: B
Rationale: The client should be taught to protect the cast with plastic while showering or bathing.
No part of the cast, including rough edges, should be removed at any time. Ice and limb elevation
may help reduce swelling, and no objects should ever be inserted into the cast for any reason.
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 - - ANS✔️--Answers: 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
