NURS 640 TEST 1 2026 COMPLETE
QUESTIONS AND VERIFIED
ANSWERS
◉ First step in fracture management? Answer: Immobilize the affected
area
◉ Key components of fracture evaluation? Answer: History, physical
exam, neurovascular assessment, imaging
◉ Imaging first-line for fractures? Answer: X-ray (2 views minimum)
◉ When is CT used in fractures? Answer: Complex or occult fractures,
surgical planning
◉ Pain control for fractures? Answer: NSAIDs, acetaminophen, short-
term opioids
◉ Classic presentation of hip fracture? Answer: Shortened, externally
rotated leg, inability to bear weight
◉ Most common cause of hip fracture in older adults? Answer: Falls
◉ 6 P's of compartment syndrome? Answer: Pain, Pallor, Pulselessness,
Paresthesia, Paralysis, Poikilothermia
, ◉ Earliest sign of compartment syndrome? Answer: Pain out of
proportion
◉ Management of compartment syndrome? Answer: Emergent
fasciotomy
◉ Fat embolism syndrome signs? Answer: Respiratory distress,
petechiae, neurologic changes
◉ Priority in open fracture? Answer: IV antibiotics + surgical
irrigation/debridement
◉ Signs of neurovascular compromise? Answer: Weak pulses,
numbness, tingling, pallor, cool limb
◉ When is fracture emergent? Answer: Open fracture, compartment
syndrome, vascular injury
◉ SMART approach? Answer: Symmetry, Movement, Appearance,
Range of motion, Tenderness
◉ Key MSK exam components? Answer: Inspection, palpation, ROM,
strength, neurovascular status
QUESTIONS AND VERIFIED
ANSWERS
◉ First step in fracture management? Answer: Immobilize the affected
area
◉ Key components of fracture evaluation? Answer: History, physical
exam, neurovascular assessment, imaging
◉ Imaging first-line for fractures? Answer: X-ray (2 views minimum)
◉ When is CT used in fractures? Answer: Complex or occult fractures,
surgical planning
◉ Pain control for fractures? Answer: NSAIDs, acetaminophen, short-
term opioids
◉ Classic presentation of hip fracture? Answer: Shortened, externally
rotated leg, inability to bear weight
◉ Most common cause of hip fracture in older adults? Answer: Falls
◉ 6 P's of compartment syndrome? Answer: Pain, Pallor, Pulselessness,
Paresthesia, Paralysis, Poikilothermia
, ◉ Earliest sign of compartment syndrome? Answer: Pain out of
proportion
◉ Management of compartment syndrome? Answer: Emergent
fasciotomy
◉ Fat embolism syndrome signs? Answer: Respiratory distress,
petechiae, neurologic changes
◉ Priority in open fracture? Answer: IV antibiotics + surgical
irrigation/debridement
◉ Signs of neurovascular compromise? Answer: Weak pulses,
numbness, tingling, pallor, cool limb
◉ When is fracture emergent? Answer: Open fracture, compartment
syndrome, vascular injury
◉ SMART approach? Answer: Symmetry, Movement, Appearance,
Range of motion, Tenderness
◉ Key MSK exam components? Answer: Inspection, palpation, ROM,
strength, neurovascular status
