NUR 390
Final Exam
Study Guide
with Correct
Answers
2026 A+
, lOMoAR cPSD| 64664050
NUR 390 Final Exam Questions and Correct
Answers 2026| Actual New Version with
Verified Answers
A nurse is assessing a patient who has just had a total hip replacement. The patient
suddenly reports severe pain in the operated hip, along with swelling and an increased
heart rate. What is the priority action for the nurse to take?
a) Administer the prescribed pain medication and monitor the patient's response.
b) Check the patient's vital signs and compare them to baseline measurements.
c) Notify the healthcare provider immediately about the sudden severe pain and
symptoms.
d) Encourage the patient to perform gentle range-of-motion exercises to alleviate
discomfort. CORRECT ANSWER: Notify the healthcare provider immediately
about the sudden severe pain and symptoms.
Rationale: Severe pain, swelling, and increased heart rate may indicate complications
such as deep vein thrombosis (DVT) or an infection. Immediate notification to the
healthcare provider is crucial for timely intervention and management.
What are some expected assessment findings for fractures? CORRECT ANSWER:
Bruising, Decreased Distal Pulses (Hip)
Edema
Loss of Function
Numbness/Tingling
Tenderness/Pain
Warmth at Site
Wound over injured site
Exposure of bone
What are 5 complications of fractures that a nurse should watch for? CORRECT
ANSWER: Infection
Rhabdomyolysis
Venous Thromboembolism
Fat Embolism Syndrome
Compartment Syndrome
What are the triad of symptoms that indicate Fat Embolism Syndrome? CORRECT
ANSWER: Neurologic Changes
Petechial Rash
Hypoxemia
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Which are manifestations of Fat Embolism Syndrome? (Select all that apply)
ARDS
Pallor
ECG changes
PaO2 < 60mmHg
Adipose cells in blood, urine, sputum CORRECT ANSWER: All of the above
In which types of injuries would you be concerned for compartment syndrome? (Select
all that apply)
Long bone fx
Fractured ribs
Crush injuries
Dislocated shoulder CORRECT ANSWER: Long bone fx
Crush injuries
Which injury has the highest risk of the complications Venous Thromboembolism?
Femur fx
Dislocated knee
Meniscus tear
Hip fracture CORRECT ANSWER:
3 Key indications of Rhabdomyolysis CORRECT ANSWER: Muscle pain
Muscle weakness
Dark urine
Interventions for Compartment Syndrome CORRECT ANSWER: Relieve source of
pressure - cut cast/loosen dressing Reduce traction weight
Interventions for Venous Thromboembolism CORRECT ANSWER: Anticoagulant -
Warfarin/Heparin/Aspirin -monitor for signs of bleeding
ROM Exercises
Decompression Devices
What nursing actions should be taken immediately for a patient postop from any
procedure for a hip fracture? CORRECT ANSWER: V/S, I&Os
Resp fx - encourage deep breathing & coughing
Assess pain - admin pain meds
Assess dressing for signs of bleeding
Neurovascular assessment
Reduce swelling by elevating leg
Maintain alignment w/pillows between knees
Avoid turning onto affected side
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, lOMoAR cPSD| 64664050
Interventions for Fat Embolism Syndrome CORRECT ANSWER: Oxygenation -
admin O2, tx hypoxia
ECMO or mechanical ventilation may be an option if a satisfactory PaO2 cannot be
obtained
Cardiac manifestations managed with IV fluids, pulmonary vasodilators, peripheral
vasoconstrictors, and inotropic drugs
A nurse is assessing a client who is 48hrs postop from an ORIF of a fx tibia. Which
finding should the nurse report to the provider?
Toes cold to the touch
Serous drainage from the pin sites
Blanching of the toenail beds w/pressure
Pink tissue around the fixator insertion sites CORRECT ANSWER: a). The nurse
should monitor for and report manifestations of compartment syndrome following
internal fixation. Therefore, the nurse should contact the provider immediately if the
client's toes are cold to the touch.
A nurse is caring for a client who is 3 days postop R total hip arthroplasty. While
transferring to a chair, the client cries out in pain. The nurse should assess the client for
which of the following manifestations of dislocation of the hip prosthesis?
bulging in the area over the surgical incision
shortening of the right leg sensation of
warmth over the surgical incision
pallor following elevation of the right leg CORRECT ANSWER: b) The nurse should
monitor the client for shortening of the affected leg as an indication of dislocation of the
prosthesis. Other findings include increased hip pain, inability to move the extremity,
and rotation of the hip internally or externally.
A nurse is caring for a client immediately following application of a plaster cast. The
nurse should monitor for and report which of the following findings as an indication of
compartment syndrome?
Sensation of heat on the surface of the cast
Paresthesias of the extremity
Pruritus of the extremity
Musty odor noted from cast materials CORRECT ANSWER: b) The nurse should
identify paresthesias as a finding of compartment syndrome. Compartment syndrome
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Final Exam
Study Guide
with Correct
Answers
2026 A+
, lOMoAR cPSD| 64664050
NUR 390 Final Exam Questions and Correct
Answers 2026| Actual New Version with
Verified Answers
A nurse is assessing a patient who has just had a total hip replacement. The patient
suddenly reports severe pain in the operated hip, along with swelling and an increased
heart rate. What is the priority action for the nurse to take?
a) Administer the prescribed pain medication and monitor the patient's response.
b) Check the patient's vital signs and compare them to baseline measurements.
c) Notify the healthcare provider immediately about the sudden severe pain and
symptoms.
d) Encourage the patient to perform gentle range-of-motion exercises to alleviate
discomfort. CORRECT ANSWER: Notify the healthcare provider immediately
about the sudden severe pain and symptoms.
Rationale: Severe pain, swelling, and increased heart rate may indicate complications
such as deep vein thrombosis (DVT) or an infection. Immediate notification to the
healthcare provider is crucial for timely intervention and management.
What are some expected assessment findings for fractures? CORRECT ANSWER:
Bruising, Decreased Distal Pulses (Hip)
Edema
Loss of Function
Numbness/Tingling
Tenderness/Pain
Warmth at Site
Wound over injured site
Exposure of bone
What are 5 complications of fractures that a nurse should watch for? CORRECT
ANSWER: Infection
Rhabdomyolysis
Venous Thromboembolism
Fat Embolism Syndrome
Compartment Syndrome
What are the triad of symptoms that indicate Fat Embolism Syndrome? CORRECT
ANSWER: Neurologic Changes
Petechial Rash
Hypoxemia
messages.downloaded_by
, lOMoAR cPSD| 64664050
Which are manifestations of Fat Embolism Syndrome? (Select all that apply)
ARDS
Pallor
ECG changes
PaO2 < 60mmHg
Adipose cells in blood, urine, sputum CORRECT ANSWER: All of the above
In which types of injuries would you be concerned for compartment syndrome? (Select
all that apply)
Long bone fx
Fractured ribs
Crush injuries
Dislocated shoulder CORRECT ANSWER: Long bone fx
Crush injuries
Which injury has the highest risk of the complications Venous Thromboembolism?
Femur fx
Dislocated knee
Meniscus tear
Hip fracture CORRECT ANSWER:
3 Key indications of Rhabdomyolysis CORRECT ANSWER: Muscle pain
Muscle weakness
Dark urine
Interventions for Compartment Syndrome CORRECT ANSWER: Relieve source of
pressure - cut cast/loosen dressing Reduce traction weight
Interventions for Venous Thromboembolism CORRECT ANSWER: Anticoagulant -
Warfarin/Heparin/Aspirin -monitor for signs of bleeding
ROM Exercises
Decompression Devices
What nursing actions should be taken immediately for a patient postop from any
procedure for a hip fracture? CORRECT ANSWER: V/S, I&Os
Resp fx - encourage deep breathing & coughing
Assess pain - admin pain meds
Assess dressing for signs of bleeding
Neurovascular assessment
Reduce swelling by elevating leg
Maintain alignment w/pillows between knees
Avoid turning onto affected side
messages.downloaded_by
, lOMoAR cPSD| 64664050
Interventions for Fat Embolism Syndrome CORRECT ANSWER: Oxygenation -
admin O2, tx hypoxia
ECMO or mechanical ventilation may be an option if a satisfactory PaO2 cannot be
obtained
Cardiac manifestations managed with IV fluids, pulmonary vasodilators, peripheral
vasoconstrictors, and inotropic drugs
A nurse is assessing a client who is 48hrs postop from an ORIF of a fx tibia. Which
finding should the nurse report to the provider?
Toes cold to the touch
Serous drainage from the pin sites
Blanching of the toenail beds w/pressure
Pink tissue around the fixator insertion sites CORRECT ANSWER: a). The nurse
should monitor for and report manifestations of compartment syndrome following
internal fixation. Therefore, the nurse should contact the provider immediately if the
client's toes are cold to the touch.
A nurse is caring for a client who is 3 days postop R total hip arthroplasty. While
transferring to a chair, the client cries out in pain. The nurse should assess the client for
which of the following manifestations of dislocation of the hip prosthesis?
bulging in the area over the surgical incision
shortening of the right leg sensation of
warmth over the surgical incision
pallor following elevation of the right leg CORRECT ANSWER: b) The nurse should
monitor the client for shortening of the affected leg as an indication of dislocation of the
prosthesis. Other findings include increased hip pain, inability to move the extremity,
and rotation of the hip internally or externally.
A nurse is caring for a client immediately following application of a plaster cast. The
nurse should monitor for and report which of the following findings as an indication of
compartment syndrome?
Sensation of heat on the surface of the cast
Paresthesias of the extremity
Pruritus of the extremity
Musty odor noted from cast materials CORRECT ANSWER: b) The nurse should
identify paresthesias as a finding of compartment syndrome. Compartment syndrome
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