Nur 2356 Multidimensional Care I - MDC
1 Exam 2 With 125 Practice Questions
and Correct Answers/ MDC I Exam 2 Prep
2026 (New!)
🦴 Fractures & Musculoskeletal Injuries (Questions 1-25)
Q1: A client has sustained an open fracture. How can the nurse best prevent
osteomyelitis in this client?
,,,ANSWER,,,: Proper hand hygiene and strict infection control.
Rationale: Open fractures expose bone to the environment, creating a direct
pathway for bacteria. Strict aseptic technique is essential to prevent bone
infection .
Q2: What should be done immediately after an ankle injury?
,,,ANSWER,,,: RICE (Rest, Ice, Compression, Elevation).
Rationale: RICE reduces swelling, inflammation, and pain immediately following an
acute injury .
Q3: A client has a fractured right arm. Which of these should the nurse
complete first?
,,,ANSWER,,,: Remove the client's bracelet and rings from the right arm.
Rationale: Jewelry must be removed before swelling occurs to prevent
compartment syndrome and circulatory compromise .
,Q4: The nurse is unable to palpate a pulse in the lower extremity, but the
extremity is warm and the client can move toes. What is the nurse's next
action?
,,,ANSWER,,,: Attempt to find a pulse with a Doppler.
Rationale: Doppler is more sensitive than palpation for detecting blood flow;
warmth and movement are reassuring signs .
Q5: A client on bedrest complains of pain and burning in the right calf area.
What is the nurse's priority assessment?
,,,ANSWER,,,: Compare the circumference to the left calf.
Rationale: Unilateral calf pain, warmth, and swelling are classic signs of DVT;
comparing measurements helps confirm .
Q6: What is a potential complication of a fracture? (Select all that apply)
,,,ANSWER,,,: Infection, compartment syndrome, delayed union, venous
thromboembolism.
Rationale: Fractures can lead to various complications including infection,
vascular compromise, bone healing problems, and blood clots .
Q7: Which of these describes a fracture that is all the way through the bone,
has broken skin, and is not in alignment?
,,,ANSWER,,,: Open, complete, and displaced fracture.
Rationale: "Open" means bone pierces skin, "complete" means full break through
bone, "displaced" means fragments are out of alignment .
Q8: What is the priority nursing diagnosis after surgery to repair a fracture?
,,,ANSWER,,,: Risk for infection.
Rationale: Surgical incisions and potential hardware placement create infection
risk that must be prioritized immediately post-op .
Q9: What is the priority assessment for a client with a femur fracture?
,,,ANSWER,,,: Pedal pulse in the affected extremity.
, Rationale: Vascular assessment is critical to ensure adequate perfusion distal to
the fracture site .
Q10: What is a negative effect of immobility on the cardiovascular system?
,,,ANSWER,,,: DVT (Deep Vein Thrombosis).
Rationale: Venous stasis from immobility increases risk of thrombus formation,
particularly in lower extremities .
Q11: What is the priority intervention when caring for a client in Buck's
traction?
,,,ANSWER,,,: Assess skin integrity.
Rationale: Traction apparatus can cause skin breakdown and pressure injuries at
contact points .
Q12: A client with a long bone fracture that is all the way through the bone, has
broken skin, and is not in alignment. Which describes this fracture?
,,,ANSWER,,,: Open, complete, and displaced fracture.
Rationale: Each term describes a specific characteristic: open (skin broken),
complete (through entire bone), displaced (misaligned fragments) .
Q13: A client has a fractured right arm. What should the nurse complete first?
,,,ANSWER,,,: Administer pain medications.
Rationale: Pain management is a priority before other interventions to reduce
patient distress and facilitate care .
Q14: What is the main concern for the nurse taking care of a post-fracture
patient?
,,,ANSWER,,,: Prevention of neurovascular complications.
Rationale: Compartment syndrome, nerve damage, and vascular compromise are
the most urgent fracture complications .
Q15: What fracture is complete but with no injury to the skin?
,,,ANSWER,,,: Closed fracture.
1 Exam 2 With 125 Practice Questions
and Correct Answers/ MDC I Exam 2 Prep
2026 (New!)
🦴 Fractures & Musculoskeletal Injuries (Questions 1-25)
Q1: A client has sustained an open fracture. How can the nurse best prevent
osteomyelitis in this client?
,,,ANSWER,,,: Proper hand hygiene and strict infection control.
Rationale: Open fractures expose bone to the environment, creating a direct
pathway for bacteria. Strict aseptic technique is essential to prevent bone
infection .
Q2: What should be done immediately after an ankle injury?
,,,ANSWER,,,: RICE (Rest, Ice, Compression, Elevation).
Rationale: RICE reduces swelling, inflammation, and pain immediately following an
acute injury .
Q3: A client has a fractured right arm. Which of these should the nurse
complete first?
,,,ANSWER,,,: Remove the client's bracelet and rings from the right arm.
Rationale: Jewelry must be removed before swelling occurs to prevent
compartment syndrome and circulatory compromise .
,Q4: The nurse is unable to palpate a pulse in the lower extremity, but the
extremity is warm and the client can move toes. What is the nurse's next
action?
,,,ANSWER,,,: Attempt to find a pulse with a Doppler.
Rationale: Doppler is more sensitive than palpation for detecting blood flow;
warmth and movement are reassuring signs .
Q5: A client on bedrest complains of pain and burning in the right calf area.
What is the nurse's priority assessment?
,,,ANSWER,,,: Compare the circumference to the left calf.
Rationale: Unilateral calf pain, warmth, and swelling are classic signs of DVT;
comparing measurements helps confirm .
Q6: What is a potential complication of a fracture? (Select all that apply)
,,,ANSWER,,,: Infection, compartment syndrome, delayed union, venous
thromboembolism.
Rationale: Fractures can lead to various complications including infection,
vascular compromise, bone healing problems, and blood clots .
Q7: Which of these describes a fracture that is all the way through the bone,
has broken skin, and is not in alignment?
,,,ANSWER,,,: Open, complete, and displaced fracture.
Rationale: "Open" means bone pierces skin, "complete" means full break through
bone, "displaced" means fragments are out of alignment .
Q8: What is the priority nursing diagnosis after surgery to repair a fracture?
,,,ANSWER,,,: Risk for infection.
Rationale: Surgical incisions and potential hardware placement create infection
risk that must be prioritized immediately post-op .
Q9: What is the priority assessment for a client with a femur fracture?
,,,ANSWER,,,: Pedal pulse in the affected extremity.
, Rationale: Vascular assessment is critical to ensure adequate perfusion distal to
the fracture site .
Q10: What is a negative effect of immobility on the cardiovascular system?
,,,ANSWER,,,: DVT (Deep Vein Thrombosis).
Rationale: Venous stasis from immobility increases risk of thrombus formation,
particularly in lower extremities .
Q11: What is the priority intervention when caring for a client in Buck's
traction?
,,,ANSWER,,,: Assess skin integrity.
Rationale: Traction apparatus can cause skin breakdown and pressure injuries at
contact points .
Q12: A client with a long bone fracture that is all the way through the bone, has
broken skin, and is not in alignment. Which describes this fracture?
,,,ANSWER,,,: Open, complete, and displaced fracture.
Rationale: Each term describes a specific characteristic: open (skin broken),
complete (through entire bone), displaced (misaligned fragments) .
Q13: A client has a fractured right arm. What should the nurse complete first?
,,,ANSWER,,,: Administer pain medications.
Rationale: Pain management is a priority before other interventions to reduce
patient distress and facilitate care .
Q14: What is the main concern for the nurse taking care of a post-fracture
patient?
,,,ANSWER,,,: Prevention of neurovascular complications.
Rationale: Compartment syndrome, nerve damage, and vascular compromise are
the most urgent fracture complications .
Q15: What fracture is complete but with no injury to the skin?
,,,ANSWER,,,: Closed fracture.
