NSG 320 EXAM 4 /NSG320 EXAM 4 ACTUAL EXAM NEWEST
2025/2026 WITH COMPLETE QUESTIONS AND CORRECT
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A patient is scheduled for a surgery on an open Ulnar/radial fracture, the nurse
can expect to administer which type of antibiotic prophylactically?
A.) Cefazolin
B.) Vancomycin
C.) Cyclobenzaprine
D.) Ciprofloxacin
A.) This drug is a cephalosporin and should be used prophylactically in preop given
that this particular antibiotic is able to penetrate bone. (Slide 9 CONHCP PP, pp.
1649 Hagler)
When reviewing nutrition and fluid intake with a patient who has a humerus
fracture, the nurse understands that which of the following is MOST correct to
include during teaching?
A.) Your diet must include adequate protein, and vitamins A, B, and E
B.) Foods rich is Calcium, Phosphorus, Potassium, and Magnesium are very
important to aide in the healing process
C.) It is encouraged to eat 4 small meals a day if you are on bedrest for extended
amounts of time
D.) A Fluid intake of 3,800 mL is encouraged to maintain adequate hydration
B.) In this instance the following answer would be the most correct, although we
do want to maintain adequate protein, the vitamins listed are incorrect (Correct =
B, C, D), fluid intake is encouraged at 2-3 L, and it is encouraged to consume 6
small meals if on bedrest for extended amounts of time (CONHCP PP slide 9, pp.
1649 Hagler)
A Nurse is beginning their shift on the orthopedic floor, After receiving report,
Which of the following patients should the nurse see first?
A.) A 35 y/o male with a humerus fracture who was given 8 mg of oxycodone and
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, NSG 320 EXAM 4 /NSG320 Exam 4 Actual Exam
0.8 of hydromorphone complaining of 8/10 pain, saying his arm 'Feels tight' and a
radial pulse at 2+
B.) A 73 y/o female who has just been brought back from hip surgery and needs
post-op vitals
C.) A 56 y/o male who has not yet received analgesics and is complaining of 6/10
pain
D.) A 77 y/o male patient who is 20 mins post op, has a family member who tells
you the patient is slightly confused.
A.) This would be the most important patient to see first as there is several clinical
manifestations pointing towards compartment syndrome, this would require
immediate assessment and contacting the HCP. (CONHCP PP slide 14, pp. 1654)
When a patient asks about why they are getting a tetanus shot for a Tib/Fib Open
fracture, What is the most correct answer the nurse can provide to the patient?
A.) This is standard procedure for all patients who have open fractures
B.) It is a vaccine that protects you from developing meningitis
C.) This vaccine is used to prophylactically protect you from clostridium tetani that
releases tetanus-toxin causing muscle rigidity
D.) Since we do not know when the last time you got immunized it is important to
get this shot
C.) This is the most correct answer because you are giving a thorough explanation
as to why they are receiving the vaccine. (Slide 9 CONHCP PP, pp. 1654 Hagler)
When conducting a full assessment for a pt presenting to the ED with an
ulnar/radial fracture to the L arm, the nurse recognizes that which of the following
would be apart of a neurovascular assessment? (SATA)
A.) Color
B.) Cap Refill
C.) Asking what the pain feels like
D.) Abduction of the fingers and flexion/extension of the wrist
E.) Comparing radial pulse with brachial pulse
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, NSG 320 EXAM 4 /NSG320 Exam 4 Actual Exam
A.) Color
B.) Cap Refill
D.) Abduction of the fingers and flexion/extension of the wrist
(Slide 10 CONHCP PP topic 10, pp. 1651 Hagler)
When reviewing perioperative care for fractures with a group of nursing students,
which of the following statements would require the need for further education?
A.) Teaching patients about immobilization/assistive devices in addition to
expected activity limitations is important during the pre-op phase
B.) Assuring the patients needs are met is an important part of the nursing process
in the pre-op phase
C.) Increased drainage from a drainage device post-op is not necessarily a concern
D.) Monitoring through Neurovascular checks, VS, Pain control, and bleeding
control are central concepts related to post-op care
C.) Increased drainage from a drainage device post-op is not necessarily a concern.
This statement is cause for concern as it is very important to notify the HCP post-
op if a drainage system is excessively draining (Bloody or Purulent). (Slide 11
CONHCP Topic 10, pp. 1652 Hagler)
You are providing a community group with education points on problems
associated with musculoskeletal injuries. Which statement(s) indicate effective
teaching? (SATA)
A.) Atrophy is when muscle mass decreases due to prolonged immobilization and
lack of use
B.) Contractures are caused by involuntary muscle contraction after a fracture
C.) Footdrop can be prevented by using high top athletic shoes at scheduled times
D.) Dressings usually do not cause pain
E.) Contractures can be prevented by frequent position changes, Passive ROM,
and correct body alignment
A.) Atrophy is when muscle mass decreases due to prolonged immobilization and
lack of use
C.) Footdrop can be prevented by using high top athletic shoes at scheduled times
E.) Contractures can be prevented by frequent position changes, Passive ROM,
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