11/9/25, 10:23 AM NU272 HESI Case Study: Compound Fracture (Preschooler)
NU272 HESI Case Study: Compound Fracture
(Preschooler) Questions & Accurate Answers
\Latest Update
As the nurse assumes Immobilize the injury.
care for the client, Assess neurovascular status every hour. Elevate the affected
which actions are most extremity.
important for the nurse
take? (Select all that
apply. One, some, or all
options may be correct.)
The nurse identifies that Hemoglobin of 9.5 g/dl (95 g/L).
a priority nursing - This is a low value. A low hemoglobin will not provide sufficient
diagnosis is injury risk oxygen for tissue repair.
for peripheral
neurovascular
compromise. Which lab
value would be of most
concern for the nurse?
The nurse assesses for -
pain. The child points to
the FACES pain scale
rating
indicating a high level of
pain, but she is lying
still and seems vague
about the
location of the pain
when asked by the
nurse. A prescription for
IV morphine every 4
hours is available. The
child is due a dose of
morphine, and the
transport team is en
route to escort her to
surgery.
Administer another dose of morphine immediately.
- Lack of activity may indicate pain in the preschooler, an age at
Based on this which a child is
assessment, what is the normally always on the go. Preschoolers may not be able to
best nursing
/ 1/1
2
, 11/9/25, 10:23 AM NU272 HESI Case Study: Compound Fracture (Preschooler)
intervention? localize pain clearly. The child has clearly identified the degree of
pain on the FACES scale and should be medicated accordingly.
The prescribed dose of 0.6 mL
morphine reads,
"Administer morphine First, convert pounds to kilograms: 33 lbs/2.2 kg = 15 kg
sulfate 0.2 mg/kg IV Next, determine the dose per kilogram: 15 kg × 0.2 mg/kg = 3
every 3 to 4 hours." The mg Last, calculate the mL needed: 3 mg/5 mg × 1 mL = 0.6 mL
client weighs 33
pounds. The tubex of
morphine contains 5
mg/mL. How many mL
of medication
should the nurse
administer? (Enter
numeric value only. If
rounding is
necessary, round to the
nearest tenth.)
The client goes to surgery, where reduction and fixation is
Traction performed. Following
surgery, the client is transferred to the orthopedic nursing unit
where she will be in skeletal traction for several weeks.
The pull of the traction on the pins.
Upon arrival to the unit, - Skeletal traction applies the pull directly on the skeletal
which nursing structures. The nurse
assessment has the should immediately assess the pull of the traction on the pins.
greatest priority? This is critical to the success of the traction and the first priority
when the client arrives to the unit.
Skeletal traction applies Assess toes for capillary refill and edema.
the pull directly on the - Decreased perfusion to the foot or increased edema
skeletal structures. The
nurse should could lead to a potentially life-threatening
immediately assess the complication.
pull of the traction on
Ensure that the amount of weight remains consistent.
the pins. This is critical
- The nurse should assess the amount of the weight
to the success of the
traction and the first regularly to ensure that no changes have been made to
priority when the client the prescribed amount of traction. Well-meaning family
arrives to the unit.
and friends or older children may remove weights.
A four-year-old is brought to the emergency department (ED) by
ambulance
Meet the Client following an automobile accident that occurred while
the child was headed to the park with her sister, who is
also her babysitter. The child sustained a compound
fracture of the femur, which requires surgical reduction, followed
by skeletal traction.
/ 2/1
2
NU272 HESI Case Study: Compound Fracture
(Preschooler) Questions & Accurate Answers
\Latest Update
As the nurse assumes Immobilize the injury.
care for the client, Assess neurovascular status every hour. Elevate the affected
which actions are most extremity.
important for the nurse
take? (Select all that
apply. One, some, or all
options may be correct.)
The nurse identifies that Hemoglobin of 9.5 g/dl (95 g/L).
a priority nursing - This is a low value. A low hemoglobin will not provide sufficient
diagnosis is injury risk oxygen for tissue repair.
for peripheral
neurovascular
compromise. Which lab
value would be of most
concern for the nurse?
The nurse assesses for -
pain. The child points to
the FACES pain scale
rating
indicating a high level of
pain, but she is lying
still and seems vague
about the
location of the pain
when asked by the
nurse. A prescription for
IV morphine every 4
hours is available. The
child is due a dose of
morphine, and the
transport team is en
route to escort her to
surgery.
Administer another dose of morphine immediately.
- Lack of activity may indicate pain in the preschooler, an age at
Based on this which a child is
assessment, what is the normally always on the go. Preschoolers may not be able to
best nursing
/ 1/1
2
, 11/9/25, 10:23 AM NU272 HESI Case Study: Compound Fracture (Preschooler)
intervention? localize pain clearly. The child has clearly identified the degree of
pain on the FACES scale and should be medicated accordingly.
The prescribed dose of 0.6 mL
morphine reads,
"Administer morphine First, convert pounds to kilograms: 33 lbs/2.2 kg = 15 kg
sulfate 0.2 mg/kg IV Next, determine the dose per kilogram: 15 kg × 0.2 mg/kg = 3
every 3 to 4 hours." The mg Last, calculate the mL needed: 3 mg/5 mg × 1 mL = 0.6 mL
client weighs 33
pounds. The tubex of
morphine contains 5
mg/mL. How many mL
of medication
should the nurse
administer? (Enter
numeric value only. If
rounding is
necessary, round to the
nearest tenth.)
The client goes to surgery, where reduction and fixation is
Traction performed. Following
surgery, the client is transferred to the orthopedic nursing unit
where she will be in skeletal traction for several weeks.
The pull of the traction on the pins.
Upon arrival to the unit, - Skeletal traction applies the pull directly on the skeletal
which nursing structures. The nurse
assessment has the should immediately assess the pull of the traction on the pins.
greatest priority? This is critical to the success of the traction and the first priority
when the client arrives to the unit.
Skeletal traction applies Assess toes for capillary refill and edema.
the pull directly on the - Decreased perfusion to the foot or increased edema
skeletal structures. The
nurse should could lead to a potentially life-threatening
immediately assess the complication.
pull of the traction on
Ensure that the amount of weight remains consistent.
the pins. This is critical
- The nurse should assess the amount of the weight
to the success of the
traction and the first regularly to ensure that no changes have been made to
priority when the client the prescribed amount of traction. Well-meaning family
arrives to the unit.
and friends or older children may remove weights.
A four-year-old is brought to the emergency department (ED) by
ambulance
Meet the Client following an automobile accident that occurred while
the child was headed to the park with her sister, who is
also her babysitter. The child sustained a compound
fracture of the femur, which requires surgical reduction, followed
by skeletal traction.
/ 2/1
2
