NRSG 357 EXAM 4 QUESTIONS WITH
100% CORRECT ANSWERS L LATEST
VERSION 2025/2026.
An ambulance arrives at the ER bringing a patient rescued from a high-velocity motor vehicle
accident. Just by looking at the patient's leg you see:
A. Pathological fracture
B. Spiral fracture
C. Nondisplaced fracture
D. Open fracture - ANS D. Open fracture
A 59 yr-old patient has stage 4 kidney cancer with metastasis to right femur. She arrived at the
ER after feeling excruciating pain at the R leg, that started while she was brushing her teeth. She
refers numbness and difficulty moving the limb. These clinical signs and symptoms indicates she
might have:
A. Open fracture
B. Pathological fracture
C. Greenstick fracture - ANS B. Pathological fracture
The X-ray of a hockey player injured during a game is an example of:
A. Transverse, displaced
B. Transverse, nondisplaced
C. Oblique displaced
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,D. Linear, displaced - ANS C. Oblique displaced
Which statement by a patient, who just received a cast on the right arm for a fracture, requires
you to notify the physician immediately?
A. "It is really itchy inside my cast!"
B. "My pain is so severe that it hurts to stretch or elevate my arm."
C. "I can feel my fingers and move them."
D. "I've been using ice packs to reduce swelling." - ANS B. "My pain is so severe that it hurts
to stretch or elevate my arm."
Select all the signs and symptoms that will present in compartment syndrome?
A. Capillary refill less than 2 seconds
B. Pallor
C. Pain relief with medication
D. Feeling of tingling in the extremity
E. Affected extremity feels cooler to the touch than the unaffected extremity - ANS B. Pallor
D. Feeling of tingling in the extremity
E. Affected extremity feels cooler to the touch than the unaffected extremity
A patient sustained a fracture to the femur. The patient has suddenly become confused,
restless, and has a respiratory rate of 30 breaths per minute. Based on the location of fracture
and the presenting symptoms, this patient may be experiencing what type of complication?
A. Compartment Syndrome
B. Osteomyelitis
C. Fat embolism
D. Hypovolemia - ANS C. Fat embolism
Which assessment finding found while assessing a patient with a fracture who has traction
requires immediate intervention?
A. The weights are freely hanging on the floor.
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, B. Pin sites are free from drainage.
C. Patient uses the overhead trapeze bar to move around in the bed.
D. Patient's extremities have a capillary refill of less than 2 seconds. - ANS A. The weights are
freely hanging on the floor.
Your patient is 2 hours post-op from a cast placement on the right leg. The patient has family in
the room. Which action by the significant other requires you to re-educate the patient and
family about cast care?
A. Gently moving the cast with the fingertips of the hands every 2 hours to help with drying.
B. Elevating the cast above heart level with pillows.
C. Checking the color and temperature of the right foot.
D. Using a hair dryer on the cool setting to help with drying and itching. - ANS A. Gently
moving the cast with the fingertips of the hands every 2 hours to help with drying.
Which patient below is at lower risk for osteoporosis?
A. A 50 year old female whose last menstrual period was 7 years ago.
B. A 45 year old male patient who has been taking glucocorticoids for the last 6 months.
C. A 30 year old male who drinks alcohol occasionally and has a BMI of 28.
D. A 35 year old female who has a history of seizures and takes Dilantin regularly. - ANS C. A
30 year old male who drinks alcohol occasionally and has a BMI of 28.
During discharge teaching to a patient at risk for developing osteoporosis, you discuss the types
of exercise the patient should perform. Which type of exercise is not the best to perform to
prevent osteoporosis?
A. Tennis
B. Weight-lifting
C. Cycling
D. Hiking - ANS C. Cycling
3 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
100% CORRECT ANSWERS L LATEST
VERSION 2025/2026.
An ambulance arrives at the ER bringing a patient rescued from a high-velocity motor vehicle
accident. Just by looking at the patient's leg you see:
A. Pathological fracture
B. Spiral fracture
C. Nondisplaced fracture
D. Open fracture - ANS D. Open fracture
A 59 yr-old patient has stage 4 kidney cancer with metastasis to right femur. She arrived at the
ER after feeling excruciating pain at the R leg, that started while she was brushing her teeth. She
refers numbness and difficulty moving the limb. These clinical signs and symptoms indicates she
might have:
A. Open fracture
B. Pathological fracture
C. Greenstick fracture - ANS B. Pathological fracture
The X-ray of a hockey player injured during a game is an example of:
A. Transverse, displaced
B. Transverse, nondisplaced
C. Oblique displaced
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,D. Linear, displaced - ANS C. Oblique displaced
Which statement by a patient, who just received a cast on the right arm for a fracture, requires
you to notify the physician immediately?
A. "It is really itchy inside my cast!"
B. "My pain is so severe that it hurts to stretch or elevate my arm."
C. "I can feel my fingers and move them."
D. "I've been using ice packs to reduce swelling." - ANS B. "My pain is so severe that it hurts
to stretch or elevate my arm."
Select all the signs and symptoms that will present in compartment syndrome?
A. Capillary refill less than 2 seconds
B. Pallor
C. Pain relief with medication
D. Feeling of tingling in the extremity
E. Affected extremity feels cooler to the touch than the unaffected extremity - ANS B. Pallor
D. Feeling of tingling in the extremity
E. Affected extremity feels cooler to the touch than the unaffected extremity
A patient sustained a fracture to the femur. The patient has suddenly become confused,
restless, and has a respiratory rate of 30 breaths per minute. Based on the location of fracture
and the presenting symptoms, this patient may be experiencing what type of complication?
A. Compartment Syndrome
B. Osteomyelitis
C. Fat embolism
D. Hypovolemia - ANS C. Fat embolism
Which assessment finding found while assessing a patient with a fracture who has traction
requires immediate intervention?
A. The weights are freely hanging on the floor.
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, B. Pin sites are free from drainage.
C. Patient uses the overhead trapeze bar to move around in the bed.
D. Patient's extremities have a capillary refill of less than 2 seconds. - ANS A. The weights are
freely hanging on the floor.
Your patient is 2 hours post-op from a cast placement on the right leg. The patient has family in
the room. Which action by the significant other requires you to re-educate the patient and
family about cast care?
A. Gently moving the cast with the fingertips of the hands every 2 hours to help with drying.
B. Elevating the cast above heart level with pillows.
C. Checking the color and temperature of the right foot.
D. Using a hair dryer on the cool setting to help with drying and itching. - ANS A. Gently
moving the cast with the fingertips of the hands every 2 hours to help with drying.
Which patient below is at lower risk for osteoporosis?
A. A 50 year old female whose last menstrual period was 7 years ago.
B. A 45 year old male patient who has been taking glucocorticoids for the last 6 months.
C. A 30 year old male who drinks alcohol occasionally and has a BMI of 28.
D. A 35 year old female who has a history of seizures and takes Dilantin regularly. - ANS C. A
30 year old male who drinks alcohol occasionally and has a BMI of 28.
During discharge teaching to a patient at risk for developing osteoporosis, you discuss the types
of exercise the patient should perform. Which type of exercise is not the best to perform to
prevent osteoporosis?
A. Tennis
B. Weight-lifting
C. Cycling
D. Hiking - ANS C. Cycling
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