NUR 1024: NCLEX ON FRACTURES
EXAM 2025/2026 QUESTIONS AND
ANSWERS 100% PASS
A client fell off a ladder and the healthcare provider suspects a fracture of the right wrist. Which
manifestation should the nurse anticipate observing in the client? (Select all that apply.)
A. Crepitus
B. Visible deformity
C. Pain
D. Cyanosis of nail beds
E. Absence of radial pulse - ANS Answer: A, B, C
Rationale: The manifestations of a fracture include visible deformity, swelling, pain, numbness,
crepitus, hypovolemic shock, muscle spasms, or ecchymosis. A complication of a fracture,
compartment syndrome, may occur if pressure from edema builds within the fascia, leading to
decreased blood flow and potential muscle and nerve damage. Neurovascular changes may be
noted when this occurs which can include absence of pulse and cyanosis of the nail beds.
Which statement by the nurse describes a comminuted fracture to the client?
A. The ends of the broken bones are forced together."
B. The bone is breaking through the skin."
C. The bone is broken into many pieces."
D. A fragment of the bone is separated from the rest of the bone." - ANS Answer: C
Rationale: In a comminuted fracture, the bone is broken into many pieces. The bone fragments
may cause further injury or complications. An open or compound fracture involves bone
breaking through the skin. An avulsion fracture involves a fragment of bone being separated
from the rest of the bone. In an impacted or buckle fracture, the ends of the broken bones are
forced together.
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, Which client should the nurse identify to be at a greater risk of fractures while reviewing their
health records? (Select all that apply.)
A. The client with leukemia
B. The client with bone neoplasms
C. The client who is malnourished
D. The client with osteoporosis
E. The client with hypercalcemia - ANS Answer: B, C, D
Rationale: The primary risk factors associated with bone fractures are age, presence of bone
disease, bone cancer, and poor nutrition. Leukemia and hypercalcemia are not risk factors for
fractures.
A client is recovering from a fractured radius that occurred 7 weeks ago. Which process of bone
healing should the nurse anticipate the client to be experiencing?
A. Reparative phase
B. Remodeling phase
C. Inflammatory phase
D. Bony union phase - ANS Answer: A
Rationale: The three stages of fracture healing are inflammatory, reparative, and remodeling. In
the reparative phase, fibrocartilage forms a soft callus that joins the fractured bone. This phase
usually lasts about 6-8 weeks after the fracture occurs. Bone union is a process that occurs and
is not a phase of healing.
Which statement concerning bone fractures is correct? (Select all that apply.)
A. "Bone fractures do not result from low bone density."
B. "Bone fractures may result from repetitive forces or twisting."
C. "A bone fracture can be the direct result of excess pressure in the fibrous membrane or
fascia."
D. "Diseases such as neoplasms do not cause bone fractures."
E."The severity of a bone fracture depends on the force of the action against the bone and bone
strength." - ANS Answer: B, E
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
EXAM 2025/2026 QUESTIONS AND
ANSWERS 100% PASS
A client fell off a ladder and the healthcare provider suspects a fracture of the right wrist. Which
manifestation should the nurse anticipate observing in the client? (Select all that apply.)
A. Crepitus
B. Visible deformity
C. Pain
D. Cyanosis of nail beds
E. Absence of radial pulse - ANS Answer: A, B, C
Rationale: The manifestations of a fracture include visible deformity, swelling, pain, numbness,
crepitus, hypovolemic shock, muscle spasms, or ecchymosis. A complication of a fracture,
compartment syndrome, may occur if pressure from edema builds within the fascia, leading to
decreased blood flow and potential muscle and nerve damage. Neurovascular changes may be
noted when this occurs which can include absence of pulse and cyanosis of the nail beds.
Which statement by the nurse describes a comminuted fracture to the client?
A. The ends of the broken bones are forced together."
B. The bone is breaking through the skin."
C. The bone is broken into many pieces."
D. A fragment of the bone is separated from the rest of the bone." - ANS Answer: C
Rationale: In a comminuted fracture, the bone is broken into many pieces. The bone fragments
may cause further injury or complications. An open or compound fracture involves bone
breaking through the skin. An avulsion fracture involves a fragment of bone being separated
from the rest of the bone. In an impacted or buckle fracture, the ends of the broken bones are
forced together.
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, Which client should the nurse identify to be at a greater risk of fractures while reviewing their
health records? (Select all that apply.)
A. The client with leukemia
B. The client with bone neoplasms
C. The client who is malnourished
D. The client with osteoporosis
E. The client with hypercalcemia - ANS Answer: B, C, D
Rationale: The primary risk factors associated with bone fractures are age, presence of bone
disease, bone cancer, and poor nutrition. Leukemia and hypercalcemia are not risk factors for
fractures.
A client is recovering from a fractured radius that occurred 7 weeks ago. Which process of bone
healing should the nurse anticipate the client to be experiencing?
A. Reparative phase
B. Remodeling phase
C. Inflammatory phase
D. Bony union phase - ANS Answer: A
Rationale: The three stages of fracture healing are inflammatory, reparative, and remodeling. In
the reparative phase, fibrocartilage forms a soft callus that joins the fractured bone. This phase
usually lasts about 6-8 weeks after the fracture occurs. Bone union is a process that occurs and
is not a phase of healing.
Which statement concerning bone fractures is correct? (Select all that apply.)
A. "Bone fractures do not result from low bone density."
B. "Bone fractures may result from repetitive forces or twisting."
C. "A bone fracture can be the direct result of excess pressure in the fibrous membrane or
fascia."
D. "Diseases such as neoplasms do not cause bone fractures."
E."The severity of a bone fracture depends on the force of the action against the bone and bone
strength." - ANS Answer: B, E
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
