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NCLEX Fractures Questions and Answers 100% Pass
What type of fracture is typically caused by a direct blow or trauma?
- Transverse fracture
- Oblique fracture
- Comminuted fracture
- Stress fracture
✔✔A) Transverse fracture *Rationale:* A transverse fracture is usually caused by a direct blow or trauma and involves a straight break across the bone.
What is the most common initial assessment finding in a patient with a suspected fracture?
- Increased range of motion
- Severe pain and tenderness
- Reduced swelling
- Elevated temperature
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✔✔B) Severe pain and tenderness *Rationale:* Severe pain and tenderness are common initial findings in a patient with a suspected fracture, indicating the need for further assessment and imaging.
Which type of fracture involves the bone breaking into multiple fragments and is often seen in high-impact injuries?
- Hairline fracture
- Greenstick fracture
- Comminuted fracture
- Avulsion fracture
✔✔C) Comminuted fracture *Rationale:* A comminuted fracture involves the bone breaking into multiple fragments, commonly resulting from high-impact injuries.
What is the primary goal in the management of a fracture with suspected compartment syndrome?
- Apply heat to the affected limb
- Elevate the limb above heart level 2 / 3
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- Monitor for signs of infection
- Perform fasciotomy if necessary
✔✔D) Perform fasciotomy if necessary *Rationale:* In cases of suspected compartment syndrome, performing a fasciotomy may be necessary to relieve pressure and prevent further tissue damage.
What is the most appropriate nursing intervention for a patient with a recent fracture who exhibits signs of neurovascular impairment?
- Increase physical therapy sessions
- Perform range-of-motion exercises
- Assess and document neurovascular status frequently
- Apply ice to the injury site
✔✔C) Assess and document neurovascular status frequently *Rationale:* Frequent assessment and documentation of neurovascular status are crucial to identify and address any complications early.
Which type of fracture is most likely to occur in a child due to the flexibility of their bones?
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