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Fractures and Amputations- (In Class) NCLEX Questions and Answers
What is the primary concern for a nurse when managing a patient with a fresh compound fracture?
- Pain relief
- Infection prevention
- Physical therapy
- Nutritional support
✔✔B) Infection prevention *Rationale:* In a compound fracture, where the bone breaks through the skin, preventing infection is crucial due to the exposure of the bone.
Which type of fracture is characterized by a break that occurs diagonally across the bone?
- Transverse fracture
- Comminuted fracture
- Oblique fracture
- Greenstick fracture 1 / 3
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✔✔C) Oblique fracture *Rationale:* An oblique fracture is characterized by a diagonal break across the bone, distinguishing it from other types of fractures.
What is a common initial treatment for an amputation to manage post-surgical swelling?
- Applying a hot compress
- Elevating the limb
- Using an ice pack
- Administering antibiotics
✔✔B) Elevating the limb *Rationale:* Elevating the limb helps reduce swelling and promotes better blood flow to the residual limb after an amputation.
What is a primary symptom of phantom limb pain that a nurse should monitor for?
- Nausea
- Tingling in the residual limb
- Pain in the amputated area 2 / 3
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- Fever
✔✔C) Pain in the amputated area *Rationale:* Phantom limb pain is characterized by pain that seems to originate from the amputated limb, which is a key symptom to monitor.
What is the main goal of using a compression bandage after an amputation?
- To provide pain relief
- To prevent infection
- To control swelling and shape the residual limb
- To improve mobility
✔✔C) To control swelling and shape the residual limb *Rationale:* The main goal of using a compression bandage is to manage swelling and prepare the residual limb for prosthetic fitting.
How should a nurse address the risk of contractures in a patient following an amputation?
- By increasing physical activity
- By performing regular range-of-motion exercises
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